HomeMy WebLinkAboutBLD0480 Storage - BLD Permit / Conditions - 1/13/1987 TYPE STORAGE
?ermit No. 0480 No. Floors Sq Ftg 1344
Amer STROMtiERG, George Te1275-3772 Date 1-13-87
kddress NE 510 Riverhill Dr Belfair Zip
:ontractor Self
address Zip
legal Description W-1 2,NW 21-23-1
)irection to project site Newkirk Rd, right on Riverhill
Dr. All the way to end of cul-de-sac. Right at 2:00
Uumbing c anic uer Wood Stove
fireplace Deck Garage 1152 Carport 192
3asement Loft Other
Shorelines: ti,g Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL:
MobileHome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls: d t—
Framing:l► PZ-, ""st
Fi replace: N U L
Wood Stove: �sq, 41
�a.... w.n�.nn
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED t L-5/ 9 7
.17 PERMIT NO. 7 "
OWNER NAME PHONE
MAILADDRESS CITY ZIP
S " 7 - r
DIRECTIONS
TO JOB SITE e , u li 7o A _ • C
LEGAL 7— 14 eft T C?uA7''/e-
DESCR. C 7-/0A/ Z &) /• Q-0
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR de-Datl P
USE OF
BUILDING c'c
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
t
PERMANENT SHORELINE
SEASONAL
OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. / APPROVAL FROM THE BUILDING DEPARTMENT.
X NE DATE / X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION Tp
YES NO YES NO ��•�e�a
HEALTH L PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT s U
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CH CK BY p APPROVED FOR
71SSYU NCE PERMIT VALIDATION
BY 4� CASH CK MO TOTAL
PLOT PLAN
ADDRESS PERMIT NO. o
f o
z �
n D
LEGAL „D
DESCRIPTION LOT BLK ADDITION �� a
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION Al"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 0
U
0
2
AC
NZ
4t
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I/We certify that the proposed construction will conform to the dimensio4s and uses shown above and that no changes will be made without
first obtaining approval.
N AME(S) OF OWNERS) OF SITE h STRUCTUREM (PRINT I ATURE OWNE M OR AUTHORIZED EPR SENTATIVE
DO NOT WRITE BELOW THIS L
APPROVED
DISTRICT AS NOTED DATE
,HRISTMASTOWN PRINTING ,
. 4
5,
rF'QF � N0R"rHWEST QUARTER
TOWN 5HIP 23 NORTH RAWGE I WE5T W.M.
M5RUARY, ,97e
qAt
`
Ira
George. Stromberg
" ,,h rt ' �:: ;: s`, ,•.;.:� ; c/o Dori Cady
�"• t' y P. 0. Box 588
«s `'t Belfair,. WA. 98528
! .,� CAXa,� �r�"► Lee
4 �. N�T1 YO \ Lopriore
� -- seo•,z �r.E
IT
EASEMENT N
ti
., '� 3 w W
a4• o
• �
�.,.. - 4 FLU 179 _
* 5 'v
1v
f 1 c
b E W (V Q
ti, 16�CS,C�O 4' 'tf• O
F�yp; p o
O 1
Y O L
'K Plika
ill , N, % 3,,'3 Art 3S7493
Romners � ►b0/0� �,,'� 6hort Plat //_-��.------___--
)t
Astxon O0, - ....
13
• u Approved <--/ ..........................-.....
- ----
" Planning Director _.
Flat _qf
Division Claire, F- Lopriore
' FtM •ball not e used for on-site sewage disposal+, • �,:- t- b 9 or dwelling
q " 'nut written 4ppraval of Thurston Mason Health Officer.
Aio a Rurvey. Dast&nces, courses and feature4i.,,are
illustrative only.
10;' LOVIrT S ASSOCIATES 5TROMIES G"5 SHORT PLAT
PQ, ft,! S'heltor, WA 98584 (206)426-5568 momJA3 /RpL 1" = 100' 197