HomeMy WebLinkAboutBLD0680 Final Addition to Extend Roof - BLD Permit / Conditions - 9/15/1988 Shorelines: A/)7 Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: 0,e5�//r krC— `
Mobile Home:
Smoke Detector:
Remarks:
Footing: , L
Setback:
Foundation
Walls:
Framing:
Fireplace:_
Wood Stove
TYPE ADDITION TO EXTEND ROOF
Permit No. 0680 No. Floors Sq Ftg
Owner MALONE, Donald C Tel 275-6135Date 7-26-88
Address NE 531 Old Belfair Hwy Belfair Zip
Contractor Self
Address Zip
Legal Description Tr 7 NW,NE (Tr A S/P 898) 29-23-1
Direction to project site 1/2 mile North of Belfair
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED �
4 /gu
c/ qQc-,�76 PERMIT NO. G g O
OWNER
E _ MAILADDRESS CITY BSTATE ZIP PHONE
U✓ -
TO JOB J I�OB SITE '
PARCEL LEGAL _
NUMBER 2— DESCI 7 Of^ A/
NAME �LADDRESS CITY 8 STATE NSE NO. ZIP P� NE
CONTRACTOR Ic S ;1,
145-
USE OF
BUILDING
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 TOTAL SO.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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OW ERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I C RTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS 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 ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB AINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNE �ZATE ---__ X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVED O DEPARTMENT YES APPROVEDBUILDING VALUATION
HEALTH �,A� PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT `
�y
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE,
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE a
STATE SURCHARGE
APPLICATION ACCEPTED BY PLAN ,CHECK BY� APPROVED FOR ISSUANCE PERMIT VALIDATION _'DD
C /�/''� �—iC6 BY CASH CK MO TOTAL
PLOT PLAN
ADDRESS /I(� l t ( C/L�7 �L F/�l j�J�(��/� .(� /7 PERMITNO. f o
= s
R >
� o
LEGAL
DESCRIPTION) LOT BLK ADDITION/
SITE AREA/�� 77� 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' AAE
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 AND 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. aJ
0
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
QU TT-1
r
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v
a U
l
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
11A4L 4 '' tLl7 ��!' 'l��L l�/C�f l �n�_ _ -. -
NAME(STOF OWNER(S) OF SITE a STRUCTURE(S1 I INT) SI GI�A TORE OF OWNER(S) AT UTM0111 D REP ESEN TA TIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE