HomeMy WebLinkAboutBLD23631 Final Pole Bldg - BLD Permit / Conditions - 5/23/1989 Shorelines: ,1 Plunbing:
( Setback: Mechanica :
( Special Interior:
Conditions: FINAL: e�'c yle t/� L
Mobile arse:
Smoke Detector:
Remarks:
oot ing: c s' // s-- =
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
Typg POLE BLDG.
Permit No, 236S1 No. Floors Sq Ftg 864
Owner STATKUS, Michael C Tel 275-4023 Date 4-28-89
( Address NE 601 Union River_Rd Belfair Zip
Contractor AlpaSteel Bldgs
Address 1724 Cole St Enumclaw Zip
Legal Description - 2,N4 29-23-1
Direction to project site Old Belfair Hwy to NorthshorP_
112 mile Union River Rd. On right. 6/10 mile to
property.
Plumbing Mechanical Sewer Wood Stove'-
Fireplace Deck Garage Carport
Basement soft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427.9670 DATE ISSUED
PERMIT NO. -2 3�'
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER /CH C, S e` O/
DIRECTIONS
TO JOB SITE �/ Q OG / •1/, /p v
ell" /z/Cff G641 To ` 6iP ,tSP?T
PARCEL qr LEGAL
NUMBER �r/Z -��d�i�® DESCR. / �/ sz3/v /Q /r /��. iv Ca
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 14 t // GOG�S7 /���i4�'
USE OF
BUILDING
CLASS OF NEW t/ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK GZE 3L�
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.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 SAYS, 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.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT 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
REQUIRE 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 G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. �y
X NER DATE X BY /DATES
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING "/Z_ PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP �'�l PRE-INSPECTION
5 P
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATIO CCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
Z,yj BY " t"�'v'��/�� CASH CK MO TOTAL 7��
I
PLOT PLAN
ADDRESS PERMIT NO. s o
= s
n s
s o
LEGAL
DESCRIPTION LOT BLK ADDITION .0
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 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
j,.
F+N'�
tJiUE '
%J `� \
1
r
4, ty p
Fia I/We certify that the proposed construction will con orm to the dimensions and uses shown above and that no cWAYbe made without
first obtaining approval.
NAME(S) OF OWNERS) OF SITE h STRUCTURE(S) (PRINT) tIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE