HomeMy WebLinkAboutBLD24248 Trailer Shelter - BLD Permit / Conditions - 8/14/1989 Shorelines: Pltmbing:
Setback: Mechanica
Special Interior:
Conditions:,, FINAL:
Mobile Herne:
Smoke Detector:
emarks:
( r �
Ooting:
Setback: Y,
Foundation Walls: NULL
Framing: A-
Fireplace:
Wood Stove:
TYPE TRAILER SHELTER
Permit No. 24248 No. Floors Sq Ftg 348
275-2491 Date 8-14-89
Tel
Owner ALLISON, Walter --Address 0 Box 30 Bel air Zip
Contractor Self Zip
Address
Legal Description Tr 6 NW SE 29-23-1
Direction to project site NE 450 Hwy 300. Last house on—
ri ht before crossin Union River brill e.
m ing
ec anica ewer o tove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
I P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED -/
PERMIT NO.� �f 77 �e
RAJA M ILADD,,g5,ESS CI Y&STATE ZIP PHONE
OWNER r� �l��r'S'o�v ,G„lSC /�`�a/ ,�i�C /�Af` GT�,>� 47 al'y 1
DIRECTIONS /��)` �0��'� O7V �jf heFlrjT so- CatIQZ
P,
TO JOB SITE te/'
t iePARCEL �
NUMBER/p?3 -1/� ��D�� DESCR. '�� �Q
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK �"-�II ��
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 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 DAYSAT ANYTIME AFTERWORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL;
OWNER®pS AFFIDAVIT 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
REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X , NER.�f � r L( ' n'� X BY DATE-
IV
FOR OFFICE USE ON LY
DEPARTMENT YES
SFFRovENo DEPARTMENT YES NO
BUILDING VALUATION o 7 D dC.�
HEALTH PUBLIC WORKS FEE
PLANNING 1 FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK �S
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE L
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL � ,r} 76
fjf�9i�v/ BY /-C� /� CASH CK MO CIX,
A - -
PLOT PLAN
ADDRESS !y®�3� �r15 4A� 't1 /V /V /� r' +f' PERMIT NO. 0 o
,!/f/4 6� ,J F l 4r 4l/ •
LEGAL SNe e P' ) � W eS
t7i
DESCRIPTIONe� / OT BLK ADDITION
SITE AREA _7 " _ Scl. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Scl. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"620' 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 NORTHJN CIRC E fiC7�� G APH SQUARES ARE 5' X 5' OR 1"=20'
i
Wy
I/We certify that the proposed construction will conform to the dlmensidlu and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE S STRUCTURE(!) (PRINT) SIGNATURE OF OWNER(a) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
MASON COUNTY DEPARTMENT OF GENERAL SERVICES 1�
LeQ0 Descript' a tion" Township North, Range / West, W.M.
Project: •
Date Received 1
Address of Project
a.
Owners Name '
Address J
Phone -
Directions to Project Site
Al 0- P�f,
HEALTH Fee Paid Receipt No. Date Received
�l"v/ Plot Plan Type of Septic System
el Tank Size gallons; Drainfield Length feet; Approved for
bedrooms; Septic System Site Approved Final Approval
Contractor Phone
Inspected By Completion Date
Water Supply Approved
J� PLANNING Fee Paid Receipt No. Date Received
Residence Commercial Plat
p�LJ SEPA Final Declaration EIS Required
o U` Shoreline Exempt Shoreline Permit
Local Decision
Appeal Final Decision
. Preliminary Plat Date Final Plat Date
Contractor Phone
Projec En in per Phone
By 1:4
BUILDING Fee Pa i dys2:7%:f Rece i pt Now glX Date Rece i ved sL %
Plan Check: Approved of Denied with the following corrections -
Conditions
By
Approved: Property Line Setback Footings Foundation Walls
Framing Fireplace Wood Stove Plumbing
Mechanical Roof Exterior- Interior
Final Stop Work Mobile Home Smoke Detector
Remarks
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Additional Comments