HomeMy WebLinkAboutBLD N/A Sign Repair - BLD Application - 2/28/1991 ►�� � F("-J Wi e r
BUILDINGf PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
�� / G�, ✓ ��`l►'1' Y/D$ / ( 4 PERMIT NO.
OWNER AME MAILADDRESS CITY&STATE . • X ZIP 5,Rgg PHONE
E'as r2ONS /�. l �o / G �/ 1. .. 1'h.fS . A)_ 1 Se/
TO OBDIRECTISITE n F�lti�v !vs �(� P �� /mod�iO� 275_ 3'ef oo g
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PARCEL LEGAL /
NUMBER DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE Of--
BVW61NG i 1 re Ad r—
CLASSOF NEW ADDITION ALTERATION (-I�EPAIR MOVE REMOVE
WORK
DESCRIBE /
WORK P�� K r vGB'L✓/1 W 2�
L1�r G A.
J/ �- �. 1 .f�Y" (/' ✓Gf-. G[/�,.`. Q G QWLI� S
BEDROOMS DECKS CARPORT NOTICE ar
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 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE I DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE tt5l�ls Ld Si
SEASONAL
OWNERS 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
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPR AL FROM THE BUILD G DE.PARTM�NT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN -2bf DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YES No
BUILDING VALUATION
HEALTH PUBLIC WORKS F E
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING O PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP rLj ^) PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILD G FEE
STATE SURCHARGE
APP ICAT ON ACCEPTED BY PLANS CHECK BY APPR D FOR ISSUANCE PERMIT VALIDATION
TOTAL
DOBY v"ti^ CASH CK MO
BELFAI R ANIMAL HOSPITAL
P.O. Box 69 • Belfair,Washington 98528
Telephone:275-6008
4,1
d
STRUCTURE PROPERTY SETBACKS
Note: For setback requirements an shoreline property, please contact a
Mason County Shoreline Planner.
Chanter 14.08.180 of Mason County Code
Building setback from property lines, right-of-way, or the closest
projection shall be five (5) feet to said line.
A variance may be granted to said line if a hardship can be sho%n and
the adjacent property owner has no objection and is willing to incunber the
deed to his/her property and to be recorded with the Auditor of Mason
County a written statement on his ro
P PertY deed as follows
The property omier 4escribed ( 1 ) Legal Description
the property adjacent (2) Legal Description
~' z been granted a variance of feet to the
Mason unty property line setback regulations. The variance shall be for
the life of said structure or structures so located.
exited this � day of ({,(atAA AD.
Signed by property owner(s) .
POPN&rJ _ '/e/ /V
aTNER
�V'r PROP-MR±Y
� J
STATE OF WASHIM-XN)
)SS.
COUNTY OF
On this day personally appeared before me, 6QVq Q. �I p{q{ - �Oregoing
U,.QhKa l)�4 QG m-S
to me known to be the individuals described in an execut
instrtment, and acknowledged that they signed the same as their free and
voluntary act and ded, for the uses and purposes th�e-,�rein mentioned.
Giverz under my�A Zo
official �e�i =�,is _1�',day cf f
1 g L SFAL � •��i �V
r o� oT (P
•v N . ARy PUBLIC in and for the to
of Washsington, residing at.
9�'OBLI
c.T 16, 1�.��_�� � �1.(sr�c(/1%1 "O)L es:
Furthermore WAS so ranted must be recorded on the property deed of that parcel g p party
to the Depart�t of General Sees.copy of the Auditor's Receipt returned
Reviewed by the Director of General Services n' Z�J I
Approved by Mason County Commissioners
Director Date I
al
26 I SECTION O'f
27 SALE OF PRACTICE AND PREMISES
28 Seller hereby sells , and the Purchasers hereby buy ,
29 the premises described as follows :
30 A tract of land in the f°�h}eeast 10 South eastres qua�ter ,
the Southwest quarter o
31 Section 29 , Township 23 North , Range 1 West,
W.M. , in Mason County , Washington , particularly
:1_� described as follows :
I
J
4
Pro
I COMMENCING at the Northeast corner of said
Southwest quarter of Southeast quarter; thence
2 South 88*03 ' West, along the llor. th line of
said Southwest quarter of Southeast quarter ,
388 . 50 feet to the Northwest corner of a tract
of land heretofore conveyed to M. E. Mercer
4 and Margaret C. Mercer , husband and wife, by
deed dated June 28 , 1944 , recorded December
5 2.2 , 1.944 , in volume 90 of Deeds , Page 48 , under
Auditor ' s File 140 . 109792 and the point of
6 beginning of the tract of land hereby described;
thence continue South 88103 ' West, along said
7 North line , 140 feet , more or less , to the
Northwest corner of a tract of land heretofore
8 conveyed to Mason County, a municipal corporation
of the State of Washington, by doed dated September
9 9 , 1935 , recorded September 18 , 1935 , in Volume
63 of Deeds , page 109 , under Auditor ' s File
I(1 No . 76106 ; thence South , along the I•lest line
of said tract, 136 feet to the Sout-hu:est corner
II thereof ; thence South 01149 ' Fast 64 feet; thence
North 88103 ' East 140 feet, more or less , to
12 the Southwest corner of said Mercer tract ;
thence North 0049 ' I-lest , along the t•Iest line
13 of said Mercer tract, 200 feet, more or less ,
to the point of beginning ;
Id
EXCEPTING THEREFROM the West 10 feet thereof ,
15 and
16 EXCEPTING THEREFROM road rights of way, over
and across the North 20 feet thereof .
17
18 together with the building and improvements thereon, and the v
.,rare i r-A LFAIR ANIMAL HOSPI
and business known as the BE
•
r y
MASON COUNTY TITLE INSURANCE COMPANY
No . 56993 & 56993-A
"EXHIBIT A"
IN MASON COUNTY, WASHINGTON C(OPY
A tract of land in the Northeast ten ( 10) acres of the Southwest
quarter (SW 1/4) of the Southeast quarter (SE 1/4) , Section
twentynine ( 29 ) , Township twentythree ( 23 ) North, Range one ( 1 )
West , W.M. , described as follows :
COMMENCING at the Northeast corner of said Southwest quarter
(St-? 1114 ) of the Southeast quarter (SE 1/4 ) ; thence South Be 03 '
Nest , along th:e North line of said Southwest quarter ( SW 1/4 ) of the
Southeast quarter ( SE 1/4) , 388 . 50 feet to the point of bec;~,-,ring of
the tract of lard �ercUy described ; thence South 0`' 49 ' East 200
feet ; thence North 88003 ' East 32 feet ; thence North 0049 ' West 200
feet , more or less , to the North line of said Southwest quarter (SW
1/4 ) of the Southeast quarter (SE 1/4 ) ; thence South Be 03 ' West ,
along said North line , 32 feet , more or less , to the point of
beginning, excepting therefrom right-of-way for Belfair Street
County Road No . 86400 and excepting road rights-of-way.
Parcel No . 12329 43 00030 .
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X
• r BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP X7-5--6ez9Y PHONE
OWNER
DIRECTIONS !n n / / Al
TO JOB SITE '� C7u�, ��✓� be- . ,,. K
PARCEL LEGAL
NUMBER DESCR.
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building& septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams,wetlands, drainage.
In Circle O Attach copy of septic system"as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
"HIP
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I/We certify that the proposed construction will conform to the dimensions and u es shown above and that no changes will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DISTRICT AS NOTED [ _e^_ 3-C,9/ DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
VO-0 J
CUIMA= r10.
MASON COUNTY
DEPARTMENT of GENERAL SERVICES = Mcln:
Mason County 81dq 111 428 W.Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 427-9670
COMPLAINT INVESTIGATION REPORT
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