HomeMy WebLinkAboutBLD0334 Final Water Storage - BLD Permit / Conditions - 1/23/1987 r
TYPE WATER STORAGE
Permit 'No. 0334 No. Floors S Ft
q g
MISSION CREEK 0 _
Owner C MM.CLU�'el .Date 8-27 85
Address NE 26 Chinook Dr.. % Lorrie Wybark Zip
Contractor Jesfield Const.
Address P.O.Box 159 Belfair Zip
Legal Description Por Gov Lot 3 ' 30-23-1
Direction to project site' 1-5/10 min up Mission Cr.Rd_
turn rt. on Chinook Dr. ', follow' red" arrows to Jes-field
residence
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport,
Basement Loft Other
42x16x8 I��
Shorelines:
Setback: ,O/Sz
Special Conditions:
Footing:( / 777 FT?
Setb ack
Foundation Walls: -/-s&7
Framing:
Fireplace:
Wood Stove::
Plumbing:
Mechanical:
Interior:
Final: a K/i 3t 79
Mobile Home:
Smoke Detector:
Remarks:.
{
BUILDING PERMIT APPLICATION
MASON COUNTY do���6 —32— 0622/6)
P.O. Box 186 Shelton, Washington 98584
426-5593 s'
DATE ISSUED 7
PERMIT NO. L4 a L1
OWNER NAME MAIL ADDRESS CITY&STATE
,:ems , R4= .
. � � kam C�e f � ' e DIRECTIONS -5- / In,-ss, 5 , Cfze aA -�-c..✓vr V"e1(<if c.t �(1,'wv� i,C-
TO JOB SITE /o �' f�5 �+E
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �C r I•r'*n G c J 'tom�� -5e- 3 0 / 2-3 �,1 �� ``t.) `y/o
NAME 1 1 MAIL ADDRESS CITY&STATE I l PHONE
CONTRACTOR Te' ' •c. �1 V I � ) p3 �� �T /�✓ �
USE OF �(
BUILDING Lk)e,'+e. S/ d/-c4, e-
Class of work: NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
i f
4,
Valuation of work: $ _ PLAN CHECK FEE PERMIT FEE S 1
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
t✓he State of Washington and I am aware of the USE ONLY
ordinance requirements regulating the work for which FOR OFFICE
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES ❑
Ir 1. T ��% / ( ��t SEASONAL ❑ FLOODPLAIN 1-1
E.D. NO. S.E.P.A. ❑
Special Approvals IN OUT YES APPROVED NO
Lic. No. S ��F �� Date Z3 ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DE
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS C K BY APPROVED F R ISSUANCE
O'W� ner BY G
PLAN CHECK VALID4-Tro—N CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
X
PLOT PLAN
ADDRESS �r �' L +kv�r,✓ . +J C t.? ei�PERMIT NO. o
0
LEGAL
DESCRIPTION LOT BLK ADDITION �` (a
SITE SITE AREA 2— eI C/e___& . Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft. `r
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 P"ID 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"=@V
a
fI
r
e_
oe
5t I
o� 1
I/We certify that the�pos d construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT)' IGNA TUR WNf R(S) AU TH IZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTING