HomeMy WebLinkAboutBLD0581 Garage and Apt - BLD Permit / Conditions - 11/3/1987 Shorelines: N,b Pluanbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
noting: Z 7 7 7s-
Setback:
Foundation
Walls:
Framing: f,�/
Fireplace: Nut L
Wood Stove: �;7
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TYPE GARAGE & APT.
Permit No. 0581 No. Floors 2 Sq Ftg 432
Owner COMMONS, Roger _ Tel 275-3130 Date 11-3-87
Address NE 140 Galley Way Belfair Zip
Contractor Faith Const
Address E19550 Hwy 106 Bel-fair Zip
Legal Description Bearas Cove My 4, Lot 17
Direction to project site sn_ nn Nnrfhcllnro Rrl from gel_
fair, rt On Sand FJ;1 1 Rr1 l of t OnLaYSnn Rl ira r;-1,+.
Plum ing c anica ewer Wood Stove
Fireplace Deck 336 Garage 384 Carport
Basement Loft Other
1 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED �l 3Af
PERMIT NO. /9S�
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER k' hs=3":ea
DIRECTIONS
TO JOB SITE v. O'n P r /f
r
LEG
DESCR. G Lcl i 33a �5"/ OGy/ 7
NAME MAX ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR `o ' iv Vim.. C hr sly 2 Ss=SG�C
USE OF
BUILDING
CLASS OF WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
C/
DESCRIBE '
WORK Oq ♦� S / Side AL. 1`� 09/
0 i 4C .'u
BEDROOMS DECKS CARPORT NOTICE
>� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE �35� CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED L� 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
TOTALSQ.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 THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI TRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOU REMENTS 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
OBTA NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. h
�O+NER DATE X BYI'Z,11215!7�n( DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVE NO DEPARTMENT YES NO
BUILDING VALUATION G. 4 )G o C'
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 5 ��
SPECIAL CONDITIONS BUILDING GROUP -�-� PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE r
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CH K,BY APPROVED O ISSU/,NCE PERMIT VALIDATION
TOTAL
rl'yl- BY - / CASH CK MO 151,
PLOT PLAN
ADDRESS PERMIT NO. f o
= v
A D
a o
0
LEGAL 1'
DESCRIPTION LOT BLK ADDITION "u
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 A"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"=20'
J �
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.
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) GNATURE OF OWNER(S) OR AUTHOR ED REPRESENTATIVE
DO NOT WRITE SE OW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PRINTING