HomeMy WebLinkAboutBLD26403 Garage - BLD Permit / Conditions - 8/9/1990 � a
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
Footing y6
Setback 4,,,K�i o� Q
Foundation
Walls:
Framing:
Fireplace:
Good Stove:
TYPE GARAGE
Permit No. 264ng No. F1oo ` '— S9 age 400
Tel Owner NFI SON I YI F A77-.91 rn A 9-An
Address N Ann mt Ji ipi tpr Dr Wnnr1Spnr1 Zip
Contractor
Address Zip
Legal Description Raardg Enya di i A 1 nt U
Direction to project site Douro North Shore rrl to Sandhi 11
an riaht. to I arsnn Rd 9n .1 ft_an i_n SSrhnnnPr t
Plumbing an caSewer Wood Stove
Fireplace Deck 'a rage _.y_ aFport
Basement ---loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 q
427-9670 DATE ISSUED 9-
PERMIT NO.
OWNER N ME / / MAIL ADDRESS CITY&STATE ZIP S, ONE ) 7/5
Z�t
'/gr
DIRECTIONS /�/�
TO JOB SITE BCr9� /U�C/!� 5�7�Ce �i TO IUGC/It/LL p Q GalCSd�L
ARCEL 0✓ 000�� LEGAL]
DESCR.
NA 2LADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE �'�� ��
BUILDING (� X-y
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS YORN CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE f�//� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT19N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE TS 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 CON RMANCE 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.
NER DATE X BY DATE
FOR OFFICE USE ONLY 3 G 061C? r
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT Li J`c)
D.O.T. BUILDING PLAN CHECK Z +�
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
< < SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLA CH K BY APPROVED FOR IS UANCE PERMIT VALIDATION ^
ye4j" v1 BY CASH CK MO TOTAL �/�
PLOT PLAN
ADDRESS PERMIT NO. o
s o
a
LEGAL
DESCRIPTION LOT BILK ADDITION
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,
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
1 l
I/We certify that the proposed construction will conform to the dimansicros and uses shown above and that no changes will be made without
first obtaining approval.
NAME(al OF OWNER(a) OF SITE S STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(!) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE