HomeMy WebLinkAboutBLD10205 Storage - BLD Permit / Conditions - 3/16/1981 Davidson, Miller #10205
3-16-81
Take Larson Blvd. , off Cemetery Rd. , left 2.1 mi.
Brown/White trailer on right side on Larson Boulevard
Beard's Cove, Lot 41, Div. 4
Storage - Concrete Piers
$1,500.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
1
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHON
Miller Davidson - P. 0. Box 784 - Belfair. Wash. 98528 ��7s`6 /
DIRECTIONS �p� 'b/ ✓ J Q G_=F 7. /,
TO JOB SITE `[7/Pct.GYV w /TE �.PR/L&/ opt/ 1�� / .�/ be oA/�//-/� e►i✓ lJLV s
LEGAL. / • (❑ SEE ATTACHED SHEET)
ESCR C�IV �.
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR Self
USE OF d _
UILDING 1157-46A-46/4C_'jff G ��P & �'L O/ oLS' �9/V r=4b Fzc bs G .
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
escribe work:
O/✓� % /gam-f�E �L//G�f.J�- �i✓ C�/1.�+IP�T�' ��it�.5�
/A 'X /p ' . z'X � ".�.1�.%si o,✓ /� 'f c�/�i�.pES. PQs --o•�f;'�•c�
✓��L�/�s�- f c�-L ,�,P��- %' CALL /fc .vim -�aja
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
1,500.00 -0- $25/00
SPECIAL CONDITIONS:
BEDROOMS DECKS ✓ �, CARPORT ElNOTICE
BATHROOMS TOTAL SQ. FT.�' GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ / OR AIR CONDITIONING.
TOTAL SQ. FTA!�4 FIREPLACE ❑ DETACHED p�/ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ; SHORELINES
SEASONAL 1 1 FLOODPLAIN i 1
Firm
E.D. NO. S.E.P.A. i l
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I ertify that I am exempt from the requirements of the FIRE MARSHAL
ontract 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. / aAPATION
VEHICLE PERMIT
/ „/✓� �� ACCEk Y PLANS CHECK BY APPROVED FOR ISSUANCE
✓ Owner /v1 / C� Date.v BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. j M.O. CASH
Ly,Qsos� ,QLv� .
l
I
a .-
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ZA/,
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PLOT PLAN
ADDRESS.LI7W_ Ce_J V X1-L- J ZC;� / 1"'< 14�/ PERMIT NO. 4 10
0
LEGAL /1 ' /WAS Ct'?
S��
DESCRIPTION LOT � BILK ADDITION ^J C
SITE AREA a /y Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS � l Sq.Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE a
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) Ufa
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. G
TION A"'D 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. j
� W
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
s
TIT
I Ix
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.
1
NAME(S) OF OWNERS) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6H ELTON PRiNTIN^s