HomeMy WebLinkAboutBLD9765 Water Storage - BLD Permit / Conditions - 1/15/1980 l
Beard's Cove Water System #9765
4-9 1-15-80
Have map on location in folder
Contractor
Water Storage Facility Maltby Tank & Barge
$1253,100.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED -1-3 ea
PERMIT NO. 9 745-f-
OWNER NAME DDRESS CITY 3 S ATE ZIP PHONE
DIRECTIONS X See Attached Sheet
TO JOB SITE
LEGAL ? SEE ATTACHED SHEET)
DESCR.
Al 7 C,
NAME MAIL ADDRESS CITY&STATE LICEN E NO. PHONE
CONTRACTOR LTBY TANK & BARGE INC. , 20621-91 SE, Snohomish, WA MA-LT-BT-B248NP
USE OF
BUILDING Water storage facility
Class of work: X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
construction of a 0.4 million gallon steel reservoir
Valuation of work: $ 125 100.00 PLAN CHECK FEE JK PERMIT FEE
-TS7
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT Ll NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. 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.
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 L SHORELINES
Firm
MALTBY TANK & BARGE INC. SEASONAL [ I FLOODPLAIN i I
E.D. NO. S.E.P.A. I I
By Special Approvals IN OUT YES APPROVED NO
Date
Lic. No.
MA-LT-BT-B248NP /(j —7f ZONING
_
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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 of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
PLICATION ACCEPTED BY PLA HECK BY APPROVED FOR ISSUANCE
Owner Date . BY/
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
2
r
PLOT PLAN
ADDRESS Beard' s Cove, Mason County PERMIT NO.
LEGAL See att�hed sheet
DESCRIPTION BLK ADDITION
SITE AREA 4900 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"'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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
35 ' C7A
A
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.
MASON COUNTYe•�
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SIG ATU E OF OWNER(S) OR AUTHORIZED REPRESENT IVE
DO NOT WRITE BELOW THIS LINE
APPROVED w f
DISTRICT AS NOTED DATE L12 y f J y
GHELTGN PRIN7,11-