HomeMy WebLinkAboutBLD20367 Garage - BLD Permit / Conditions - 1/9/1991 Shorelines: A1,4 , Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
MobileHome:
Smoke Detector:
Remarks: e4 2�-
0o ing:n P
Setback:
Foundation
Walls: PERMIT
Framing: R"?''•
Fireplace:
Wood Stove: nATC
TYPE GARAGE
Permit No. 20367 No. Floors Sq Ftg 880
Owner SELF, John Tel 275-5707 Date 6-8-87
Address NE 481 Schooner Loop Belfair Zip
Contractor Earl Green
Address 2018 Yukon Harbor Rd Pt Orchar 1p
Legal Description Beards Cove Div 4, Lot 45
Direction to project site Schooner Loop to Larson Blvd
in Beards Cove
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck --rage 880-7-arport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. r
OWNER NAME _ MAILADDRESS CITY&STATE ZIP NE
7,1
DIRECTIONS
TO JOB SITE e t q OY149 F0 j9J7 &I*/
00 L �/,�?. r 0 L"112
PARCEL EGAL14 �/'�
NUMBER 1(jT y� DESCR. U G�//
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO.
USE OF
BUILDING
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK L
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGES CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED 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
TOTAL SQ.FT. W FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X' SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.XOWNER DATE XBY - DATE '�' -/� a 2 FOR OFFICE USE ONLY
DEP Nff MENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT S
D.O.T. BUILDING PLAN CHECK
�5
SPECIAL CONDITIONS BUILDINGGROUP - PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL
PLOT PLAN
ADDRESS /[ yS/ �C_LnL1i1Jt' " �fi� IZ,G_ PERMITNO. 0 o
>
a o
LEGAL
DESCRIPTIONS LOT /,' ,1,,J BILK ADDITION "
u
SITE AREA— ` S 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I
L�
,
i
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 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PRINTINS