HomeMy WebLinkAboutBLD19115 Final Garage - BLD Permit / Conditions - 10/14/1986 TYPE GARAGE
Permit No. 19115 No. Floors Sq Ftg 360
Owner JORDAN, Kenneth Tel 275-30815 Date 8-8-86
Address NE 30 Schooner Loop Belfai Zip
Contractor Self
Address Zip
Legal Description Beards Cove Div. 4, Lot 86
Direction to project site NE 30 Schooner Loop
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage 16n Carport
Basement Loft Other
Shorelines: I Plumbin
etbac�C: IMechanicat.
pecia ! Interior:
Conditions: IFINAL:E•
I Mobile Home:
(Smoke Detector .
Remar s
F0ox icn f
Setbac �
z
Foundation -2
Walls: A-�/8��gf Ile,< I J�2a CIrI�ZeGf -,�m g uji�P
Framing:
Fireplace:
Wood Stove:
III -
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENE L SERVICES
P.O. BOX 186 SHELTON, WAS INGTON 98584 T `9g�
426-5593 DATE ISSUED All 4
PERMIT NO.
N ME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Jv tic.
DIRECTIONS
TO JOB SITE
1Ak v.
LEGAL //-- /
DESCR. �� �VJ (��llc�S DuefiS(- h� ( n h
NAME MAIL ADDRESS CITY&STATEI LICENSE NO. ZIP PHONE
CONTRACTOR E ` a5
USE OF
BUILDING
CLASS OF NEW ADDITI ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE ✓ CONDITIONING.
NO.OF STORI ES BASEM ENT 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT ✓ SHORELINE
SEASONAL
OWNgRS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI EMENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI ING APPROVAL FROM THE B DINGDERTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X'?I N DATE X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION
HEALTH Jpz PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
411A-
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS, H K BY APPROVED FOR IS NCE PERMIT VALIDATION I`
TOTAL /
U
" ' BY H l CASH CK MO `�' � O
PLOT PLAN
ADDRESS �G i r hoPr /1 a� �� I/J� PERMIT NO. F o
: 0
�>
0
0
LEGAL
DESCRIPTION LOT BILK ADDITION (Nu
SITE AREA iroSq. 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- G
TION P"ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL C
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'
°7- �F
v
AN
4i�
�
I
,r
I/We certify that the proposed construction will con o &A wn above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PIi1NTIN3