HomeMy WebLinkAboutBLD0570 Final Garage - BLD Permit / Conditions - 4/4/1988 Shorelines: Plunbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:,rely
Mobile MEE:
Smoke Detector:
noting Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No. 0570 No. Floors Sq Ftg 576
Owner RAUH, of y T. — Tel Date 9_8_87
Address P 0 Box 767 Belfair Zip
Contractor Faith Const
Address E 19550 Hwy 106 Belfair 1p
Legal Descrip ion Beards Cove Div 5, or F7
Direction to project site From Belfair drive o ,r No rh
shore. Turn right on Sand Hill Rd. Left on Larsen Blvd.
Right Larson Lk Ln. End of rd on right
Pltmbing Mechanical Sewer Wood Stove
Fireplace Deck Garage
Basement Carpo rt
Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
lea. C c,
DIRECTIONS ,
TO JOB SITE 4x2 AlaLEGAL
DESCR. ob eq- COU'e /' '5` za
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
i c O , 13.&' , -
USE OF
BUILDING
CLASS OF WORK ✓ NEW i/ ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE `
WORK r o 12 0, C x l '
T 70
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS T TALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSAFF AVIT CONTRACTORS AFFIDAVIT
I CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION W RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMEN 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 CONFOR NCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O N E DATE X BZL a DATE��Z
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION57.
YES NO YES NO ,S �S
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
5 G.
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEEIL
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CH /BAY APPROVED FOR ISSUANCE PERMIT VALIDATION
� / ` i It - BY CASH CK MO TOTAL 6P'15 Q�
PLOT PLAN
ADDRESS PERMIT NO. o a
� o
0
LEGAL (�
DESCRIPTION LOT BLK ADDITION a
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 Al"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.
C'
lr/
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
44-q
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.
AM S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) StGNATUR OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRiNTiN'�