HomeMy WebLinkAboutBLD18698 Final Garage - BLD Permit / Conditions - 9/18/1986 TYPE GARAGE
Perm 18698 it No. No. Floors l Sq Ftg 576
Owner THOMPSON, Everal C. TO Date
Address 17E30 Admiral Drive, Belfair—,--WX-- Zips
Contractor Faith Construction Co.
Address E19550 Hwy 106, Belfair, WA Zip 9 528
Legal Description Beard's Cove, Div. 7, Lot 32
Direction to project site Beards Cove, Div. 7, Lot 32
PlLrnbing Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: plumbing:
Setback: Mechanic at;
Special Interior:
Conditions: FINAL: D„
Mobile Home:
Smoke Detect
q Remarks:
Setback c
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
I
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED `'/ 766
/S�,1 Q PERMIT NO. C
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER o, n ' '�Zs
DIRECTIONS
TO JOB SITE
LEGAL
NAME MAILADDRESS CITY&9TATE LICENn NO. ZIP PHONE
CONTRACTORUSE OF
BUILDING
WORK CLASS OF NEW t� ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
.�? y >C
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE 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, FIREPLACE DETACHED ABANDONED FOR A PERIOD OF180 DAYS AT ANY TIME AFTER WORK ISCOMMENCED.
PERMANENT ✓ SHORELINE NA
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.
Q��X OWNER DATE X B DATE
FOR OFFICE U8E ONLY
DEPARTMENT YESPPROVENO DEPARTMENT YES NOBUILDING VALUATION L E�r
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT S C
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLA9NS HEECK BY APPROVED F07�SUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
PLOT PLAN
ADDRESS PERMIT NO. f o
A D i
a o
LEGAL °n
DESCRIPTION&✓ LOT : BLK ADDITION u
SITE AREA —Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. 1
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.) V
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 t
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POW
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
e)
)
I/We certify that 0L 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(3) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6H ElT ON PRIN TANG