HomeMy WebLinkAboutBLD0571 Cancelled Garage - BLD Permit / Conditions - 1/9/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
noting
Setback:
Foundation
Walls: PERMIT
Framing: MULL VOID BY EXPIRA l
Fireplace: E &Ti9� _
Wood Stove:
TYPE GARAGE
Permit No. 0571 No. Floors Sq Ftg 528
Owner ERICA,Troy Te1275-5934 Date 9-15-87
Address NE 11Ily Roger Rd Belfair Zip
Contractor Self
Address ZIP
Legal Description Beards Cove Div 7, Lot 31
Direction to project Site Same address as above
P un ing Mechanical Sewer Wood Stove
Fireplace Deck Garage 528 Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED-'?I/
PERMIT NO.
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OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
I1' o
DIRECTIONS CT
TO JOB SITE �73. Czi 1
PARCEL LEGAL 1 / 31
NUMBER f Z330 S 0006I DESCR. L)E�-n-�S C Os'f 1)1V 7 �� ►� f. ��
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR fro r^C ®N4..-v'
USE OF
BUILDING G[:.,r rt ,C'
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE /'
WORK „Z1J (/T+ GUA.�ctio ��^ M .�� f^
BEDROOMS DECKS CARPORT NOTICE
EPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT 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
QBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
;I h
I IL W N E R DATE 5�,� 7 / > X BY DATE
FOR OFFICE USE ONLY
AD ADDEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION 62- Od
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT �b, sv
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP w L VIV
PRE-INSPECTION
DO_,_¢ c)'-6 SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED ByrMK WB
1 NCE PERMIT VALIDATION
TOTAL
CASH CK MO
PLOT PLAN
l3FIF...ti wC -
ADDRESS N.E . It a �, R PERMIT NO. o
g�.�r.�l.s Cori �Zv 7 a
LEGAL ^'
DESCRIPTION LOT J BILK ADDITION 167-l^ti17-C
SITE AREA J ' Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS +�`�" Sq. Ft.
T n
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 W
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND 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.
Z c
0
1
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I 3
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( l
N
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-FT--
I/We certify that the proposed construction will conform to the dimansions and uses shown above and that no changes will be m ithout
first obtaining approval.
a
NAME(S) OF OWNER(S) OF SITE a STRUCTURE(S) (PRINT) 10 (S) O O R 'PREVENTATIVE
DO NOT WRITE BELOW THIS LINE
,l
APPROVED �G
DISTRICT AS NOTED ! DAT
MASON COUNTY PLANNING DEPARTMENT
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
Owner ry
2. �
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Signature of applicant Address f p Application date
7 • 7
LEGAL DESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER i
DISPOSAL
URINAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT /S l� SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
J ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date permit issued Permit number Receipt No.
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