HomeMy WebLinkAboutBLD0060 Final Addition - BLD Permit / Conditions - 10/17/1989 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:_
Conditions: FINAL: �;�/�O �
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing: 41/� ft�Z� �
Fireplace:
Wood Stove:
TYPE ADDITION
Permit -Uo. 0060 No. Floors Sq Ftg 120
Owner PICKETT, William Tel 275-4396 Date 12-6-88
Address P O Box 516 Belfair Zip
Contractor Hallett Const
Address Belfair Zip
Legal Description NE,NW,SW 30-23-1
Direction to project site Northshore Rd .9 miles to Sand
Hill, qo 1.3 mi. to Belfair Manor Dr on left. Go .6 mi.
to NE 591 Belfair Manor on left
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
3 bdrm
BUILDING PERMIT APPLICATION
. MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. CC
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Wiillam �-15-
DIRECTIONS '[� 1JoMn 5h 9 le. iv -4icLn 'l c,r
TO JOB SITE 17r�vz c•� -�n` to S M
LEGAL rce.l 1�3 c� -15 0G2i0
DESCR. } I !1 .3 G 1 W
NAME AILADDRESS CITY&STATE LICENSE O. ZIP PHONE
CONTRACTOR
USE OF
BUILDING �c rdp
CLASS OF WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE c� t
WORK Ba'Id 10 xlzi 10,C&r00,r w /0-w-Lc-Infd (�' X(o' poy-cjj r1G't -To _
jtv�cl�S
D-kA-Cx CA-,t-A .t 4�'V- rc1 a 10, 1 �c— . 'Tf, - o: c-j" Lk" 11 kow e a-n o L-i-�s d-e- t-\ .+ .
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BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS d TOTAL SO.FT. GARAGE CONDITIONING,
NO.OF STORIES -L— 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
TOTALSQ.FT. � FIREPLACE DETACHED ✓ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT 61' SHORELINE L►'��C t PGr _
SEASONAL 3'io s -
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
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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT ING APPROVAL FROM THE BUILDING DEPARTMENT. � ' APPROVAL FROM THE BUILDING DEPARTMENT.
X O NER ATE �� J DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH ! r PUBLIC WORKS FEE
PLANNING r FIRE BUILDING PERMIT ,S
D.O.T. BUILDING 1,�K PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
x UulrZi KL PLUMBING
MECHANICAL
STATE BUILDING FEE t
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE I PERMIT VALIDATION A _
TOTAL c�,CJvh
Al G BY %C CASH CK MO
L.J.
«�0.rr� �L'kai� PLOT PLAN
P.v , (5f)x Si to
ADDRESS NIP '�5 1p 1 J�ke Hair M n i- I V PERMIT NO, f o
ABC 1� <� _ / = s
/v w '/4f 5�11 �I c. c-�70n 3Jf TWhSh,fa � N kc 7, 1�1 ^
LEGAL
DESCRIPTION LOT BLK ADDITION / Qrcid 3.30 7_!�
6d--/U
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 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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I/We certify that the roposed onstruction will conform to the dimensions and uses shown above and that no changes will be made without
fiat obtaining approv J �
MIS) OF OWNER(S) OF SITE a STRUCTUREW (PRINT) 1GNATUR O OWNER(S) OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS NE
APPROVED
'CT AS NOTED DATE
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