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HomeMy WebLinkAboutBLD0375 Garage - BLD Application - 5/14/1991 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAMI MAIL ADDRESS CITY&STATE ZIP PHONE OWNER c p SBZ 1 1 U/ 5_2f3 (z 275-2 DIRECTIONS * I TO JOB SITE OF /,v ERSEG c,v U 4,,y 10(c C' Srlol E + hwy 3 Twa RIGHT AT REALTY 7 reLf-eLu 5�✓TH DRIVIEWAy ALCNG CHAIv L-Ivk Frz,'cE To 13 ,,,E F}c pA-' NILt �QI v r1 Y. PARCEL LEGAL S/-1M B 77hELEA tic•-lE CAPPOV T4AGTS NUMBER 12331 -SLj-60`03 DESCR. 62,i' 0,F �Vj,66' oF 27, TA lAtb OF ? � S/-3. AIR * 23 0 Oo 0 NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR E USE OF BUILDING E CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSO.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SAYS, 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 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. X OWNER DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH ��. � PUBLIC WORKS FEE PLANNING 41L.- FIRE BUILDING PERMIT D.O.T. BUILDING :: ` PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP / PRE-INSPECTION J SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE y STATE SURCHARGE APPLICATION ACCEPTED BY P�LAANSS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION $��Y ✓L�l cJT f _/Y-��� BY./7 ^i YJ /� CASH CK MO TOTAL '� PLUMBING & MECHANICAL PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 IVI 427-9670 DATE ISSUED S 5fly_/ PERMIT NO.0:3 T-S-- NAME MAILADDRESS CITY 8 STATE ZIP PHONE OWNER 6 Box 5.&2 BC-LFAIA, W4 9,05281-75--ZSIA DIRECTIONS TO JOB SITE Ili NoRld OF HW D& C-Soyrn S8,08d 4 Hivy 3 Tugv gi&HT Ar REAi_ry Z FOu,C Svvi H DR►VEkAt ALDA/d CHA►4/ Lltil< Fi_veE -p BLUE Howl_ O.v Hat pT Fva OF DalvfwAy LEGAL SAM 8 TMELER10ME 6ARJ)EAI TRAcm W 7b5 OF E 1 0- B ,S O /b8 OF TR 29_ DESCR. T8 IA 13OF SP * 1523, EdRCEL # 3 CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF BUILDING PLUMBING FIXTURES MECHANICAL FIXTURES NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE WATER CLOSETS / FORCED-AIR/GRAVITY TYPE FURNACE 6.00 BASINS �' / FLOOR/SUSPENDED FURNACE 6.00 BATH TUBS BOILER/COMPRESSOR 6.00 SHOWERS REPAIR/ALTERATION 6.00 WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00 AUTO.WASHER AIR HANDLING UNITS 7.50 SINKS / , HEAT•PUMPS 6.00 FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT LAUNDRY TRAYS WOOD STOVES 5.00 CONNECT TO CITY SEWER WOOD FURNACE 5.00 DISHWASHER DISPOSAL URINALS PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00 TOTAL / TOTAL SPECIAL CONDITIONS: NOTICE: 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST TAINING APPROV L FROM THE BUILDING DEPARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT, X OWNER DATE 5 X BY DATE FOR OFFICE USE ONLY APPLICATION ACCEPTED BY P S C ECK BY BUILDING GROUP APPRqV.ED FOR ISSUANCE PERMIT VALIDATION BY �y C,/ CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER dQ 02- fil ' Lth' c135.26 (21-104-75-25-98 DIRECTIONS TO JOB SITE18 1 AloR " OF /A1TERS6CT10A1 Of O(7 (SOV18 SdeRk `Y RIVY U IGNt Ar REA1?Y 7 Fou--w Sbvrii nRIVr-WAY &,v6 CHAvv LtAK FEkE T. OLVE t4OVSF_ 19T )EVb 0F1DqjVELAY PARCEL LEGAL AM rl ROEA1 ALTS W 7 OF 181 cI 92.5 NUMBER L332�-50- DESCR. L6 OF TA 29 `" 3 # o Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. 0 O Location of proposed construction on property. O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle O Attach copy of septic system"as built" or septic permit approval. O Indicate topography profile of property and structure on reverse side. � GE � I � 1AW E QkAiAll ' - 5 30 2 0 l TA AIX 8z.5' ' 2.5' l0 26 1PRIVITE Li y 20' N 6 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. X —5z- /2 2 7 1 — SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED-- _ DISTRICT AS NOTED , )/S-/y F1 DATE k � TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE POISE