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Home My WebLink AboutBLD22667 Storage - BLD Permit / Conditions - 9/2/1988 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Footing: Remarks: Aar :d > Setback: lei - Foundation Ak-r ," Walls: pEAtma Framing: - VOID BY r.Xpitp;. - Fireplace: ATE n., Wood Stove: TYPE STORAGE Permit No. 22667 No. Floors Sq Ftg 120 Owner BROOKSHIRE, Bob Tel 426-9306 Date9-2-88 Address E 150 Balbriggan Rd Shelton Zip Contractor Self Address Zip Legal Description Lake Limerick Div 4, Lot 119 Direction to project site To Lake Limerick, to Dartmoor Rd. to Above address Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED ^ / Q�.� PERMIT NO. S? NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE PARCEL LEGAL NUMBER 3aQ7'6 3 QO�� DESCR. /",' L,`Mr,G� NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING. NO.OF STORI ES L 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./2� FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT _�� SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTI Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUI MENTS 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 FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. O X N T�4�DATE S"ga X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION MM YES NO YES NO �� V. HEALTH PUBLIC WORKS FEE PLANNING ( FIRE BUILDING PERMIT m2 D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP f _Z PRE-INSPECTION SHORELINE WOODSTOVE 10,20. Q� PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLA S CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION Q BY - CASH CK MO TOTAL C/�✓,1 PLOT PLAN ADDRESS,L�. PERMIT NO. a ' o LEGAL ' DESCRIPTION LOT BLK ADDITION 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' .-- I 7 1j4 InK � L J' 7 r 9 � I/We certify that the proposed construction will conform to the dlmensiohs and uses shown above and that no changes will be made without first obtaining approval. NAME(s) OF OWNER(a) OF SITE a STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(!) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE MASON COUNTY PLANNING DEPARTMENT P.0. Box 400 Shelton, Washington 98584 PLUMBING PERMIT APPLICATION IMPORTANT—Complete ALL items. Mark boxes where applicable. 1. LEGAL DESCRIPTION Location Of NS N S Building E W side of feet E W from intersection of Sect. Twp. Range NO. PLUMBING FIXTURES4� FEE NO. GAS APPLIANCES FEE GAS PLUMBINGAj 1 WATER CLOSETS 5z) EACH UNDER 60 MBTU SEWER SEPTIC TANK CBASINS ' () EACH 60 TO 120 MBTU BATHTUBS EACH 120 TO 200 MBTU SHOWERS EACH 200 TO 500 MBTU / — WATER HEATERS --_ L� EACH OVER 500 MBTU AUTO._WASHERS ( SINKS S FLOOR DRAINS DRINKING FOUNTAINS LAUNDRY TRAYS Connect to City Sewer SERVICE CONNECTION DISH WASHER DISPOSAL URINAL Distribution System By Special Permit (Show Street Names & Property Lines) INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR 2 GAS AND WATER. SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT ON OTHER SKETCH. PERMIT ¢� PERMIT FIELD INSPECTION Date By Remarks Name Mailing address — Number, street, city, and State Zip code Tel. No. Owner TL II�ILGtGS ��10 .S�_ t RCo y Contractor rfle owner of this building and the undersigned agree to conform to all applicable laws of Mason County Si;hta of applicant A ess Application date //u ( ' DO NOT WRITE IN THIS SPACE.— FOR OFFICE USE ----] Approved by Permit fee Date permit issued Permit number Receipt No. e°( V0 $ q,