HomeMy WebLinkAboutBLD25222 Final Garage - BLD Permit / Conditions - 4/19/1990 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:4ey<
Mobile Home:
Smoke Detector:
Remarks. SIS
Footing: CC Z-z o U- '21(OcL;ryG
Setback: -�Z is v s_4 r-L�P_c
Foundation �T2
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No. 25222 No. Floors Sq Ftg 440
Owner PTAK, Edward R Te1427-9084 Date 2-27-90
Address E 190 01de Lyme Rd Shelton Zip
Contractor Dave's Const
Address Simon Zip
Legal Description Lake Limerick Div 4, Lot 192
Direction to project site Nason Lk Rd to 01de Lyme Rd.
Aoorox 4 blocks off Mason Lake Rd.
P um ing Mechanical Sewer Wood Stove
Fireplace Deck Garage 44 rport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 y
427-9670 DATE ISSUED` / �O
PERMIT NO.S ✓�01
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER Ep K'Arir YT �.� ra !7�a� l f'n1r /i}v Slm=l_ro k) WA) - .S'r
DIRECTIONS 1 > .0 ��r ��"/ ;.9,i! e'
TOJOB SITE '1 �u A �� - �-=- � L " �� �OF _ t= l�i.—. �,� .. -- � �� �� /d- �
a a.1
PARCEL LEGAL /
NUMBER 3 Z l 2 7 - S 3 1 DESCR. �/ �/ �,e• L v -C
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR Vr! GIAi�,L S14FE_(,ill W ! Z2;�-rig- /�✓r: C ' /�✓K.' �{2c:� - Ssr
USE OF
BUILDING ����(jF � �a�nK, ��!t�t u2 S7-dF.A6F 5 /=AC&)
WORK ✓CLASS OF NEW �/ ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI G APPPRROOVAL FROM
THREE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XO NER !�(1i�11�i�®j l�Tf} � DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVE NO DEPARTMENT VESPPROVED,O BUILDING VALUATION 91 c
HEALTH - PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 1
D.O.T. BUILDING PLAN CHECK -Z_7
SPECIAL CONDITIONS BUILDING GROUP PAr PRE-INSPECTION
SHORELINE
WOODSTOVE
o PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY A VED FDA ISSUANCE PERMIT VALIDATION
ti� 7•-Z ,a BY �_ CASH CK MO TOTAL
PLOT PLAN
ADDRESS )E70 1,90 OL D /J l- I PERMIT NO. 4
LEGAL
DESCRIPTION LOT DI �� /" BLK ADDITION
SITE AREA Ab Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS , C 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 _y G&AP�F�HttIkRE�A:rc � �c�vn�"�6'
Q.
i
71
Z.
-
I!
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.
FOWW U k , PTA<
NAME($) OF OWNER(S) OF SITE \ STRUCTURE(!) (PRINT) SIGNATURE OF OWNER(!) OR AUTHORIZED REP E3ENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE