HomeMy WebLinkAboutBLD29135 Garage - BLD Permit / Conditions - 9/25/1991 Shorelines: Plumbing:
Setback: Mechanics ..
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
ootmng: Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No.29135 No. Floors Sq Ftg
T
Owner Matias R ; Tel [�7_S Date 30.Q
Address E 310 Old Lyme Rd Shelton Zip
Contractor
Address
Legal Descri tion Zip
P 27 21 3 Lake LimPr;r lr �]iy 4 1 19A Direction to project site Mason County Rd to Old T.11mP R(l
PI tm)ing Mec anica Sewer Wood Stove
Fireplace Deck -arage Z,arport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT,of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
7 PERMIT NO. /
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER T Ru1 ✓ .3htl-ion
� !M yQ, 54 K(O
DIRECTIONS
TO JOB SITE t4ason Comnii,
PARCEL LEGAL tj
NUMBER 3AjA'7,5*3()0j I DESCR. t l9lakejlmcrga 1
CONTRACTOR NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
USE OF
BUILDING airQ ci
CLASS OF NEW ci✓ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS SgFt BATHROOMS SEASONAL RES.O COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED 0 DETACHED,4
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 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. - 1 APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER DATE ��4 122-111 14?9 XBY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YESAPPROVED O DEPARTMENT YEAPPROVED1O BUILDING VALUATION
HEALTH . PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT 50
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
d 9 PLUMBING
in n
MECHANICAL
E.BUILDING FEE
ApP ATION ACCEPTEQ BY PLANS CHECK BY JAPPZEDPERMIT VALIDATIONTOTAL
BYCASH CK MO
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Scx 186 SHELTON, WASHINGTON 98584
d')7-o97n
PERMIT NO.
NAME MAIL A00AESS T Y4 STArc ZIP PHONE
owNEA Mal a bi 9 610 01J Igmej Rd �I►el e'en 4paq ya�S''��b{
OtRECTICNS
rO 108 SITE ; 450n On Rj e O 11 MC
i�
I
PARCEL MEGA u
NUMBER IUi275'3O41111 OESCR. I �01 19S lake 11meciGk bl� #7
Indicate .n,elew: (' Proper;' lin: end dircrs .^s.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances fron foundations.
t ) O Location of proposed construction on property.
�V 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.
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TOPOGRIAP`+Y PROFILE OF PROPERTY AVO LOCATION OF STRUCTURE
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