HomeMy WebLinkAboutBLD13774 Storage - COM Permit / Conditions - 3/28/1983 Paradise, Anthony F. #13774
426-7138 3/28/83
Lake Limerick, #4, Lot 175A
Approx. 100 feet south of main entrance on right side.
Storage Space Contractor: ,
1,280 Sq. Ft. Curry Const. Co.
$6,400.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: eff A11111k 3
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426.5593 3 — a $'3
DATE ISSUED ) �]
PERMIT NO. / L3 7 / /
OWNER NAME MAIL ADDRESS TY&STATE IP PHONE
d4lc
DIRECTIONS Ir-
TO JOB SITE /fsA Vl V y AplcwvX, 11-a0 14,t //_ K/flVC E 3I F
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �v L U r A�
NAME MAIL ADDRESS CITY&STATE LICEN3 O. �--•_ PHONE
CONTRACTOR �G(Rie� l°U/VS 3v [ �-
U S E OF SU R/SF Sf C/� �` C�/`//'7E/Z C �`t L /�G�iJ:% /1/ -Y C o2 O y�J iL
BUILDING
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
14
Valuation of work: $ PLAN CHECK FEE PERMIT FETP
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS _ TOTAL SO. FT. GARAGE ']
ATTACHED L SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE : DETACHED L7 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED 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
I certify that I am a Currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the perm. is issued and all work doh will be in
confo nce therewith. //! PERMANENT ; SHORELINES I 1
SEASONAL!SEASONAL ! i FLOODPLAIN
Firm v ,' E.D. NO. S.E.P.A. [
By i Special Approvals IN OUT YES APPROVED NO
LI �oqR2E?3_730J—C to ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date .
P CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS PERMIT NO, 0 o
l a
LEGAL
DESCRIPTION I'f j y LOT
/�T/. SILK ADDITION ~
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
r
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 A"'D 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.
l � �
INDICA E NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' Z
'1
FT
III R
ti
I/We certify that the proposed construction will conform to the dimensicrns and uses shown above and that no changes will be made without
first obtaining approval.
NAMES) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) tIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTIN3