HomeMy WebLinkAboutBLD22781 Final Carport - BLD Permit / Conditions - 10/12/1988 Shorelines: 1114 Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: cz[f�1
Mobile Home.-
Smoke Detector:
Remarks:
Footing: auu
Setback: z�
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE CARPORT
Permit No. 22781 No. Floors Sq Ftg 480
Owner MEDCALF, Dean Te1426-1930 Date 9-23-88
Address P 0 Box 1103 Shelton Zip
Contractor Self
Address Zip
Legal Description Rainbow Lake Lot 26
Direction to project site E 190 Evergreen Dr.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport 480
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON WASHINGTON 98584
427-9670 DATE ISSUED 2 2r3-ff
PERMIT NO. "�' /2/
NAME MAI DDRESS CITY&STATE ZIP PHONE
OWNER _DF
j �'l �'� X 1 IV 5 ! 70 /� C.
DIRECTIONS
TO JOB SITE /96 ,�I1� - �I Zj� �f }
PARCEL LEGAL
NUMBER m �VUp�t�Q DESCR.
CONTRACTOR MAIL ADDRESS j CITY&STATE LI ENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION✓ ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCR
WORK IBE A>>:i) AR R / � .���7- re,
f /CY=K W
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 DAYS, 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
OWNERSAFFIDAVIT ` 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.
i
X OWN E DATE X BY DATE
FOR OFFICE USE ONLY
DEP TMENT YESPPROVE NO DEPARTMENT YESPPROVENO BUILDING VALUATION _
HE LTH PUBLICWORKS FEE
NNING FIRE BUILDING PERMIT S
A. BUILDING PLAN CHECK - _
SPECIAL CONDITIONS BUILDING GROUP Z PRE-INSPECTION
.Sgc-7 ,! S !d OR)p 11UE d'/� SHORELINE
L�- c411 1 _ y I7� - WOODSTOVE
PLUMBING
�/ �' � MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL �� ��
PLOT PLAN
�I
ADDRESS ( ��/ �V��.L-'. ��, PERMIT NO. 4 0
: s
LEGAL � �LJ.iY4 I\\ � C9L .4- .y y
DESCRIPTION LOT BILK 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
TT
1
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V 41V
I/We certify that the proposed construction will conform to the dimension �n¢�yses shown above and that no changes will be made without
first obtaining approval.
N Are, S M AYA�r (�C , a
NAME(S) OF OWNER(S) OF SITE i STRUCTUREiV (PRINT) UR/ OF NE (S) OR AUTHORI D REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE