HomeMy WebLinkAboutBLD24027 Carport and Storage - BLD Permit / Conditions - 7/7/1989 Shorelines: Plunbing:
Setback:Special Mechanics Interior: :
Conditions: FINAL:
mobile Herne:
Smoke Detector:
Footing: Remarks:
Setback:
Foundation
Walls:
Franing:
Fireplace:
Wood Stove:
TYPE CARPORT & STORAGE
Permit No. 24027 No. Floors Sq Ftg 560
Owner SWISHER William M Tel 426-8482 Date 7-7-89
Address SE N f1ill Creek Rd Shelton Zip
Contractor None
Address
Legal Descr> :ton 1p
P Tr 13 Survev 2/9 4 1
Direction to project ;11Le About. 5 mi No Hwy 3 to Ma-,nn
Lk Rd turn left Turn rt. on lst dirt rd C tfi h k R
go m l .
ing Mechanica ewer Woo tove
Fireplace Deck 7arage Zarport
Basement ----Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED / TT-U ,�
PERMIT NO�C/C:21 7
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER )JIA m Su,��h -etLEs r/ fRK Z y F _
DIRECTIONS A6c,itr 3-.M:c-•S A., YItov 3 %O m.4s N -e R.d, 7-1,R�v LY-<T. T4/ZN
TO JOB SITE c
�A' kT. 90 57-RAi9 hT /,st J R)v i t,-p,l To 7Ae P;9/►T. , .
� a f r
PARCEL LEGAL
NUMBER J' q ,7 /3Q I DESCR. be ac tI a q
NAME MAIL ADDRESS CITY d STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF tL
BUILDING C p0 p- '/I t'a .
CLASS OF NEW v ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
WORK DESCRIBE P07/N
CAR aRT cit SJ+o -e Sh rd 10 M o F.0 Ak �
I
BEDROOMS DECKS CARPORT t/ 'NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACH ED� 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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT 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
CERTIFY
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 APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O ER "'�DATE X BY DATE
NJ FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING L PLAN CHECK cp c`)
SPECIAL CONDITIONS BUILDING GROUP Y PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHF;CK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL ,
BY CASH CK MO
`, o!52 40
PLOT PLAN
ADDRESS PERMIT NO, c o
� 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.
tJ INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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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.
NAME(S) OF OWNER(SI OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(3) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE