HomeMy WebLinkAboutBLD8729 Chip Storage Bins - BLD Application - 12/16/1975 BUILDING PERMIT APPLICATION
MASON COUNTY
P. O. Box 400 Shelton, Washinqton 95584
DATE ISSUED
PERMIT NO.
Delson-LUm-er Co.,_ Inc.- _.
-- ---T- MAIL ADORES ZIP PHONE
OWNER; p 0 Box 858 Olympia, Washington 98507 352-7633
DIRECTIONS I
TO JOB SITE I See attached map
LEGAL --- --__- - MAIL ADDRESS ------ "� (CISEE ATTACHED SHEET)
DESCR.� Portion of NA NW' SE-4 (N. of R.R. Tracks) Sec 24, T 19N, R 4W W.M.
-- --- — - -MAIL ADDRESS PH ONL ----- —
CONTRACTOR
None (To be constructed by Delson Lumber Co. , Inc.) _
USE OF MAIL ADDRESS PHONE LICENSE NO.
BUILDING Chip Storage Bins ( IG Zq-Do - QQO I d
Class of work: ®NEW ❑ADDITION ❑ALTERATION I❑ REPAIR ❑MOVE ❑ REMOVE
Describe work: New construction Concrete foundation, steel framing.
Valuation of work: $ 40 r 000 PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Type
Cons.. Occupancy
11 Const. — Group � Division
— i.of Bldg. No.of Max.
(Total)Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT Special Approvals Required Received Not Require
I Certify that I am a currently registered contractor In the State 7UNING
of Washington and the County of Mason and I am aware cf the HEALTH DEPT.
ordinance requircments regulating the wcrk fcr which the permit PUMLIC WORKS
is issued and all work done wi,I be in conformance therewith. DEFT.
Firm _
By -- -
Lic. No. Date
OWNERS AFFIDAVIT
1 certify that I am exempt from the requirements of the contract.
or registration law RCW 18.27, and am aware of the Mason N 0 T I C E
County ordinance requirements for which this permit is issued
and that all work done will be in conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,
HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC-
I TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF
Owner ` Vrr`� Date,'? 7 e� 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
r
zz
PLAN CHECk VALIDATION CK .o. CASH PERMIT VALIDATION cK.`;.? M.O. CASH
�HC TON PRINTING CO.
I Delson Lumber Co. , Inc. PLOT PLAN
ADDRESS P 0 BOX 858 Olympia, Washington 98507 PERMIT NO. o
z �
In D
D O
LEGAL Sec 24, T 19N, R 4W (See attached map)
DESCRIPTION LOT BILK ADDITION
Chip Bin
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 560 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 BUILC-:NG 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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.
Delson Lumber Co. , Inc.
NAME(S) OF OWNER(S) OF SITE d STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZZO REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELT ON PRINTIN"
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J/f� � -�ELT -" - _ .1• -
ij
Sec. ?a Tjyp. 19 North R_ 4 I-lest
County o1. Masc t .
14 13 SCALE t iNc"-800 Ft:T
_23 24 t
-
_._.._....._ -..__....___ .__.. _.;_.._.._..._-...... .__.. ._.__.:_.._...._ _- -- -..._.. .�. ----------•••-
i
;Private A cess Road' j
Eg
i I I Mill Si e
'Well S'
Q1 Private Ac ess Road
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-- -- •--
-- N.P. RiAlroad RAI j
" t
_. Little Skookum reek-=-----_ 1
iMccleaky — Kamil he Road
...._......._.._........... ....._........... ........... ..._.... ........_.._.____