HomeMy WebLinkAboutBLD26618 Garage - BLD Application - 9/4/1990 •_ BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME �` MAILADDRESS CITY&STATE ZIP PHONE
� o z $s"$ 26-5-307
DIRECTIONS
TO JOB SITE I/W i 3 •1-0 .� he
-.� v I-' f I w 7r�z
/- w
PARCEL LEGAL
NUMBER DESCR. ,3L/ .,%2/ - �O�/7
NAME MAILADDRESS CITY&S E LICENSENO. ZIP PHONE
CONTRACTOR 71 ' � ,tl�✓L -^
USE OF
BUILDING
CLASS OF NEW I�� ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK ✓ Y X3�
BEDROOMS DECKS YOR N CARPORT NOTICE
TOTAL SQ.FT.
DECK SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. TOTAL GARAGE SEPARATE
FT. CONDITIONING,
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I C TIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
RE STRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS I UED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHA S SHALL BE MADE WITHOUT FIRST OBTAINING
JAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE ENT.
WNER DATE X BY DATE 8:- �� 4
FOR OFFICE USE O LY
DEPARTMENT YES NoDEPARTMENT YES NoBUILDING VALUATION '
HEALTH 3p-y(7 PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 50
D.O.T. BUILDING dl' 0 f0 PLAN CHECK J eC)
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
.2� 7�6f SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY �PUHECKBY., APPRO!V�ED FOR ISSUANCE PERMIT VALIDATION98 DU gJ fa BY 01 �-30 �0 CASH CK MO TOTAL
'".. PLOT PLAN
ADDRESS 6-Ie-G' G'1-�J SjAj PERMIT NO. G i c
LEGAL ('n
DESCRIPTION LOT / 8LK ADDITION 2 /^ ,fJ -,,
SITE AREA_ BtleP% S 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.) '1
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. `
i�
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
►N I r,
%A/ I
r
i
�yF i `I
i
n �.
R
LA
I i
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.
NAMEM OF OWNER(S) OF 317E s STRUCTURE(!) (PRINT) IG OR AU TN AT E F O NERISO Z D AESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVEDO)� ��� G_ q0 DATE
DISTRICT AS NOTED
-' MASON COUNTY
GENERAL SERVICES DEPARTMENT
P.O.BOX 186 • 426 WEST CEDAR • SHELTON,WA 98684
c PHONE(206)427-9670
RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM
OWNER / / , ADDRESS geh��'
THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. CITY to I,l ZIP
A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER '�►'1 �
WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION
WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- .3 I- 3 L j
VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL (�
BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS lfjf_0114�1
AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE FIELD X 3
LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. SIZE Aopss!
FAULTY FIXTURES. DEPTH TO MONTH
THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE OF YEAR
TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER '
FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND
THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE
ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- SEPTIC TANK (S) / ao Gv.c , q,
ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET
CARRYING OVER INTO THE DRAINFIELD. CALL THE LENGTH / (>1C_? L - 7r
MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA SQ. FT.
LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THE y S
CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS TILE ElCORRUGATED .RIGID ElCEMENT
RECORD WHEN HE COMES. DEPTH
DEPTH
TOTAL
HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE ROCK 6EPE
CU. YDS. PIPE 6 /� DEPTH
I
DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR
RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: Q('j�c-Po . SQ. FT.
SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING
ARE LATER CONTEMPLATED. NORTH
SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO
THE SEPTIC TANK AS THEY WOULD INTERFERE WITH
CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE
DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. j�
THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE
SUCH THAT SURFACE WATER IS NOT POCKETED ON THE
DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE led
TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX-
CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA.
WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT
EQUAL TO ONE HALF INCH OF RAIN PER DAY. \
FOOTING DRAINAGE, DOWNSPOUTS AND WATER
SOFTENER RECHARGE WATER SHOULD NOT BE CON-
NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE
DRAINFIELD AREA. J 3
THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE
ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD
YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE-
JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK
HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE u
HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY
CHANGING THE CHARACTERISTICS OF THE SOIL. THE
NORMAL USE OF BOWL CLEANERS OR CLEANING COM-
POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW SOUTH
DOWN THE OPERATION OF THE SEPTIC TANK.
THIS IS AN IMPORTANT DOCUMENT DATE SIGN TURE OF INSTALLER
KEEP IT WITH DEED OR OTHER "l 9 Z (���-, ,�Q W E�-Q--�j R1�
ESSENTIAL PAPERS. DATE NAT E OF INSPECTOR