HomeMy WebLinkAboutBLD22113 Final Carport - BLD Permit / Conditions - 10/6/1988 a � ODDSD
Shorelines:
Setback: Plumbing:
Special Mechanical:
Conditions: Interior:
FINAL:
Mobile Home.
Smoke Detector;
Footing: Remarks:
Setback:
Foundation
Walls:
Framing:'
;\
Fireplace. -"'�-
Wood Stove:
TYPE CARPORT
Permit No. 22113 No. Floors
Owner GITT, Evelyn J Sq Ftg
Address E 301 Cranber Te1427 Date6-8 gg
Contractor Fred's ' Crk Rd Shelton Zi
Address FramIn p _
10219 50th Ave E
Legal Description Por Tacoma Zlp
Direction to SW NL NW 36-21-3 -----
project site Same address as
Plumbing Mech 11 anical
Fireplace __ Sewer Wood Stove
Deck Garage Carport
Other
Basement Loft 240
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMITNO.
OWNER ,NAME MAILADDRESS nR CITY STATE ZIP PHONE
DIRECTIONS
TO JOB SITE _T G I � G
PARCEL LEGAL
NUMBER 06067 DESCR. /ON 0'A $M/ 1 O O W. k S 3G w a/!v
NAME MAIL ADDRESS T CITY&STA I ENSE NO. ZIP PHONE
CONTRACTOR F Y02/E 4 C tA)
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE gu Od (24 R PO )2 T O N Y42 k/ t e 5 1 d a NC e-
WORK
BEDROOMS_ DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF* 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
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
OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
Se
X W ER DATE X By_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES NO YES NO BUILDING VALUATION
t �
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT Gil
D.O.T. BUILDING C PLAN CHECK `a
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
it v/0 s- / 0 SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL
E
I
PLOT PLAN
ADDRESS ��! ��NY�/l r` `7 ' UJ4ERMITNO. s
LEGAL w
DESCRIPTION Q',;-'LOT BILK /AD/D,ITION
SITE AREA a Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS�/ '�/ �� Sq. Ft. Q
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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR I"20'
LA N
rA
l C In
v �
i
2 _
I -
0
i
xl/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.
Fn'vle./VA1 J, 6
NAME(SI OF OWNG1(a) OF SITE ! STRUCTURE(!) IPRINTI I N TURE OF OWNS (S) OR AU opt] I D R P ElEN ATIVE
// DO NOT WRITE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTED ) q/