HomeMy WebLinkAboutBLD23735 Garage - BLD Permit / Conditions - 5/19/1989 31-0) 13�^
Shorelines: =han
ing:
Setback: ica :
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
oot ing:
Setback: -
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No. 23735 No. Floors Sq Ftg 1280
Owner DICKINSON, Virginia Tel 426-4422 Date 5-19-89
Address E 140 Cranberry Creek Rd Shelton Zip
Contractor None
Address Zip
Legal Description Tr 7 SE.NW 36-21 -3
Direction to project ite Six miles out Hwy 3, turn at Deer
Cr. Store, 2nd house on right
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage 128 Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 fJ
427-9670 DATE ISSUED�_/V-e:f5 7
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER eoel 1N4 2
TO JOB DIRECTIONS
SITE /Z CeycoL
PARCEL /� LEGAL
N U M B E R��f Of� `�� DESCR.
NAME MAILADDRESS CITY&STAY LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE G 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 ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSAF AVIT CONTRACTORS AFFIDAVIT
I CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATIO LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREME S 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 CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O ER �� DATE �l -�5 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION o
n
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING / PLAN CHECK ZS Coo
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CH W4 BBY APPROVED FOR ISSU E PERMIT VALIDATION
l / L rn:-•�� BY CASH CK MO TOTAL
PLOT PLAN
ADDRESS llld PERMIT NO. s
0
LEGAL
s •
w >
�7
DESCRIPTION 77�1? LOT BLK ADDITION
'I
.
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.
/h A 'a
INDICATE NORTH IN CIRCLE
GRAPH SQUARES ARE 5' X 5' OR 1"=20'
tj
1
AAA L&Vr"
kq
Q �
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.
NAMEIV OF OWNER($) OF SITE a STRUCTURE($) (PRINT) IGNA TUR OF OWNER P OR AUTHORIZED REP E$ENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE