HomeMy WebLinkAboutBLD4693 Garage and Storage - BLD Permit / Conditions - 5/14/1979 Tobin, Larry #4693
5-14-79
W 1/2 NW 1/4 NE 1/4 SE 1/4 36-21-3
Turn left off, of Agate Road across from Dosser Road
Approx 1/4 mile
Garage & Storage Plumbing Permit issued
$10,200.00
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i
dboli BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 41-
' DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZI
Larry Tobin Rt . 3, Box +
OWNER Wash.ash. 985 4 42&2il12
DIRECTIONS I TURn left off of Agate .toad across from uosser Road. Approximatel�iW
TO JOB SITE
LEGAL est half- of tFie NW quarter HED SHEET)
DESCR. Of Section 36 Township 21 North Range 3 West WTI
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR Self
USE OF
BUILDING 1 :.xarae and storage
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: Concrete floor - standard construction - 16" studding - 4x6 headers
over all doors - shiplap siding - house type bronze windows , -slidin;v with
I
roof and cedar shakes . The building will be 30x 40
Valuation of work: $ de., PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT Ij NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE [!
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ElOR AIR CONDITIONING.
TOTAL SQ. FT.4&41 FIREPLACE Cj DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor In WORK IS COMMENCED.
the State of Washington and I the
aware of the F_OR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT 11 SHORELINES
SEASONAL i i FLOODPLAIN i
Firm E.D. NO. S.E.P.A.
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit isnd that all work done will ROAD ACCESS
be in conformance erewlthl MOTOR VEHICLE PERMIT
ICATION ACCEPTED BY PL CHECK BY AP OVED FO ISSUANCE
Owner ate. — e r
1ECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
M PLOT PLAN
ADDRESS PERMIT NO.
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 AKID 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 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.
NAMES) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED 4C
DATE
ACT AS NOTED ��f
.LION PWNTIN3 TT