HomeMy WebLinkAboutBLD19124 Garage - BLD Permit / Conditions - 8/12/1986 TYP GARAGE
Permit No. 19124 ors 1 Sq Ftg 1200
Owner JACOBSEN, Patrick Te1830-9073 Date 8-12-86
Address 248 Fern Lane Bremerton Zip
Contractor None
Address Zip
Legal Description E-1/2,W-1/2,NW,SW,NE 1-23-2 Tr 2 S/ P
Direction to project site # 1541
Approx. 1 mi. West of Panther Lk. Boat Launch.on Bear
Cr.Dewatto Rd.Left side.Cable across drive with flags.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage1200 Carport
Basement Loft Other
Shorelines: A/l.) Plumbing:
Setback: elf— Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:/f
Footing: �.�? e P . ,8•--�� ��..
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: Nth
VC' -
DATE
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER 11.4V,IV, 2y c,( Ire, WCA 312
DIRECTIONS
TO JOB SITE ('► Y o' � ' r���tS. W CS` . 1.'J'
14e } �:cC. Ce.
c v. , Cr )it c-" e c:(tv-oss , L'Ot'. ";'Ah,
NAME MAILADDRESS CITY&STATE 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 SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES —L— 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 SO.FT. 429-0 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNER/FWHICH
CONTRACTORS AFFIDAVIT
I CERTIFYXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM 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 CONFOEWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININGOM THE BUILDING DEPARTMENT. APPROV ROM THE BUILDING DEPARTMENT.
XOWNER DATE �<BY DATE�,�re-
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION e' c
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING ��(�� FIRE BUILDING PERMIT 7 0
D.O.T. BUILDING PLAN CHECK �;5 e' 0
SPECIAL CONDITIONS BUILDING GROUP IVI _ PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS C EC/K BY APPROVED,FOR IS&UANCE PERMIT VALIDATION
BY 'L /'L/ CASH CK MO TOTAL /� 5 �G1
PLOT PLAN al)o
ADDRESS PERMIT NO. o 0
= o
n >
A O
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA 15 1,10 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS- 'C�' • 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 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.
J/ INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
L" 15�
�L
L�
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(3) OF 31TE S 3TRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING
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