HomeMy WebLinkAboutBLD30171 Workshop - BLD Application - 3/31/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED n � `
PERMIT NO. :30 ' Il
NAME MAILADDRESS CITY&STATE ZIP P ONE
OWNER L� ) �, C. �Z g5,
DIRECTIONS
TO JOB SITE
PARCEL LEGAL �� �E /Z SG #
NUMBER U `�' % j
DESCR.
NAME MAIL ADDRESS CITY&STATE / ZIP PHONE LICENSE NO.
CONTRACTOR � 1L%USE OF
BUILDING
CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE BASE-
WORK
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.0 COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED❑DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY 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
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. AP ROVAL FROM TH ILDING DEPA TMENT.
XOWNER DATE X DATE 3 c/ ,
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION u
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP ,) PRE-INSPECTION
HORELINE
WOODSTOVE
PLUMBING
� .
MECHANICAL
STATE BUILDING FEE
APPLIC TIO ACCEPTED BY PLANS CHECK BY APPR D F SSUAN Ej PERMIT VALIDATION
TOTAL
BY CASH CK MO
j HOME OF
Town &Country_ Suite B• 16521 Highway 99• Lynnwood,WA 98037-3161
POST FRAME BUILDINGS Everett(206)258-4171 Puyallup(206)840-9552
Administrative Headquarters(206)743-1555
— �— FAX(206)742-1691 Toll Free 1-800-824-9552
DIVISION OF Contractor's Lic.#TOWNCPF099LT
4
Quality: Our Future Depends On It.'
Site Plan
PLEASE CHECK:
Property dimensions ❑Septic and drainfield VAccess to proposed building
a❑ xisting buildings ❑$�Sewer lines of size
roposed building wetbacks of proposed and beElevation of property
❑Easements existing buildings ❑Bodies of water
Main road with name ❑Floorplan
Job name: SnmkA a0-y to,rf Job Site Address: Sr£• ((2
Legal Description YR x( 6fi /2 e_r� 11 A. Si��-t�Tn N WA
01F S,,' . 102 TK)t aptl!L fqn: Aqlp - qz, o;t1 D
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Owner has verified and approved the location of accessories,orientation of the building to a no ,an r' es that all items specified in paragraph
B of the contract are shown on this drawing and vice versa. Customer signature: Z/ZXI/
pr
b ld heeC
Buildin Design
g
FLOOR PLAN
— - — O
LENGTH N
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lot 10 �Y
W -
It
12,
A �i�S��AT�oN tN IRoo� aH�y 1�.
1
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0
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c�c+T�►�D t6' wD __ _
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PLEASE CHECK: BUILDING ELEVATION
-VRoof Pitch
-- EZEaves Height
HMinimum Clearances
�-+ ti-
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HOME OF
J
Town &Country°
POST FRAME BUILDINGS Suite B • 16521 Highway 99•Lynnwood,WA 98037-3161
Everett:(206)258-4171 Puyallup:(206)840-9552
Administrative Headquarters:(206)743-1555
�— FAX:(206)742-1691 Toll Free: 1-800-824-9552
DIVISION OF Contractor's Lic.#:TOWNCPF09913
Quality: Our Future Depends On It.
DIRECTIONS TO SITE
JOB NAME: 1 A RRy (O-D W 1 R�?
SHIP TO ADDRESS: �e� RAC Il4t�>
TELEPHONE#AT JOB DROP: '1 2 7 3 D I
THOMAS BROS. MAP LOCATOR S11 M A-T
Can a semi* turn around at the job drop? ❑ Yes ❑ No Back-in Only ❑ Other
Can a one ton get into the job drop? leYes ❑ No ❑ Other
Can a concrete truck get into the drop? VYes ❑ No ❑ Other
Directions
M�► � S c6
1 ftA 81 f�N R�.
1 KKS ?O' N r 4 S T c
N oM�
DRivGE
�k I T
*Truck Dimensions: 65' long, 8'wide, 121/2' high,and it weighs 35,000 lbs. empty.
1. Office—White 2. Construction Office—Canary 3. Concrete Crew—Pink