HomeMy WebLinkAboutBLD28166 Carport - BLD Permit / Conditions - 5/22/1991 Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks.
Footing: CY l,`!-fh ca �ri► T Ct� .ts nC S��
Setback:-
Foundation
Wall s:
Framing:
Fireplace:
Wood: Stove:
TYPE CARPORT
Permit No. 28166 No. Floors Sq Ftg 336
Owner , Tel +=-�239 Date 5-22-91
Address SE 0 Arc adia Shelton Zip
Contractor onstruction
Address 41 eater inne Road0 is 1P
Legal Description S e ton 11 Home Tracts blk 3 tr 11-12
Direction to project site go out Arcadia to-4-� ead.
apd Collier Road about 2 miles turn left on Coller rt on
Old Arcadia about % mi double wide on ri ht
p un ing Mec anica Sewer Wo Stove
Fireplace Deck arage arport
Basement Loft Other
SIGNED FOR CORRECTIONS
" BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 9
nE 0 c)390 & PERMIT NO. Q 3 II(,2(�
OWNER gME' MAIL ADDRESS CITY& ATE ZIP PHONE
DIRECTIONS � C
TO JOB SITE p�
( ell" !
J
PARCEL _ LEGAL
NUMBER 2 G cZ ` 5Q DESCR. , t3t v 3 T2 J1 .
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE S C7F
CONTRACTOR 1
L S Cei SfcH 2-Krnn� d CIL-i tv 9 DLacL) /m 13K 2ry4 5 -2, c'-
USE OF
BUILDING C �'
CLASS OF NEW Lz ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE f
WORK `'I„eooc'me e Un e►2 SK eh
BEDROOMS DECKS CARPORT %2 X 2 y NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.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
TOTALSO.FT. FIREPLACE DETACHED Ye'i ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE 3�-
SEASONAL
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. APPROVAL O THE BUILDING DEP MENT.
c
XOWNER �E_ �`� XBY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. A BUILDING L PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
L. SHORELINE
WOODSTOVE
S7 S ' 7c--c p, PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK SY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
�CL/ylJ CASH CK MO
r
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER �',� n �� 9 L a `� i
DIRECTIONS
TO JOB SITE Q[I CJ i i"q 014i
PARCEL LEGAL
NUMBER �a��� DESCR. e ds ly Z,
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
,r O Location of proposed construction on property.
�( O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.
O Attach copy of septic system"as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
1
� 2 ,
I/We certify that the proposed construction will conform to the dimensions and uses show above nd that no ch gas will made without first obtaining approval.
s �
SIGNA E OF OWNE R AUT ORIZED REPRESENTATIVE
DO NOT WRITE BELOW T IS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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