HomeMy WebLinkAboutBLD12095 Garage - BLD Permit / Conditions - 2/23/1982 Byerly, Craig #12095
(None Listed) 2/23/82
3-23-Z
Tract 16 of Survey 5/138
Go down Old Belfair Hwy. , turn left at Dewatto Rd. , drive
8 miles, turn left to a gravel road & go down it 1/2 mile
and turn right. By Blaksmith Lake.
Garage Contractor:
None
4,032.00
2Z-S �o 6
Shorelines: NA.
Setback:_ e<
Special Conditions:
Footing: 2
Setback:
Foundation Walls:
Framina:
Firenlace:
Wood Stove:
Plumbinq:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home
Remarks:
il/t/!/
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 3 lO , p3
DATE ISSUED d
PERMIT NO. 136 9,3
OWNER NAME MAIL ADDRESS CITY&STATE �� 10 ZIP w -PHONE
DIRECTIONS ` o
TO JOB SITE O `r',11 rq.CJ 1 Q,1 r V �• \ e. d ^
LEGAL S / SEE ATTACHED—.7S ET) 2
CONTRACTOR
DESCR. t! /
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING / d 1 r+/ �► h 31 O
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ i� PLAN CHECK FEE PERMIT FEE
MAM&MSPECIAL CONDITIONS: /
BEDROOMS IDECKS CARPORT Ci NOTICE
BATHROOMS TOTAL SO. FT. GARAGE �]
ATTACHED i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT !-; OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE I-i DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State ofWashington and I aware of the FOR O F ONLY
ordinance requirements
the regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT i SHORELINES
SEASONAL i i FLOODPLAIN i
Firm
E.D. NO. S.E.P.A. 1 i
By Special provals IN OUT YES YPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 3-3-9,3
PUBLIC WORKS
I certify that I am exempt from the requirem of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
— PLICATIO ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Dwner ate_ BY
N CHECK VALIDATION CK. M.O. CASH U PERMIT VALIDATION K. M.O. CASH
PLOT PLAN
Y t
ADDRESS (� G PERMIT NO. f o
T = u
n >
LEGAL
a c
DESCRIPTION K '�C' LO `" V RUB% /��� BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
f1
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 Al"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.
t�
0
INDICATE NORTH IN CIRCLE S J4'& T GRAPH SQUARES ARE 5' X 5' OR 1"=20'
C{,
� u
n
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.
1
C; 6) y � � Ly
NAME(S) OF OWNER(S) OF 317E 6 STRUCTURE(S) (PRINT) SIGNATURE O WNER(ST V AU TH IZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTING