HomeMy WebLinkAboutBLD0011 Cancelled Deck - BLD Permit / Conditions - 2/1/1995 Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing: \� 5 ba
Fireplace: DAXE� V
Wood Stove: Me,
TYPE
Permit No. 0011 No. Floors Sq Ftg 360
Owner BEARD, Robert W Tel Date 8-16-88
Address P O Box 5213 Belfair Zip
Contractor None
Address Zip
Legal Description Tr 54-B Survey 10/103 (Tr 2 S/P 1390)
Direction to project site 10-23-2
DIRECTIONS ATTACHED
um ing ec anica ewer oo Stove
Fireplace Deck 360 Garage Carport
Basement Loft Other
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED ' `efe
PERMIT NO.
T"'tME MAIL ADD` SS • CITY&STATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITE �tr i.{F/;u c� con
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PARCEL LEGAL P I
NUMBER -Z,A -7;'- U.5 i(A IDESCR.
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CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK / JQ!�✓Y►'I,CL. �'�-t-�L / C .GG �' 2
BEDROOMS DECK& CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FTIA_&_�D GARAGE CONDITIONING.
NO.OFSTORIES 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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
ORS AFFIDAVIT CONTRACTORS AFFIDAVIT
I Ell FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REEMENTS 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
INFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBNG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
ER ff, DATE C / , X BY DATE
IV fFOR OFFICE USE ONLY
DEPARTMENT Y SPPROVEDJO DEPARTMENT YESPPROVEDIO BUILDING VALUATION Pd
HEALTH PUBLIC WORKS FEE'
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
l PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
)PLICATION ACCEPTED BY PLA CHECK BY APPROVED FOR ISSUANCE RMIT VALIDATION j�� r
BYGL,1c- 7 za [CPE
ASH CK MO TOTAL
PLOT PLAN
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ADDRESS O &,,n49&, 'Q . S�I ��/ Lt 1`� �/a5zMIT NO. 0 o
= s
N f
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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 AND 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.
/ Y
ON
INDICATE NORTH IN CIRCLE GR H SQUARES ARE 5' X 5' OR 1"=20'
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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.
P61 F-1- �?T 1"^• a 1�
NAME(S) OF OWNER(a) OF SITE s STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
1