HomeMy WebLinkAboutBLD26147 Final Garage - BLD Permit / Conditions - 8/28/1990 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: F , C4—
Mob i le l-McMe:
Smoke Detector:
Remarks:
Footing: Q7/i919c' `�
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE CARAOF
Permit No. 2b14Z No. Floors Sq Ftg 540
Owner 14PA 4, RQ��RT Tel 4g1 -n179 Date 7-12-90
Address �71�G Casradp I nnn NF 01 ymQi a Zip
Contractor
Addresss� Zip
Legal I)escrip ion Rl arkwi th I k lot 40
Direction to project site Bear Crk Dpwatn Rai to Blacksmith
Elt Rd '� siie Address PJE R�1 R] ark�mi th Dr Tahuya
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck 75rage 540 —sport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 �/��!j�
427 9670 DATE ISSUED 7 !/
PERMIT NO. /
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER KIPASE19c, •' 'I C AAE 61yrn. WA 956C 4+0
DIRECTIONS
TO JOB SITE 'jB .p T//a �K S�'e !1>tA A?1Ncbp4
.3Tc Acick eP� ) : WE. /$3/ AIA,K --7N 0,e, T444 V A iv.'L�
PARCEL vv�� LEGAL / /
NUMBER !30 33 3-//- OC�90 DESCR. �[ C1r / �ir�T� 'C<C
NAME MAIL ADDRESS CITY& TATE LICENSE NO. ZIP PHONE
CONTRACTOR lYlcb�lr lJCve�a P.c Tk� 1430 PA4 ST. 011C WAC4 IfIf,f;41 c
USE OF BUILDING 4 -t
CLASS OF NEW I`� ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK IRQ �O�r CAa e V��
BEDROOMS DECKS YORN CARPORT NOTICE
TOTAL SQ.FT.
DECK GARAGEttLL//�� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT_ FIREPLACE ATTACHED
SEASONAL SHORELINE 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 tWICH 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 CON FORMANC T REWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPR A ROM T E BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
It
X-OWN DATE - BY DATE
FOR OFFI -USE ONLY
DEPARTMENT YES APPROVED
JO DEPARTMENT YES No
BUILDING VALUATION 6cQ- V
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 3
D.O.T. BUILDING PLAN CHECK Z's
SPECIAL CONDITIONS BUILDING GROUP 1„ PRE-INSPECTION
SHORELINE
�Y WOODSTOVE
OR EXCEED LOCAL CODES. IK ANY
1� PLUMBING
OFFII;E 13EFORE CONSTAUC11014. MECHANICAL
STATE BUILDING FEE C
STATESURCHARGE
APP,4CATION ACCEPTED BY PLANS CHECK BY APPA"D F ISSUANCE PERMIT VALIDATION
�4 1 TOTAL
BY CASH CK MO fou
1
PT
eet7a
)8
t APPROVE®
v yQ� MAS014 BWLDING INSPECTOR
ems` ES SUBJECT TO"FWAL
Poi. . Date
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PLOT PLAN
ADDRESS NE %�,j� .�'�i�ck�lnzT/ /J�. I �-yam- PERMIT NO. 4 0
°
LEGAL �) �
DESCRIPTION 6L( LOT � � S j �/� BLK ADDITION emu,
SITE AREA o�klCkf)C' Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS �I 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. SH PW 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.
FINDICATE NORTH IN CIRCLE RAPH SQUARES ARE 5' X 5' OR 1"=20'
� b
1 0 ii
y <.
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.
NAME($) OF OWNER($) OF SITE $ STRUCTUREkS) (PRINT) AlGtTUREF OWNERIS) OR AU T RI D REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE