HomeMy WebLinkAboutBLD09616 Storage Utility - BLD Permit / Conditions - 11/20/1979 Young, Bruce A. #9616
II-20-79
Tr. 5 Toonerville II-23-2
1 1/2 miles south of Bear Creek Road on Elfendahl
Pass Road
Storage Utility (Not be used as residence without
Health Department approval )
$17,000.00
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. /C�
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
o O C�
DIRECTIONS
TO JOB SITE
LEGAL (❑ S-IEE-ATTACHED SHEET)
DESCR. �,, �l Tw� a✓M ,CrsF �41LtJ �17 �R,4C�T � / V(LL
CONTRACTOR
NAME MAIL DDRESS C TY&STATE LICENSE NO. PHONE
0 CJ 1
USE OF
BUILDING
Class of work: W ❑ ADDITIONQ ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
44a tt&
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
0007. 00 ,5;00 Ao_ 00
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT Ll NOTICE
BATHROOMS TOTAL SO. FT. GARAGE L
ATTACHED [J SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L] OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE U DETACHED L
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor In WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT ❑ SHORELINES [
SEASONAL I I FLOODPLAIN Ll
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements 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
/Own I APPLICATION ACCEPTED BY PLANS CHECK BY ABPPROVED RISSUANCE
er Date.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
MASON COUNTY PLANNING DEPARTMEN�i
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
1.
Owner
2.
Contractor
The owner of this building and t ndersigned gree to con to all appli le laws s 006ty Ad State of Washington
Signature of applicant Address Application date
LEGAL DIESCRIPTION
Location
Of
Building
NO. PLUMBING FIXTURES FEE S6tJi� �. dt
WATER CLOSETS
BASINS
BATH TUBS
SHOWERS
WATER HEATERS
AUTO.WASHERS +�J
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS
r�
n
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URFNAL
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK& DRAIN FIELD LOCATION OR SUBMIT
ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit Issued Permit number Receipt No.
s
_ i
PLOT PLAN
ADDRESS [�"�^ j� -%Y� /SG[!// c,� j� PERMIT NO o
%�s•�3 �ZGi<<c�rr+-� T2��s�'o �S�J•g �C. -,%�.��. ,�!1�$ L'�r/,leF�•� j:� L�j a o
LEGAL
DESCRIPTION LOT BILK ADDITION u
el
SITE AREA i�1` [� '� 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 A-ID 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
• 6 Icy
1�e
A
2� Ip -A
iv
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I/We certify that the proposed construction will conform to the dimensions and uses show. above and that no changes will be made without
first obtaining approval.
, c
NAME(S) OF OWNER(SI OF VTE 6 STRU URE(S) (PRINT) I NATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING