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Home My WebLink AboutBLD92-00469 Cancelled Dock - BLD Permit / Conditions - 10/22/1997 MASON COUNTY PERMIT 'Vol Mason County Bldg. 111 426 W. Cedar NULL VOID BY EXF5` A A ti6N 2, R0, Box 186 Shelton, Washington 98584 DATE 2 By - 7 .1t}8 1 1 1 . . . . . . . . . ii1oiti. ;� JAMEli ROWSO;' * '17'5-4899 1,01,41few —t, LAKUSHORE CONSTRUCTION 215-6029 000TIEN tAKf TlActs It 34 FS 05441 it #61 k 18 1 It- t? typt. A04411111 0 DAIS UM111 TYPE MOOT BY 9Ait iiECECPi if 1.0 14 HI" I (I ti J Ili fit' 044 1 4,54 M I :'III' ')A[) I * 14,)4I . , 0 I)Wfl 0 P A R V IN« P A F.'a 'I N` 1, -1- 014 AkJ�A I 'j It 0 I�1 1 1 INV Poo 4:i 04 VA[mmiff, 14 48 1 0 t I I I I !'I',! I it k' /1 1)M I milb I 1 1, III)mt f I\0 f'I I Oft. Ii A 1 14 1-4(1 1 N"3 0 1: 11:: 14A I It 1 1 J b',, 0 0 MOW 0 f 1, 1-10 W I- 111"N j 00t, i; 111 0 -MAt. I . . . Oft WA I t R Ill A I F K 0I,�Il 1 410 E it 1 11 1.1 r4 I I OtIj 0: 1 1 N; 0 t C 1 0 I'M' ;�' WA'-,I,lf R',; 0 0 Ili, 0 '1�1 All ;A t4 f- A f t4 1 N t 0 V 1, 1 M' 0 F" tip INK IN6 f IIIJ14 1 0 11001 0 b A M 111 1 1 A(INt.)f?Y I k#1%"v ii 1 4 0 f 1) 1 '1,It W A'i H f-k" 0 A I I- I fi I 1 1 1`4 1 1 0 III i 0000 1 rti 0 Pt' I Of r P; I,j 1', 0 I N A I 1 e3000 0 0'ri#I fl, U NJ I If, C p 1. m 11 1 X I tj f i0lA108 LIODIE1 LAVE 1.01 34 IRIS PER#;*, 10tt ANO VOID If WORt OR CON)MC11011 APTHORM0 IS NOT (ONNW; l) WITHIN i84 DAYS, Of If (01"IkIli'TION Of U094 IS Mlifjoro FAR A PERIOD Of 181 IIAP At ANY 11Nf AFTCR WORT IS (0011FAUD (VIDEO(C OF fe#IINQAIIQN Of WORI 1 A PFM,—'S INSPECTION WITHIN IN( 1841 pply PtA108- FINAI. INSPUt ION OUST BE APP90vto BLI'Dif B411.0116 (0 of occupite, 14NER 8' PAIE: CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I� f BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. EILfx( J-C 4a l NAME /� MAIL ADDRESS CITY&STATE ZIP PHONE OWNER `f�Y DIRECTIONS C-) TO JOB SITEh PARCEL LEGAL I ^` ~] NUMBER 2�3li(i `)o � DESCR. (,�pc„le,� k�� G��r NAME MAIL A DRES/S� CITY 6 STATE _ ZIP PHONE LICENSE NO. CONTRACTOR ,2 �Or e � r` U{'z; /OS,Y �wv>c=/ USE OF BUILDING CLASS OF NEW ADDITION ALTERATION I f I REPAIR MOVE REMOVE WORK ✓ / p DESCRIBE / U•( < D y WORK ��J�,'v� C�✓J '�/�st�f-c� �� 'v>,-- AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE Cl CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.a COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt 8� ATTACHED O DETACHED❑ OWNERS AFFIDAVIT CONTRA ORS 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 FRO jA THE BUI�aNG DEP RTMENT. y XOWNER DATE _ XBY DATE - FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS E� PLANNING FIRE MARSHAL i BUILDING PERMIT 7 D.O.T. BUILDING PLAN CHECK SP I L CONDITIONS BUILDING GROUPS PRE-INSPECTION SHORELIN 40F,�fJ C WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY PLANS CHECK BY APP VEDRz E PEBW VALIDATION 11 TOTAL CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAILACDRESS CITY&STATE ZIP PHONE OWNER e "1 DIRECTIONS �f � 7 g �/ � TO JOB SITE C� PARCEL LEGAL NUMBER DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfieid setback distances from foundations. 0 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. U � I o f I/we certify that the or000sed construction will conform to the imensions and uses shown above and that no changes will be made without tirst obtaining aopro\'al. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE 9ELOW THIS LINE ^ GDDc�nvcn TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 I� 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE _ 3 3 �F e3,Q (92 DIRECTIONS TO JOB SITE r,v<— wo,3 4-2p-L\ 1 q K L' C, , 6-)� PARCEL LEGAL /� // / NUMBER ^'� j Q �� ( J DESCR. �j o 3 7 UL/uc7 7�v 1 /�/ -1 y,c4 iZ S�YNAM MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR U e S'�'r�e Ce,,,sfvc ._ c) 13, ion1}�e SC, s"ss `�'B�� a 7Sr Sot USE OF J- BUILDING CLASS OF NEW ADD TERATION REPAIR MOVE REMOVE WORK ✓ WORK DESCRIBE BEDROOMS DECKS C RPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.F G RAGE CONDITIONING. NO.OF STORI ES 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 SQETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE (, 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 FROM JHE BUILDING DEPARTMENT. G X OWNER DATE X BY 7�_ DATE FOR OFFICE USE ONLY DEPARTMENT YES NO NO DEPARTMENT YES No BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY CASH CK MO PLOT PLAN ADDRESS 7 I /V C- 6✓-2 r 2 L(./,:,ocQ PERMIT NO. 4 0 a ° C LEGAL —�tC1 0 a n DESCRIPTION LOT BLK ADDITION SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT �J 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 O 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 C SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. r� r INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' n' G � � !r, / L w. Pry, CA -. I/We certify that the proposed construction will conform to the dimonsictns and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNER(S) OF SITE S STRUCTURE(S) (PRINT) IGNATURE OF OWNJ SENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE