HomeMy WebLinkAboutBLD0404 Final Garage - BLD Permit / Conditions - 8/5/19867 TYPE GARAGE
Permit No. u404 _ No. Floors 1 SI Ft9 720
Owtm--r JACOBS, Stan rl 937-9327 Date 6-10-86
iAddress 3811 SW Orchard Seattle Zip
'Contractor Jesfield Const.
Address P. 0. Box 159 Belfair Zip
(legal Description Wooten Lake Lots 29 & 30
Direction to project site Mail Box 550 Mountain View on
South side of Wooten Lake
�N
FiLumbing DL-chanical Sewer Ttbod Stove
Fireplace Deck Garage Carport
Basement Loft Other
24x30
Shorelines: ,� /l Plumbi ng
Setback: Mechanic
Special Interior:
Conditions: FINAL: .,)
Mobile Home:
Smoke Detect
Remarks:
Footing: c
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
�� - GV. O,r l - tR 2 �o 3 - 2-
DIRECTIONS n ! �^ r
TO JOB SITE �Gl o/ 80 J �� j►}'� pu,�e`too�it 0e ,'t.J o ri Joa��� S -le �J L 0 /CYl L d
LEGAL (F] SEE ATTACHED SHEET)
DESCR. /074 .Z g 4- 3 a O O-fe n
NAME MAIL ADDRESS CITY&STATE 7o. PHONE
CONTRACTOR V CS :t�� CONS . '- f'7 �o l•T C a�� W rci .5' Z-. . -2-7576 6
USE OF V
BUILDINGL'—
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
d? 3 0 a Cc,,-r4 ect a �n
aA
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_ DECKS CARPORT Fi NOTICE
BATHROOMS TOTAL SO. FT. GARAGE I�r- '
ATTACHED i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT i_ OR AIR CONDITIONING.
TOTAL Sp. FT. FIREPLACE I I DETACHED C1
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 i ;
�` e- \d �i g r1 C - SEASONAL I FLOODPLA l
Firm
_ � 1 E.D. NO. S.E.P.A. I I
By Special Approvals IN OUT YES APPROVED NO
Lic. No.-3- -5F Date 3 .V& ZONING
PLANNING DEPT. 6-4 ,�✓,/yy��
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. /O
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
APPLICATION ACCEPTED BY PLANS C C,K BY -� APPROVED FOR ISSUANCE
Owner _ Date
LIZ
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS RC K ,5�5 Ci /y4 7 Ve ', J W,Jo ., L�uRMIT NO, f o
= o
nnL O
LEGAL G k�
Tt �1 �c __ J•
DESCRIPTION LOTS z y It 3 y BLK ADDITION p 00
SITE AREA-'3• - L) Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
fi
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.) L1
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF I
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- N
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"'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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' C�
00 . t
c
`,
C �
P
" C �
^Sr 11
-qtl
r
r
I/We certify th proposed construction will nform to the di han s idns and uses shown above and that no c will be made without
first obtaining approval.
G_L
NAME(S) OF OWNER(S) OF 11TE d STRUCTURE(S) (PRINT) SIGNATU F O ER( ) O AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS L/N
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINT[W3
PLOT PLAN
ADDRESS J�C 6` ,/,.t Ie --C PERMIT NO. o
= o
LEGAL Lo
1.&'E,V'�r-�
DESCRIPTION LOT ✓Z (� U DtIF ADDITION ? rJ"
SITE AREA 3 U"U Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS �" !f' Sq. Ft.
INSTRUCTIONS TO APPLICANT c
`
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE t
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.
P
INDICATE NORTH IN CIRCLE GRAPH SQUARES QRE 5' X 5' OR 1"=20'
r IN
i
4,
7
3-1
3
All
_ - r
I/We ce y at the proposed construction ill conform to the dinlre ions nd uses shown above and that no c ges will be made without
first obtaining approval. ` G `
_�A
NAME(S) OF OWNER(S) OF SITE'h STRUCTU RE(S) (PRINT) IGNA TV RE OF WNER(5 AUTHOR ZED REPRESENTATIVE
l
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6HELTON PRINTIN3