HomeMy WebLinkAboutBLD24577 Pole Bldg - BLD Application - 10/13/1989 BUILDING PERMIT APPLICATION
MASON COUNTY pcvmt� I'S renJy
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426 5593 /�y DATE ISSUED
II24ill S2 P r - S ^ck PERMIT
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
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DIRECTIONS _
TO JOB SITE L I
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LEGAL
DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR h
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USE OF
BUILDING �q
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK 6, ruck C ti'1'rJ ClTCr ✓Ct cL
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE L� CONDITIONING.
NO.OF STORIES 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
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,tAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMEN 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 CONFOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE JHEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PPROVAL FROM THE BUILDING DEPARTMENT. APPR V ROUI DI DEPARTMENT.
y Q ry
X OWN R DATE X DATE L�"y
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION // �'C)
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT , S
C .
D.O.T. u BUILDING / PLAN CHECK'
SPECIAL CONDITIONS BUILDING GROUP _ PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE '
APPLICATION ACCEPTED BY PLANS,CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
/ Lz BY dJ CASH CK MO TOTAL
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77
Town &COUrltry_ Suite B • 16521 Highway 99 • Lynnwood, WA 98037-3161
E E L B U I L D I N G S Everett Line: (206) 258-4171
To//Free: 1-800-824-9552
Administrative Headquarters: (206) 743-1555
_r DIVISION OF V
Quality: Our Future Depends On It"
Site Plan
PVEASE CHECK: �
Croperty dimensions C Septic and drainfield liko
ccess to proposed building
Pxisting buildings ❑ ewer lines f size
roposed building Setbacks of proposed and levation of property
❑Easements existing buildings Bodies of water
Main road with name ❑Floorplan
Job name: p_A(ZI n V U a Y k o w a Job Site Address:
Legal Description &L &(mot?—(4At - &F iL=oM t UJU Lcp
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Owner has verified and approved the location of accessories,orientation of the building to th ort , and verifies that all items specified in paragraph
B of the contract are shown on this drawing and vice versa. Customer signature: — —
office(white) production(canary) customer(pink) U1984 PermaBill Industries
EXHIBIT 'A'
DESCRIPTION: Order No. : Q-85869
All that portion of the North one-half of Section 15, Township 23 North, Range 2
West, W.M. , in Mason County, Washington, particularly described as follows:
COMMENCING at the East quarter corner of said Section 15; thence North 87° 00' 50"
West, along the East-West centerline of said Section 15, 1379 feet, more or less,
to the Westerly right of way line of Elfendahl Pass County Road; thence North 29°
30' 00" East, along said Westerly right of way line, 149.82 feet to the POINT OF
BEGINNING of the tract of land hereby described; thence continue North 29' 30' 00"
Fast along .said Westerly right of way line 103.64 feet; thence on a curve to the
right having a radius of 830.00 feet and a central angle of 6° 23' 16" an arc
distance of 92.54 feet; thence North 48° 43' 10" West 624.63 feet to a survey
staking line; thence continue North 48° 43' 10" West 104 feet, more or less, to the
centerline of the Tahuya River; thence Southerly along said centerline 430 feet,
more or less, to a point which is North 67° 24' 46° West from the POINT OF
BEGINNING; thence South 670 24' 46" East 22 feet, more or less, to said survey
staking line; thence continue South 67° 24' 46" East 650 feet, more or less, to the
POINT OF BEGINNING,
EXCEPTING THEREFROM road rights of way; said land being also known and described as
Tract 8 of Survey recorded March 30, 1976, in Volume 2 of Surveys, page 12, under
Auditor's File No. 312314,
BuildingDesign
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FLOOR PLAN
LENGTH 1401 x 21 ulri�tTE
lot , ( o � ld � 3'
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c t tA-kk5; � a.A B 1'las 131 31X�'$1
13` 41"y AqD ' k (.'DNGR.�ij $�4�$� SFidP FINISH WIF 15jsA hEgN MRNDocll
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PXEASE CHECK: BUILDING ELEVATION
,Roof Pitch IJ
aves Height
NZ Minimum Clearances
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yt s $RAJ stev
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Town Country_? Suite B • 16521 Highway 99 • Lynnwood, WA 98037-3161
= STEEL BUILDINGS Everett Line: (206) 258-4171
To//Free: 1-800-824-9552
Administrative Headquarters: (206) 743-1555
DIVISION OF X,
Quality: Our Future Depends On It"
DIRECTIONS TO SITE
JOB NAME: !7t,+JE �J 17 i LO w E
SHIP TO ADDRESS: t4 e .57-/7/ D,4h'� plfi�S
TELEPHONE # AT JOB DROP:
CONTACT AT JOB DROP: 7,4 J r O LO�J F
THOMAS BROS. MAP LOCATOR
Is anyone available at the job drop during the day?
Is anyone available at the job drop during the night? �E S
Is a fork lift available for unloading? U(�
Is there a mail box with the job name on it? s
Can our truck' get into the job drop? IFS
Can our truck` turn around at the job drop, or will it have to back-in, or back out of the job? y�S
What are the landmarks at the job? S �'-T FE:- -To 13 V=_ S 15 Y (9w NC j4
Any additional information:
Directions:/Map
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"Truck Dimensions: 65' long, 8' wide, 121/2' high, and it weighs 35,000 lbs. empty.
(41984 PermaBilt Industries
12/87
1. Office—White 2. Construction Office—Canary 3. Concrete Crew—Pink FR35
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