HomeMy WebLinkAboutBLD20196 Storage - BLD Permit / Conditions - 5/4/1987 Shorelines:_7/,g Plumbing:
Setback: Mechanical.
Special Interior:
Conditions: FINAL:.,k-1 (, (''-'
MobileHome:
Smoke Detector:
Remarks:
Footing: S- , �� �,
Setback:
Foundation
Walls:
Framing:
Fireplace:
Hbod Stove:
TYPE STORAGE & GARAGE
Permit No. 20196 No. Floors Sq Ftg 660
Owner CONRAD, Carlysle Tel 426-0098 Date 5-4-87
Address E 151 Clonakilty Shelton Zip
Contractor None
Address Zip
Legal Description Lake Limerick Div 5, Lot 5
Direction to project site No, on Hwy 3 toward Allyn to
Mason Lk.Rd. ,Turn left spprox 3 mi. , turn rt. onto Clon-
akilty 1 bl, turn left. 600 ' on left
PiUmbing c ica r --Rb-od Stove
Fireplace Deck Garage Carport
Basement Loft Other
22x30
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED - <?7
PERMIT NO.�G/4Z*
OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE
SLr CoAliM E r/ G44,v /crYff Law wA, 'S y 009k
DIRECTIONS
TO DI JOB SITE O j 0 4l/' #3 ow
L o L SOA/ V N
4 t^ TrMO C o c' AWC
LEGAL _ _
DESCR. "Aff IC" 10)v' 5 L.O S !}l'���L o J 0000
NAME MAIL ADDRESS CITY R STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF _
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK s c -416WQ T Oil/
c. os � vo� /ova f
jAe s Ue v-'r" 00F/ti6- 02 30
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE X 6 4 0 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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANEPT SHORELINE
SEASON L
OWNE S AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O ER ATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION G'C'
YES NO YES NO S
HEALTH PUBLIC WORKS FEE
PLANNING G FIRE BUILDING PERMIT
D.O.T. BUILDING l PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP m _ PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE '
APPLICATION ACCEPTED BY I PLANS�CCHHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
/„G BY CASH CK MO TOTAL �� �Q
PLOT PLAN
ADDRESS 7/ /� // " //n! PERMIT NO. F
........... T- z
A D
LEGAL T' j,
DESCRIPTION LOT �� `l ADDITION
SITE AREA_-Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS C 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 BUI LDING,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'
V
i
r r -
-41 4
Fr_
J
v
/.
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.
\ME(S1 OF OWN (S) OF SITE 6 STRUCTURE(S) (PRINT) IGNATUR OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS INE
APPROVED
-RICT AS NOTED DATE
LTON PRINTING