HomeMy WebLinkAboutBLD0160 Final Garage - BLD Permit / Conditions - 10/24/1989 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: z
Mobile Home:
Smoke Detector:
Remarks:
Foot ing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No. 0160 No. Floors Sq Ftg 1008
Owner HERTH, RalphTel 275-3848 Date 8-22-89
AddressHaven Lk Ur Tahuya Zip
Contractor Selt
Address Zip
Legal Description Haven Lake Lot 312
Direction to project site 7 miles from Belfair St Park
at above address
Plumbing Mechanical ewer Woo Stove
Fireplace Deck Garage Carport
Basement soft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 hh
427-9670 DATE ISSUE
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PERMIT NO. tom! 4
pNAME // / MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER /f2 /ice E i /'� l r! Z/7 �.�.�/' - k1/�� !!/ q r
DIRECTIONS / c
TO JOB SITE vP{2 L /�' , q�ov� 4C� ICR�r ZelizA, irk -
i� D oe Q 400clrf s S
PARCEL LEGAL NUMBER iCiZ�30 '--SG�-00,3/�, DESCR. /- yr�.� •�Q �/�3
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR tv
USE OF
BUILDING
CLASS OF NEW (! ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE �Q
WORK a(4!l
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAG CONDITIONING.
/00?
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 OF180 DAYS AT ANY TIME AFTER WORK ISCOMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS 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 CONF MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OW R AQI/ DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION Od
YES NO YES NO O
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT �� S
D.O.T. BUILDING PLAN CHECKS'
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE L
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHEC Y APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
L4za. � I BY ae CASH CK MO
PLOT PLAN
SS 7 PERMIT NO.
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LEGAL
( DESCRIPTION LOT BLK ADDITION
SITE AREA l S Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS t Ct 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, IEACH 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 AND 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'
N �
All
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Ft- a�l /�n • C ,
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.
NAMEW OF OWNER(S) OF SITE • STRUCTUREISI (PRINT) -31ONATURE OF OWNERM aR AUTHORIZED R P ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
�I DISTRICT AS NOTED DATE
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