HomeMy WebLinkAboutBLD0627 Mobile Home and Carport - BLD Application - 3/29/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED b
P ) PERMIT NO.
OWNER I— MAILADDRESS CITY 1,STATE / ZIP PHONE
DIRECTIONS �a��v.� C") is R gs S Z-75- 56 Z Z
TO JOB SITE
7—
PARCEL LEGAL -7 /�
NUMBER ZZ33D 75o0Oz JDESCR TL (_._ o S\�Y I �f c, )
l '..�C�'
CONTRACTOR x
NAME MAIL ADDRESS CITY&STATE LI ENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF
WORK ,, NEW ✓' ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK D c`ha
x
BEDROOMS 3 DECKS _ CARPORT _ NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS Lf TOTAL SQ.FT. 1 � GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
1 p 7 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. I, ! C FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME 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
REQUIR*ENTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. - / p� APPROVAL FROM THE BUILDING DEPARTMENT.
JX ER f) DATE `Q ! D _ X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION
HEALTH fj':� PUBLIC WORKS FEE
PLANNING ��� FIRE BUILDING PERMIT A Qv1
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP _ 3 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE �Y /
STATE SURCHARGE
[APPL711CATION ACCEPTED BY PLANS CCH C�.BY APPROVED�rFOR ISSUANCE PERMIT VALIDATION
/ / 4..-� BY - 'C/ CASH CK MO TOTAL /C //
l
PLOT PLAN
ADDRESS t1E J r TqkctwaM PERMIT NO. o `
4 0
—FAA U14A W A "?SSW =
Do
0
LEGAL
DESCRIPTION LOT BILK ADDITION m u
i4 IFF4611( II
SITE AREA 3 SOD Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS b 0 Sq. Ft. Z `
INSTRUCTIONS TO APPLICANT LA Q
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 BUILDING,SITE,AND SETBACK DIMEN-
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'
S
ly r 1
FDL
P LL
s a
G
S �rl
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.
l7. ,u IS 4 a PAN 0A Fp F Ln �r /
NAME(S) OF OWNER(S) OF SITE 6 STRUCTUREM (PRINT) IGNATURE OF #R11f11 AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
6MGlTON PMNTIN3
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED L,22
PERMIT NO.(2 1'-
NAME AIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER pr' ( t Gl L� - �G3 C 5 A ,
DIRECTIONS j Cjh ky W �g S�
TO JOB SITE
PARCEL
CUOp T -r ff��
NUMBER 23. _� SCR. J �L Z U Cal^ )t I U � Z�
N E IL ADDRESS CITY&STATE LIC NSE NO. ZIP PHONE
CONTRACTOR Ct
USE OF
BUILDING (�
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE r O
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE 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 W RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS OR 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 CONFORM CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING AP OVAL FROM THE BUILDING DEPARTMENT. Q� APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNE ` DATE Z R� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVED 0 DEPARTMENT YESPPROVED,O BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT S— L
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP —1i PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 5
STATE SURCHARGE
APPLICATIONACCEPTEDBY PLANSCHfijKBY /. APPROVED KISS CE [PERMIT VALIDATION -sJ
BY CASH CK MO
TOTAL
� ,
PLOT PLAN
ADDRESS JG / 4 fi tj yg 07 G&"t it rd. ,4 Wfy r PERMIT NO. o
_ f , s o
Z b7 SGrV-t 1 fg
LEGAL
DESCRIPTION LOT 2_ BILK ADDITION �� u
SITE AREA
Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS I/I7 e Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"e20' 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 BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- �s
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- Al A 0
TION THEREOF.
v
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
waft—
t ^:
hV
J
I/We certify that the proposed construction will conform to the dlmensidhs and uses shown above and that no changes will be made without
first obtaining approval.
pt:NN)S FAFe�n, RPxN'nH FHT=a�.p tOre��e�•�/fr F�tF>:�v :,.�(.�. G• � - ,. � ,
N AME(al OF OWNER(S) 07 SITE 6 STRUCTURE(S) (PRINT) SIr.NATURE OF OWNER(3) OR AUTHORIZED REP ESENT IVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
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1'ik 4
Or
D O�4,
5TAIR RISEK HEIGHTS NUST BE IF OVER 30ieA,50VE &ADE A GUARD-
UNIFORM TO WITHIN 3/b" RAIL. IS REQUIRED. - iE 66ARDRAIL
TOLERA,NCE . TREAD WIl7THS I MUST BE AT LEAST 36" HIGH,
MUST BiL UNIFORM Tb \11TN1N
�6N TOLEFt,�NCE, � GUAt�DFiAII INTERMEDIATES
"
(Ncrr 5401./N) MU5T BE PLACED
SUCH TI{AT A SPHERE 6" IN
DIAMETER WILL NOT PA55THROU6H.
HANDMAIL REQUIREDIF
RISERS
.. �PEETUF% � y"MIN,
NANDF%AIL- VNCK3 TO
GI1,'ARORAJL OR, WALL. --
PORCH AND STEPS MUST BE
SECUREL`( FASTENED TO THE
PROVIDE A MINIMUM BUILDING OK TO THE GROUND
OF `i E•:ARTN�WOOD ! S:IIFTIEIG OR
CLEA,RANCE HERE — ?p EVENTOVERTURNING.
6" ELSEWHERE
`i"-A B"x 16" F1AS0NrKY --�-
-- holb �R I:.- -I- PIER BLOCK
BI.00K —- ---- --
IF DOOR OPENS IN.,. TF DOOR OPENS OUT. . .
No LANDING FEA111RED. LANDING RmuIRED.
NOTE: GUA kOFAAL.
LMDING LF1EL. (NCrr 54OWN) IS AEq-
MUST BE WITHIN UIRED IF IANDING 15
Y2" OF DOOR OVER 30" ABOVE
THRESHOLD I GRp,I
N
14MAX 36"
HANDRAILS MUST BE SMOOTH
WITH RI O 5RARP EDGE 5.
NOTE : OTHER SNA Oo- MAY DE psrLE>•TP LE IF
THE`( PROVIDE AN ECALIVa-ENT GRIPPING 5URFAr-E ,
I Y-Z" MIN. r, i 2%y" NoT Ac.c.EPrAsLE
r I I
RK
N
' -tA( er,o( siD�N�
Q154C5 �N 3ti{ s a?1'H",c,?Am,
,Moe) wi it
N,M,r Ig" XH �µArbek,L 4
C2, sf-tps �,�tJ• mcr4 Now �,� �,�X �„ � j
3 r,strs must hpvf. ,T
i
„ gNr+ed rA,L.a a 3 hAVdf*I�. At. �" Sp 1 a XH pre:56u rfa4co g'XyP/qtE
hy, (( i( ,, RLuLm,�urn pn,,oJfe� / Covect9 w/ CArP-t
AJV it t WiL DAI 51Eps 4O r�NNGf,01L L'1� J
r?u. w nc d —
Ou class 3Cy ec,1 wofnew,ZfD i I b � v,G, P"T. a xb ►�� v tsf
B4 A m J c iSf
0''1 1
L��CGa,erc
tx+s71r-� sd��S
ROOFING MATERIAL MUST OVERHANG EVES BY 1"-1 1/2"
j GUTTERS ARE NOT SEALED. IF NO ROOFING MATERIAL
.C� OVERHANGS OR IF GUTTERS LEAK BECAUSE OF THIS,
AN EXTRA CHARGE WILL BE MADE TO COVER SEALING COSTS.
E- 7" SPIKE AND FERREL NMT 36" O.C.
E-- SEALED END CAP ON ANY ENDS
E----.4" X 5" K STYLE CONTINUOUS ALUMINUM GUTTER
" -- SEALED 2" X 3" DOWNSPOUT
2X ELBOW-3
EXTENTION
2"X3" ELBOW
GUTTERS ARE TO BE INSTALLED TO CONFORM TO EXISTING
EVE FACIA. THEY WILL USUALLY NEVER BE LEVEL AND
WILL THEREFORE ALWAYS HOLD WATER IN SOME AREAS THIS
10' DOWNSPOUT _
IS NORMAL.
NOTE 1 DOWNSPOUT PER 50' CONTINUOUS RUN OF
GUTTER
1 EACH DOWNSPOU NOTE DOWNSPOUT CONNECTIONS: MALE TO FEMALE
STRAP FROM TOP DOWN
NOTE ELBOW (FOR SET BACK) CAN BE USED ONLY
WHEN EVES ARE AT LEAST 5" PAST EDGE
OF HOME. SPECIAL ELBOS FOR LESS THAN
5" EVE CAN BE MADE AT A COST OF $26.50 EACH
NOTE GUTTER WILL PROJECT PAST ROOFING MATERIAL
ON EACH END OF A RUN OF HOME BY 1/4"
COLORS
WHITE
MUSKET BROWN
I
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NO T
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