HomeMy WebLinkAboutBLD9885 Animal Shed - BLD Permit / Conditions - 6/13/1985 Watts, Gale L. #9885
275-5518 5/11/82
Collins Lake, Division 2, Lots 35 & 36
To Collins Lake, to stop sign, make right, go completel
around lake until you come to Fine Tree, go to end,
NE 141 Pine Tree Place, Tahuya
Animal Shed Building Contractor:
442 SQ.FT. TNT Builders
$4,981.00
Shorelines:
Setback:_
Special Conditions:
Footing: Z
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof: y
Exterior:
Interior:_
Final:
Stop Work:
Mobile Home
Remarks:
1
_ BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT N0. CIL?v S
OWNER NAME / MAIL ADDRESS CITY&STATE ZIP PHONE
AL 6
DIRECTIONS / �� C�a�l
TO JOB SITE C -H get
LEGAL (❑ SEE ATTACH D SHEET) / /��✓�T/3EE
DESCR. f5 c -> K/ r �0
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR• � /, / 7
USE OF 7`
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: a
Valuation of work: $ d U PLAN CHECK FEE PERMIT FEES O
fl.
SPECIAL CONDITIONS:
BEDROOMS DECKS _ CARPORT [] NOTICE
BATHROOMS TOTAL SQ. FT. _ GARAGE i
ATTACHED C] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT L� OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE [I DETACHED Cl
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 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 11 SHORELINES ❑
SEASONAL ❑ FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. II
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT.
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. 1 $
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be 'n conformance therewith. MOTOR VEHICLE PERMIT
A LIGATION ACCEPTW BY PL NS I HECK BY APPROVED FOR ISSUANCE
J/ J y� �1
Owne to BY.
PL CHECK VALIDATION CK. M.O. CASH ERMIT VALIDATION CK. M.O. CASH
aV 7
PLOT PLAN
ADDRESS PERMIT NO. 0 o
= o
n >
a e
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 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 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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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.
4E(5) OF OWNER(5) OF SITE h STRUCTURE(S) (PRINT) 9IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
rRICT AS NOTED
ICLTON PRINTIN3