Loading...
HomeMy WebLinkAboutBLD27099 Final Garage - BLD Permit / Conditions - 4/2/1991 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: MobileHome: Smoke Detector: Remarks: noting: Setback: Foundation Walls: Frming:2/ a- iY ll Fireplace: Wood Stove: TYPE GARAGE Permit No. 27099 No. Floors 1 Sq Ftg 550 Owner CLARK, DONALD G. Te1275-2214 Date 11 -14-9G Address E 21810 Hwy 3 Belfiair Zip Contractor sane Address Zip Legal Description Collins Lk div 2 lot 56 Direction to project site NE 1240 Collins 1k Dr P um ing Mechanical Sewer Wood Stove Fireplace Deck mirage carport Basement Loft Other 375 storage BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 / 427-9670 DATE ISSUED PERMIT NO. N E MAILADDRESS CITY&STATE ZIP PHONE OWNER11 C Zgg Z_/4/ o cZ 3 Alll. 2-vszg L 7 1- 2-Z/ DIRECTIONS , TO JOB SITE O 5-4 2 e zx- Ale-_ •2 PARCEL LEGAL NUMBER DESCR. G�W NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR S USE OF BUILDING CLASS OF NEW r ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ v DESCRIBE WORK 4,,/ A. /,3C1/ BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 SAYS, 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 SEASON IL OWN S AFFIDAVIT CONTRACTORS AFFIDAVIT I CER FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQ REMENTS 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 ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING 08 AINING AP VAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OW DATE ! -3/— X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �� �-- ✓ YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK �© SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION �$'7 HORELINE WOODSTOVE PLUMBING MECHANICAL Gib ss"O X y STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ? GULF / ,�_ O TOTAL I D 0 Q J 2$ l CASH CK MO Ap BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAM o AIL ADDRESS CITY&STATE ZIP PHONE OWNER 6• LPL DIRECTIONS TO JOB SITE �[ / �i� e a v r .+/�• S�u.e E .(�� ii9�� /� /� dotJ ,r- ,dASft/i,fyA `fiDEiL PARCEL LEGAL /V �z- '/° �v/,.✓! A't-, /2, ll a c 9iiz NUMBER DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. 0 O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle O Attach copy of septic system "as built' or septic permit approval. / O Indicate topography profile of property and structure on revers Jr r 6 ZS I/We certify that the proposed construction will c nform to the dimensions and use a ove_7d fat no changes will be made without first obtaining approval. 10 . SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE i