Loading...
HomeMy WebLinkAboutBLD20796 - BLD Permit / Conditions - 8/24/1987Shorelines: Setback: t Special Conditions: ©oting: Setback: Foundation Walls:_ Framing: Fireplace:__ Wood Stove: Plumbing: Mechanic a1: Interior: FINAL:(/ Mobile Home: Smoke Detector. Remarks: TYPE MOBILE HOME Permit No. 20796 No. Floors Sq Ftg 1188 Owner BANCHERO, Paul Tel Date 8-24-87 Address E 40 Shoreline Lane Shelton____ Zip Contractor . None Address _ _ Zip Legal Description Jacobys Shorecrest 2nd Replat, [ Direction to project she Lots 31 - In Shorecrest Park on corner of_ Midway Lane. & Shoreline Ct. Pluming' echanical Se Fireplace Deck Garage basement Loft Other 1987 27x44 3 bdrm Wood Stove carport BUILDIN PER IT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 OWNER DIRECTIONS TO JOB SITE PARCEL ? NUMBER CONTRACTOR USE OF BUILDING CLASS OF WORK r DESCRIBE WORK ny, BEDROOMS_,..._ DECKS .......:.._.... BATHROOMS ......,..._ TOTAL SQ. FT. NO. OF STORIES ,1...__ BASEMENT ,__�'�✓..,.... TOTAL SQ. FT.// FIREPLACE PERMANENT ..,,..._p _ I SHORELINE SEASONAL OWNERS AFFIDAVIT CARPORT,, ,, GARAGE /�4.�. ATTACHED DETACHED .. I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH, NO CHANGES SHALL BE. MADE WITHOUT FIRST OBTAINING APPRO,FROM THE BUILDING DEPARTMENT. XOINNER$ DEPARTMENT HEALTH PLANNING D.O.T. SPECIAL CONDITIONS J1.err APPROVED YES NO CITY A STATE LICENSE NO I 1 ALTERATION REPAIR MOVE C,-'rUlt d:m NOTICE REMOVE PAHATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR ONDITIONING 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED CONTRACTORS AFFIDAVIT ! CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. X BY DATE FFICE USE ONLY DEPARTMENT APPROVED -BUILDING VALUATION YES NO PUBLIC WORKS FIRE BUILDING BUILDING GROUP APPLICATION ACCEPTED BY PLANS CHECK BY APPROvElifQ `P BY MSS ANCE PERMIT VALIDATION BUILDING PERMIT PLAN CHECK PRE- INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL CASH CK MO STATE BUILDING FEE STATE SURCHARGE TOTAL 1 PLOT PLAN ADORE LEGAL N1) J° DESCRIPTION SITE AREA � / 2 _So. Ft SLK ( AREA OF SITE OCCUPIED BY BUILDINGS .i / INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1--10' ARE FILED WITH PERMIT APPLICATION BEACH BUILDING SITE MIDST 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, F'RST 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 I/We certify that the pro first obtaining approval. NAM(Iii OI OWN[RI GRAPH SQUARES ARE 5' X 5' OR 1"=20' natruction will conform to the dimensions end uses shown above end the no chances will be made without OF I:TE ,PFe;tira DO NOT WRITE BELOW THJS LINE DISTRICT APPROVED AS NOTED DATE