HomeMy WebLinkAboutBLD19580 Replace Glass - BLD Permit / Conditions - 11/17/1986 TYPE ' REPLACE' CLASS
Permit No. 19580 No. Floors Sq Ftg
Owner JOHNSON, Wes 'Tel Date 1-17-86
Address E 7101 Hwy 106 Union Zip
Contractor Specialty Cont
Address Shelton i,49
Legal Description Alderbrook Country Club Tr.103-104,1Obf:
Direction to project site 109-112, 114-115,119-121
Ald rhrook Tnn Cnhii-
P7 ing Mechanical. Sewer wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
fl (de�brvo►��t ��o <3�2, � � -51)-hod ►9'
Shorelines: PlLmbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:4"c i 5G- =b
MobileHome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MAS`.iV COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 // / / G/
426-5593 DATE ISSUED //�� a S�
PERMIT NO./`7��
NAME MAILADDRESS CITY BSTATE ZIP PHONE
OWNER 0
SOs 1=
DIRECTIONS
TO JOB SITE C6c Lit-
LEGAL
DESCR.
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR see!s�°[� e Z S 99
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE 0O Of /
WORK e `.J
Y Sin"o, i`
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 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
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AMA CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA ON LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O ER DATE X BY DATE
FOR OFFICE USE Of&Y
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION v d
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT e d
D.O.T. BUILDING ` PLAN CHECK /A
SPECIAL CONDITIONS BUILDING GROUP k,-3 PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE �G
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS'HEW BY JAPPROVED OR ISSUANCE PERMIT VALIDATION
try r �2� BY CASH CK MO TOTAL �� d