HomeMy WebLinkAboutBLD0578 Final Woodstove - BLD Permit / Conditions - 11/20/1987 i
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: C,4f4lo
Mobile me:
Smoke Detector:
Remarks:
ooting
Setback: iG_
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
If TYPE WOODSTOVE
I
Permit No. 0578 No. Floors Sq Ftg
Owner SCHROFF, Ronald E Tel 275-4828 Date 10-27-87
Address NE 190 Mahonia Dr Belfair Zip
Contractor Self
Address Zip
Legal Description Riverhill Div 1. Lot 13
Direction to project site Old Belfair Hwy toward
Bremerton` right on Newkirk- ]Aft on Mahnnia
Plumbing Mechanical Sewer Wood Stove _
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED d �7:Q� 0
PERMIT NO. 0.5
'O
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE22-5 WL
n#OAL-b E AJE IqO a90NIa L-)4 19,CLFA I 2 W
DIRECTIONS
TO JOB SITEPARCEL LEGAL
NUMBER /2 3 2/-50 bOd/3 DESCR. 40 7- l 1214 6 e,fl/LG
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR `F
USE OF
BUILDING 41Z)I �
CLASS OF NEW ADDITION RATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE i+
WORK llVSTi4LL- 7?Z--"A El�v�2 rlI'Ni.v rt4/ -4i
7- - Z9
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEM ENT 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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMA ENT SHORELINE
SEASO AL
OWNE 3SAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR MENTS 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 CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
\
X W ER ATE JQ_,2 -77_ / 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
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION .i0
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TOTAL CJ�S'