HomeMy WebLinkAboutBLD28373 Final Storage Addition - BLD Inspections - 8/15/1991 Shorelines:
Setback: PILMbing:
Special Mechanics
Conditions: Interior:
FINALe 10Mobil
�1=
Smoke Detector:
Doting Remarks:
Setback: —
Foundation
Walls:
Framing; .a
Fireplace:
Wood Stove:
TYPE -- - _ _ -- --
A�E AUIITTION y
Permit No. 28373 No. Floors
Owner GRANT PAS, 147��e 48____
Address p,p, Box 437 Br Tel
Contractor f on Zip
Address
Legal Descrip on _ ip
Direction to project site 4�SP 745
Belfai
LM
Fi plingace c anica wer
Deck 7a a Stove
Basement —"'Z.oft —'�therg — �rport --
BUILDING PERMIT APPLICATION
-"` MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 / I
427-9670 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY BSTATE ZIP PHONE
OWNER tAUL &M p
DIRECTIONS
TO JOB SITE L j•% O -_LF eml AteuY 3
PARCEL L ESCR. d! ' ' y- J / 1
NUMBER -
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR O/tiA/A
USE OF
BUILDING $TOK&6Lr
CLASS OF NEW ADDITION L�__ ALTERATION REPAIR MOVE REMOVE
WORK ✓
WORK DESCRIBE � l3 ld N N - 5'7-O &.4 L-PI/v
BEDROOMS DECKS CARPORT NOTICE
_ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.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 ANYTIME AFTER WORK IS COMMENCED.
PERMANENT t i SHORELINE
SEASONAL-P-0 —
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
1 CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE
BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNERDATE XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION J
YES NO YES NO
HEALTH 6 /y-4l PUBLIC WORKS FEE
PLANNING 01 0/ FIRE J46 /y-y/ BUILDING PERMIT �� S
D.O.T. BUILDING PLAN CHECK X?
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
%6a t y8ry y U SHORELINE
O WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
ApgLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION "+
TOTAL
• '�/y yl BY '��y"�I CASH CK MO