HomeMy WebLinkAboutBLD21365 Porch/Deck - BLD Permit / Conditions - 12/29/1987 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:
MobileHome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE DECK & PORCH
Permit No. 21365 No. Floors Sq Ftg 1112
Owner BURGIN, Donald Tel426-7527 Date 12-29-87
Address E 1640 Phillips Lk Shelton Zip
Contractor Self
Address Zip
Legal Description Phillips Lake Div 4, Lot 87
Direction to project site South end of Phillips Lake
next to Fish
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck 888 Garage Carport
Basement Loft Other Porch 224
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584g
426-5593 DATE ISSU
PERMIT NO- IS5
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER ,ab p G� /� �� O -a-1- - 5"GCS L 1�2G`96 2
TO OB SITE >��^ /Z l S /7"'E-Y 0
PARCEL r� LEGAL J
NUMBER p( 419�iDESCR. /�,_/_ s/� �S 7 /��/
CONTRACTOR
AIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW �� ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
p - — --
T f
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.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.
PERMANEN SHORELINE
SEASONA
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF.THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIR ENTS 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 ORMANCE 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 O ER DATE .. ?4�' X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED 00
BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT •
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDIT ONS t BUILDING GROUP �•
SHORELINE '
WOODSTOVE
PLUMBING
ZZ4- ?c MECHANICAL
STATE BUILDING FEE
• STATE SURCHARGE
APPLICATION ACCEPTED BY P B E PERMIT VALIDATION
TOTAL
B CASH CK MO