HomeMy WebLinkAboutBLD23162 Bulkhead - BLD Inspections - 12/21/1988 Shorelines: Plumbing:
Setback: Mechanics
Special Interior:
Conditions:_ FINAL:
Mobile Home:
Smoke Detector:
Remarks:
emarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE BULKHEAD
Permit No, 23162 No. Floors Sq Ftg
Owner JENSEN, Paul S Tel 275- 05 Date 2-21-
Address ox a air Zip
Contractor a --
Address Zip
Legal Description Tr 8 & 11 2 Tr, G.L. -2 -1
Direction to project site Stretch o , a ga e
to Vineyard Cove, go straight rather than thru gate.
Property faces NW inside little cove.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
7''YO Srrrreh Tom,-hd. So• is oF�rfu�
BUILDING PERMIT APPLICATION
Pi3,LcL MASON COUNTY
/ Z/p13 y3 ovd DEPARTMENT of GENERAL SERVICES
GOi/, GT P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUE
- / ' PERMIT NO.� 21,1
OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE
S' . J-&Y'sew - I�PX 2�1� „Bee- :-
DIRECTIONS
TO JOB SITE -VAM- E-5C!}Nv 11W_ SO - AT G 7`t-:�_ rcl 111 O my C api5 6c 5TIT41,
/} -p1( r xlv &-OIN6 /(l/ 10 O/",E/t T /9c' 11 INS1,19f L/rrL f-
LEGAL / -/ / VIC
/
DESCR. L y� d3 7 �/9y�TE G�iL I �C OT' A f �a .G DT
CONTRACTOR ,
NAME MAILADDRESS CITY BSTA L ENSE NO. ZIP PHONE
�� ,�/r
USE OF
BUILDING
CLASS OF NEW ,WORK P.- ADDITION ALTERATION REPAIR MOVE REMOVE
DESCR
WORK IBE EGUL O6 y avcK dc1tK11&,
2, 4 Z >e z"x 6 /7 Fr. S)01,'L"-Afr /Z:7dK
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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHOR LINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY'THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ION 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI NG APPROV L FR THE UILDING DEPARTMENT. Q APPROVAL FROM THE BUILDING DEPARTMENT.
X NER � E l 0�- X BY DATE
FOR OFFICE USE ONLY 10
.20r
DEPARTMENT YES
SPPROVE NO DEPARTMENT YES No
BUILDING VALUATION
HEALTH C PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 6 SY
SPECIAL CONDITIONS BUILDINGGROUP �N PRE.INSPECTION
SHORELINE
l/
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY b�l
NS CHECKKBBY'L APPROVED FOR ISSUANCE PERMIT VALIDATION
� BY Ull</ aO�� CASH CK MO TOTAL 8cV.a '