HomeMy WebLinkAboutBLD20699 Bulkhead - BLD Permit / Conditions - 8/5/1987 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED %-5_e249/
PERMIT NO ��
OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE
e S/ 8 o
DIRECTIONS
TO JOB SITE !g e a Q �-
o j�ojr&��
l e f LEGAL 4
NUMBER � ��PARCEL ��Q�� SCR. i/QT�� , OG�f'� �/ ���r��tJe4�aFpL�Tf b'30
NAME MAIL ADDRESS CITY 6 STATE ICENSE NO. ZIP PHONE
CONTRACTOR aeij .Vv 37 ,_"
USE OF
BUILDING
CLASS OF NEW [ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE �--
WORK /O
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORIES _ 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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 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
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 ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O NE ATE X BY DATE
FOR OFFICE USE ONLY
D ARTMENT YES
SPPROVENo DEPARTMENT YES NO
BUILDING VALUATION
H LTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT ,(�, &Z)
D.O.T. I BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
, -.-7J� x1lSHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANKS CH CqK BY APPROV FOR I ANCE JPERSITVALIDATIONI ,•G BY CAH CK MO TOTAL7
D ��
Shorelines: Plumbing:
Setback: P// - Mechanical :
Special Interior:
Conditions: FINAL: ,,/
Mobile Home:
Smoke Detector:
Remarks:
tooting: z S i�
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: f'C.ei,�T ti��il�ww �3Y
—,f P/
TYPE BULKHEAD
Permit No. 20699 No. Floors Sq Ftg 437
Owner BORGAARD, Floyd Tel 274-8447 Date 8-5-87
Address Box 518 Castle Rock Zip
Contractor Jesfield Const
Address P 0 Box 377 Belfair zip
Legal Description Vine and Cove B1. 1, Lot 10
Direction to project site To Stretch Is_ . So to So- and of
Is. , right at d ad end_ Ind drives nn 7c6-
um ing Mechanical --S—ewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other