HomeMy WebLinkAboutBLD30593 Addition - BLD Permit / Conditions - 6/4/1992 ;
3 � Q�
Shorelines:
Setback: Plumbing: -i t�-ya
Special Mechanical:
Conditions: terior:
Final:
Mobile Home:
woke Detector:
Footing: _ �,� emarks:
Setback:
Foundation S I as c h &�
Walls:
Framing: o iC,
Fireplace:
Woodstove:
AREA: #3 - LUM - -
TYPE: ADDITION - --
Owner: JOHNSON, BRUCE Tel: 564-5739 Date: 06-04-92
Address: 8354 6TH AVE TACOMA
Permit #: 30593 Floors: 2 Sq Ft: 840
Contractor: COOPpR ENTERPRISES
Phone: 275-8615
Legal Description: MADINGS SUNNY SHORE DIV 6 TR 78
Direction to job site: 2901 MASON LAKE DRIVE EAST
Plumbing Mechanical
Fireplace Deck 200 Woodstove
Carport Basement 448 Garage
Conditions: Loft
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER '-� —
DIRECTIONS
TO JOB SITE M /L' Ldit (ZAPvj1&JS
a7S�� s l
PARCEL LEGAL ��
NUMBER 00 -r DESCR.
NAME MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR k�s �ClS/ /E' 5�, 4�sa'O,/`1. 'P6�f M
USE OF
BUILDING c_
CLASS OF NEW ADDITION ALTERATION.,/ REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK �/FT — �TQ tZ70
. OOf
S;� .. ,,�1z C 4
z = ),1100 4 dd ll l'-un F
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE R'YG Sq Ft STORIES SHORELINE❑ CONDITIONING.
BASEMENT `/` SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS ZG B SgFt BATHROOMS
p� COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
SEASONAL RES.KA ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O DETACHED O
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
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.
OF
X OWNER DATE _— X BY _ 7a /�� DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT /A RovED BUILDING VALUATION VI
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT `--/"-
D.O.T. BUILDING COT ey" ]"72 PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 3 PRE-INSPECTION
Iet. ,a p SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY NS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
LPLA
l '
�Q � ;2Z /z. BY 7� �` CASH CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER
R. A 4 c" /Y�. (o'er` c A y - -73
DIRECTIONS
TO JOB SITE r.EE, 1
PARCEL LEGAL
NUMBER a — DESCR. 4d�N f S r
Indicate below: a Property lines and dimensions.
O Easements and roads.
a Septic, drainfield and reserve area, or sewer.
a'Septic tank and drainfield setback distances from foundations.
O' Location of proposed construction on property.
Gr'Building & septic system setback distances from all property lines& easements.
Indicate North O Welland waterline.
O-Saltwater, lakes, rivers, streams, wetlands, drainage.
In Circle & Attach copy of septic system"as built" or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
� I
_ tA
� � v
D
O -- - Q, b
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIG1`4fURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
--9
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