HomeMy WebLinkAboutBLD30291 Dock - BLD Permit / Conditions - 4/23/1992 0a3BD Sb
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: #1 - FAWVER TYPE: DOCK
Owner: NAESETH, WESLEY Tel: 746-7575 Date: 04-23-92
Address: 4770 116TH AVE, SE, BELLEVUE 98006
Permit #: 30291 Floors: Sq Ft: 290
Contractor: LAKESHORE CONST/LAKESC155JA
Phone: 275-5029
Legal Description: LAKE HAVEN, LOT 75
Direction to job site: BELFAIR-TAHUYA RD TO HAVEN LAKE
DR, LEFT, ONE BLOCK TURN RIGHT ON HAVEN LAKE
LANE, 61 NE ON LEFT
Plumbing Mechanical Woodstove Deck eck Garage
Carport Basement Lott
Conditions: NONE
I
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATEISSUED3���
PERMIT NO. "1301;zQ
OWNER INN/AME MAI ADDRESS / CITY&STATE / ZIP PHONEA��
eSICZ Al
DIRECTIONS
TO JOB SITE �j o v ��.� � Avg ri o /o '
PARCEL LEGAL / n
NUMBER 3 D -�d -mo 7 DESCR. d
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE yy 3/
CONTRACTOR �P �� Co»s d�0 13J / s /1 �L
USE OF
BUILDING
CLASS OF NEW / ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ V
DESCRIBE
WORK a�.. t'Vt, �I C t� Pi f Cl.._ UI rC� CJO -5 '/7
v-C
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSO.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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE p�
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 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.
X OWNER DATE X BY r DATE c1 Z
FOR OFFICE USE ONLY
DEPARTMENT Y SPPROVEDJO DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT o
D.O.T. BUILDING PLAN CHECK l 2
SPECIAL CONDITIONS
,r BUILDINGGROUP PRE-INSPECTION
4c a?c a`l6J SHORELINE t{III,rFJ
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE L�S�
STATE SURCHARGE
`-1C ION/ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION _
4 Iq Blf�t+ 02 CASH CK MO TOTAL