HomeMy WebLinkAboutBLD29775 Dock - BLD Permit / Conditions - 1/9/1992 BUILDING PERMIT APPLICATION ,
MASON COUNTY
0 DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED /
PERMIT NO.
OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE
DIRECTIONS �r
TO JOB SITE -e 650 �yc�c� o, lllc1/fit ,'C(
PARCEL LEGAL /�
NUMBER �Q G?C) l'o-000 CE*R. p � lIC4 (p
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR -LaLe {` r Pv
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK P.-
DESCRIBE
WORK CAI f r ✓�-Cr �'/ �c� vl ��1 /W?.GcJ C.
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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
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
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 DEPAR7�AENT.
X OWNER DATE X BY '� DATE
FOR OFFICE USE N LY /
APPROVED APPROVED
DEPARTMENT DEPARTMENT BUILDING VALUATION V
YES NO YES NO a y S
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 2'
SPECIAL CONDITIONS BUILDINGGROUP M PRE-INSPECTION
� "� :✓ """� - D SHORELINE
--- WOODSTOVE
gg SO l�c' PLUMBING
�C MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
C TOTAL
/ j> BY a. CASH CK MID l
- SO 000
Plumbing:
Shorelines: Mechanical•
Setback: Interior:
Special Final:Mobile Rome:
------
Smoke Detector:
--------
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: #1 - DON FAWVER TYPE: DOCK
Owner: BUNT, BRAD Tel: 868-4718 Date: 01-09-92
Address: 5025 240TH AVE NE, REDMOND 98052
Permit #: 29775 Floors: 0 Sq Ft: 288
Contractor: SELF
Phone:Legal Description: HAVEN LAKE LOT 18
TO 2081 HAVEN
Direction to job site: NORTHSIDE OF LAKE
LAKE WAY NE
Plumbing
Mechanical Woodstove
Garage
Fireplace Deck
Carport
Basement Loft
Conditions: NONE