HomeMy WebLinkAboutBLD0470 Woodstove - BLD Permit / Conditions - 12/3/1986 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED 11 Lz)
!E L
75'- .2 PERMIT NO. O L/ / 0
OWNER N E �ADDRESS CITY SSTATE ZIP PHONE
ASS asS.4,v /T,C44Q D LOA E5'6'i/ Ww 340 2 .t5'��fi,¢,� 9YS2
DIRECTIONS If
TO JOB SITE
LEGAL
DESCR. 491-YlPlP/G ,S#419 .kr A/ /SDI r TR 16 G ex R14c-1
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR CL
USE OF ��S fA��
BUILDING G�
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ I T
DESCRIBE
WORK
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 ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS A IDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA ON 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 APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X WNER �44"V'��ATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
SPPROVENo DEPARTMENT YES No
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT /S C7 a
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 3 PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY P C �BY APPROV D F R I UANCE PERMIT VALIDATION
LGL BY CASH CK MO TOTAL
TYPE WOODSTOVE
Permit No. 0470 No. Floors Sq Ftg
Owner RASMUSSEN, Richard 0. Tel Date 11-25-86
Address E 5511 WY302 Belfair Zip
Contractor Self
Address - zip
Legal DescrTiption Olympic Shores' N 150' Tract 16
Direction to project site
Plumbing Mecbanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: Plumbing:
Setback: ical:
Mechan
Special Interior:
Conditions: FINAL:
Mobile Hoare: �
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: