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Home My WebLink AboutBLD18134 Addition - BLD Permit / Conditions - 6/5/1986 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 s 426-5593 DATE ISSUED PERMIT NO. OWNER NAM4 MAILADDRESS CITY&STATE ZIP PHONE DIRECTIONS r TO JOB SITE �v LEGAL DESCR. -} CONTRACTOR NAME I MAIL ADDRESS CITY&STATE LICENSE NO. t ZIP PHONE USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED•FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT.y GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS N� COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED/ TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE r` J SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT , /RE AT i AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE! LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND i AM AWARE OF THE ORDINANCE REQUIREMENTS REGU S FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONANCE THE TH. NO CHANQ SH BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRSA), PROV THE BUILDING APPROVAL FROM THE BUILDING DEPARTMENT. 6;`3;5DATE X BY DATE F'I=JCE USE ON LY DEPARTMENT APPROVED DEPARTMENT APPaoVED BUILDING VALUATION YES NO YES NO 70.�� HEALTH 1914 PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT 8 O D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE 5d STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL Q G�►�„L�=�.�s-v' BY CASH CK MO 7 Dealt IV) _ 5TAt/i . ------ f)oae ly 1 L $l K (4F,4 4-4>7 i Permit NO. 11734 lb. ___ 494 f &""er UllllR QW S U31 l j�Address -�ox, i Ally- P . Cont r w�rrrr iT _ Addreft Direction to Loana st grt --to 1 ir, waMove FitePlsae -DWk 494 rt Betsement ---loft Other I Shore firm: Pl um: Inter*or: Oonditicus:: IIMM: Mbbile Ernes Snobe Detector—. — Remarks Pbundation. WaUs: Framing: Firepl KNII 1 - Wood Stove: y nripomiet4 DATE L' -9! gy BUILDWAMIT A>R KATION MASON COUNTY ` P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. OWNER NAME AIL ADDRESS CITY&STATE ZIP PHONE �K1 f�, #QG P.O. 131 Z e2 DIRECTIONS ` W H-tr-6 ivgr'p's 'T /' o' TO JOB SITE �LQw CI�'GIN V FoLLo�✓ vir— '. ke— Sirm '0 LEGAL (❑SEE ATTACHED SHEET) DESCR. v, �Q T a_ a — NAME - MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE CONTRACTOR � i-e4� r C lillA R-AINICL14YQ� USE OF BUILDING 9C �µ�•f�(' Class of work: EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE I Describe work: ` I ON &V G C L qAM !/ ~/i1 , 0 Valuation of wow PLAN CHECK FEE PERMIT FEE S- SPECIAL CONDITIONS: BEDROOMS DECKS CARPORT❑ NOTICE BATHROOMS TOTAL 'SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT❑ OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE❑ DETACHED ❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR Af FIDAVIT IZED 18 NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and 1 the aware Of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which t e ermit is issued and all work done will be in onfo ance therewith. PERMANENT ❑ SHORELINES l 1 i SEASONAL❑ FLOODPLAIN ❑ Fir W E.D. NO. S.E.P.A. ❑ By al Apprals IN OUT YES AP V D ov NO N i c L115 Y /qr zo Lic. No. Date PLAN IN DEPT. 161r.-- OWNERS AFFIDAVIT HEALTH DEPT. PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. of the Mason County ordinance requirements for which this permit Is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT AP ICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner Date, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH CHRISTMASTOWN PRINTING • s • • • -C f • • ILE• C f i • P • • ■n■■■■■■■■■■■■■■■■��:■■■moo■■ #l7542 6-18-85 Gov Lo t 3 e B4O. Box 131 Allyn 98524 275-3860 Follow Crouquist Dr. , where it turns sharpy to the left k follow the dirt drive straight down. Contractor Retaining Wall 4' x 166 Self $8,466.00 i j . A C M1 O A Mom+ pO � y O H O AGo rA tA'� O N M.s M w w m y i