HomeMy WebLinkAboutBLD0549 Retaining Wall - BLD Permit / Conditions - 6/23/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
MobileHem:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: d-
TYPE RETAINING WALL
Permit No. 0549 No. Floors Sq Ftg
Owner ORWILER, Alan L. Tel Date 6-23-87
Address 5625 NE Cessna In Bainbridge Is. Zip
Contractor Jesfield Const
Address P 0 Box 159 Belfair Zip
Legal Description Pierce's Hood Canal Tr. B1, 1, E-1/2
Direction to project site
500' past Old Elfendal Pass Rd. NE 5221 Northshore Rd
Plumbing Mechanical ewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED ¢ 3
PERMIT NO. e-) -- 7
OWNER NAME MAILADDRESS CITY&STATE ZIP PF19ME
Al�r� L. ®Yu.1yl�Y a ---� l n. Iri�'�'riC�r Z-;. ul . c?'ri i
DIRECTIONS _
TO JOB SITE NE 221 P1 5 F:�►,
TAX Fc�.r�J✓I ��?�� /� � ��D�' 7
LEGAL 1
DESCR /• C YZ- Lg1- rl �/_
zrxi.l r'(CLC T 22 N2 h/
NAME MAILADDRESS CITY&STATE LICt SE-N0. ZIP PHONE
CONTRACTOR
USE OF
BUILDING E (Y1 1>f'1C� I� ; �C��E'G`� -��Ac = - VcCYI
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE ,�
WORK 1 tYIE?r I 4 h� rein J- cE_cc ccriC`e-k—_ 1 u_1 =_+
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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 AFFIDAVIT CONTRACTORS AFFIDAVIT J�`-�F I-T-
1 CERTIFY THAT 1 AM MPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW W 18.27,AND A AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS F WHICH THIS PERM IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CQNFOR CE THEREWITH. NO CHANGES SHALL BE MAD ITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ PPROVAL FROM THE BUIL NG DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X"OWNER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING L FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS
CHEQK BY APPROVED /ORR SSUANCE PERMIT VALIDATION
BY , iC CASH CK MO TOTAL , �.�