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Home My WebLink AboutBLD22803-Renewal No.BLD30817-SFR BLD22804 Bulkhead - BLD Permit / Conditions - 9/28/1988 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO.�av 4 OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE c O n:, rEYY: Z DIRECTIONS / TO JOB SITE Al across' r1l r f" PARCEL LEGAL NUMBER -SQ• DESCR. e CONTRACTOR NAME MAIL DDRESS C &STATE LICENSE NO. ZIP PHONE USE OF BUILDING CLASS OF NEW L,/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.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 I FFIDAVIT CONTRACTORS AFFIDAVIT AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE S 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 ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. DATE X DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS �fjIAOBUILDINGGROUP ,Sf�QGC�,4►GL PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY Pn Nq CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION CASH CK MO TOTAL SO Shorelines: Plumbing: Setback: Mechanical : Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks:1,0-6 Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: --------- � � -e TYPE RESIDENCE Permit No. 22803 No. Floors Sq Ftg 432 Owner SOWELL, Dick Tel 383-5733 Date 9-28-88 Address 5909 Upland Terr. NE Tacoma Zip Contractor Gary Martin Const Address W 3611 Little Eqypt Rd Shelton Z1P Legal Description 21 m is Beach Tr 11 Direction to project. site Northshore across from HoodsAort Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other NO POWER OR WATER r . BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES $ P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUE PERMIT NO. OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE lc T 2 DIRECTIONS L TO JOB SITE ar C o r PARCEL LEGAL NUMBER 20 - - DESCR. 61 / NAME MAILADDRESS CITY K SPATE ' LICENSE NO. ZIP PHONE CONTRACTOR s� �f A � r*l 4M.4 4Z65149 USE OF ' BUILDING /'c?�'4l� !0 fi- WORK CLASS O✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING. NO.OF STORIES BASEM ENT 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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE _V__ SEASONAL 3 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 REQUIREMEN S 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 CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. o _ X W ER DATE X B DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION l YES NO YES NO /.G HEALTH ADDPUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT -� I D.O.T. BUILDING 4-lec PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION le)r Igo SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE Q STATE SURCHARGE •, APPLICATION ACCEPTED BY PLAANSJPHECK BY / APPROVED FOR ISSUANCE PERMIT VALIDATION 6Il.� BY46;i< S CASH CK MO TOTAL / L7/