HomeMy WebLinkAboutBLD28053 Final Deck - BLD Permit / Conditions - 5/30/1991 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER S. 0 c -23 / 13
DIRECTIONS
TO JOB SITE k v u >✓ e
PARCEL LEGAL
NUMBER IDESCR. ! IJ
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTORUSE OF n
BUILDING d/��`
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
WORK DESCRIBE -1 F
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE 0 CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O 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
DECKS _�e_0_SgFt BATHROOMS SEASONAL RES.0 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED 0 DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 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 DEPARTMENT.
X OWNER�wY DATE d- / X BY DATE
FOR OFFICE USE ONLY At
APPROVED APPROVED BUILDING VALUATION
DEPARTMENT YES No DEPARTMENT Yes No
HEALTH !/,' PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING
PLAN CHECK 'ZS
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
,.WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CHECK SY APPMEORA CE PERMIT VALIDATION TOTAL�j( gYCASH CK MO
Shorelines: Plenbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL: s _ ,- w '�
Mobile cme:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE Deck
Permit No. 28053 No. Floors Sq Ftg 407
Owner KRAUSE ART Tel 898-2318 Date -1
Address P.O. Box 140 Union Zip
Contractor Self Zip
Address
Legal Description Wondervue lot 23
Direct_�►i to project site E 51 Warren drive
um ing c anica ara e wer ar rt
Fireplace Deck x tove
g po
Basement soft Other