HomeMy WebLinkAboutBLD26110 Bulkhead - BLD Permit / Conditions - 7/6/1990 Shorelines: Plumbing:
Setback: Mechanic
Special *terConditions:
e e:
Smo tector:
�`�Remarks:
Foot ing:
Setback:
Foundation
Walls: �P U
Framing: Q I - Ce-
Fireplace: - LD
Wood Stove:
TYPE Rlll KHFAn
Permit No. 26110 No. Floors S Ft
Owner GARTIII,FA I R I CIA Te1��357 Da e
Address GRAPEVIEW Zip
Contractor Jesfield COnst.
Address PO BOX 159 Be air Zip
Legal Description Tr 1 GL 1
Direction to project site E. 800 Eckert Rd/proceed Rd/proceed onto
Stretch Island from Grapeview follow Eckert Rd to the orth
end of Island
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck -Carage import
Basement Loft Other XX
Ja 1OQ - oa -= I () T12 10( LOt
,
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
r
427.9670 DATE ISSUED TO
PERMIT NO.
NAME MAILADDRESS CITY SSTATE ZIP PHONE
OWNER ,eTO N TlQ1C! G"PEY nav N/ '` Z 83 5 7
DIRECTIONS Pgoci m n Q N To SriQ -rcH Is D F" t-
TO JOB SITE Rot, GnA p$ v,F-w. r-ev-zz v
ROAD` O T>+�1�- NOR7" OF-Z'45 1-4Nv FXT Pfr 1800 EcJ2r Roca
� T0.�( /70(
PARCEL LEGAL `
NUMBER 12109 2 2 -Owl DESCR. ll�ac r OF car' �� 4- T� I —A faC
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR JFSPIEU:) 0>45TCo,�.O� '1X) J OELFAiRWA 95528 27 --(D`o
USE OF
BUILDING F—RbS10N CONTROL Zug-KHE.,�D
CLASS OF NEW f / ADDITION ALTERATION IREPAIR MOVE I REMOVE
✓WORK
DESCRIBE
WORKISTALL 100 I-./N,EAL- FE£7-OF c "FC1Rc,ED CaNcR,>=rg�- aiL,rtt
!�N b (?7 i ro-A L.FEF-r Or R11blz;) P WALL 7 Cay-rp L fc1twK— s 1 on1
W4i-L NF-jcvhr 8 =-n N14x /)>Ja Ajaa✓E M.N.H,\Al, Exzvariom .
BEDROOMS DECKS Y OR N CARPORT NOTICE
TOTAL SO.FT.
DECK GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS—_ TOTAL SO.FT. TOTAL SO.FT. CONDITIONING.
NO.OF STORIES _ BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
LIVING AREA BASEMENT COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. _ TOTAL SQ.FT. _ CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT FIREPLACE IATTACHED T� �SF 22S��
SEASONAL SHORELINE — DETACHED—_ _- I�+JCAEIVS.E `� �a
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
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. APPROV THE BUILDI EPARTMENT.
XOWNER DATE XBY DATE _�p_90
FOR OFFICE USE ONLY
APPROVED APPROVED lam'_
BUILDING VALUATION
DEPARTMENT YES No DEPARTMENT YES No
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 2 �,
SPECIAL CONDITIONS BUILDING GROUP ,� PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY VED FOR ISSUANCE PERMIT VALIDATION J�'
TOTAL G C
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