HomeMy WebLinkAboutBLD20944 Woodstove - BLD Permit / Conditions - 9/22/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: e g2
Mobile Hcme:
Smoke Detector:
Remarks:
oot ing
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 20944 No. Floors Sq Ftg
Owner LATTIMORE, Daniel P Tel 275-6551 Date 9-22-87
Address P 0 Box 94 Grapeview Zip
Contractor The Smoke Stack
Address Olympia Zip
Legal Description Mountain Shores Lot 26
Direction to project site E 101 Mountain Dr. Of
Grapevi ew Loop Rd at Rnuchert Rd-
Plumbing Mechanical Sewer 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 )
427-9670 DATE ISSUEDC�����//�/�
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
e K✓ W.4 5X,
DIRECTIONS
TO JOB SITE
PARCEL /�/� �. LEGAL
N U M B E R ��� ��( DESCR. ��Q�//]Jlt//J
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE �� _
WORK C 67'�1
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 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
TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
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-S 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 ANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT INING APPROVAL FROM THE BUIL G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
i�/
XO NER , 1�-BATE XBY DATE
FOR OFFICE USE ONLY
DE iRTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION O-
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL