HomeMy WebLinkAboutBLD86-19340 w.stove - BLD Permit / Conditions - 9/22/1986 TYPE WOODSTOVE
19340 No. Floors _ Sq Ftg
Permit No. _
Owner COLEMAN, Richard L. Tel 426-9104 Date 9-22-86
Address W 3380 Day
ton Airport Rd. S Zi p
Contractor Hutch & Son Wood Works
p, 0. Box Hoo sport p ----
Address 8_2 _ Tr 5 SE,NE
Legal Description Dayt i Airport R to Grave it•
Direction to project site W 3380 Dayton Airport Rd.
Turn rt 200 ds to house
ec anica ewer oo tove x
p um ing Deck -Garage arport
Fireplace Other
Basement Loft
Shorelines:
etback: Alumhbinq�•
pecJa ec ani u; -
Conditions: Interior:
:
FINAL , *
Mobile Home:
Smoke Detect.
Footin Remarks:
SetbaU:
�oyndation
a s:
Framing:
Fireplac
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERM I T NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER L6 vvtl Aj aka. y, 1
DIRECTIONS ��// �f /�
TO JOB SITE to 33 r..' bo ON A i V 0 Y-4 //��TO A) l ) 6 r` )e
T C--tv s 4 - —lu rt� Q4 'T-a 6cf S 4--
LEGAL E "f' `rtu A)5w �0 N NCs C Lj/ rjl C T - L— L�
DESCR. L :2 C}Q 3 f 00
NAME M L ADDRESS CITY&STATE rr LICENSE NO. Z P PHONE
CONTRACTOR IATr LI dSa : g�'GS Po So, 4?0 c�06 v-4 cv f '�y�
USE OF f'�G( TGl'1 TSI 16
BUILDING - e A) C'
CLASS OF CEW
WORK ✓ ADDITION ALTERATION REP IR MOVE REMOVE
DESCRIBE
WORK
I
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 CO STRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FORIA PERIOD OF180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT SHORELINE
SEASONAL
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. APPROVALFRC4A HEBUILDINGD,Fp,ARTMFNT.
X O N DATE X BY6'i ' DAiE
FOR OFFICE USE bNLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATI N
YES NO YES i I NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED fZ�5l57—
/PERMIT NO. G-
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
fi�e LC/ - G o�c.� cc C, Q�l — S- L r�x 41�1� 1�1 y(
DIRECTIONS -1
TO JOB SITE /C J7-7f /►C rI'E'c ic3 C c'f > / C' vC �S y
LEGAL _ (�
DESCR. /^ J L�tL S 1l!y � SC'c:_7� J -1 L�L��l?S�r -C� ka t( e SL-
NAME MAILADDRESS CITY&STATE LICENSE NO. ZjPf PHONE
CONTRACTOR A27
USE OF
BUILDING � es r <7 G`di
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE /
WORK
BEDROOMS 3 DECKS �-� '' CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS ! TOTAL SQ.FT. /5aL- 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 SQ.FT. /L`c FIREPLACEu`ncly E DETACHED ABANDONED FOR'A PERIOD OF180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSA FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT j I AM A CURRENTLY REGISTERED ONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE EQUIREMENTS REGULATING THE
REQUIRE NTS 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 CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT INI G APPR VAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
r
X OWNED � 'DATE �� J� X BY DA E
FOR OFFICE USE ONLY
DEPARTMENT YES FPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION c oG>
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 33
D.O.T. u BUILDING PLAN CHECK —
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLUMBING
MECHANICAL
STATE BUILDING FEE A
STATE SURCHARGE ,G�
APPLICATION ACCEPTED BY PLANS CHECK BY APPRbAD FO SSUANCE PERMIT VALIDATION
TOTAL
BY `` 4 ASH CK MO
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