HomeMy WebLinkAboutBLD13039 Bulkhead - BLD Permit / Conditions - 9/21/1982 Hogan, Leonard F. #13039
275-6686 9/21/82
Madrona Morningside Beach, Lots 24& 25, 34-22-3
Tahuya
Bulkhead Contractor:
190 SQ. FT. Self
Shoreline Exem tion
$1,615.00 p
Shorelines: 1�7/C7
Setback:
Special Conditions:
Footing: B id
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof: -
Exterior:
Interior:_
Final: ? �l s-
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
r
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
RMIT NO. 13 O'?1?
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
r rd A z75W L d'
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. ) 7',5 �/-aa - 3
NAME CONTRACTOR S MAIL ADD: CITY 6 STATE LICENSE NO. PHONE
USE OF
BUILDING
Class of work: NEW ❑ ADDITIOV ❑ ALTERATION ❑ REPAIR ❑�MOVE�C] R�EMOVE
Describe work:
' 2Z
Valuation of work: $ � PLAN CHECK FEE /� PERMIT FEE
44< !6
a
SPECIAL CONDITIO S:
BEDROOMS {DECKS _ CARPORT [_1 NOTICE
BATHROOMS I TOTAL SQ. FT. GARAGE f J
ATTACHED i_! SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT G OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE E_ IDETACHED L]
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE U S ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
SEASONAL I ; FLOODPLAIN
Firm E.D. NO. S.E.P.A. II
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING_ �S
PLANNINGQERI, a
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MAR
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT .Z= g2 11 C�
which this permit is issued and that all work done will ROAD ACCESS 10
be conforms a therewith. MOTOR VEHICLE PERMIT
A ICATION ACCEPT D 4Y P ANS CHECK BY APPROVED FOR ISSUANCE
Date "j , -7'
P CHECK VALIDATION CK. M.O. CASH ftRMIT VALIDATION CK. M.O. CASH
I t ,
EXEMPTION FROM SHORELINE
r
MAN4,EMFNT ACT SUBSTANTIAL
DEVFLOPMENT PERMIT REQUIREMENT
TO: L b N pn2z>
The proposal by
to undertake
name of applicant)
the following development
- (be specz is
upon the following property 1► I D r-,U Q !r MK) I�� 2 �
legal d`scription;'ioe. , section to the
�sectnearest quarter on
within '� {� -� and/or its associated
ame o water area
wetlands i exemp om the requirement of a substantial
development permit because the development ('1SItJ
S 4-
identity ex motions as outlined in WAC -1 - 0
Corps u i c Notice Number it avallable3
The proposed development is--consistent/inconsistent with:
CHECK ONE
CONSISTENT INCONSISTENT
Policies of the Shoreline Management
Act.
The master program.
Se_ � 21 J �rX2.
Date SiRnat.&re af-Authorized-IL-ZOca3 overn-
ment Official)
D 2 c ��
ate o Expira ion