HomeMy WebLinkAboutBLD12430 Alterations/Repairs - BLD Permit / Conditions - 5/17/1982 Foss, Gerald R. #12430
564-4624, Tacoma 5/17/82
Madrona Morningside Beach , 18 & 19 TL, EX E 32' of 18
North Shore Road to Box 12971.
Alterations/Repairs Contractor:
Self
$6,776.00 Shoreline Exemption
9 -71 Ire. rh sip o ' �
Shorelines:
Setback:
Special Conditions:
Footing: _
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:_
Interior:_r
Final:
Stop Work:
Mobile Home
Remarks: _
Y
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 ,y
DATE ISSUED
PERMIT NO.� L/
OWNER NAME MAIL ADDRESS CITY&STILE ZIP PHONE
DIRECTIONS �a
TO JOB SITE
LEGAL / (❑ SEE ATTACHED SHEET)
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING /� � 104,_ 4
Class of work: ❑ NEW ❑ ADDITION ,ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: Gt z L-✓
r
Valuation of work: �. PLAN CHECK FEE
PERMIT FEE
SPECIAL CONDITION .
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS (TOTAL SQ. FT. GARAGE Ll
ATTACHED a SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE [] DETACHED ❑
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 USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT Ll SHORELINES ❑
SEASONAL [J FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. [I
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. .91
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware /s Q:
of the Mason County ordinance requirements for BUILDING DEPT. 3 lJ 4Z
which this permit is issued and that all work done will ROAD ACCESS
be in c nformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
mer �Z" Date ") - /✓ c �J B��T�—
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
F.XF.MPTION FROM SHORELINE '
MANAGEMENT ACT SUBSTANTIAL
DEVFLOPMENT PERMIT REOUIREMENT
TO: r;ernld R_ Foss/ 8518 42nd West/ Tacoma, Via. 98466
The proposal by erald R. Foss to undertake
name o applicant
the following development raise roof and remodel porch
e specific)
upon the following proR!rty Madrona Morningside Beach Tracts #2, tracts
legal description; i.e. , section to the
18 & 19 except 32' of tract 18
nearest quarter section
within Hood Canal and/or its associated
name o water area
wetlands is exempt/not exempt from the requirement of a substantial
development permit because the development is alteration of existing
single-family residence
WAC 173-14-040 (7)
identify exemptions as outlined in WAC 173-1 -0 O
Corps Pub is Notice Num er if available r
The proposed development is consistent/inconsistent with:
CHECK ONE
CONSISTENT INCONSISTENT
Policies of the Shoreline Management
X Act.
The master program.
5/17/82
Date Signature of Authorized Local Govern-
ment Official)
5/17/87
mate mat on