HomeMy WebLinkAboutBLD20160 Repair Deck - BLD Permit / Conditions - 4/27/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile me:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fi replace:
Wood Stove: '
TYPE REPAIR deck boards
Permit No. 20160 No. Floors Sq Ftg 564
Owner BYINGTON, Kay Tel DateF 2 777
Address 13090 Northore Bel aim r Zip
Contractor None
Address Zip
legal Descri ion Madrona Morningside Lot 28
Direction to project site 13 miles down North Shore Rd
Plumbing Mechanical Seuer 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
426-5593 DATE ISSUED
PERMIT NO.
E MAILADDRESS �) / CITYe�STA�T€ ZIP PHONE
OWNER /l/e+ �7` Pc� »mac'/ �.'Z
DIRECTIONS � ��r
TO JOB SITE, �p tt /!!�
07
PARCEL LEGAL
NUMBER �_ DESCR.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING lslk9 P 2 '14/01.0
CLASS OF NEW ADDITION ALTERATION REPAIR �( MOVE REMOVE
WORK ✓ '
DESCRIBE
WORK I�C' �((r/ii ZX�
Oe4�1 /
ll '/ c�j Jv�s' `0 • %-i 9'
BEDROOMS " ECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TAQ.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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERSAFFIDAVIT 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 C014FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA16AG AP OVA}FROVTHE BUIL G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X ER tt Ms. DATE ✓� X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED '
DEPA MENT YES No DEPARTMENT YES No BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 3 7_6
D.O.T. BUILDING PLAN CHECK 2" 5
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
/lk--eCy SHORELINE
PLUMBING
/may. MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
�?: ,�� BY���X CASH CK MO TOTAL
PLOT PLAN
ADDRESS IZI � 4 \ �02 PERMIT NO o 0
io
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a o
LEGAL
DESCRIPTION LOT BLK ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
i
I
I
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NA fi( OP dWr R(!1 SITE 6 STRUCTURE(S) (PRINT) IGNATURE OF OWNER(SI OR AU THO D REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE