HomeMy WebLinkAboutBLD19196 Pole Bldg - BLD Permit / Conditions - 8/25/1986 TYPE P6LE BUILDING
Permit No. 19196 No. Floors 1 Sq Ftg 1584
Owner YANEZ, Wava Tel Date 8-25-86
Address NE 2790 Old Belfair Hwy Belfair Zip
Contractor Alpha Steel Bldgs.
Address P. 0. Box 859 pnumrlaw Zip
Legal Description , az Bancroft Trar G, Tr 2-A,3-A
Direction to project site 9-23-1 Tr 10 SE,SW
3 mi. down Old Belfair Hwy, 3rd drive on right past
35 MPH sign
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: h/ Plumbing:
Setback: Mechanica .
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing: e-
Setback:-
Foundation
Walls:
Framing: PF
Fireplace: I6' �s`y -'X_PI PATIO N
Wood Stove: .7
Q AT o i
BUILDING PERMIT APPLICATION 36
MASON COUNTY �f
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUEDO`1
Qaa L!I�'1c�L. PERMITNO.
OWNER N ME MAILADDRESS CITY&STATE ZIP PHONE
t 1w
DIRECTIONS 3 _
TO JOB SITE 4� �,�/ � c, S( 3 5
LEGAL _I
DESCR. " I C �i-c�G2,A . yA
NAME MAILADDRESS CITY& TATE LICENSE NO. LPMA S�� 'AZ PHONE _
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ./ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK r
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. /5,ky— FIREPLACE DETACHED ABANDONED FORA PERIODOF180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT SHORELINE
SEASONAL 61
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTR ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE ENTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVA OM E BUIL NG DEpAR MENT.
O NER DATE X B DATE /
FOR OFFICE SE O LY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
JYE
�//S NO YES NO ' <v
HEALTH PUBLIC WORKS FETE
PLANNING � FIRE BUILDING PERMIT '/y• ,�
D.O.T. BUILDING PLAN CHECKJ�
SPECIAL CONDITIONS BUILDING GROUP ;i,YJ f PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE �O
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHE)BY
APPROVEED�FOR ISSUANCE PERMIT VALIDATION(�� / BY 404r+ CASH CK MO TOTAL