HomeMy WebLinkAboutBLD0101 Final Alteration - BLD Permit / Conditions - 3/1/1991 qa -qi ao �3o
Shorelines: , Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:,ak5 •1-,y/ /,,tW:
Mobile
Smoke Detector:
Remarks:
ooting:
Setback:
Foundation
Walls:
Framing: ?/<"s/9 S"
Fireplace:
Wood Stove:
TYPE ALTERATION
Permit No. 0101 No. Floors Sq Ftg 392
Owner HUSON, John Tel Date 4-18-89
Address NE 801 Old Belf7i—rHwyBelfair Zip
Contractor es ie ons
Address P 0 Box 159 Belfair Zip
Legal Description Tr � NW.SE (Tr D S/P 153) 20-23-1
Direction to project site 1 mile North of Belfair tern
left across Union River. Only house in there,
um ing Mechanical wer Wood Stove
Fireplace Deck Garage Carport
Basement soft Other
Enclose existing pation for future family room
,t BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
NAME AILADDRESS CITY&STATE ZIP -PM9NG.
OWNER . A:' GcJ /_
DIRECT
ONS
TO JOB SITE �� J mot- /T t C S'
vc
Svc% : — X 'SSG — i � X,
PARCEL LEGAL
NUMBER -= 2 � '— Z'gU0�0 DESCR. /rruc-t—
NAME (( MAILADDRESS ITY&STATE 6IGENSENO. ZIP PHONE
CONTRACTOR Tes d .T'- , - _ 0- 5` r< ���, . �j 2
USE OF
BUILDING ��. .1+-•.G CLASS OF NEW ADDITION ALTERATION%�'/ REPAIR MOVE REMOVE
WORK ✓
DESCRIBE /
WORK h c Jr •c 5 P :,� G-J d G�-�"�c�
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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. FIREPLACE DETACHED ABANDONED FOR A PERIODOF 180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT SHORELINE
SEASONALy/�C�j
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT /- 1:e—t L-
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 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. APPROVAL FROM THE BUILDING DEPARTMENT.
L
OWNER AT X BY '' DATE X?
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION r
HEALTH / PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK /� S 6•
SPECIAL CONDITIONS BUILDING GROUP ( j PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CH�EC Y APPROVyEDDFFO/R II UANCE PERMIT VALIDATION
IBY 6J'lf ASH CK MO TOTAL
C / � �G