HomeMy WebLinkAboutBLD0455 Final Woodstove - BLD Permit / Conditions - 10/16/1986 ------------------------
TYPE WOODSTOVE
Permit No. 0455 No. Floors Ft
Owner WERNER, N. Parker Tel Date 10-14-86
Address P. 0. Box 367 Belfair Zip
Contractor Self
. Address Zip
Legal Description Tr 2 & 25 SW, SE 29-23-1
Direction to project site
J l/J1 Store in Belfair
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Icarport
Basement'- Loft- Other - --- --
--- ---------------�
-----------------------------
Shorelines: Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL:
Mobile.Home:-
Smoke Detector:
Remarks:
Footing
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
11, P.O. BOX 186 SHELTON, WASHINGTON 98584
r 426-5593 DATE ISSUED D �L
PERMITNO. D
OWNER Z
MAILADDRESS CITY&STATE ZIP PHONE
p '�;�\L`.2 � ���Z��3� libel cLt=�k:h c E y
DIRECTIONS
TO JOB SITE
LEGAL
D SCR. I f -
CONTRACTOR JAME
MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
R SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOM§9 TOTAL SQ.FT. GARAGE CONDITIONING.
I .
NO.OF STO IES 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 ATANYTIMEAFTER WORK IS COMMENCED.
PERMAN NT SHORELINE
SEASON L
OWNJE
S AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTTHAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTTION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALLWORK DONEWILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CORMANCE THERE rT . NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT IGAPPROVALF�O EBUIL f}JGDEPARTMENT. APPROVALFROMTHEBUILDINGDEPARTMENT.
XOR -sL�DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO �s^
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLA C 4JAPPROVED FOR IISS CE PERMIT VALIDATION
�'CC` BYl/ CASH CK MO TOTAL