HomeMy WebLinkAboutBLD0187 Final Woodstove - BLD Permit / Conditions - 11/30/1989 TYPE WOODSTOVE
Permit No. 0187 No. Floors Sq Ftg
Owner POPE, John R Tel 275-4543 Date 10-3-89
Address P 0 Box 272 Belfair Zip
Contractor Self
Address Zip
Legal Description Tr 19 NW,SE 29-23-1
Direction to project site NE 70 Belfair St
P tm ing Mechanical Sewer Wood Stove xx
Fireplace Deck 75—rage carport
Basement Loft Other
Shorelines: Pluabing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:e,-j/
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace,-
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. ,L
NAME MAILADDRESS CITY BSTATE ZIPS PHONE
OWNER
r 2c5 s J
DIRECTIONS
TO JOB SITE o g fi`7Z)
PARCEL N U M B E // 6 LEGAL
NUMBER/ / �1gD DESCR. S /�• 7� /V(�/, O�rf-��- I
NAME MAILADDRESS CI YBSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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
OWNE SAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI EMENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI INGAP O AL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT,
X NER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENT
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �_� PRE-INSPECTION
SHORELINE
WOODSTOVE f/�_ d
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
ICATION ACCEPTED BY PLAw�i KBY � APPRO�R ISSUANCE PERMIT VALIDATION TOTAL
/V/L BY CASH CK MO