HomeMy WebLinkAboutBLD23508 Final Addition - BLD Permit / Conditions - 5/9/1989 Shorelines: 111A Plunbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:�,CS/y F P
Mobile Hcme:
Smoke Detector:
Remarks:
ooting: �,� �
Setback:
Foundation
Walls:
Fr aping:
Fireplace:
Wood Stove:
TypE ADDITION
Permit No. 23508 No. Floors Sq Ftg
Owner PACIrIC N.W. BELL Tel Date 4-4-89
AddressAve Seattle Zip
Contractor rury Const
Address ric sen Ave Bainbridge Island Zip
Legal Description Tr 20 SW,SE 29-23-1
Direction to project site Belfair C.D.O. Bldg,
Plumbing Mechanical Sewer 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
427-9670 DATE ISSUED
PERMIT NO. C;� --15dlp
N E MAILADD S CI��STATE ZIP PHONE
OWNER. y C� 7f �LL i
DIRECTIONS
TO JOB SITE k, �C.j= (2 V• v r t- C�CT
PARCEL
NUMBER DESCR. i� (j
NAME MAIL ADDRESS CITY S STATE L CENSE NO. ZIP PHONE
CONTRACTOR -)64A2 (2'bmsS i O, WA, c7ff//C�
USE OF L O -D2c,r2 L33Lo
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE / C C � ` � • I Y
WORK x o o ,.11 <. c'f S i I i tS
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEM ENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FI REPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE --
SEASONAL '
OWNERS AFFIDA CONTRACTORS AFFIDAVIT
I CERTIFY THAT I EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LA RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS F 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 CONFORMA E THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.N CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING AP OVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE B G DEPARTMENT.
X OW DATE Y J SI'PTDATE 2-3
FOR OFFICE USE ONLY
DEPARTMENT YES
SPPROVENo DEPARTMENT YES NoBUILDING VALUATION AO
/0 �==
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT t2V
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION ,
W�. SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
�1 � BY -;eA 3 lfY CASH CK MO TOTAL,