HomeMy WebLinkAboutBLD29460 Woodstove - BLD Permit / Conditions - 11/1/1991 1
( Shoreline..: Plumbing: "
Setback: Mechanical :
Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
' Fireplace:
Woodstove:Q'l//- yr/
TYPE WOODSTOVE
( Permit No. 29460 No. Floors Sq Ftg
Owner BEISLEY, WILLIAM Tel 275-5783 Date 71-1-91
Address: 230 NE od-6ei! t Belfa'r Zip
Contractor Self
Adress: Zip
Legal Description: 29-23-1 Tr 6C or Tc C of SP 1350
Direction to job site: Turn onto Sandhill Rd from
North Shore Highway second house on right main body white
green trim 6' cedar fence
Plumbing Mechanical Woodstove x
Fireplace Deck Garage Carport
Basement Loft Other
Conditions:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED O ��
PERMIT NO. 62
NAME MAILADDRESS CI Y&STATE ZIP PHONE
OWNER i.J,I,�U,...-, �:, � t� C� �.��.t, C I
DIRECTIONS r- r
TO JOB SITE I L��Y1 p*-� G� �\\, `�. C P�CJ�1 "�v `� ���- �` �w2
�t=C.C`�Gl C�tn�..'Ci G�^ �'l �� f� ��iiM b0 Wh�i� l��`'��n lC'�•,n �j' �l'r( Y
PARCEL Ti
G LEGAL
NUMBER ��L _7�' IDUE DESCR. 1 �a-�- OF �V. 1O �f>r RC_ of S F T 3.5U
NAME MAIL ADDRES CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR QI�I s. Cc�z -► �a^,�e� f�S �bo�C � _ �i �C /c>' f�
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE 11 y
WORK C.jL"I S .
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE ` SgFt STORIES SHORELINE❑ CONDITIONING
BASEMENT h� SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.0 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED�§DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
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,
X OWNER DATE _ X BY �L/���/' / I DATE 3 O
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVEDJO DEPARTMENT YES DEPARTMENT
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE 6�)
PLUMBING
MECHANICAL
STATE BUILDING FEE
Ai:ATION ACCEPTED BY PUNS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL
Ll
BY CASH CK MO