HomeMy WebLinkAboutBLD29458 Final Remodel - BLD Permit / Conditions - 11/7/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final//;'-�/
Mobile Home:
Smoke Detector:
Remarks
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: TYPE: REMODEL
Permit #: 29458 # Floors: 1 Sq Ft: 504
Owner: BOWEN, ETHEL Tel: 275-0934 Date: 11-01-91
Address: P.O. BOX 1127, BELFAIR,
Contractor: EARL L. GREEN
Address: P.O. BOX 749, MANCHESTER 871-4809
Legal Description: BEARDS COVE DIV 5 LOT 56
Direction to job site: SAND HILL TO LARSON BLVD
ADDRESS IS 1350 LARSON LAKE BLVD
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS ITY&STATE ZIP PHONE
DIRECTIONS y �n
TO JOB SITE S' 4:0 La
PARCEL LEGAL
NUMBER DESCR. (/
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR 'e� 1- L, /19a fiaX fk 1*21~Y D
USE OF /�d�L/yi�S'T '� �/�� 4� 44. C
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR X MOVE REMOVE
WORK ✓
DESCRIBE / ,
WORK S L / O D 4 G'llp C-1-0
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED Q DETACHED D
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.
XOWN r DATE _ - XBY�� '2 LI ZL DATEZ /-
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH NIV PUBLIC WORKS FEE
PLANNING A- FIRE MARSHAL BUILDING PERMIT
/D.O.T. BUILDING PLAN CHECK 11
SPECIAL CONDITIONS BUI LDI NG G ROUP PRE-INSPECTION
' SHORELINE
Al WOODSTOVE
- MAfllel l PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS 4 CK BY APPROVED FOR ISSUANCE FPERMHIITALIDATION11``/// U�rC CK MO TOTAL
BY �J of
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME AIL ADDRESS CITY&STATE ZIP PHONE
OWNER �J�FLw e N -97 S De Ntuood gja - S I L LIEN DA« (4,4, q
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR. d 7 � _Pr P p S C r v C - I V s
Indicate below: (9"Property lines and dimensions.
C�asements and roads.
(� eptic, drainfield and reserve area, or sewer.
Septic tank and drainfield setback distances from foundations.
E)
PO�
ation of proposed construction on property.uilding & septic system setback distances from all property lines& easements.
Indicate North ell and water line.
In Circle 0 Saltwater, lakes, rivers, streams,wetlands, drainage.
O gttach copy of septic system as built or septic permit approval.
0-1ndicate topography profile of property and structure on reverse side.
d
1 �
I
l
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes tivill be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
-e
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
/Y7- 5