HomeMy WebLinkAboutBLD30467 Final Storage/Garage - BLD Permit / Conditions - 2/7/1996 shorelines: Plumbing:
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Owner: WALKER, MAX' Tel: 275-8461 Date: 05-15-92
Address: 1091 NE LARSON LAKE RD, BELFAIR 98528
Permit #: 30467 Floors: Sq Ft: 336
Contractor: SAME
'I"hone:
I;egal Description: BEARDS COVE DIV 6, LOT 31
17irection to,fob site: RT AT SANDHILL, LT AT LARSON BLVD,
"T A LARSON LAKE RD, APPROX 1/4 MILES ON RIGHT
Plumbing Mechanical Woodstove
.rireplace Deck Garage
Carport Basement Loft
Conditions: MUST MEET ALL UBC REF SLOPES
I
BUILDING PERMIT APPLICATION
MASON COUNTY
R
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED 2_
PERMIT NO. 36
NAME MAILADDRES C CITY&STATE ZIP PHONE
OWN ER �U�► ti� 0 r P♦ L� V2,! G
DIRECTIONS 'Z_7 G-16 1
TO JOB SITE
f}AP"a h y-t AA, le a I'lPARCEL
NUMBER t2'33D 5 3 6)DD31 LEGALFDESCR. / /C�'(dd cl/f� LO
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF ,
BUILDING /i
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE c:w-'v
WORK p 1� "�
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
q ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT 3 3 E, 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. J APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY_ DATE
FOR OFFICE USE ONLY >
PPROVENo DEPARTMENT YES
BUILDING VALUATION
DEPARTMENT YES b J
HEALTH PUBLIC WORKS F
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS I BUILDINGGROUP A V PRE-INSPECTION
SHORELINE
IY� v 1� I 5 WOODSTOVE
1 0 l 15 I e5 klv PLUMBING
67- �� �� /" MECHANICAL
STATE BUILDING FEE
46
APPLICATION ACCEPTED BY PLANS 9HECK UY APPUDFSSUANC PERMIT VALIDATION
{92- ` BY CASH CK MO TOTAL `,