HomeMy WebLinkAboutBLD21367 Garage - BLD Permit / Conditions - 12/29/1987 Shorelines:
Setback: Plumbing: e ��jg/90
Special Mechanical .
Conditions: Interior:
FINAL:
Mobile ome:
Smoke Detector:
ootingo: Remarks:
Setback. 1
Foundation
Walls: e/
Framing:
Fireplace:
Wood Stove:
TYPE GARAGE
Permit No. 21367 No. Floors
Owner ARDON ,Alfred M. Sq Ftg 312
Address 270 N Shipman Ave La uente4'calif.-4141 Date 12- 92 87
Contractor Self ' Zip
Address
Legal Description Beard's cove Div 6, Lot 6 Zip _
Direction t0 project site From Belfair take H Sandhill Rd o ri ht to Larson Blvd. 300 to
to Salt Dr. left. left for 1/2 mile
Plumbing Mechanical3rd lot on left
Fireplace Deck Sewer Wood Stove
Basement Garage Att. Carport
Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 p
426-5593 DATE ISSUED�2`-22 6
PERMIT NO.r--->2/
NAME MAILADDRESS CITY&STATE ZIP PH NE
OWNER ALFRED M. ARDON 270 N. SHIPMAN AVH,. LA PUENTE, CALIF. 9174�4 818- 9 4-41-41
DIRECTIONS From Belfair take Hwy. 300 to Sandhill Rd. go right on Sandhill Rd. to Larson Blvd.
TO JOB SITE
o left on Larson Blvd. for a 1 2 mile to Salty Drive make a left on Salty Drive. 3rd.lot on 1 tl
RCEL 12 0 33 53 00006 LEGAL
NUMBER B E R E AL BEARD'S COVE Div. 6 Lot 6 BELFAIR-----MASON COUNTY
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR SELF.
USE OF
BUILDING Garage
CLASS OF NEW XXXX ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK 12'x 26' Attached Garage
BEDROOMS_ DECKS f CARPORT NOTICE
f 12 SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI S/ 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
TOTALSQ. r FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASO AL
OWN#RS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CEJIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB INING APPROVAL FROM THE BUILDINQ DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X WNE , "DATE 12/ 14/87 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO 2 gOO.OO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT 38.50
D.O.T. BUILDING PLAN CHECK 9.2
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 3.50
STATE SURCHARGE
APPLICATION ACCEPTED B(�MHM JAP0110V FOR U C PERMIT VALIDATION
TOTAL 01.25
BY CASH CK MO