HomeMy WebLinkAboutBLD29362 Final Deck - BLD Permit / Conditions - 1/22/1992 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions:
Mobile Home:
Smoke Detector:
Remarks:
ootIng:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE DECK
Permit No. 29362 No. Floors Sq Ftg 300
Owner ROTH, Art Teff=— 7 Dater .
Address 1400 Larson Ln, NE, Belfair, WA Zi
Contract or SELF
Address Zip
Legal Description Beards Cove Div 5, Lot 60
Direction to project site Nort s ore Rd, right on San
Hill, left Larson Lake Blvd, right Larson Lake Ln.
Plunb ing Mechanical ewer Wood Stove
Fireplace Deck x Tar-age Z,a port
Basement soft Other
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.
NAME MAIL ADDRESS CITY d STATE ZIP PHONE
OWNER ��1 � ►�� N L W• ti _ 1 1f-A-k� C6 3 -5—ot >
DIRECTIONS TO JOB SITE s12I:> _ l-kT k)J .S YJb WW Lft p-_ LPr2 , LAt < L—v/ >.
PARCEL LEGAL
NUMBER �Z33o§�2- lt; c: DESCR. SAP, Cc,,J� �Ir✓., �� �,C1 l �0
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE LICENSE NO.
CONTRACTOR S f� L
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r v
DESCRIBE
WORK
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.0 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ 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 CARPOR /�A�—R_ A�
GARAGE SgFt ATTACHED O DETACHED'g
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.
A�,—>DATE
ER(i ^— I IEI�r �/ X BY DATE
FOR OFFICE USE ONLY od
DEPARTMENT YESPPROVE NO DEPARTMENT YES No
BUILDING VALUATION1600
J
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
' WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 41 J j
APPLIPATION
NAACCCE_PTE�Dj BY PLANS CHECK BY APPRO D F SSUA C ERMIT VALIDATION
` /C`� l BY ASH CK MO TOTAL