HomeMy WebLinkAboutBLD21285 Final Woodstove - BLD Permit / Conditions - 12/17/1987 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:4,Yj� 1� r-)
Mobile Home:
Smoke Detector:
Doting: Remarks:
Setback:
Foundation
Walls:
Framing
Fireplace:
Wood Stove:
TYPE WOODSTOVE
Permit No. 21285 No. Floors Sq Ftg
Owner HALL, James B Tel 313-1269 Date 12-4-87
Address 12 24 Pacific Ave Los Angeles Zip
Contractor Self
Address
Legal Descri tion ip
g P Beards Cove Div 6 Lot 68
Direction to project site 72i TarG�n v 6
Plumbing Mechanical Sewer Wood Stove x—
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO2,
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER - /c. i �� C,� %GAG 2�
DIRECTIONS /
TO JOB SITE
PARCEL EGAL 11 //
NUMBER 33 0 .� �/y. DESCR. �Y' 15 (�.,IF , �i�
ME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE J
WORK c' (.voo�
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 1 2- TOTALSQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASON I
OWNE SAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERT Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI EMENTS 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT NING APPROVAL FROM THE BUILDING DEPARTMENT. �/ Q APPROVAL FROM THE BUILDING DEPARTMENT.
NE O � DATE ZZ - I- ° X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT YES NO
BUILDING VALUATION
YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE P )IDATION
�� TOTAL
BY
CASH CK MO
r