HomeMy WebLinkAboutPre-Inspection - MIS Application - 6/5/1984 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO.
OWNER NAME FAIL ADD SS o �� CITY 8 STATE ^ i ^ ZIP ���� PHONE Alone
DIRECTIONS FLOK N S -C30 •t..�rcS Pitt�t=S 'tt� Ic'L TL +'lA` 6 TtS1c� SO�Tt4
TO JOB SITE �3 041il.E-S . fSL t>Cs S t_opT C 67A,-Sr) S tor- or- cad
LEGAL. (❑ SEE ATTACHED SHEET)
DESCR
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING f�Wi D I�� C�/ /f1/'�fle clf- 61
Class of work: ❑ NEW ❑ ADDITION >eALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_ DECKS — CARPORT [] NOTICE
BATHROOMS TOTAL SO. FT. GARAGE Ll
ATTACHED I_] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT E, OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ❑ DETACHED C
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENTi11 SHORELINES I I
SEASONAL I , FLOODPLAIN G
Firm
E.D. NO. S.E.P.A. I i
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in co/lormanc therewith. MOTOR VEHICLE PERMIT
f-S�V APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner �,�1.( Date. C/ BY
'7
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 i
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Courthouse Annex 2 N. Fourth & W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206) 426-5593 Director - 'Ron. Sch i I I i nger
building environmental health maintenance parks&recreation planning sewer&water
o
June 12, 1984
Charles Haight l
P.O. Box 1454
r
Belfair, WA 98528
i
s
RE: Change of Use
Dear Mr. Haight:
Investigation of the building indicates the following required Code
changes:
i
1. Additional support around building as well as a minimum j
clearance of 12 inches from any timber to ground.
i
2. Plumbing and wiring to Code. i
I
3. Approved stairs to loft. 3
4. Insulate to Washington State Energy Code.
i
5. Smoke detector to be installed.
6. Permit to remodel to be obtained before proceeding. i
Sincerely,
B.E. Piland, Inspector
DEPT OF GENERAL SERVICES
i
BE/jw
i