HomeMy WebLinkAboutBLD29143-B Deck - BLD Permit / Conditions - 9/26/1991 Shorelines: Plumbing:
Setback: Mechanical----
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE DECK
Permit No 29143-B No. Floors Sq Ftg 192
Owner Harold Newland Tel 426-8964 Date9 26 91
Address E 20 Balbriggan Rd Shelton Zip
Contractor
Address Zip
Legal Descr ip ion 27 21 3 Lake Tim ri r-k Div Z,, T nt 1 1 A
Direction to project site Mason Take Rd to Right on on Dartmoor to Ralhr;ggan,snrner c£ Dar-tmwPr- and
Balbri2zan.
Plumbing Mechanical Sewer Wood St5v-e
Fireplace Deck arage arport
Basement loft Other
i
1
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED c-k
PERMIT NZ - L [3
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DL i f�- D14�r327G jG
DIRECTIONS
TO JOB SITE /0 �� 1217'�'lDDR , �7 J✓YI007-6
2 G
PARCEL I LEGAL
NUMBER 3Z/Z7^.�a.06 v DESCR. G/L L ,.4 1G/ L,l)7 L�
CONTRACTOR
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE LICENSE NO.
—L�—
USE OF
BUILDING AJG�i
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
WORK DESCRIBE2E 2— i�; 4 E 4::: K 2 Ice,
l l_
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 G Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT 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 1 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 APPROV L FR THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY_.. DATE
FOR OFFICE USE ONLY
DEPARTMENT YEAPPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION L/
HEALTH I PUBLIC WORKS FEE
PLANNING �S�/U FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE _
APPLICATION ACCEPTED BY PukNs CHECK BY APPR ED R ISS A CE PERMIT VALIDATION y
TOTAL
t / BY . CASH CK MO