HomeMy WebLinkAboutBLD24048 Basement - BLD Permit / Conditions - 7/12/1989 1
Shorelines: ,r� plumbin
Setback: :
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Special Interior:
Conditions: FINAL:
Mobile omile: .
Snake Detector:
Footing: Remarks:
Setback:
Foundation
Walls: PE
Framing; - }a AT
Fireplace: L6-&�
Wood Stove: na►TE
TYPE BASEMENT
Permit No. 24048 No. Floors Sq Ftg 1728
Owner HEISERP1AN, Robert 7-
Tel 3 44-6355 Date 12-89
Address Rt 1 Box 1 334 Forks Zip
Contractor Jerry Wright ------
Address P 0 Box 1145 Be] air Zip
Legal Description4 -------
Direction to project si e an78ria Lane
UID Larson Lk Rd rt on Cutlass 41ay, rt on Santa Mari a
Lane 2nd corner lot on left
k'lum ing c anica ewer Love
Fireplace Deck garage
Basement Aft
MULL-"OID BY EXPIRATION
DATE !!Aa� BY
1
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED - -
PERMIT NO.1=226 �'
OWNER NAME MAILADDRESS CITY BSTATE ZIP PHONE
e m kri g a I I I Y 50je AZ IVAi r
DIRECTIONS / L!l14 ;
TO JOB SITE 1- 1 L� 414-4r-
llq NO Lo 7-
PARCEL /^ / / 0 LEGAL na U� , , O
NUMBER p( DESCR. Cw
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. ZIP PHONE
CONTRACTOR Al
�6�r tz j 1r 7 1144
-
USE OF
BUILDING
CLASS OF NEW OK ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 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
TOTAL SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE '—
SEASONAL
OWNERS A FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA NN11 G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
O NER DATE X BY DATE 5--�3�
FOR OFFICE WE N LY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION o 'I DD
YES NO YES NO �3.027.
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT y S-L.
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
CL�ZrL� BY CASH CK MO TOTAL