HomeMy WebLinkAboutBLD20750 Final Woodstove - BLD Permit / Conditions - 8/20/1987 Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
j Conditions: FINAL: tre, 3, r� fc.
Mobile Home:
Smoke Detector:
Remarks:
00 ing:
Setback:
Foundation
Walls:
j Framing:
Fireplace:
Wood Stove:
I
TYPE WOODSTOVE
Permit No. 20750 No. Floors Sq Ftg
Owner SCHIEFELBEIN, David Tel 884-4138 Date 8-14-87
Address 13816 Sandy Pt W KPN Gig Harbor Zip
Contractor None
Address Zip
Legal Description Tr lA-A NW SE 36-21-3
Direction to projec sl e E 61 Agate Rd Might on Agate
Rd , Ird nl nop on ]eft
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
MASON COUNTY DEPARTMENT OF GENERAL SERVICES
p
on: Section North, Range y � West , W.M.
op
Legal escript' � Townshi �
Project:
Date Received
Address of Project
AO
Owners Nam
AddressA��d .
Phone
Directions to Project Site
HEALTH Fee Paid Receipt No. Date Received
Plot Plan Type of Septic System
Tank Size gallons; Drainfield Length feet; Approved for
bedrooms; Septic System Site Approved Final Approval
Contractor Phone
Inspected By Completion Date
Water Supply Approved
PLANNING Fee Paid Receipt No. Date Received
Residence Commercial Plat
SEPA Final Declaration EIS Required
Shoreline Exempt Shoreline Permit
Local Decision
Appeal Final Decision
Preliminary Plat Date Final Plat Date
Contractor Phone
Project Engineer Phone
By
BUILDING Fee Paid�.5t- Receipt N Date Received/y Jam`"
Plan Check: Approved Denied with the following corrections -
Conditions
By
Approved: Property Line Setback Footings Foundation Walls
Framing Fireplace Wood Stove Plumbing
Mechanical Roof Exterior Interior
Final Stop Work Mobile Home Smoke Detector
Remarks
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Additional Comments
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED"?-j �y `
PERMIT NO.
NAME MAIL ADDRESS
OWNER � � CITY 3STATE ZIP PHONE
0a, �C 1��� �C S� a), 004)"
DIRECTIONS r a ur `� s yJ
TO JOB SITE gecl_ 3 v
C
PARCEL LEGAL 1 `7— n ( 7
NUMBER 3,l � .�° �( � c(G DESCR. I /- ' 3
CONTRACTOR NAME MAILADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW
WORK ✓ ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE ^� _
WORK C �C ��� l '.� ;' e-)e�J �
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SQ.FT. FIREPLACE COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI LAW ARM
18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREME TS 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 CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
/ c 1,
X OWN / c ATE Y-(4( '� X BY
DATE
FOR OFFICE USE ONLY
DEPAR MENT APPROVED DEPARTMENT APPROVED
YES NO YES NO BUILDING VALUATION
HEAL 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
STATESURCHARGE
^,ATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY CASH CK MO TOTAL /i���