HomeMy WebLinkAboutBLD416 Final Roof - BLD Permit / Conditions - 10/8/1991 Shorelines: Plunbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL;Z /� -
MobileHome:
Smoke Detector:
Remarks: w P/rA li s
oot ing: 64� 711,e Rdd,-
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE ROOF
Permit No.416 No. Floors Sq Ftg
Owner Harvey E. Reed Tel Date 8/19/91
Address PO Box 784 Belfair Zip
Contractor same
Address Zip
Legal Description 9 23 2 Tr 20
Direction to project site Old Belf i
on Bear Creek-Dewato 7mi) to Blacksmith Lg6 Rd_,
left 2.4 mi to NE 430 H
P un ing c anica ewer Wood Stove
Fireplace Deck arage import
Basement Loft Other
75-00 200
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. (qy/
NAME _ p MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER �Zr✓e ���BLn 78y �IFair a'7' ?ga I1r Lake
TO JOB SDIRECTIONITE
��� md 4Jt'�t�i r iQl'e. �1 A v c.� 0���►^ ULek D�:��?�� C/n�� �O 8jaLAsm Lake
Rj le Yt 4 m i to 0#3P14c r5cf574 L Dr r
PARCEL LEGAL �] [' 1
NUMBER x)3U9 5_ O0ucy DESCR. _r, ,,1� X 5Stryey 717 SCty at'✓e •
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING m e-
CLASS OF NEW / ADDILiON ALTERATION REPAIR MOVE REMOVE
WORK ✓ l� �
DESCRIBE n y�
WORK at ,�G'G� ,9 tA0b, /e, �0"A e-
BEDROOMS DECKS _ CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
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 I 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 APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
`X OWNER / ATE / X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING y = FIRE BUILDING PERMIT S
D.O.T. BUILDING % PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP ��_ PRE-INSPECTION
L = SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY "i i CASH 'CK MO
n 1 BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS ITY&STATE ZIP PHONE
OWNER Ha F;RE.ej '�PP Rox 71�q gp-/�a/r, Wd. 9�5V nCA 1
DIRECT
TO OBIONS SIITE Ifp.vt �C'�rd�r� ��� 'VeJrdrr 0/,x 1 /art Oo Y1 _eea �i�� .-✓�wd� /lc(�7M�)
Ierf ej+I ghl0ks'v1;t11 �ake Wj (,?,4m P5 7D XIE-030 Arse-s4Ve- Pr,
NUMBER 113 DESCR. )0 -urVe 7/7 see
Indicate below: O Property lines and dimensions.
* Easements and roads.
O Septic, drainfield and reserve area, or sewer.
m Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
0 O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle
O Saltwater, lakes, rivers, streams, wetlands, drainage. 1
O Attach copy of septic system as built' or septic permit approval. gr^�
O Indicate topography profile of property and structure on reverse side.
. I I
i
J
I/We certify that the proposed construction will conform to the dimen ion9 and uses shown above and that no changes will be made without first obtaining approval.
SIGNATURE OP/OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
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