HomeMy WebLinkAboutBLD21247 Foundation and Pilings - BLD Permit / Conditions - 11/23/1987 Shorelines: Plumbing:
Setback: Mechanical:
Spec ial\-;. Ag-P, Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remarks:
noting: p,e
Setback: /5/
Foundation
Walls: e,le
Framing: NULL & V •
Fireplace:
Wood Stove: DATE -4-
TYPE FOUNDATION & PILINGS
Permit No. 21247 No. Floors Sq Ftg
Owner WATSON, .Tim Tel 4-0834 Date 11-23-87
Address P 0 Box 3227 Lynnwood Zip
Contractor None
Address Zip
Legal Descr pt n Haven Lake Lots 1 '36 & 1 .17
Direction to project site Northshore Hood Canal to
Chevron Station to Haven Lk (NE 131 Rho odendron Blvd)
Tahuva
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. 7712/2 7
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
JIM WATSON P . 0. BOX 3227 LYNNWOOD, WA 98046 774-0834
DIRECTIONS
TO JOB SITE NORTH SHORE HOOD CANAL TO CHEVRON STATION, RT. TO HAVEN LAKE
ADDRESS : �V�$. y131 RHODODENDRON BLVD. , TAHUYA, WA.
PARCEL LEGAL
NUMBER "ZJci DESCR. HAVEN LAKE , SEC . 30 , TWN . 23 N, R2 W, WM
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR NOT KNOWN AT THIS TIME
USE RESIDENCE
BUILDING
CLASS OF NEW I ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ V
DESCRIBE
WORK PRELIMINA ig�ITE INSPECTION F0 SET BACK FROM LAKE
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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME 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.
XOWNER DATE _ 7/15/87 XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
NO DEPARTMENT YES No
BUILDING VALUATION �-
HEA4*H PUBLIC WORKS FEE
PLANNING ����( FIRE BUILDING PERMIT
D.d..T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 3�
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY PR FOR I ERMIT VALIDATION
TOTAL
BY H CK MO