HomeMy WebLinkAboutBLD19374 Porch - BLD Permit / Conditions - 9/26/1986 TYPB PORCH
Permit No. 19374 No. Floors _ Sq Ftg
Owner LEHMAN. Dale 21e1
Address 482-4286 ate 9-26-86
2339 Cloguallum Rd Elma Zip
Contractor Self
Address
zip
Legal Description
Sake Arrowhead Di ,2� Torte 2 & 3
Direction to project site un Arrowhead Dr ro Th,_,n�art,;ra
Dr. Take left
on Tp P1 a ar rlri .o , r
Pl uig Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
8x16 PORCH ON SELF CONTAINED CAMPER
Shorelines: Plumbing:n
Setback: :
Special Interior:
Conditions: FI1AL:
Mobile
Smoke Detector:
tang:
Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: N 1 1 & VO
Ct117E y -9-9'/ wM -V
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
z PERMIT NO.
OWNER NAME MAILADDRESS CITY&ST TE ZIP PHONE
L� C/o aka/� d ,�. c')As � P z-y-��6
DIRECTIONS
TO JOB SITE LAP A k d d r z Y
►�O�r r r, �� , a uh w y3�r� ���c
DESCR. �c �/�/",CJLL���� d /V o;? lz�Ts (=>?cQ
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF L
BUILDING Q -a /J
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
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
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANE�T SHORELINE '-
SEASON L
V
SAFFIDAVIT CONTRACTORS AFFIDAVIT
Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
MENTS 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
ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
4 ER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION ? d
YES NO YES NO ✓•2O 0
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT L/, SD
D.O.T. BUILDING PLAN CHECK Alh
SPECIAL CONDITIONS BUILDING GROUP )r-3 PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATIONACCEPTEDBY PLANSCtijC� APPROVED RANCE PERMIT VALIDATION
4!/ BY CASH CK MO TOTAL