HomeMy WebLinkAboutBLD26234 ReRoof - BLD Permit / Conditions - 7/23/1990 laaao - 5 � - 00001
Shorelines: Plumbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
0o ing: Remarks:
Setback:
Foundat ion
Walls:
Framing:
Fireplace:
Wood Stove:
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TYPE -_ R�-RnnF- - - - - - -
Permit No. 26234 No. Floors Sq Ft
Owner KA R. 11 T Tel —' g - 200
Address 57?-6964 Date zz a
1002 - J St #1 Tacoma Zip
Contractor n _
Roofi
Address
Legal Description Lakeland Village 1P _
Div 3 lot 1
Direction to project site Lakeland Villaa
Flumbing Mecnanical Sewer Wood Stove
Fireplace Deck =arage —Ua port
Basement Loft Other _�
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED /�^�J !_�
NAME PERMIT NO.�(y oc y
OWNER MAIL ADDRESS CITY&STATE
U ZIP PHONE
DIRECTIONS q �43 . G
TO JOB SITE k auid V!
PARCEL + LEGAL III
NUMB E R t ,��a -t�a0 ) DESCR. -f pp
NAME 0/te L V Dt
CONTRACTOR MAIIADDRESS CITY& TATE
t* I LICENSE NO. ZIP PHONE
USE OF 1
BUILDING Iff S
CLASS OF
WORK ✓ NEV%----- ADDITION ALTERATION REPAIR MOVE
DESCRIBE REMOVE
WORK
BEDROOMS DECKS Y OR N CARPORT
TOTA Fr. NOTICE
BATHROOMS DECK GE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
TOTAL SQ.Fr. OTAL SO.Fr. CONDITIONING.
NO.OF ES BASEMENT Y N
LIVING AREA BASEMEN THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SQ.FT. COMMENCED WITHIN 180 DAYS, OR IF COTRUCTION OR WORK IS SUSPENDED OR
FTCHECK ONE ABANDONED FORA PERIOD OF 180DAYS TANY TIME AFTER WORK ISCOMMENCED.
PERMANENT EPLACE
ACHED
SEASONAL SHORELINE
DETACHED
OWNERS AFFIDAVIT
CONTRACTORS AFFIDAVIT
I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
R ISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
R QUIREMENTS 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
1 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
STAINING APPROVAL FROM THE BUILDING DEPARTMENT.
APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE
X BY DATE
DEPARTMENT APPROVED FOR OFFICE USE ON LY
YES NO DEPARTMENT YES NOBUILDING VALUATION
HEALTH 1-� PUBLIC WORKS
AID o f
PLANNING FIRE FEE
BUILDING PERMIT
D.O.T. BUILDING
SPECIAL CONDITIONS PLAN CHECK
BUILDING GROUP 2- PRE-
INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACC EPTEDI'll PLANS CHECK BY STATESURCHARGE
A ED FO ANCE PERMIT VALIDATION
Z BY CASH CK MO TOTAL /1 . 6