HomeMy WebLinkAboutBLD0045 Cancelled Roof Repair - BLD Permit / Conditions - 2/1/1995 /a33a-so— Oot�S
Shorelines: PlL nbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback
Foundation 14
Walls: PERMIT
Framing: S . �����BTI�N
Fireplace: '
Wood Stove: DATE Y
TYPE ROOF REPAIR
Permit No. 0045 No. Floors Sq Ftg
Owner BELFAIR COMM. CHURCH Tel Date 10-18-88
Address P 0 Box 160 Be (fair Zip
Contractor Roma Homestead E7-ffr—s- ---
Address Pt Orchard Zip
Legal Description Sam T e er H & G Tr. Tr
Direction to project site
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Change flat roof to slope and re-roof
1
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 /1
427-9670 DATE ISSUED
PERMIT NO. n �5
ME MAILADDRESS CITE ATE ZIP PPHONE
OWNER r /'J
DIRECTIONS
TO JOB SITE
aQ 5-<!g IJGfQ/,5� -7
PARCEL LEGAL
NUMBER DESCR. Q
` NAME M DDRE; CITYr6,E,�� LICENSE NO ZIP PHONECONTRACTORe'f Kn Ke
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES 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 CER FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQU EMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM HE BUILDING D MENT. �/
f
X NER DATE X BY DATE
FOR OFFICE U ONLY
DEPARTMENT YES
SPPROVE NO DEPARTMENT YES NoBUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING 1' PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE S
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS PVECK BY APPROVED FOR SUANCE PERMIT VALIDATION 5-
QQ TOTAL
BY� CASH CK MO rX