HomeMy WebLinkAboutBLD19483 Repair - BLD Permit / Conditions - 10/22/1986 TYPE REPAIR
Permit No. 19483 No. Floors Sq Ftg
Owner WALTON, Norman Te1394-3833 Date10-22-86
Address 1511 38th Ave E Seattle Zip
Contractor Roorda Const
Address Box 534 Hoods port Zip
Legal Description wir
Direction to project site Bl. 2, Lot 12-C & Por 1 -A
Rehind Eldon Store/Gas Station
Plunbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
LIFT FRONT PORTION OF HOUSE & REPAIR FOUNDATION
Shorelines: 0 4 Plumbing:
Setback: 6 4_- Mechanic :
Special Interior:
Conditions: FIlA,L: /3 "9
Mobile Home:
Smoke Detector:
Remarks:
Footing: 7 G
•1
Setback:
Fbundation 4!2�
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER o �! �� ��'+1 �� Z 9 �P?2
DIRECTIONS
TO JOB SITE -5 D/ e C S S /Oyt
LEGAL
DESCR. ' c%�I n . pit AMW
—
NAME MAILADDRESS CITY&STATE LICENSE NO-7 ZIP PHONE
CONTRACTOR �2�L�J.� ( � .i,c - jtr..- - pt �jt�7lvtUJ1C-7 ✓ ►C1 ri . �- L
USE OF
BUILDING �' r
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK _, -- 7� ty�. ;�1r2� ) ✓�/
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
OWNED S 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
REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ REMENTS 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
O1BTT INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
114 AADATE //2 A X BY L t�/T�r� >� {� DATE '
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 5
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
o l'� T`1f1d1ti SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE CC
STATE SURCHARGE
APPLICATION CCEPTEDBY PLANSC CCIBY APPROV FORS NCE I PERMIT VALIDATION _
TOTAL
BY CASH CK MO ��