HomeMy WebLinkAboutBLD28562 Final Mobile Home Space 2 - BLD Inspections - 8/16/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions:
Mobile ome:
Smoke Detector;
Remarks:
Setback: flalD fi'l fL F0i:44NY-VA/�-- q-
Foundat ion :��� � T.�� U �•� cro��u�. * sip rt5
Walls: ev,e',�it
Framing: �r,v LnR..f114
Fireplace:
Wood Stove:
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TYPE MOBILE HOME
Permit No. 28562 No. Floors 1 Sq Ftg
Owner WAL OFF, BOB Tel 3 44-5793 Date 7-107-10-91
Address P.O. Box 382, Forks, WA 98331 Zip
Contractor Self
Address
.
Legal Description Allyn blk 79 lot10 sp 2 Zip
Direction to project site 3 to Allyn before Shen7ood
Hill RV Park Sp 2
Plumbing Mechanical ewer Wood Stove
Fireplace Deck Tar—age =port
Basement . soft —tether
APPROVED TO BE PLACED IN DESIGNATED AREA AS REGUTATED
BY MASON COUNTY ORDINANCE #604
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O.BOX 186 SHELTON,WASHINGTON 98584 _� J
427-9670 DATE ISSUED
PERMIT NO.
ME MAILADDRESS CITY STATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITELZ
PARCEL r� ,/� LEGAL
NUMBER � Z7�if/ N DESCR. '�L
NAME L ADDRESS CITY 8 STAT ZIP PHONE LICENSE NO.
CONTRACTOR4 ` ",
USE OF vv
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK �` C•�7��_- y
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
�I ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORTIGARAGE
GARAGE SgFt ATTACHED 0 DETACHED❑
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.
i
XOWNE DATE XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
NO DEPARTMENT YES NO
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP �b PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
01 MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANS CHECK SY APP V OP JS§UANCE PERMIT VALIDATION ('
"/ ` B CASH CK Mo TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAM ADDRESS I 8 STATE ZIP PHONE
OWNER
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER OESCR.
Indicate below. O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
�} O Location of proposed construction on property.
O Building&septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams,wetlands, drainage.
In Circle O Attach copy of septic system"as built"or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
2 .
ftjEl I I I I
w TE 5�4
t
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
nn NOT WR1TF RF1 OW THIS LINF