HomeMy WebLinkAboutBLD0667 Mobile Home - BLD Permit / Conditions - 5/17/1988 � Lit-[ - �
Shoreiines: Plumbing:
SetSack: Mechanical:
Special. Interior:
Conditions: FINAL:
Mobile :
Smoke Detector:
Remarks:
rit my
Setback:
Fbundat;.on
Walls:
Framing:
Fireplace:
Wood Stove:
TypE MOBILE HOME
Per-mit No. 0667 No. Floors Sq Ftg 1344
Owner MARTINEZ, Leroy 'tbl 275-6786 Date 5-17-88
Address 11239 Old Belfair Hwy Bremerton Zip
Contractor Hunt Mobile Homes
Address P 0 Box 789 Gorst zip
Legal Description Tr 5 SE,SE (Tr_1_S/P 1201) 9-23-1
Direction to project Slte Heading toward Belfair on Old
Hwy, 1st drive on left after you pass Bear Creek Mini
R"UM, cSewer Wood Move
Fireplace Deck Garage Carport
Basement Loft Other
1988 28x48 3 bdrm t
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMITNO. r�G
OWNER NA ME MAILADDRESS CITY&STATE ZIP nPHONE
11)_37
DIRECTIONS I r
TO JOB SITE c rol �!� A � 7 Lv' P+I I i U f �.1d
( %r
Nll,0jn
PARCEL LEGAL
NUMBERi'�'-� ^c Chi_ DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
nt'CONTRACTOR I j ]),,me V .510
USE OF L
BUILDING
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
✓
DESCRIBE
WORK � S clk J r)ble )40
me-
C� 5 1� � �l/..' t'. J ��M 1V
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALS O.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SQ. FT/- COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
FIREPLACE DETACHED_ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
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
OBTAIN G4APP"AL FROM THE BUI DING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X E j DATE ( d "rS g X BY DATE
FOR OFFICE USE ONLY
DEP TM ENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO ..� ,
HEALTH O� PUBLIC WORKS FEE
PLANNING L FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK '
SPECIAL CONDITIONS BUILDING GROUP �- PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE '
APPLICATION ACCEPTED BY PLQANS C K BY APPROVED FOR ISSUANCE PERMIT VALIDATION
- �� BY � ] CASH CK MO TOTAL e 7�
' PLOT PLAN
ADDRESS C- Re PERMIT NO. o
= s
LEGAL �'t l d so
DESCRIPTION LOT7/) S 4'�7 5,E- T,' BLK ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ` 6' 'y fi g, Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
� rs' z 2
Me �l
I/We certify that the proposed construction will conform to the dlmansions and uses shown above and that no changes will be made without
first obtaining approval.
4
NAME(a) OF IDWNERM OF SITE a STRUCTURE(S) (PRINT) IG T R WNER(S) OR AUTHORI PREP ESENTATIVE
DO NOT WRITE BELOW THIS NE
APPROVED
DISTRICT AS NOTED DATE