HomeMy WebLinkAboutBLD0496 Mobile Home BLD27049 Mobile Home BLD225920 Mobile Storage #19 - BLD Permit / Conditions - 2/21/1992 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
v v P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY ESTATE ZIP PHONE
DIRECTIONS
TO JOB SITE o eti Bef- Mob; r-' oing f /0%/ 11, F', 17006
L /Fq S F'hoe,
a mie AR - .AC o s e ee e2;1142
PARCEL rr�� n LEGAL
NUMBER oC� c+� �� �dr7 ESCR. J1 LPL R'ECLL71 -.QLa�7O
NAME MAIL DDREBB CONTRACTOR CITYBSTATE LICENSE NO. ZIP PHONE
L ,
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK :2C, S 4S' A / � 1
BEDROOMS DECKS z9jT CARPORT e NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING. HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO. FT. GARAGE we CONDITIONING.
NO.OFSTORIES -L- BASEMENTS V ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
< COMMENCED WITHIN 1W JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. lj- 7 FIREPLACE -91.-0 DETACHED ABANDONED FOR A PERIOD OF I80 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
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNEP4dt&& E --2 XBY ____ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES O APPROVED N DEPARTMENT YES APPROVED NO BUILDING VALUATION
HEALTH p PUBLIC WORKS FEE _
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP ,I PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL _
STATE BUI LDI NG FEE -
STATESURCHARGE
APPLICATION ACCEPTED BY] PLANS CHECK BY APP VED ISS E PERMIT VALIDATION') `
.�I a q.� , -- B ASH CK MO TOTAL
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATEISSUE
PERMIT NO. Z25`t7L
OWNER NAME MAIL DDRESS CITYBS TE 21P PHONE
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR.
CONTRACTOR NAME MAILADDRESS CITY B STATE ZIP PHONE LICENSE W.
USE OF
BUILDING
CLASS OF
WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
✓
DESCRIBE - _
WORK
s S
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING. VENTILATING OR AIR
RESIDENCCaLt�gSgFt STORIES SHORELINEO CONDITIONING.
BASEMENT -Y Q`SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS Ft BATHROOMS a.. SEASONAL RES.O COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF ISO DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT _SgFt FIREPLACE-YI/V IS CARPORT/GARAGE
GARAGE '-" SgFt ATTACHED O 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 THEBUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER /D'���'`��t'-L DATE XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
DEPARTMENT YEAPPROVE NO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP UNvIi PRE-INSPECTION
SHORELINE
— WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY PLANSCHECKSY APPROVED FOR ISSUANCE PERMIT VALIDATION
F BY(-� L CASH CK MO I TOTAL
AW
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED /� Q
PERMIT NO.
OWNER NAME MAIL ADDRESS CITYi STATE Zp PHONE
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR.
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR
USE OF --
BUILDING
CLASS OF NEW AADOITI �ALTE�RATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK O
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS_ TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTALSQ.FT. _ FIREPLACE COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
DETACHED ABANDONED FORA PERIOD OF 180 DAYS ATANY TIMEAFTERWORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNEFI 'AFFIDAVIT CONTRACTORS AFFIDAVIT
I CER/IFTHAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
ENTS 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
ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
� JJ APPROVAL FROMTHE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X )NER Ei"Q E 1 ATE all�3n _� � X BY _ DATE--
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
res No YES No BUILDING VALUATION �) V
HEALTH PUBLICWORKS
FEE
PLANNING 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 PLANSCHECKBY APPROVED FOR ISSUANCE PERMITVALIDATION
J
J � BvL��'�� �� /0 CASH CK MD TOTAL
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 /
426-5593 DATE ISSUED 8
PERMIT NO. L4
I NJACM/E G/C/C/ C/ MAILADDRESS CITY&STATE ZIP PHONE
OWNER /' ci- FS 4'
DIRECTIONS ,t i 1
TO JOB SITE j- c-'L-y /� O C/- /F Q
r
PARCEL LEGAL _
NUMBER DESCR. Z - p 'c )
NAME MAILADDRESS CITY&STATE LICENSENO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK c
C)
BEDROOMS -3 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. _ GARAGE CONDITIONING.
NO.OFSTORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN ISO 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 FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW ROW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 1 RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT,
XOWNE G2> - DATE '36��� XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YEAPPROVE NO DEPARTMENT APPROVED BUILDING VALUATION c�!/�Qi 0
YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP -3 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLI AT CCEPT OBY PLANS CHECK BY__.,,, APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL r�
A �, �� BY L% CASH CK MID /
TypE MOBILE HOME
permit No. 0496 No. Floors 1 Sq Ftg 1040
Owner HOLT, Ja
Addres mes H. 9el 275-2467 Date 3-10-87
s P 0 Box Bel air Zip
Contractor None
Address Zap
Legal Lescriptlon Sam Theler H & G Tr. Tr 20
Direction to proje si e Golden Bell Mobile Home Park
Snar 1119
is cer ove
ing
Fireplace _ Deck _ Garage _ Carport
Basement _ Loft _ Other
1987 26x40 3oarm
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
conditions: FINAL:
MDbile Home:
smoke Detector:
Remarks:
Doting:
Setback:
Foundation
Walls:
Framing: mRF�i4T ��
Fireplace: - cv F',p6itr • AE `�
Wood Stave:
DATE !"