HomeMy WebLinkAboutBLD22108 and BLD0209 Mobile Home #29 - BLD Permit / Conditions - 6/8/1988 BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATEISSUED �04
PERMITNO. ��/��
MAIL ADDRESS CITY&STATE
OWNER NAME _ ZIP PHONE
DIRECTIONS
T E Jd`f"JI✓ ' 6
"NAMEMAIL
' J/O PARCELLEGAL _NUMBER DESCR. A4.. __ / -�
--Y ems.,l. �CONTRACTORAIL ADDRESS CITY&STATE CENSE NO. 21P PHONE
USE OF
BUILDINGCLASS �L--
WORK F TION ALTERATION REPWORK r
DESCRIBE
WORK G
7 2—/f/c-c C/VC57
q4k6I Q-'&:DG'
BEDROOMS ...9� DECKS CARPORT NOTICE
BATHROOMS SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIESyy BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS. OR IF
TOTAL SQ.FT. L- FIREPLACE DETACHED ABANDONED FORA PERIOD OF 80 DAYS AT NYTTIIME AFTER WORK IS COMMENCED.UCTION OR WORK IS OR
PERMANENT SHORELINE
SEASONAL
OWNERSAFFIDAVIT 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 1 AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
R QUIREMENTS FORWHICHTHIS PERMITIS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
I CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
TAINING APPROVAL FROM THE BUILDING DEPARTMENT. p APPROVAL FROM THE BUILDING DEPARTMENT.
I WNE i DATE �h J X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES No YES No BUILDING VALUATION
HEALTH PUBLICWORKS
FEE
PLANNING � �(� FIRE BUILDING PERMIT
D.O.T. BUILDING ZV/(, PLAN CHECK
SPECIAL CON DITTIONS e ALY0. 6'A BUILDING GROUP PRE-INSPECTION
�J - mc SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE V ��
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANSCHECKBY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY ��.�lC CASH CK MO TOTAL r/"�'
Golden Bell Miobile Home Park
N.E. 20 Roessel rd. 20
Belfair, '.lash-tngton '38528
Mason County
Dept. of General Services
Sanitation Div.
'Phis .rill verify that John T. Backus has been given permiision
to place four mobile homes in this park on shots No. 16,18,22and
2Qe
l'his park is set up to accomtdate 40 unit§'�w�ith .four persons
per writ. rt the present it is at only 5(y' of capacity.
The sanitation Facility was designed handle this load.
I hope this is the information that you require , if any more
is needed please call me at tel 275-4623 or write me at the above
address.
respectfully
-Albert L. Sanders ,T7anager
1 a �3a - '-DC ) - e:c>c) 5v
TYPE MOBILE HOME ip(,3 -SD
Permit No. 22108 No. Floors Sq Ftg 980
Owner BAC KUS, John T Tel 455-1341 Date 6-8-88
Address P 0 Box 9 Bellevue Zip
Contractor None
Address Zip
Legal Description Sam Theler Home & Garden Tr Tr 20
Direction to project site Golden Bell Mobile Home Park
Sna a # 7a
Plumbing Mechanical _ Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other _
1972 14x70 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. I
QC
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
t AA% L Q - Zf S z
DIRECTIONS
TO JOB SITE
LEGAL -?1 --a(�<-�'7 7/ /j� e /D�/Y�f Q�CYF�i 7/Y! ) (r- SEE ATTACHED SHEET)
DESCR. 6 K) Y6' -C.� / / L C- N M r I�
NAME MAIL ADDRESS CITY&STATE �1 LICENSE NO. PHONE
CONTRACTOR .� U L '- OrrrLS _ 1r C.J O'�ST' - �Gri •
USE OF
BUILDING �Owc U, y,V'
Class of work: C NEW ADDI ION ❑ ALTERATION ❑ REPAIR K MOVE ❑ REMOVE
Describe work: t r
Orr--✓�
Valuation of work, PLAN CHECK FEE PERMIT FEE
�y—
SPECIAL CONDITIONS:
BEDROOMS.. fDEcks. .. cARPORTI NOTICE
BATHROOMS TOTAL 50. FT.. GARAGE
ATTACHED SEPARATE PERMITS ARE REOUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SO. 'T.—*wt I FIREPLACE L DETACHED
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the/permit is issued and all work done will be in
conformance therewith. PERMANENT III SHORELINES f Iq/O
r SEASONAL L FLOODPLAIN
r
Firm
/// E.D. NO. S.E.P.A. I'.
gyv Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. - �jj %7i !� 7-
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. ?� y
which this permit is issued and that all work done will ROAD ACCESS
be n conformance therewith. MOTOR VEHICLE PERMIT
-LJ APPLICATION ACCEPTED BY PLA ECK BY APPROV FOR ISSUANCE
Owner C Date
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH