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Home My WebLink AboutBLD0317 BLD0264 BLD15413 Mobile Home #31 - BLD Permit / Conditions - 10/23/1990 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES V �� P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED10 �23 9U 200 3Sg_ ; PERMIT NO. 3 NAM MAILADDRESS ✓--� / CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE 6/�'L-�-,,/-//,,., PARCEL LEGAL NUMBER DES _ NAME MAILADDRES CITY STATE LI NS O. ZI PHONE CONTRACTOR USE OF AA nn BUILDING W CLASS OF !NEW ADDITION ALTERATION REPAIR MOVREMOVE WORK rDESCRIBE / WORK BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ. GARAG CONDITIONING. NO.OFSTORIES BASE E ATTA 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 SO.FT. FIR AC DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELIN SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIS RATION LAW ROW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REOU EMENTS 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 C NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING DST G APPROVALFROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. DATE_ NE E X BY _ - FOR OFFICE USE ONLY DEPARTMENT YES APPROVED NO DEPARTMENT ves PROVE NO BUI LDI NG VALUATION —� HEALTH PUBLICWORKS FEE PLANNING L FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP _ - PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE IN ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY vV 1p � 4) CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME AILADDRESS CITY&STATE ZIP PHONE OWNER DE T l C'tmoo-e A-4- *A G� Nei 90 /of DIRECTIONS 7 TOnJ�OCBSITE-� T eLF 6 L7�AV ELL h`IC�L� IL - PI PARCEL LEGAL NUMBER DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O 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. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system"as built' or septic permit approval. O Indicate topography profile of property and structure on reverse side. a ' i � T ra i i l I t I/We certify that the proposed construction will conform to the dimen(sioionnss and uses shown above and that no changes will be made without first obtaining approval. SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DATE �'RTRICT AS NOTED cw, BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 — DATEISSUED--C�._ �Q —IV' S _ PERMIT NO. _ d . OWNER NAME MAIL ADDRESS. CITY ESTATE ZIP PHONE DIRECTIONS ( - NS TO JOB SITE LEGAL 1` (:1 SEE ATTACHED SHEET, I DESCR. ,{ l (� E 7T_ ��T.. CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE USE OF BUILDING Class of work: W D ION n*LTERATION ❑ REPAIR G MOVE ❑ REMOVE Describ9 work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE �y- L / L SPECIAL CONDITIONS: [r' BEDROOMS 'DECKS_ CARPORT [ NOTICE BATHROOMS TOTAL SO. FT. GARAGE I . ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. L O FT.9 2RIES FIREPEN T LACEENT OR AIR CONDITIONING. TOTAL SO. FT. r FIREPLACEI DETACHED I . 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 certif that I am a currently registered contractor In WORK IS COMMENCED. the ate of Washington and I am aware of the FOR OFFICE USE ONLY ordi nce requirements regulating the work for which the ermit is issued and all work done will be in con ormance therewith. PERMANENT SHORELINES Firm SEASONAL FLOODPLAIN E.D. NO. S.E.P.A. . BY Special Approvals IN OUT YES APPROVED NO Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALTH DEPT. � �J - 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 BUILDING DEPT. 7 of the Mason County ordinance requirements for which this perms Issued and that all work done will ROAD ACCESS be In conformancelth-rrewith. MOTOR VEHICLE PERMIT ^- _p ---Bete '�— C%i APPLICATION ACCEPTED BY PLANS ECK BY APPROVED F SSUANCE Owner �_ Lc- � L �.� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH FARMER, Leon #0264 2-19-85 Sam Theler's Home & Garden Tracts Tract 20 32-23-1 NE 20 Roessel Rd. #31 Belfair Contractor None listed Mobile Home 14x66 3 bdrm. $17,094.00 1.7 H t+7 �d 3 "o £ 't] "m h1 w kf rn m m m g o r r p k o m r o r H o m o v m 7 O 010 d rt rt O n C O M w C rt 0 m iY o w x w o w m m ro x B c. m g o c n H a n ,�F, m r n n •• w e v w a w r• r• w m £ •• r• r• ,7 r• cn r p w n o w n rr H ®n M n O Cwi Frt•• 'T.'JO n m o � � .. � .. m o m o o a m rt £ W o w r• r• N 7 f BUILDING PERM ITAPPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED—PERMIT NO. NO. CITY a STATE ZIP PHONE NAME MAIL A'/DDR SS % ai1e� /)A SY � g 76-7 1F, OWNER 1111.4,E IE�'y fly t!s/ON /T/� �.. �� DIRECTIONS JQ_ �� J �j�L r' /A ' TO JOB SITE p[Qf Al 06r[6- 7.6/LE (`:: SEE ATTACHE D SHEEP LEGAL G �y q' J _ PHONE DESCR. , D X 1 p /// {rL INE VI �_ GTY 5 STATE LICENSE NO. NAME MAIL ADDRESS CONTRACTOR USE OF BUILDING Class of work: CI NE ❑ ADDITION ❑ ALTERATION G REPAIR ❑ MOVE G REMOVE Describe work: PERMIT �Ep PLAN CHECK FEE OS "oZs Valuation of work: $ � �' �/ i/ O SPECIAL CONDITIONS: (OT -- NOTICE BEDROOMS_ -. .—-- IDECKS-- --- -- CARPORT SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING. VENTILATING BATHROOMS._ -- -- TOTAL SO. FL.--- . GARAGE : . ATTACHED OR AIR CONDITIONING, NO. OF STORIES'—'u—1 BASEMENT DETACHED TOTAL SO. FT(�J- FIREPLACE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTRK CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONHOR STRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I certify that I W a currently registered contractor in FOR OFFICE USE ONLY The State of Washington and I am aware of the ordinance requirements regulating the work for which 1� the permit is issued and all work done will be In PERMANENT SHORELINES Conformance therewith. SEASONAL I_ FLOODPLAIN OUT Firm S.E.P.A. E.D. NO.—--- IN YES APPROVED NO Special Approvals B ZONING Date LUNo. PLANNING DEPT. HEALTH DEPT. Q. OWNERS AFFIDAVIT 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 BUILDING DEPT. of the Mason County ordinance requirements for ROAD ACCESS which this permit is issued and that all work done will the w t M TOR VEHICLE PERMIT be n CDnf rmanC APPROVED FOR ISSUANCE ,tQ TED By PLANS CHECK B AP LICATIY B y� "'— � —Date ._/.LQ{- , Owner ! l PERMIT VALIDATION CK" M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH MARLATT, Robert #15413 4-19-84 Sam Thelers Home & Garden Tracts Tract 20 32-23-1 ( �f YC/c�t .� r/ �•L' 614 Division �� Pt. Orchard, Wn. 98366 876-7167 i)O7lt'ir� C1��r Contractor 147!r Mobile Home 28 x 48 1984 $24,864.00 i O m � � 3 0 G •. v .. v > .. m .dE N W u 0 U N co •r�•I M co •p +qG{ r-i CID C N y O C N N O 7 U O " " C O .A O 9 P A w -0 9 A w a� a� Co a w ) s4 3 a 112 wW W, � £ rn av'