HomeMy WebLinkAboutBLD22060 Mobile Home - BLD Permit / Conditions - 6/2/1988 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 22060 No. Floors Sq Ftg 768
Owner CHIPP, Eldon Tel 375-8618 Date 6-2-88
Address 1436 W Boston Ridgecrest, Ca. Zip
Contractor None
Address Zip
Legal Description Tr 3 G.L.2 & NE,SW 25-21-2
Direction to project site Harstene Is. 3.8 mi_ No_ on
North Is.Dr. (E3890) . 2nd drive on rt. past Wingert Rd.
St. Park Rd.)
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1971 12x64 3 bdrm
BUILDING' PERM-IT.APPLICATION !
MASON COUNTY_
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 96584 A
" 427-9670 " .�DATE ISSUED
aao�-Q
NAME y . .MAIL ADDRESS , CITY&STATE -" PERMIT "' PHONE .
P O
OWNER �G d/I�'" hJ, tir', T G/� 4ss /c/ X4f
DIRECTIONS . .. - ' -- - - - '
TOJOBSITE ITT/ Ei Lam ., 3 I- - OAJ 2'�{, ISCA"A-In E3 J(J --.
�lJ on! ,fir T 9b 571 -ARK /CD
PARCEL-` '` -,'LLryq _ LEGAL ?` - -
'NUMBER ', 11-J(- 4J-- O .DESCR. J LGPI:,, s� -.�/� .
NAME -MAILADDRESS CITY-5T E' LICENSE NO. ZIP PHONE
CONTRACTOR lrN�
USEOF
BUILDING
-.'CLASS OF ADDITION ALTERATION- REPAIR. " - MOVE REMOVE
WORK'
DESCRIBE
WORK
BEDROOMS DECKS CARPORT :'NOTICE -
' - SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS_ ,L, TOTALSO.FT. GARAGE 'CONDITIONING. -
NO.OFSTORIES BASEMENT ATTACHED THIS PER
MIT NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
+' - COMMENCED.WITHIN 180`DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSO-FT. FIREPLACE DETACHED " -ABANDONEDFORAPERIODOF180DAYSATANYTIMEAFTE WORKISCOMMENCEU.
PERMANENTS SHORELINE.`.- + •- '`� - -
. .SEASONAL. ..
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT' -
I'CER IFY THAT I-AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS- I CERTIFY THAT,I AM A,CURRENTLY,REGISTERED CON RACTOR'IN THE STATE OF
--REGI RATION LAW RGW,18.27,ANDAM AWARE OF.THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF'THE ORDINANCE REQUIREMENTS REGULATING THE
.REOU EMENTS FOR WHICH THIS PERMIT.15: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`MAI)E WITHOUT FIRST CONFORMANCE THEREWITH NO CHANGES SHALL BE MAD WITHOUT FIRST OBTAINING'
OBT ING APPROVAL FROEBUI I GDEPARTMENT APPROVAL FROM THE BUILDING DEPARTMENT -
X NERG� �/� DATE � o " .XBY DATE .
FO'R OFFICE USE ONLY
APPROVED - APPROVED'' o
. DEPARTMENT DEPARTMENT BUILDINGVALUATION . 00
YES ' _NO � YES� NOyv
HEALTH PUBLIC WORKS - FEE
PLANNING - FIRE
II1L, BUILDING PERMIT
D.O.T. BUILDING ._ - - / PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP - .�_ PRE-INSPECTION'
-< - SHORELINE
- . . _. " .WOODSTOVE.
- - - . ..PLUMBING
MECHANICAL. -
' STATE BUILDING FEE
- - - STATESURCHARGE
APPLI TION ACCEPTED BY PLANSC ECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION `
e � BY +y� cnsH TOTAL
7
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