HomeMy WebLinkAboutBLD13732 Final MH Space 31 BLD25342 Final Mobile Home - BLD Permit / Conditions - 3/18/1983 Watz, Andrew & Myrtle #13732
426-9179 3/18/83
Plat of Union, Tracts 1-30, Block 100 E of R/W, and
Tracts 1 - 30, Block 93
Robin Hood Mobile Village, Space #31
Mobile Home Contractor:
1983, 14'x70' Robin Hood Sales
$17,094.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior: _
Final: T / --T[/
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:7'o c'-ne
�,/�-3 Zt
A BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p
DATE ISSUED / D`-J
PERMIT NO. I3-;k3Q'
OWNER AME AIL ADDRFyS6 CITY&STAT ZIP PHONE
DIRECTIONS AU t.jr
TO JOB SIT I Ld
LEGAL (❑ SEE ATTACHED SHEET)),
DESCR. qg�j —3 D �� uj e�/L �'3 O 4Vft U 3
CONTRACTOR #IALAE MAIL A RIESS V CITY&STATE LICENSE NO. PHONE
USE OF
BUILDING Vo 4) t l�
Class of work: 11 NEW t ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
9Z,
� Ile Z23 e—
I p f
Valuation of work: $ j q l PLAN CHECK FEE PERMIT FEE -
SPECIAL CONDITIONS: tJ
BEDROOMS {DECKS CARPORT [] NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE ❑
ATTACHED L' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIE BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE Ll 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 FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
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 1n
conformance therewith. PERMANENT SHORELINES :11
SEASONAL ❑ FLOODPLAIN [1
Firm E.D. NO. S.E.P.A. [
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be conformance th rewAh. MOTOR VEHICLE PERMIT
` � PLICATI0 ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner d "� Date.
PLA CHECK VALIDATION CK. M.O. CASH V V PERMIT VALIDATION CK. M.O. CASH
Shorelines: Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL: ..�
MobileHome:
Smoke Detector: k; -�
Y Remarks:
Doting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 25342 No. Floors Sq Ftg 384
Owner PAUL, Kenneth Telg98-2107 Date 3-26-90
Address E 6780 Hwy 106 //31 Union Zip
Contractor Self
Address Zip
Legal Descr ipt ion & Inp. Bl 93 & 100 Tr. 1-30
Direction to project siteRo in Hood Trailer Village
Space #31
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1989 1202 drm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUEMo � Jw
�a� ' 0 ���� PERMIT NO = �J��
NAME MAILADDRESS CITY BSTATE ZIP PHONE
OWNER Xer,» / nkL t. G7ko 4w 106 �31 a",: r� tea. 98,YL 89b aio
DIRECTIONS
TO JOB SITE U r4 cl� V s--v r)i s3 i p 11 1 v b 2 r7
nb�r� /n �aE Ifj� ril_aq /
PARCEL , N LEGAL /� ,
NUMBER `�` DESCR. �xz�C�i'rt���a,�/ z;� ,6.0 7-i':
NAME MAIL ADDRESS CITY 8 STATE LICE SE NO. ZIP PHONE
-CONTRACTOR S l
USE OF
BUILDING I�SJ L
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE ✓ REMOVE
WORK ✓
DESCRIBE
WORK ()[_
3 �
BEDROOMS_/ DECKS CARPOfT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS / TOTAL SO FT. GARAG CONDITIONING.
NO.OF STORI ES BASEM E ATTACIIED 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. FIREPLA E DETAC ED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELI E
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
i
I CERTIFY T 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 RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM 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 CONF 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.
W E DATE 3- If - 90 X BY DATE
FOR OFFICE USE ONLY
DEP TMENT Y SPPROVEDJO DEPARTMENT YES NoBUILDING VALUATION Q
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING �� PLAN CHECK ,
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEEQ
STATE SURCHARGE
APPLICATIg6C CEPTEDBY PLANS CHECK BYr� , 11SUANCE PERMIT VALIDATION
�q, >_ - V BY CASH CK MO TOTAL
PL 1 ��
PLOT PLAN
ADDRE 67 0 Wl ti �l w'� /c 6 I PERMIT N0. _ 0
R s
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 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'
i nC,
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
d""e-
NAME(ST OF OWNERS) OF SITE a STRUCTUREM (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED RED ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE