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Home My WebLink AboutBLD89-24939 MOBILE - BLD Permit / Conditions - 9/14/1989 is. T� �u'1 �',,e 1•:.�� Plunbings Shorelines: Mechanica Setback: Interior: Special FINAL:�EICZ Conditions: Mobile Smoke Detector K Remarks: Setback: Foundation -- Walls: Fireplace: Wood Stove: TYPE MOBILE HOME 24439 No Floors Sq Ftg Permit No. Te. 1426- LUL- 7_ 798 Date 9-14 9 Owner TSAI , Sam S Shelton Zip Address 226 W Pine St Contractor Chucks Mobile Home Servi Zip Address P 0 Box 780 Rochester Legal Description Por NW SE 12-20-4 Direction to project site Go North on Skippers 1 /4 mile. Pro ert on right •ust off Hw 1 Just North of cit limits. ewer o tove un ing c anica Car rt Fireplace pfk -Ca—rage Po Basement _ Other 1989 28x66 3 bdrm i t BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERALS HRVICES P.O. BOX 186 SHELTON, WASHING ON 98584 427-9670 DATE ISSUED PERMIT NO. [ NAME MAILADDRESS ClY&STATE ZI PHONE OWNER DIRECTIONS �/' -r)TV TO JOB SITE GO A),tp, t P wpastk% Kr-S ft4; O 'Gf+- PARCEL LEGAL NUMBER �"'I0(rr 0 - DESCR. ::�� C Z-Z NAME MAIL ADDRESS CITY&STATE LICtNSE NO. Z P PHONE CONTRACTOR S %7 2 /Al. — D- b Z USE OFS1�R� W �1 BUILDING CLASS OF NEW ADDITION ALTERATION REPMR MOVE REMOVE WORK ✓ DESCRIBE 1- WORK OV e. �10b�Q )Omp_ Oritb pt^ BEDROOMS DECKS CARPORT NOTICE SEPARATE PERIN ITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 2" TOTALSQ.FT. GARAGE _ _- CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BEC DIVES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. BQo FIREPLACE DETACHED ABANDONED FOI A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT _ SHORELINE SEASONAL OWNERSAFFJOAVIT CONTRACTORS AFFIDAVIT I CERTIFY TH T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAI I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATIO LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON A14D 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 W ICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FRO THE BUILDING DEPARTMENT. WNER DATE -Z X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVEDJO DEPARTMENT YESPPR VEDIO BUILDING VALUATI N HEALTH 1 4 PUBLIC WORKS FEE PLANNING " FIRE BUILDING PERMIT L" D.O.T. BUILDING � PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION IJj - SHORELINE s 4 WOODSTOVE PLUMBING MECHANICAL t ;y STATE BUILDING F E l STATE SURCHARG APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDA ION TOTAL BY CASH CK PLOT PLAN o ADDRESS G 0 1.1d 0 1 PZt C°�.� _" ERMIT NO. 2 = s n s S o 0 s LEGAL ^ DESCRIPTION LOT BILK DDITION u SITE AREA Zi Ll. COL 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 HE 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 O EACH BUILDING AND MAJOR POR- TION THEREOF. 0 INDICATE NORTH IN CIRCLE C RAPH SQUARES ARE 5' X 5' OR 1"=20' f pp Al P, N t I/We certify that the proposed construction will conform to the dimensions and uses shown ove and that no changes will be made without first obtaining approval. �A-Iyl NA—ME(S)OF OWNER(a) OF SITE d STRUCTURE(!) (PRINT) SIGNArVR1ENER(S) OR AUTHORIZED R ENTATIVE 00 NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE S. Gordon Craig Y the mason county 6a` assessor De a r We have recently received a copy of tax cert ficate for mobile home movement on your mobile home. In order that we may accurately value you mo ile home, please complete the questions below and return this form to our ffice by It is imperative that this information be pr vided to prevent a possible double assessment. MOBILE HOME DATA LENGH b WIDTH 2 Q / ,A,t� MODEL MA _ZkC D U h.I t �L MODEL PC YEAR I I =-t--- MOBILE HOME LOCATION INFORMATION SERIAL # A. My privately owned land. YES NO B. If rented or leased land who from? NAME ADDRESS CITY & ISTATE C. Real Property Parcel # (tax statement #) 4 O D. Mailing name and address for owner of mobilc home NAME 1 p,c ADDRESS 7 L� (�[Z �'�' CITY & STATE C"�t-OfQ W A 0 ``SU1 T- O E. Location address of mobile home C— (Oq 90 CITY_ r F. Date mobile home was placed on present site G. Purchase Price_!,(,. 000 DATE: cn - SIGNATURE TYPE OR PRINT NAME 14 TELEPHONE MIMBER -- Courthouse Shelton,Washington 98584 Phone 427-9670