Loading...
HomeMy WebLinkAboutBLD30201 MOBILE HOME - BLD Permit / Conditions - 4/6/1992 1 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: Final: Mobile Home: Smoke Detector: G Remarks: orJ- �� �c y to, 6/ICIZ 4 zz/,:�z Al e icf Setback: —T T j2sr_A ;y0y v y a,, ,, , Foundation -u&UL)L « 02:go4 Walls: Framing: Fireplace: Woodstove: j AREA: #3 - LUM TYPE: MOBILE HOME Owner: DYCUS, RICHARD Tel: 898-3487 Date: 04-06-92 Address: P.O. BOX 125, UNION 98592 Permit #: 30201 Floors: 1 Sq Ft: 1600 SccS . 3L(8- Contractor: SELF Phone: Legal Description: 35-22-3 TR 10 Direction to job site: BEFORE ALDERBROOK BUT AFTER T WANOH STATE PARK TIMBERTIDES DRIVE �rjpC TUx1,)Lrhd�0 Ar Plumbing Mechanical Woodstove Fireplace Deck Garage Carport Basement Loft onditions: NONE ��� ' c..�J 5-1�- 55 T I /. �OS'I' Gc� rL°S S 2 , v.... 1- Alt: � F :�J ��/So demos � BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED `T - PERMIT NO. 2090) AME u MAILADDRESS CITY SSTATE ZIP PHONE OWNER IC _.�F:) c � ��� l��c� � � v�1 DIRECTIONS TO JOB SITE L f ,,✓ =/L?c= M� PARCEL 2 � �=;-GY7 iI) LEGAL 5- } NUMBER J� DESCR. '5Ju /,�� v 5 d- 7j , NAME MAIL ADDRESS CITY&STATE ZIP - PHONE LICENSE NO. CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION TREPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK AREA: NUMBER OF: PLEASE INDICATE: NOTICE ,A SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE�� 'Y'L'XSgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES a� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.0 COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED D DETACHED OWNERS AFFIDAVIT 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 I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNEP C ATE ^�� XBY DATE FOR OFFICE USE ONLY do DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION '- t I/ gYYES NO YES NO HEALTH F PUBLICWORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIALCONDITI NS BUILDING GROUP PRE-INSPECTION r— _ SHORELINE WOODSTOVE PLUMBING �ODI�SDIS �3 qR MECHANICAL STATE BUILDING FEE APPL CATION ACCEPTED BY PLAN CHECK BY , APP ED ISS A E PERMIT VALIDATION TOTAL / % � BY 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 AIL ADDRESS CITY&STATE ZIP PHONE OWNER , O © DIRECTIONS TO JOB SITE � � �I<� � c�c.-�•fi!U 4 1� ��G �/4/L �� 7, '/2 i .- PARCEL LEGAL NUMBER DESCR Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. 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. 00 Q w A- 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. SIGNATURE OF OW E S)OR A HORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED �I i DHnionuis 30 NOUVOOI (IN`d� da3dOHd 30 31130dd �lHdV8DOdOi II I I MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION 11 May 3 , 1995 RE: Building Permit No. . Dear A recent review of our permit records indicates that a final inspection of the above permit, issued in our office on has either not been done as required per the Uniform Building Code or we do not have the accurate update information in our files. If the final inspection has been performed, please send a photo copy of the orange building permit with the signature and date of final inspection so that we may update our files. Pursuant to the Uniform Building Code, Table 3-A and Mason County permit fee charts, the building official has the authority to charge $25 . 00 for inspections on expired permits, an expired permit is defined as a permit with no activity within a 180 day period. However, if you find that you do not have record of the final inspection, we will waive the final inspection fee of $25 . 00 if you contact our office prior to June 2, 1995 to arrange for the inspection. All permits to which there is no response will be marked null and void by expiration. Any request for a final inspection after the permit has been voided will require the inspection fee to be paid. If you should have any further questions, please contact either Toni Hermansen or myself at (206)427-9670 ext. 284 . Sincerely, Cheryl Rag, n Building ' partmen cc: Property File zD Taxpayer (if applicable) Z Title Owner (if applicable) - Z Contract Owner (if applicable) J