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Home My WebLink AboutBLD25927 Mobile Home - BLD Permit / Conditions - 6/14/1990 cot Shorelines:Shorelines: Plunbing: Setback: Mechanical: Special Interior: Conditions: FINAL: MobileHome: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE hl®BLLF HAMF Permit No. No. Floors 1 Sq Ftg 960 Owner FR€NGH-,—WAI-1-AU Tel �2h_2�Date 6_14-90 Address Zip 98524 5A1 Wps� H �t Shelton Contractor Charlie_ Trailer Address Zip Legal Description TU 1Q of SL NUJ, SF Direction to project site Sc -QrJ c;f West H �i- _ un ing Mechanical Sewer Wood Stove Fireplace Deck age carport Basement Aft Other xx _ BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 i0v 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STAT ZIP PHONE DIRECTIONS TO JOB SITE aiC 4aJ sl'- 6 15PARCEL NUMBER �6 y� O/.1� <O D SCR. 9 a pj Yif- NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR /Q J J _ USE OF BUILDING CLASS OF NEW �� ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK —t—M-03I, LE rf` CT- v -p 90 BEDROOMS DECKS YOR N CARPORT NOTICE TOTAL SQ.FT. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SO.FT. TOTAL SO.FT. CONDITIONING. NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. I� TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE All) ATTACHED SEASONAL SHORELINE&co 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 I CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING STAINING AIPPROVAL R M THE BUILDI DEPARTMENT. �j APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER /�LAgDATE ? ( � X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION i YES NO YES NO ? �dO rt, HEALTH PUBLIC WORKS FEE PLANNING j ¢ FIRE BUILDING PERMIT D.O.T. BUILDING j 6-/y 90 PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP /�-3 PRE-INSPECTION SHORELINE WOODSTOVE IVORY = 96t) /v PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION L �raV 0— BY d-%-- CASH CK MO TOTAL G - /Y-,Vd (; -/y-3;10 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICtS P.O. BOX 186 SHELTON;WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAILADDRESS CITY SSTAT ZIP PHONE DIRECTIONS TO JOB SITE / J G�GI� S-r 7- -PARCEL /i �G�7 i /4 �v �v DE CRLEGAL. 9 Q/�J �j(J NUMBER 7" > `Y NAME MAILADDRESS CITY 6 STATE LICENSE NO. ZIP PHONE CONTRACTOR /Q S _ USE OF BUILDING �- CLASS OF NEW / ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK BEDROOMS DECKS Y OR N CARPORT NOTICE TOTAL SO.FT. SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. TOTAL SO.FT. CONDITIONING. NO.OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE ATTACHED SEASONAL SHORELINE DETACHED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 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 R M THE BUILDI DEPARTMENT, APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER /�� DATE 5a X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION VES NO YES NO 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 FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCETPERMITVALIIDATION TOTAL BY SH K MO PLOT PLAN ADDRESS �� f &'1�l—LU tlj - PERMIT NO. p o LEGAL V-2,�)l? 412 66l F DESCRIPTION LOT BILK ADDITION SITE ARE ^ v d Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 6 U 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. SHI)W 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. zV * l S INDICATE NORTH IN CIRCLE s I/We certify that the proposed construction will oonforCr�w t s dime nsi •and uses shown above and that no changes will be made without first obtaining approval. LV NAME( ) OF OWNER(S) OF SITE a STRUCTUREIS) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED 60-- DATE ;''Y-yv