HomeMy WebLinkAboutBLD23213 Mobile Home - BLD Permit / Conditions - 1/9/1989 Shorelines: /A. Plumbing:
Setback: mechanical:
Special Interior: 79,
Conditions: FINAL / �
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
(Wood Stcve:
TYPE MOBILE HOME
Permit No. 23213 No. Floors Sq Ftg 756
Owner SCHMIDTKE Calvin Te1426-2403 Date 1 -9-89
Address E 6150 Brockdale Rd Shelton zip
Contractor Charlies HOW enter
Address zip
Legal Description Ez,ET,SW,NE 18-20-4
Direction to project site W 7451 Shelton Matlock Rd.
Across from grocery store at Dayton
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1971 12x60 3x12 tipout 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.c--�e'3 ER
/NAME A MAILADDRESS CITY&STATE ZIP PHONE
OWNER E'�d ( w Ave � S d �lr .�P�!�
DIRECTIONS 'r�,
TO JOB SITE
PARCEL p LEGAL
NUMBER y„�(f 0—I 3 ��� , DESCR. �� �El/2 S'G,i% A'� �N S � . ��G�.i• :z , ruf`l
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. ZIP PHONE
CONTRACTOR �f,�htiQ[�Elm Gin,«
USE OF `
BUILDING `f
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK
a )x6-0 7
T P -ouT
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SO.FT. [LO FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL " .20
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
RE STRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE IREMENTS 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 PONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB AINING APPR VAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO i
HEALTH PUBLIC WORKS FEE
PLANNING FIRE JA BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
lam' 25 2n !j r WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLAN BV JAPPROV D F ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
I
PLOT PLAN
ADDRESS PERMIT NO. 4 0
•
10 1
o
LEGAL
DESCRIPTION LOT BLK ADDITION °.
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.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
AA
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.
f
I /
NAME(a) OF OWNER(S) OF SITE i STRUCTURE(S) (PRINT) 3
IGNATUR F OWNER(S) OR AUTHORIZED REP ESEN TA TIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
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MASON COUNTY
426-5593 BUILDING DEPARTMENT N° 900
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
STOP WORK
C�
On these Premises at .....: ! ... ................................... ..... .. ..............
......................................................................................................_.................................................................................................... _.......
This order is issued because .... rT l./ ......_ ..... .. ..: ... . .. ............. ... ... ..........................................._..._
.................................... ..... .... ......................................_......-----.......................................................................................................
Posted .... ��....�:..�.. P.M. ..... /� 1 y................................. 19..1s... B ........ ....... 7� ......
WARNING The failure to stop work, the resuming of work without permission from the
Building Official, or the removal, mutilation, destruction or concealment of
this Notice is punishable by fine and imprisonment.
MIKE BYRNE 161--Ewe
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