HomeMy WebLinkAboutBLD18908 Mobile Home - BLD Permit / Conditions - 7/2/1986 TYPE MOBILE HOME
Permit No. 18908 No. Floors Sq Ftg 600
Owner COLE6, flarry-7- Tel 898-2441 Date 7-2-86
Address P. 0. Box 188 Union Zip
Contractor Bremerton Mobile Homes Movers
Address Bremerton Zip
Legal Description Hood Canal Land & Impr. C. B1 20 Lots
Direction to project site 18-31
4th and Main Streets Union
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1966 12x50 SHOP AND STORAGE
Shorelines: PlLA�nbin
Setback: [''lecnaniK .
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detect
Remarks:
Footing
Setbacks
Foundation
Walls:
Framing:
Fireplace: PERMIT
Wood Stove:
DATE � -f- 9/ 8Y
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT N0.I �C�O
OWNER NAME _ MAILADDRESS CITY&STATE ZIP PHONE
' /`' is"zV NA, ?`' "
DIRECTIONSle
TO JOB SITE V y l/V 7-5
LEGAL
DESCR. /OUf/�fi�i ��• - � �p lei Tv /,
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR 13R6-'+fERTr1/ /yo✓ERS !3 C E" A
USE OF
BUILDING
CLASS OF r`
WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK
nJ 1
BEDROOMS--<=> DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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 SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT S ELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
1 CERTIFY THAT/AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION 4W RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMEN 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 CONFOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ PPPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X O V EFY lAae 4�v DATE 7-•'2 -YAK X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION r /'
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION �! _��
TOTAL
j I BY CASH CK MO `/J
PLOT PLAN
ADDRESS E„7je/y/J N $T /J1Y1,Pjp7 /V q PERMIT NO. f o
LEGAL
DESCRIPTION / � � BLK U ADDITION rAf PR&d,
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 A"ID 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 7�17h < GRAPH SQUARES ARE 5' X 5' OR 1"=20'
7 - Sr
Eez
/.
r
I/We certify that the proposed construction will conform to the dimensicros and uses sho n above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 8, STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING