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Home My WebLink AboutBLD13307 Hobile Home - BLD Permit / Conditions - 12/23/1982 Hess, Dan #13307 898-3411 , ` L 11/23/82 Lots :3 lS==*6; Block 8 of Grays Harbor & Union City Railroad Addition to Union City. up hill at Union post office, right on 8th Street, then first left. Mobile Home (Replacement) Contractor: 24'x52' , 1982 Henderson $23,088.00 ***New mobile is a 2 bedroom with a sewing room. Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls:— Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final Stop Zr Mobile Home: Smoke Detector: Remarks: 14. Z�G j Z % --ram v-, c: AA ; B UIL DING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED U PERMIT NO. OWNER NAME MAIL ADDRESB� CITY 8 STATE ZIP ��Z_PHO E ?� N a s s - y l l DIRECTIONS t TO JOB SITE lqn U 0f C-�._ UYV\ �_ l3-Y\ L LEGAL ,,, (E3 SEE ATTACHED SHEET) DESCR. lOf13 '� 1 �1 l�a 5 lit ►"Gard Ll�; '►.Cli L lb,4d /�la�Cai-Rio•'► iaH �'y f NAME AIL ADDRESS C 8 STATE 8j,a 3LICENSE NO. PHONE CONTRACTOR P2 go VA , . )14Jh V Z —/2a USE OF N. BUILDING f�0 " -e— Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE Describe work: u Valuation of work: $ �� Q D� c-0 PLAN CHECK FEE PERMIT FEE O SPECIAL CONDITIONS:- -,ir]e,.,,11//,c�� ' v BEDROOMS I DECKS CARPORT ❑ NOTICE BATHROOMS_ TOTAL SO. FT. GARAGE ❑ ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIE�S.�I/� BASEMENT [': OR AIR CONDITIONING. TOTAL SO. FTZ� FIREPLACE 11 DETACHED L] THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES 11 SEASONAL f I FLOODPLAIN U Firm E.D. NO. S.E.P.A. !; By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT �S �i D�'i (tt�UiL6a•� PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS b ' nformance therewith. MOTOR VEHICLE PERMIT -� LICATIO A CEI TED BY PLANS CHECK BY APPROVED FOR ISSUANCE Owner _ Date U 1 f PL CHECK VALIDATION CK. M.O. CASH URMIT VALIDATION CK. M.O. ASH PLOT PLAN ADDRESS I / C/ Q �� PERMIT NO. Q o i o n > s o 0 LEGAL DESCRIPTWN LOT BILK ADDITION u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS r 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"'D 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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' I i v 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. NAMES) OF OWNER(S) OF SITE,& STRUCTURE(S) (PRINT) I NATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 6NE LTON PitiNTIIJi ff ASS , nAAj BUILDING PERMIT APPLICATION MASON COUNTY P. O. Box 400 Shelton, Washinqton 98584 DATE ISSUED � PERMIT NO. --r- MAIL ADDRESS ZIP PNON[ OWNER i DIRECTIONS TO JOB SITE _ MAIL ADDRESS -----_-_----- _--ZIP -- - LEGAL (0 EE ATTACHED SHEET) CONTRACTOR MAIL ADDRESS PH /AFC USE OF MAIL ADDRESS PHONE LICENSE NO. BUILDING - — — Class of work: ❑NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑MOVE ❑ REMOVE Describe work: 7�y, Valuation of work:$ o20c,-j PLAN CHECK FEE PERMIT FEE C �� SPECIAL CONDITIONS: APPLICATION ACCEPTED BV PLANS CHECKED By APP OVED FOR ISSUANCE By _ Tope of Occupancy Const. Group •—�— Division Size of Bldg. No.of Max. (Total)Sq. Ft. Stories / Occ. Load CONTRACTOR AFFIDAVIT Spacial Approvals Required Received Not Require I Certify that I am a currently registered contractor In the State 7UNING of Washington and the County of Mason and I am aware cf the HEALTH DEP7, ordinance requirements regulating the wcrk fcr which the permit PUW0Lw WOAKS Is Issued and all work done wl:l be in conformance therewith. 000T. Firm r _ By -- Lic. No. Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the contract_ or registration law RCW 18.27, and am aware of the Mason N 0 T I C E County ordinance requirements for which this permit is issued and that all work done will be in Conformance therewith. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF Owner Cti� Date 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH S HELTON PRINTING CO.