HomeMy WebLinkAboutBLD16602 Mobile Home - BLD Permit / Conditions - 3/18/1985 MC GOLDRICK, John M. #16602
3-18-85
Terrace 3rd Addn. , Block 1, Lot 2
E 31 Bridger Lane
Shelton
Shorecrest Beach Club Contractor
Sun Mobile Home
Mobile Home 1985 14x46 2 bdrm.
$11,914.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
)A
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED •_L
PERMIT NO. 4
OWNER NAM i MA ADD S ITY fl::r ZIP PHONE
D S tj
JOB
TO JOB SITE
LEGAL t (0 SEE ATTACHE S ET)
DESCR. !� Z 0814L ,� C�'le✓`
AME [ ADDRESS C TY 8 STATSE / ENSE N PHEjN
CONTRACTOR L Lt 2 sy�� A" G
USE OF
BUILDING
Class of work: W— O AUMTKM-1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe wor
4 4Z, 14-9—
r
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
llct _�
SPECIAL CONDITIONS:
BEDROOMS & DECKS _ CARPORT : , NOTICE
BATHROOMS_,4 ____ I TOTAL SO. FT. GARAGE '. I
ATTACHED L: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIE BASEMENT i OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE i : IDETACHED [I
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 cer y that I am a currently registered contractor in WORK IS COMMENCED.
the fate of Washington and I am aware of the FOR OFFICE USE ONLY
ord ance requirements regulating the work for which
th permit is issued and all work done will be in
c formance therewith. PERMANENT i SHORELINES
1, 1� SEASONAL FLOODPLAIN
Firm (J �Lj .fj C
E.D. NO. S.E.P.A. ,
By Special Approvals IN OUT YES APPROVED NO
�a pJ
Lic. —� Date —/� ZONING
PLANNING DEPT.
H f
OWNERS AFFIDAVIT HEALTH DEPT.
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
be in conformance therewith. MOTOR VEHICLE PERMIT
e
�Lt�, . Q' PLIC ON ACCEPTED BY> PLANS CHECK BY APPROVED FOR ISSUANCE
Owne ate
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS —� / C"�i�� ����� y` / ' " PERMIT NO.
0
LEGAL
v =/) v
L0 1
DESCRIPTION LOT BLK �/ ADDITION h�
S u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
INSTRUCTIONS TO APPLICANT
I
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN V-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 GRAPH SQUARES ARE 5' X 5' OR 1"=20'
r
, /
lo
I/We certify that the proposed construction will conform to the dlmensicPns and uses shown above and that no changes will be made without
first obtaining approval.
Z1� �
NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTIN3