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HomeMy WebLinkAboutBLD0378 Final Mobile Home - BLD Permit / Conditions - 7/11/1991 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: ��, ;,..yr;,kt <<��r•�b Mobile Home: Smoke Detector:,`j;;7_� T Remarks: „/; , ti r��: .r f OOting:fy(53� Y�1J7` `� 4`cf7sr Setback: r; Foundation Walls: Framing: Fireplace: Wood Stove: ►br¢5µl 7 a S D /STYE 3 MOBILE HOME l s Permit No. 0378 No. Floors Sq Ftg 1680 Owner LEWIS DON Tel 275-5711_ Date 5-21-91 Address 1735fJHwy 3. Allvn 98524 Zip Contractor Mobile Home Specialist Address P.O. Box 2288, Silverdale zip 98381 Legal Description 29- 2-1 Frl;� of tr 5 R h Direction to project site �,�, '� rn 1715AJ Al1Tn Plumbing Mechanical ewer Wood Stove Fireplace Deck Tar—age aage Za port Basement soft Other BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED 41 aa� _ C�)y . (5co( PERMIT NO. 405 OWNER NAME MAILADDRESS CITY SSTATE ZIP PHONE DIRECTIONS TO JOB SITE /! r PARCEL LEGAL 4'z �jf Ti?rfGjS Sr(� NUMBER /2 — DESCR. NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDINGCLASS WORK O✓ NEW / ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE s ' q p WORK L�J 1 L �� i iz _ 17 ,91 BEDROOM DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 1— 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 SQ.FT. 4 '© FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL 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 1 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 FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE X BY DATE - FOR OFFICE USE ONLY DEPARTMENT YESPPROVE NO DEPARTMENT YESPPROVENQ BUILDING VALUATION HEALTH 191 PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT /I6 Sy V D.O.T. BUILDING G PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION 8 60 6e0 %gs = l 080 = �i rc�K S SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPT D BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ��y y� BY G�T yY�7 CASH C MO TOTAL � / BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE PARCEL LEGAL E /�Z or f17,417-S } *6 NUMBER ZZ'Z e �._� DESCR. Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. z O Building& septic system setback distances from all property lines& easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle O Attach copy of septic system "as built' or septic permit approval. O Indicate topography profile of property and structure on reverse side. a Gv l� L� ^'1 I/We certi that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. SIGNATURE OF OWNER(-.)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED ✓ ��� vl DISTRICT AS NOTED y`/S J DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE b'