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HomeMy WebLinkAboutBLD01008 Final Mobile Home - BLD Permit / Conditions - 6/15/1989 Shorelines: Plunbing: Setback: Mechanical: Special Interior: Conditions: FINAL: re 7, Mobile-Rome. Smoke Detector: Remarks: oot'ng: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE Home Permit No. 0108 No. Floors Sq Ftg 672 Owner NEEDHAM, Tony Tel Date 5-9-89 Address P 0 Box 1393 Belfair Zip Contractor Modular Systems Address Bremerton Zip Legal Description Tr 8-A NW,NW 16-23-1 Tr B S/P 713) Direction to project site 2-3/4 miles North from Belfair on Old Belfair Hwy (Ponderosa Rd. ) un ing Mechanical ewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other BUILDING PERMIT APPLICATION a MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 Q 427-9670 DATE ISSUED �✓ u PERMIT NO. OWNER NAME MAILADDRE CITY BSTATE ZIP PHONE h eleallImm x , = �� DIRECTIONS TO JOB SITE 3� 1 �Q '�- jw�Q vvl e L /4 ( �,.� L 6LF A) ICJ pop-,Cl E r2 0,S w Cl . ) PARCEL © LEGAL NUMBER 3 dOD� DESCR p ,$ CONTRACTOR NAME MAIL ADDRESS CI STATE LICENSE- ZIP PHONE Q f /2 USE OF L BUILDING vG CLASS OF NEW ADDITION ALTERATION REPAIR X REMOVE WORK ✓ MOVE DESCRIBE WORK AzdZ31 L E O`YJ X to 7a BEDROOMS_ DECKS /g CARPORT /y 14 NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT ZX SHORELINE A 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 REGISTRA ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE NTS 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 CON F RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI APPROVAL FROM THE BUILDING DEPARTMENT. ^ Q APPROVAL FROM THE BUILDING DEPARTMENT. X W E� �` r<G u /kLA�6ATE .r 2 7 CJ X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES NO NO DEPARTMENT YES NOBUILDING VALUATIONego HEALTH �, PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP �� PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE , IPLICATION ACCEPTED BY PLANS C�pCK BY APPROVE FOR I UANCE PERMIT VALIDATION BY l CASH CK MO TOTAL PLOT PLAN ADDRESS X U' Si ,J�� ��I r�/gam. WG� t} PERMIT NO. o - � o / x > K/ s o LEGAL f N DESCRIPTION LOT I(25 !�'P '7J3 BLK ADDITION M i d SITE AREA_43� 410 6 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS _Sq. Ft. n 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. IEACH 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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' iJ bd I 1 I/We certify that the proposed construc ion eon orm tc the dimensions and uses shown above and that no changes will be made without first obtaining approval. /1! C) -B I— LF04 1 `p VL ��Y W�a2M�y PLy too �lE dh/9 m NAME(S) OF OWNER(S) OF SITE a STRUCTURE(S) (PRINT) GN TURE OF O ER(S) R AUTHORI D REPRESENTATIVE DO NOT WRITE SELOW 7' S LINE APPROVED DISTRICT AS NOTED DATE