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Home My WebLink AboutBLD26105 Final Mobile Home - BLD Permit / Conditions - 10/23/1990 TYPE N-'IOBILE HOMIE Permit No. 26105 No. Floors 1 Sq Ftg 1914 Owner WEERS_, IJPLLACF 1,1 Tel Zg—RSn Date Address 4SQl NW Gustafson Rd Si1vnrdalPZip Contractor Address �ilvpr�aleZip Legal Description TR, 1 Rnf NE SE q-2�-1 Direction to project site L Old Belfair Hwy on right Just be 'o"r'e ear reeK YLore NENE 3420 Old BelTair Hwy Flumb ing Mechanical Sewer Wood Stove Fireplace Deck 7arage carport Basement Loft Other XX Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: e ee e rl 3 D Mobile-H Smoke Detector: Remarks: Footing:eA-'S 2 90 Setback: Foundation Walls: Framing: Fireplace: Wood Stove: • BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 /n 427-9670 DATE ISSUED PERMIT NO. OWNER N ME MAIL ADDRESS CITY&STATE ZIP PHONE SAke)G sa,v ea( i/ue'r"(2111 -s g5 v DIRECTIONS _ TO JOB SITE Cex 6y s7� bE�J✓}/� ievP ,c� Lr�Q rf�w .0 Tc*sT b't Kc c:-,4✓L eeez- 7p,cE c-' 3 O QId fitFLF4l.� Au, P0bEL LEGALIf NUMBER f�3�9 ' � �!O/ $!J DESCR. 7' $ OF /t/.E' .5E TR I aF SIP NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK E Mo1 O i r lff4l Inca - , BEDROOMS DECKS YORN CARPORT NOTICE TOTAL SO.FT. BATHROOMS DECK GARAGE SEPARATECONDITION ERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR TOTAL SO.FT. TOTAL SQ.FT. NO,OF STORIES BASEMENT Y OR N THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LIVING AREA BASEMENT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. TOTAL SQ.FT. CHECK ONE ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT FIREPLACE ATTACHED SEASONAL SHORELINE DETACHED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 1 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 I 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 N 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 OWN Tu--'ir 9d X BY _ DATE FOR OFFICE USE ONLY I DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION 3 / HEALTH PUBLIC WORKS 11 FEE PLANNING FIRE BUILDING PERMIT ,a D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP i PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE LrAPPLICATIONACCEPTED BY PLANS CHECK BY 7F,O ISSUANCE PERMIT VALIDATION f TOTAL /n ` �� BY CASH CK MO lY t PLOT PLAN ADDRESS PERMIT NO. c R s � o LEGAL DESCRIPTION LOT BLK ADDITION 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 BELOW1 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. �— INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' S / r� 1 r 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. NAME(al OF OWNERS) OF SITE a STRUCTURE(!) (PRINT) SIGNATURE OF OWNER(!) OR AUTHORIZED REP14ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE PUD 3 - - Public Utility District 3 of Mason County Commissioners P.O.Box 490,Shelton,Washington 98554 Robert C.Olsen Harvey H.Warnaea John H.Whalen Edwin E.Blakemore,Manager (206)42"255 December 27, 1989 Mr. & Mrs. James R. Willis 6415 S Lawrence Tacoma, Wa 98409 Dear Nlr. & Mrs. Willis: You have submitted a Service Application dated 12/13/89 Based on this application, the project estimate to provide power for your prcperty•located at NE 33$6'Old Belfair Hwy is $ 1 ,002.71 The following will be required as your portion of the project: -0- cash in aid of construction. Approval from State Electrical Inspector. e. Approval from State Electrical Inspector was received on If you do not have an active account with Mason County P.U.D. 3, please submit a good letter of credit from your existing electric company or a $100.00 Security Deposit will be required. After approval by the State Electrical Inspector has been received, we will release the work order. (All trenching for underground services must be backfilled before we can connect your service) . A connect fee of $10.00 will appear on your first billing. Included in each billing will be a cost of service charge. (If service is not connected within 30 days after District facilities have been installed, billing becomes active) . This proposal will be valid for 30 days. If within 30 days after receipt of this letter, we have not received the approval from the State Electrical Inspector, we will return your application and you will have to reapply when your plans materialize. If this proposal is acceptable and you have received, read and understand the District's Service Extension Policy and Contract as it applies to this proposal and your obligation, please sign below for your acceptance and return one copy to our office in the enclosed self-addressed envelope. �Sincerely, �^'t-2j--A , J vi_. - y 9 i.gnat re Date �i1yr e• ' on Signatur Date Service Coordinator sjw