HomeMy WebLinkAboutBLD0316 Mobile Home - BLD Permit / Conditions - 7/9/1985 RESIDENCE- MOBILE
Permit No. 0316 No. Floors _1 Sq Ftg 1,716
' Owner Michael E. Cudney , Tel 275-4137 Date 7/9/85
Address NE1951 Old Belfair Hwy, Belfair, WA Zip 98528
Contractor Hunts Mobile Home
Address Gorst, WA ZiP 98337
' Legal Description S9 , T23N, R 1 West, Parcel 2
Direction to project site ,1 mile south of Bear Creek-
Mini-Mart Store on left hand side of Road -
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
( Basement Loft Other
$31,746 1
;?J0-1 4414 " gDoC-a(:)
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
NULL & VOID BY EXPIRA.
DATE �.� y- 6Y Rom
l
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. t) /q/Oo_
OWNER NAME MAIL ADDRESS CITY 3 STATE ZIP PHONE
IChQeL E, d �e NBC. 1551 6Q QeL&, r kq ^ l-V` 98-S Ok 57-113
DIRECTIONS
TO JOB SITE f L-e SauT�N 0 Q t` crf r_y "l W , `MP QT ST cr oil Le Ji-' Rf, S�, 0+= 1
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. S2CT10N 9 Toujp sS "k P a3N RAW9e lNeS t PPr-CtL
NAME MAIL ADDRESS n CITY 6 STATE LICENSE NO. PHONE
CONTRACTOR ' +u M 0 �L 14OMe l� r SZ 7 y —S 00
USE OF I—''V ,e �IJ l 4�. If` r0 LA_tJ d
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work:
0 V JR ►l rn Fro +h N o tj 0+)o Th F (Z
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
=31, r�yd. o 0' � lJ
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT D NOTICE
BATHROOMS TOTAL SO. FT. GARAGED
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. /� FIREPLACE D DETACHED ❑
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 F R 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 C
SEASONAL ❑ FLOODPLAIN u
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
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 DEFT.
of the Mason County ordinance requirements for S's
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
/ • APPLICATION ACCEPTED BY PLAN HECK BY APPROVED FOR ISSUANCE
Owner Date . (0—9� �S B
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. o
� o
= o
n >
LEGAL : a
DESCRIPTION LOT BILK ADDITION
0
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 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.
I/ INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
�1
r �
f
a ► �
1/We certify that the proposed construction will conform to the dlmensicins and uses shown above and that no changes will be made without
first obtaining approval.
1CI�u`Z L k
AMEM OF OWNERS) OF SITE 6 STRUC TUREIS) (PRINT) IGNATURE OF OWN R(S) OR AUTHORIZED RE SENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
RICT AS NOTED
MASTOWN PRINTING