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HomeMy WebLinkAboutBLD28058 Final Mobile Home - BLD Permit / Conditions - 7/1/1991 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINALV,�i�9% �y Mobile cme: D-1 9 Smoke DetectorRemarks: Doting:ox Setback: 9 Foundation Walls: Framing: Fireplace: Wood Stove: TYPE 11OBILE HCHE Permit No. 28058 No. Floors 1 Sq Ftg 1568 Owner KNTTTFI., M. R. Tel 697-4392 Date5-10-91 Address 202 NE Park St, Poulsbo Zip 98370, Contractor Address 1230 Bay St Port Orchard Zip Legal Description - -1 Lot B o Direction to project site Old Belfair Hwy * miles south_ of Bear Creek Rd on East side of Old Belfair Hwy um ing Mechanical Sewer Wood Stove Fireplace Deck 7arage import Basement soft Other BUILDING PERMIT APPLICATION MASON COUNTY C DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED QQ ( �k PERMIT NO. b6 NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER , xf-) 72' ie Z .Z0 t) -A' 4 2cg .) Li-) ` DIRECTIONS L TO JOB SITE - i t//• 1-J/ � p( 3e Q/+ /Je44a/r uJ PARCEL LEGAL a�e -3N —p' NUMBER �j y /$9 DESCR. SG(��y dt4 SF 'y aro C- 9 �w(JS.rA �3ti /� /Oj NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. ZIP PHONE / CONTRACTOR /�(9l3/s.F �w/_= v/' 3 O USE OF BUILDING S I d e ti c CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK /a ccL ct c% Gll"/ w a �e�� vftr.,s �u�� �o v7`3 —/3a s e c--< <-,/v U Pc BEDROOMS DECKS Z CARPORT_____ NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS 2— TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FI REPLACE 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 WASHING70N 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 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. / XOWNER DATE XBY N-c ' P&-4- DATE R-2/ FOR OFFICE USE ONLY APPROVED APPROVED DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION v HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING 7 PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION 'JY SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE 17APPLIC�ONACCEPTED BY PLANS CHECK OVED t77NE PERMITVALIDATIONTOTAL ICE Z� Ee ASH CK MO AM C� BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SH ELTON, WASH I NGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE ©Lp E;e,AA/L V ..3 `li fOa;>f 7 •yip e e& jeD, Oi✓ 4FWT7 f pz- d/r PARCEL „ S�Q�T L/�> LEGAL 7i�X NUMBER ��s-- DESCR. c,I l O/` S'Ll �� - s�,-�.9 �,�sy/��3�R /�✓ w,�t 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. O Building&septic system setback distances from all property lines& easements. Indicate North O Well and water line. In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system"as built' or septic permit approval. O Indicate topography pro 'I of pr arty and structure on reverse side. Aid /N 0 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. SIGNATURE OWNERS)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE kl C TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE W -- I ' 9� ,3.2 7 93 9y- d'�S1 ip yo' y/7-S3 Yv aaaruFh E D i �y PICA '`3 Hwy NTs.