HomeMy WebLinkAboutBLD22109 Mobile Home #16 - BLD Permit / Conditions - 6/8/1988 of
0
Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
Footing:
Setback: PFRM1T
Foundat ion T�11�+ ,�C i %3('Dhi
Walls: `..` ...`_
Framing: DATE - -- --
Fireplace:
Wood SLove:
TYPE MOBILE HOME
Permit No. 22109 No. Floors Sq Ftg 540
Owner BACKUS, John T Tel 455-1341 Date 6-8-88
Address P 0 Box 9 Bellevue Zip
Contractor None
Address Zip
Legal Description Sam Theler Home & Garden Tr. Tr. 20
Direction to project site _ Golden Bell Mobile Home Park
Snace 41 ti
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
J"6o 12x45 2 bf. rn
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
!�j
PERMIT NO.
MAIL ADDRESS CITY h STATE
OWNER NAME ZIP PHONE
DIRECTIONS
TO JOB SITE
_ 6 _ F �s� �1 I f
PARCEL FD2CR.J&�o
AL �y
NUMBER /a�3i2'•lr� UacVi O [�,JC �C i ��/ 6 I7
f
CONTRACTOR NAME MAIL ADDRESS CITY SSTATE LICENSE NO. ZIP PHONE
USE OF -
BUILDING
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
✓
DESCRIBE
WORK
.11c�
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
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 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTALSQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OW RSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CE IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI TRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ IREMENTS 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 ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X N 4� DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES No YES No BUILDING VALUATION
HEALTH , PUBLIC WORKS FEE
PLANNING t, FIRE BUILDING PERMIT
D.O.T. BUILDING `ii�• PLAN CHECK `
SPECIAL CONDITIONS BUILDING GROUP P, PRE INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTA
BYK CASH CK MO L
Golden Bell Lohile Home Dark
,A . , M .. .:vessel Td.
Belfair, ashington
Lason County
Dept. of General cervices
Sanitation . Div.
:his ::ill verify th _t John T. Backus has been given permmision
to --•lac:: four mobile homes in this park on hots hO. 1 ,ln,22a=3,
;IQ.
this park U set up to accombdate 40 units with :four persors
per. unit. it the present it is at only 505 of capacity.
The sanitation Facility was designed ban le his load.
I h-•:�:o this is :.;hO information that you require $ if any more
is needed please call me at tel n j 5-4625 or write no at the above
dare s s.
'-respectfully
Albert L. 7anders,7anager