HomeMy WebLinkAboutBLD19220 Mobile Home Final - BLD Permit / Conditions - 11/14/1986 TYPE MOBILE HOME
Permit No. 19220 No. Floors Sq Ftg 1056
Owner HINES, Vincent Tel 747 Date 8-29-86
Address 14611 NE 50th Pl Bellevue Zip
Contractor Gregerson Homes Seattle
Address Zip
Legal Description W-1 2,SE,SE,SW
Direction to project site 2.2 mi. from Mason Co.line com-
ing from Gorst on Old Belfair Rd turn rt. at white fence
go .3 miles.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1986 24x44 2 bdrm.
Shorelines : /V 4 Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL 1c/
Mobile Home:
Smoke Detect
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUE-4
PERMIT NO. 10�2'
C>76
OWNER OAleikNEWYAlf�
E AILADDRESS CITY ATE ZIP PHONE
DIRECTIONS
TO JOB SITE
As
LEGAL / ,
DESCR. �1 � /
N ME AILADDR CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �yt� �, -
USE OF
BUILDING
CLASS OF NEW ITI TERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS__ TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES L 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 ANYTIME 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 WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENT$FOR WHICH THIS PERMIT 1S 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. CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING"PROVALFROMBUILDI DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNEDATE X BY DATE
F R OFFICE USE ONLY
DEPAR11MENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION l
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
rP7LICATIONACCEPTEDBY PLANS CHECK BY P )VEpfo ISSUANCE,. PERMIT VALIDATION
B �- CASH CK MO TOTAL //1 >�'
I
PLOT PLAN
ADDRESS PERMIT NO. f o
= o
� o
LEGAL
DESCRIPTION LOT BILK 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 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"ID 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.
fiINDICATE NORTH IN CI R LE / GRAPH SQUARES ARE 5"X 5' OR 1"=20' (\
. cC
wv`
`V
r
i
i
i
I/We certify that the proposed con
struction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
s
1) All: M /�Y�
:V zx"
NA (SI F NE l 1 F SI E ST UCTU E(S) (PRINT) • IGN TUBE O OW E a AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
DISTRICT AS NOTED
ISHELTON PRINTINi