HomeMy WebLinkAboutBLD22637 Final Mobile Home - BLD Permit / Conditions - 9/15/1988 Shorelines: /y,Q Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:el�-
Mobile Home:
Smoke Detector:
Remarks: 9 s
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 22637 No. Floors Sq Ftg 1848 _
Owner BUY RITE HOMES Tel 692-4774 Date 8-30-88
Address 9222 Silverdale Way Silverdale Zip
Contractor
Address Zip
Legal Description Tr 27 E-1/2,NE & W-1/2,NW 20-23-1
Direction to project site (Tr 3 S/P 86)
1/2 mile from t3elfair, turn onto Newkirk Rd for 2
m71Pc nn laft cI'P-
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1983 28x66 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER
NAME MAILADDRESS CITY&STATE ZIP PHONE
c JIL c
DIRECTIONS O
TO JOB SITE
PARCEL LEGAL
NUMBER I DESCR.
CONTRACTOR
NAME MAILADDRESS CITY TATE LICENSE WU. ZIP PHONE
���
USE OF
BUILDING h f I��a
CLASS OF NEW ADDITION ALTERATION REPAIR M REMO E
WORK ✓
DESCRIBE
WORK _
e
BEDROOMS DECKS CARPORT ,,1�'/ NOTICE
/y
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT.� GARAGE —&44 CONDITIONING.
NO.OF STORI ES -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
TOTAL SQ.FT. J FIREPLACE 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 WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE UIREMENTS 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
O AINING APPROVAw' M
HE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
J� i��"'�
WNER DATE X BY DATE
FOR OFFICE USE ONLY
APPROVED APPROVED
DEPARTMENT BUILDING VALUATION
DEPARTMENT L
YES NO YES NO �
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
? AVOt-L O-r i f- c�ii'� , SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE �.
STATESURCHARGE
APPLICATION ACCEPTED BY PLA S CHECK BY APPROVED FOR ISSUANCE FPERMITVALIDITION
i��C-- BY �(� ASH CK MO TOTAL /�� ;
PLOT PLAN
ADDRESS IV, �'. t I �IIA/�, y1�!/? 92 PERMIT NO. 4 0
= s
n s
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 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 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'
�v
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. f
NAMEW OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE