HomeMy WebLinkAboutBLD19030 Mobile Home - BLD Permit / Conditions - 7/24/1986 TYPE MOBILE HOME r
Permit No. 19030 No. Flobrs Sq Ftg 1493
Owner HARRELL, Carlos TO 275-4865 Date 7-24-86
Address P. 0. Box 856 Belfair Zip
Contractor American Mobile
Address P. 0. Box 236 Gorst Zip
Legal Description SE,NE 20-23-1 Tr. 2 S/P #86
Direction to project site
NE 245 Newkirk Rd. Belfair
Plurrbing Mechanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
3 bdrm. 1986 28x56
I
Shorelines: Pibi"
Setback: MecY�ani�
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detect
Remarks:
Footing
Setback:
Foundation
Walls:
Framing: r
Fireplace: xJO`® g
Wood Stove: ,g - Jay -----~.
DATE -
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 7 a ��
DATEISSUED
PERMIT NO. 1q4::7�Q
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
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DIRECTIONS
TO JOB SITE e ; C
LEGAL _ SEf ATTACHED SHEET)
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DESCR. /� �I G /y �l - / ; • q
NAME MAIL ADDRESS CITY R STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING O
Class of work: E3jNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ RE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
D0 9r� o
SPECIAL CONDITIONS:
-eP S 0
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
NO. OF STORIES— BASEMENT ElA Y ATTACHED El SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
+; �� OR AIR CONDITIONING.
TOTAL SO. FT.t FIREPLACE V 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 t It I am a currently registered contractor in WORK IS COMMENCED.
the Stat of Washington and I the
aware of the FO OFFICE USE ONLY
ordinan requirements regulating the work for which
the pe it is issued and all work done will be in
confo ante therewith. PERMANENT SHORELINES I
SEASONAL ❑ FLOODPLAIN Ci
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. 7
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 DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
Owner C A.!` Date.Lo y 6 APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS_ �_� �\S N �• ; ��Y K�c� � y \ A ( PERMIT NO. F
A D
D O
O
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 1 Ac\I 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
. .
--1,N 6 k-- r ' N
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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.
NAM (S) OF O NER S1 OF SITE& STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING