HomeMy WebLinkAboutBLD27454 Mobile Home - BLD Permit / Conditions - 2/14/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Cbille
37,1-P/
am
ector:
Remarks.
oot ing:
Setback:,Y,<jp-./-ri y-
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE -NOBILt IfURE - - - -
Permit No. , 27454 No. Floors 1 Sq Ftg 1568
Owner MCELHANEY, LARn Tel Date 2-14-91
Address NE 733 Bear Creek Dewatto Rd Brerierto4iip
Contractor Barry Gardner
Address Zip
Legal Description - - Sz EZ BIZ St4 Sw-,
Direction to project site 31 mi own Old Belfair Hwy to
Bear Crk turnoff (L) go mi driveway is on L on sharp
corner go to bottom
Plumbing Mechanical- ewer Wood Stove
Fireplace Deck image import
Basement Loft Other
F11
BUILDING PERMIT APPLICATION - ate
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED - Ll -
PERMIT NO. 4k
OWNER NAME MAILADDRESS CITY&STAT ZIP P ONE
kla l�r (i ELh he k)6 7,3 Z06r e
DIRECTIONS r 1
TO JOB SITE �II >n c e-on 6/d .Be . ogPl�r rt7 o CA� kQ f C2 b pprbx �10
civiu"a On /e 6n S Gr Cbrne 6-0 (' �C4ro.
PARCEL 0
NUMBER / 09 33 a4D DESCR. �fla T l/ �7 (ill swl wl
NAME MAIL ADD CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �r rSS* 100&1LASII feu) -73 co
USE OF
BUILDING (j ro
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK b b 12ier tl
BEDROOMS DECKS CARPORT NOTICE
_ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.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 SO.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
PERMANENT SHORELINE
SEASONAL
OWNERSAF DAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
CERTIFY
LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREME S 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 CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT ININ PPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
F
X OWN X BY _ DATE
FOR OFFICE USE ONLY
APPROVED APPROVED BUILDING VALUATION
DEPARTMENT DEPARTMENT �/ ✓
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK 9/•�
SPECIAL CONDITIONS BUILDINGGROUP Il PRE-INSPECTION
1 J cn- CO (u ; -- E `�� c7 j SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
/568 /8�50=a9oo8.� STATE BUILDING FEE
STATE SURCHARGE Q Zj
APPLICATION ACCEPTED BY PLANS CHECK BY E QJR ISSUANCE PERMIT VALIDATION
�� I3'C� B CASH CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME ,r AIL ADDRESS CITY&STATE ZIP PHONE
OWNER d �J
rr
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER l 309 3,30 DESCR. 6r
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.
0 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 profile of iia6perty and structure on reverse side.
Tr I I I
i
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 OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE