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Home My WebLink AboutBLD19129 Final Mobile Home - BLD Permit / Conditions - 10/16/1986 TYPE MOBTLE HOME P(*.mit No. 19129 No. Floors Sq Ftg 720 Owner FOSTER, Donald J. Tel Date 8-12-86 Address P. 0. Box 332 Belfair Zip Contractor Address Zip Legal Description N 820 , k-1/23,E-1/2,NW,SW 21-23-1 Direction to project site NE 380 Newkirk Rd. Drive is directly across the Newkirk Rd. from Mohonia Dr—sign at end of drive says Fosters Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 20 years old 12x60 2 bdrm. Shorelines: Plumbing: Setback: Mechanics . Special Interior: 4 Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: ��-� j�-c.P Footing Setback: 'zer- Foundation Walls: Framing: Fireplace: Wood Stove: BUILDING PERMIT APPLICATION ti • MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED PERMIT NO. NAME MAILADDRESS CITYBSTATg ZIP PHONE OWNER ',� >� ' �.(1. 1� \ r 5l$ DIRECTIONS TO JOB SITE CA S Q Wt 1rt_ v - 7, LEGAL A DESCR. / CCU �bi 1 —" NAME MAILADDRESS CITYBSTATE LICENSE NO. ZIP PHONE CONTRACTOR �y e ; \ i t# V I v oNc u�v S7 3-Sy 4.1 USE OF BUILDING CLASS OF NEW ADDITION ALT AIR MOVE x REMOVE WORK DESCRIBE WORK 6e BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.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 SQ.FT. = FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASON /RUIREMENTS S AFFIDAVIT CONTRACTORS AFFIDAVIT THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE 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 ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNE TE -, �� XBY DATE FOR OFFICE USE ONLY DEPARTMENT YES NO NO DEPARTMENT YES No BUILDING VALUATION GQ 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 STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY CASH CK MO CA3, An PLOT PLAN v 3 p ADDRESS �, �U e W k\Y 1� ►\ C� J C� l�0,�r PERMIT NO. = a n > x o LEGAL n DESCRIPTION LOT BLK ADDITION u 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"'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. fU INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' :3 P i Al , I-z' Lk O1 J 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. NAME(S) OF OWNER(S) OF SITE & STRUCTUREW (PRINT) GNATURE OF OWNERS R AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE GHELTON PR:NTIN3 v MASON COUNTY DEPARTMENT OF GENEhAL SERVICES Legal Descri tion: Section Z T wnshi Z� North, Ran e / West, W.M. art Project: &-!1P / Lf/l'3 i Date Received — Address of Project .E Owners Name-za®I74a/ Address Je 77 r ep Phone Directions to Project Site HEALTH Fee Paid Receipt No. Date Received Plot Plan Type of Septic System Tank Size gallons; Drainfield Length feet; Approved for bedrooms; Septic System Site Approved Final Approval Contractor Phone Inspected By Completion Date Water Supply Approved PLANNING Fee Paid Receipt No. Date Received Residence Commercial Plat SEPA Final Declaration EIS Required Shoreline Exempt Shoreline Permit Local Decision Appeal Final Decision Preliminary Plat Date Final Plat Date Contractor Phone Project Engineer _ Phone By BUILDING Fee PaiAr�Receipt No/e Date Received /.Z Plan Check: Approved Denied with the following corrections - Conditions By Approved: Property Line Setback Footings Foundation Walls Framing Fireplace Wood Stove Plumbing Mechanical Roof Exterior Interior Final Stop Work Mobile Home Smoke Detector Remarks ------------------------------------------------------------------------------ Additional Comments