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HomeMy WebLinkAboutBLD24203 Final Mobile Home - BLD Permit / Conditions - 5/24/1990 Shorelines: Plumbing: Setback: Mechanica : Sp ecial Conditions: FItNAL:eri gA-s- .:2 qG Mobile Smoke Detector: Remarks: ooting: �5 a zF o Setback: Foundation Walls: Fr aping: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 24203 • No. Floors Sq Ftg 1344 Owner CHARNELL, Russell E Tel 854-9517 Date 8-3-89 Address 2 b2 Russellent Zip Contractor So Hi 1 Const Address 1910 40th St Se Puyallup Zip Legal Description Tr 9 G.L.3 30-23-1 Direction to project site _Go toward Belfair St Pk aR rox 5 mi .Turn rt on Mission Cr Rd turn rt on Chinook Dr o up winding hill , 3rd lot on left FILE15ing Mechanicai r Wood Stove Fireplace Deck Garage Carport Basement Loft Other 2 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED t!r 0 PERMIT NO.e2?'XR4!5& NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER I L Y• 6. u S�I -RA. �✓ U ��/�`7 DIRECTIONS 1 ( � ,p TO JOB SITE rl e 6LoaY4 1/2 �+�P Yk r0 '" _ , —1-4r 1 o 1�5 ,0?l6-, a `ru►' i r oilIivtooI o ec u� i( — r'd✓ ),�t oit t4 e eft, NUMBER/�22,�® 64 C��/ DESCR. I.—� ��• �7 ��" �J �� NAME MAILADDRESS CITY&�TE LICENSE ZIP PHONE CONTRACTOR �s� Tl I-U �(C�—�Sfi. L l G �� / 5ncc �IdG� USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE , WORK lfl& -t rlci 186me 0 V( BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.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 SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTI Y THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIR MENTS 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 CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI NG APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. y �\ 1 7 XjO I ER ATE � X BY DATE liV FOR OFFICE USE ONLY APPROVED APPROVED DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION ` HEALTH PUBLIC WORKS FEE PLANNING �J FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION C SHORELINE --- WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CH K BY JAPPROV D FOR �IS UANCE PERMIT VALIDATION q ��.-�' BY I � CASH CK MO TOTAL CJy-�' �� ✓ PLOT PLAN ADORES0/,a-j j dL oo rr &-flL)OL PERMIT NO. 0 o z • s o LEGAL ` DESCRIPTIONjr 61 3 LOT 30-13 q BLK ADDITION SITE AREA 7 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ( 1 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. GRAPH SQUARES ARE 5' X 5' OR 1"=20' INDICATE NORTH IN CIRCLE (� i r� L y Y I/We certify that the proposed construction will conform to the dlmensidne and uses shown above and that �no�changes will bWmede iut first obtaining approval. NAME(SI OF OWNER(S) OF SITE 6 STRUCTURE(SI IPRIN 1 ` ATURE OF-OWNER(SI OR AUTHORIZED REP Ea ENTATIVE D NOT WRITE BELOW THIS LkE APPROVED DISTRICT AS NOTED DATE 1