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