HomeMy WebLinkAboutBLD14011 Final Mobile Home - BLD Permit / Conditions - 6/1/1983 Stormo, Danny K. #14011
No Phone Listed 5/23/83
Lot 23 of Beard's Cove 3
SR 300 to Sandhill Road, left on Anchor Way & right to
property
Mobile Home Contractor:
24'x44' , 1982 Lazy Z mobile Homes
$19,536.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
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DUPLICATE CARD
Stormo, Danny K. #14011
No Phone L4sted 5/23/83
Beard's Cove #3, Lot 23
NE 180 Anchor Drive, Sandhill Road then left on Anchor
Way & then right on Anchor Drive to site.
Mobile Home Contractor:
24'x44' , 1982 Lazy Z Mobile Homes
$19,536.00
Shorelines:
Setback:
Special Conditions:
Footing:o ng•
Setback:
Foundation Walls:
Fr ami ng:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior :
Interior:
Final:2I L /
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 p• z
�j DATE ISSUED
a,7vC ,,o_,� PERMIT NO.
OWNER N, MAIL ADDRESS CITY 8 yTATE A ZIP PHONE
DIRECTIONS I
O
TO JOB SITE 6 I_l 3 0 0 t
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Cid� ;7-5
4ME MAIL ADDRESS 8 STATE LICENSE NO. PHONE
CONTRACTOR _Z j� 1
USE OF
BUILDING
Class of work: ❑ N ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
w �GYi /he riJ L
Valuation of work: $ .O PLAN CHECK FEE PERMIT F
SPECIAL CONDITIONS:
BEDROOMS `DECKS '� CARPORT [] NOTICE
BATHROOMS (TOTAL SO. FT. 6O GARAGE IJ 1
ATTACHED iJ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT 1-1 ATTACHEDAIR CONDITIONING.
TOTAL SQ. FT FIREPLACE ❑ DETACHED C
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 that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOE) OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in �n1
conformance therewith. PERMANENT 14 SHORELINES
SEASONAL LI FLOODPLAIN Ll
Firm
E.D. NO. S.E.P.A. L;
By Special Approvals IN OUT YES APPROVED NO
Lie. No.— Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT
HEALTH DEPT. #a�j"� 6
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
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be conformance r ith. MOTOR VEHICLE PERMIT
P LIGATION A CE ED43Y PLANS CHECK BY i APPROVED FOR ISSUANCE
Owner Date
PL CHECK VALIDATION CK. M.O. CASH OtRMIT VALIDATION K. M.O. C , H
PLOT PLAN
ADDRESS f l/ � �✓ ifi+s�/��` PERMIT NO. 4 0
= o
LEGAL
((JJ n >
DESCRIPTION LOT LI }"! K ADDITION �-c�d — ' a
N
SITE AREA Sq.Ft. AREA OF SITE OCCUPIED BY BUILDINGS_ / cJ 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 Al"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'
b .
4+
1
1`
+)
I IT
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.
1
AME(S) OF O ER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGN URE OF WNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LIN
APPROVED
DISTRICT AS NOTED DATE
6H CLTON VR;NTIN�