HomeMy WebLinkAboutBLD22741 Final Mobile Home - BLD Permit / Conditions - 10/13/1988 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: �p L ��
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 22741 No. Floors Sq Ftg 1040
Owner BOND, Mary Ann Tel 275-3855 Date 9-15-88
Address P 0 Box 1061 Belfair Zip
Contractor Modular Systems
Address Zip
Legal Description Beards Cove Div 3, Lots 27-28
Direction to project site 70 Anchor Dr off Sand Hill Rd.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1971 20x52 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.C:'r-S 7�J
OWNER NAME MAIL D RES S CITY&STATE ZIP n PHONE
BOA 1 "(-%,4 In rNi 10 �JJ cf
DIRECTIONS
TO JOB SITE p r f1< Sn , 1 v�o
r '
PARCEL
LEGALUMBE/
DESCR. ea Gam,, lo± a 9P-4
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR C) u r s" ens �a br n '7 9 �3
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
/czC
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 SAYS, 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 CERTIFY 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
REQUI 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.
XO ER ATE "�.� -�� XBY DATE
FOR OFFICE USE ONLY
DEP RTMENT YES NO
NO DEPARTMENT YES NO
BUILDING VALUATION
HEALTH " . PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. 40 BUILDING PLAN CHECK ,
SPECIAL CONDITIONS BUILDING GROUP _ .3 PRE-INSPECTION
GL SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE `.
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS C K BY APPROVED FOR(ISSUANCE PERMIT VALIDATION l
BY 01 CASH CK MO TOTAL
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
/�
DATE ISSUED `��ZI-f- Z/
PERMIT NO. % a-VC)
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
Harold John T. 1719 So 55th Tacoma Washington 98408
DIRECTIONS
TO JOB SITE "/' Rgyrw i w . �' 6 Awmer [D c At.
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Beard's Cove Div. 3 Lot 28
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Mobile Home 101x50' 1960
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
42000.00 $20.00
SPECIAL CONDITIONS:
BEDROOMS off— DECKS CARPORT [J NOTICE
BATHROOMS TOTAL SO, FT. GARAGE L]
ATTACHED �' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES-1 BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED G
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 FOR OFFICE USE ONLY
ordinance requirements regulating the work for which .
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
SEASONAL Fl FLOODPLAIN I
Firm E.D. NO. S.E.P.A. I l
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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 in conformance th rewith. MOTOR VEHICLE PERMIT
(/ APPLICATION ACCEPTED BY PLANS CHECK BY ARPROVED FOR ISS ANCE
Owner Date_ a
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH