HomeMy WebLinkAboutBLD0122 Mobile Home - BLD Permit / Conditions - 6/6/1989 Shorelines: Plunbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector:
Remrks:
ooting:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
AT E I MOBILE HOME
permit No. 0122 No. Floors _ SqFt g 896
Tel
Date - -89
Owner BRYAN Carla -
Addr ess NE
11 Dave Jones Ct Belfair Zip 6 6
Contractor Barrett Mobile Homes Zip
Address Bremerton
t
n Beard' s Cove Div 3 Lot 30
Legal Description
Direction to pr03ect site ndhill Rd. 1st left on
Anchor Way, turn rt on Dave Jones Ct. 2nd trailer
c anica ewer Wo tove
ing Fireplace Deck Garage Carport
Basement Aft Other
1979 1464 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY ', +
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. � / L
NAME MAIL ADDRESS CITY&STATE
OWNER NE I O ,'/ ZIP PHONE
DIRECTIONS % E FAI yV
TO JOB SITE lurnn u L T �E KS Y1C W -�•
Tup.h 9-1o� S - ^`� 1 AtLC--
PARCEL 33 O LEGAL
NUMBER DESCR. BEAROS COLIE. k)O 3 16T 3Q
CONTRACTOR NAME j U-'C AI DDRESS &STATE LICENSENO. IP Z75+HONE fQ
USE of 60-rre-4�s /VI i l c. o�,� Trays oil
BUILDING h�
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE ✓ REMOVE
DESCRIBE
WORK TAKE our 5Tu f +AILsR o N
BEDROOMS DECKS CARPORT NOTICE
BATHROOMS TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTAL SQ.FT. FIREPLACE COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANE SHORELINE—
SEASO L
OWN RS AFFIDAVIT CONTRACTORS AFFIDAVIT
1 CE IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REG RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
RE IREMENTS 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 ONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
;O INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER DATE 3 1 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED
YES No YES NO
BUILDING VALUATION
ONING
TH ljl/j� PUBLIC WORKS
FIRE BUILDING PERMIT
FEE
BUILDING /lc PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
V C- ° 'vbn'" T lA# /= �� _ �''p -tg SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE 3• Q
STATESURCHARGE
(CATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
B'0 /< 6,S CASH CK MO TOTAL
PLOT PLAN
ADDRESS [)At)Cu_ ® n C�1-
PERMIT NO. s a S
= s
n
LEGAL
DESCRIPTION VAJ, Q LOT �� BLK ADDITION �~
n 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- A
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. O
� rn
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' n
f
I
I/We certify that the proposed construction w 11 conform to the dlmsnsiChs and uses Shown above and that no changes will be made without
first obtaining approval.
e�.i5�i
RaP $ITa SAME(3) OF OWNER3 OFBaUm TUREISI (PRINT) I�G�N�A T�UR r �R P ESE�NT� VE aLNC
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE