HomeMy WebLinkAboutBLD18604 Final Extension to Mobile Home - BLD Permit / Conditions - 8/5/1986 TYPE EXTENSION TO MOBILE
Permit No. 18604 No. Floors Sq Ftg 120
Owner SIMON, Frank del Date 5-8-86
Address NE 121 Davy Jones P1. Belfair Zip
Contractor A & N Const.
Address 2387 NE Windsor Ct. Br mertnn Zip
Legal Description Beards Cove Div. 3. Lot 46
Direction to project site
NE 121 Davy Jones Place
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines: lr/,/ plumbing
Setback: Mechanic -.
Special Interior:
Conditions: FINAL: C,-S ,,-
Mobile Home:
Smoke Detector:
Remarks:
Footing: r
Setback:
Ebundatio
Walls: 2
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 p/
426-5593 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER f �
<< 1 At, A,
DIRECTIONS
TO JOB SITE 141
LEGAL
DESCR. 0 74q 0 - f<1f- %S C ' Na, r 14t- OfPs erV,dlcllA, Gsi.,4' OFAZAJ:: P, ;,Ise Ic
NAME rvrn -1— %- "WILIAUDRESS CITY&9rATE LICENSE NO. ZIP PHONE
CONTRACTOR Y 2uC.T -138 7 /V E r:� �A��)Sul' ��, 1),em
USE OF T
BUILDING 13//7 //7l �C'�/7')
CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK ljo
11X / %ODi✓1 �'IGri' t9 1 00UHAN6i 7_c7 C� /°/s1F.,
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.I 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
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY_J �l/LL l DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION '
YES NO YES NO
HEALTH f PUBLIC WORKS FEE
PLANNIN FIRE BUILDING PERMIT
D.O.T. ! BUILDING PLAN CHECK ^/ .4
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY P�LLANS,CHHE�ECKBY APPROVE�DrFOfRI SUANCE PERMI7ALT10N
C / /^ BY� )' C / CASK MO TOTAL