HomeMy WebLinkAboutBLD30118 Mobile Home - BLD Permit / Conditions - 3/23/1992 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: #1 - FAWVER TYPE: MOBILE
Owner: CASTEEL Tel: 275-6586 Date: 03-23-92
Address: P.O. BOX 1463, BELFAIR
Permit #: 30118 Floors: 1 Sq Ft: 1120
Contractor: SAME � ' v
�
Phone: W
Legal Description: BEARD'S COVE DIV 3 LOT 60
Direction to job site: N SHORE RD TO SANDHILL TO ANCHER
DRIVE STRAIGHT TO ANCHOR WAY ON LEFT (GAZEBO)
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions: MUST MEET SLOPE SETBACK
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER N E MAILADDRESS CITY&ST E I� ZIP PHONE
rr"
DIRECTIONS
TO JOB SITE
PARCEL LEGAL 4 �_ A
NUMBER DESCR. Gjt
NN MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF `
BUILDING (;
CLASS OF ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE ,/� `
WORK ��1, v 6 L C> �- c.t�vl�
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES_ SHORELINE El CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.O THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED O DETACHED❑
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 THERE,VIJj1i At0.-LHANGES.._SMALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININGAP7 THE BUILDI G DEPARTME T: \ APPROVAL FROM THE BUILDING DEPARTMENT.
X O R X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YEAPPROVEDIO BUILDING VALUATION
HEALTH KT PUBLICWORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
If' SHORELINE
5Jf0.��•f-i�a (c t.d c9r� C a �qc., 1 ���1�` t, ia�c WOODSTOVE
,� �� �.1 a ✓��U 5 PLUMBING
MECHANICAL
all STATE BUILDING FEE
APPLICATION ACCEPTED BY I PLANS CHECK BY A VE R ISS TOTAL
A��
N E PERMIT VALIDATION 174
BY SH CK MO
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 / C1
427-9670 DATE ISSUED /I
PERMIT NO.
OWNER NAME MAILADDRES CITY&STATE ZIP PHONE
- I 7S- r!5
TO Jo SATE Nor-�h Sha►-t. Rd It 2. on I-)n Aq"c-kor
*t('aD �V6(e, L-pa, " c+ L
PARCEL LEGAL NUMBER 12-330 5b 6W4,0 ESCR. Cjr s V 0
CONTRACTOR NAME MAIL ADDRESS CITY&STATE ZIP PHONE LI ENW NO.
ownt
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE � j_ C 1 �
WORK �/�
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE Cl CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED❑DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 1 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 CONFORMANC THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPRO L FROM THE DI DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
fv�IAX OWNER ATE 1Z Z -� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES NO
NO DEPARTMENT YES No
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
PPLICA ION ACC ED BY PLANS CHECK BY s ROV RI NZdCASH
ERMIT VALIDATION
CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER
N MAIL ADDRESS CITY&STATE ZIP PHONE
/
DIRECTIONS
TO JOB SITE
PARCEL LEGAL
NUMBER DESCR.
Indicate below: g� Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
0 O Location of proposed construction on property.
O Building&septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams, wetlands, drainage.
O Attach copy of septic system as built' or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
L
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.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
1