HomeMy WebLinkAboutBLD14537 Mobile Home - BLD Permit / Conditions - 8/16/1983 BRAVO, Ramon #14537
8-15-83
Lot 12, Section 4, Beard's Cove
Belfair towards St. Park, Right on Sand Hill Road, Left
on first paved road 4 mile. Right on Galley Way, 3rd
lot on Right next to Silver Trailer.
Contractor
Self
MOBILE HOME
$15,540.00
Shorelines: 1
Setback:
Special Conditions:
Footing:
Sett ack:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof :
Exterior:
Interior :
Final:'
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
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MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATEISSUED
PERMIT NO. / 4S,3
OWNER NAME MAIL ADDRESS � CITY&STATE ZIP PHONE
.
DIRECTIONS 1 6 7b .AAds .Sl','p4Rk� R,44f p,u S'ANod11iY(r74.),-. Ae,0w11&*st PA✓r+'D Rp.,� ,,r;�C _
TO JOB SITE j fi Aee /o S 1, Ti4a
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. �G7''
NAME MAIL DDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
4'x60r
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
15,540.00 $58.25
SPECIAL CONDITIONS:
BEDROOMS 2- {DECKS 4D CARPORT ❑ NOTICE
BATHROOMS___ (TOTAL SQ. FT. GARAGE I l
ATTACHED f] SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ ; OR AIR CONDITIONING.
TOTAL SQ. FT. SYo FIREPLACE L_, DETACHED Ll
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 am 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 Ll SHORELINES
SEASONAL FLOODPLAIN I_I
Firm
E.D. NO. S.E.P.A. G
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. '3?f3
y
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
e in onformance therewith. MOTOR VEHICLE PERMIT
APPLICATION CCEPTED BY PLANS CHECK BY APPROV FOR ISSUANCE
er �l�C�Date —6l - Y
PLAN CHECK VALIDATION CK. M.O. CASH PER VALIDATION CK. M.O. CASH
• - PLOT PLAN
ADDRESS 'T�y� /L/e h f�( z w..4 PERMIT NO. o
ro
PI D
LEGAL ) // 1 Rec'0ti9/Pil i&l vciuJ;le & d�A/'d5 PA'5e q3
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DESCRIPTION LOT (o� - ,4US coVe PBLK ADDITION m145o�il <c'� ;u�y u
SITE AREA r0. 570 U ?7-c`"
Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
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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 DI MEN
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- )b I
TION A"'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. rl
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INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
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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.
')F OWNERM OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED DATE
AS NOTED
RINTINi