HomeMy WebLinkAboutBLD0288 Final Mobile Home - BLD Permit / Conditions - 5/21/1985 GORDON, Bonnie J. #0288
, 4-30-85
Beard's Cove Div. 4, Lot 28
NE 600 Landon Rd. Belfair 98528 275-2954
Up Sand Hill Rd. , turn on Larson Blvd. , turn right on
Schooner Loop, left on Peg Leg.A/E
Contractor
None listed
Mobile Home 1985 28x48 3 bdrm.
$24,486.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final: ,,�s / kS
Stdp Work:
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION -
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593 /7
Q5
DATE ISSUED
PERMIT NO. �o v
OWNER NAME MAIL ADDRESS� CITY&STATE ZIP PHONE
alU O O iN ,t!rQ0iWi�
DIRECTIONS «.CDA % ax fi_�,�o�l
TO JOB SITE C/
LEGAL (O SEE ATTACHED SHEET)
DESCR. J V G
CONTRACTOR
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
-
USE OF II
BUILDING ob t ! E, O (
Class of work: OEW ❑ ADDITION ❑ AL-TERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
�s �S
Valuation of work: $gL ��� PLAN CHECK FEE PERMIT FEE
.
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT [] NOTICE
BATHROOMS_ :2 TOTAL SO. FT. GARAGE !'
ATTACHED ;_= SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
.
TOTAL SO. FT� ,,,'� FIREPLACE [, IDETACHED L
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 the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the per it is issued and all work done will be in
confo ance therewith. PERMANENT SHORELINES
SEASONAL ! I FLOODPLAIN I 1
Firm
E.D. NO. S.E.P.A. i_'
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 therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS HECK BY APPROVED ISSUANCE
Owner ___ Date . ® eY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS /VI 60 ?CC-7 LG 67 CT PERMIT NO. f a
a v
LEGAL
hQ a
DESCRIPTION -4 LOT plIL? BLK ADDITION Oq u
SITE AREA —Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 0?6Sq.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-
TION A"ID 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. V
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
(00
/ � 8
65
C
I/We certify that the proposed construction will confo to the dimensions and uses shown above and that no nget will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) 14
10117TURE OF OWNER(a RSA HORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS L/NE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTINi