HomeMy WebLinkAboutBLD15213 Final Mobile Home - BLD Permit / Conditions - 5/10/1984 SELF, Johnie R. #15213
2-23-=84
Beard's Cove Div. 4, Lot 45
7420 St. Hwy. 3 SW Sp.28
Port Orchard, Wn. 98366 674-2656
Map attached (NE 481 Schooner Loop, Belfair)
Contractor
Happy Homes
Tacoma
Mobile Home
$22,792.00
Shorelines:
Setback:
Special Conditions:
Footing: _
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Ro of
Exterior :
Interior:
FirLal: ek s/G
Stop Work:
Mobile Home:
Smoke Detector :
Remarks:
BUILDING PERMIT APPLICATION .
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED S� � _
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
v '" 3� ''�
DIRECTIONS / - L QRc,l �i� 04 1�(>
TO JOB SITE1 in �
r .�. ' jTT .5��� / 1�/ C l�4 Ila/0- �O rnn
LEGAL , 7 ( SEE ATTACHED SHEET)
DESCR. nt J j i's `(HIV S
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO, PHONE
CONTRACTOR
7
USE OF ! /
BUILDING / �✓�/ /r� 7`//�!�/77
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
Describe work:
Will fn6�,
Valuation of work: $ _^ 7C �O PLAN CHECK FEE PERMIT FEE 7/
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT>f NOTICE
BATHROOMS [TOTAL SQ. FTj23a GARAGE [ '
ATTACHE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES_ BASEMENT L � OR AIR CONDITIONING.
TOTAL SO. FT: FIREPLACE DETACHED
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 permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES}�
SEASONAL I I FLOODPLAIN I
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in c forman herewit MOTOR VEHICLE PERMIT
/�_ �j r/ �/ APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
oC �C CJ O BY
Owne Date . `,` I1���/
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
')
SITE INSPF,CTION CHUCK LIST NO
Check every acceptable feature. Leave every questionable or unacceptable
feature blank. Ex ever Explain blank in the space for remarks.
y
Item Applicable Regulations
1. Soil in holes-describe layers &depth Art. VI Sec. 3.5 (a) VII 3.3, 3.7, 10.2
,✓2. Existing sewage systems
✓' 3. Existing structures - check use VI 3.5 VII 4.1, 4.2
IM/,4. Existing wells - check construction VI 2.1 (b) VII 4.1
5. Presence of fill VI 1.8 VII 3.6
176. Has soil been removed VI 2.1 (c), 2.4, 3.5(f) VII4.1
It
V 77. Salt wLter If
_L,_8. Lake
G
' 9. Fiver
--7'10. Creek �
�11. Stream
n
12. Pond
13. Swamp �
✓14. 'disc. Surface vater
VI 3.5 (f) VII 4.1
15. Property
�(. Banks or cuts VI 3.5 VII 4.1, 3.7
17. Distance to public sewer VI 3.5 (g), 9.2, 10.2, 10.3 &
10.4
j8. 1-later table - Record depth VI 3.5 (d) VII 1.4
19, Slopes VI 3.5 (e) VII 3.7,4.1
-7~20. Driveways and roads VII 4.2
721. Drainage patterns VI 3.5 (e) VII 4 A
-722. Interceptor drains VII 3.8
y 23. Culverts
24. Water lines VII 2.4- �.1 1
T25. Flood control zones _ VII- 4.4.
- -
✓ 26. Roof drains----
VII 3.2
1 . 27. Vegetation-:: VII 3.2
-- _ RRIAMS
n
7-
DATE