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HomeMy WebLinkAboutBLD23238 Final Mobile Home - BLD Permit / Conditions - 3/7/1989 Shorelines: A4 Plumbing: Setback: Mechanics - Special Interior: Conditions: FINAL:o,r� p fi Mobile Home: Smoke Detector: Remarks: emarks: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 23238 No. Floors Sq Ftg 864 Owner ERSKII John D Tel 885-0956 Date 1-18-89 Address t Redmond Zip Contractor None Address Zip Legal Description Beards Cove Div 4, Lot 38 Direction to project site I Larson Blvd Be fair Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 1974 2436 2 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED /� /��✓ D� PERMIT NO. 3Q NAME MAILADDRESS-/ CITY&STATE ZIP PHONE OWNER �'O / cf a( D v '?0'5 'i r DIRECTIONS TO JOB SITE ' upuso PARCEL-X ny�� LEGAL NUMBER v[J� 5;2 l')CC DESCR. CONTRACTOR NAME MAIL ADDRESS CITY&STATE LIC NSE NO. ZIP PHONE USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK '"` r Z,ic 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 TOTALSQ.FT. 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 REQUIRE ENTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIN G APPROVA ROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X O E cC"�' DATE � �'�ts X BY DATE FOR OFFICE USE ONLY DEPARTMENT .;R APPROVED YES NO DEPARTMENT APPROVED YES NO BUILDING VALUATION HEALTH rJ j �_ a c PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP — PRE-INSPECTION SHORELINE 7 WOODSTOVE Yn L- PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISS`�NCE PERMIT VALIDATION IB�"��� ��/` ���� CASH CK MO TOTAL � '�� J6 K3 1�. - 1'eR(?si I PLOT PLAN /Poo k)< ADDRESS �� (U JY �L �p2, PERMIT NO. f n s s o LEGAL DESCRIPTION LOT L ' C,l1L�=— BILK ADDITION �u SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. 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 13UILDING 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 AND 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. Oa 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' Al II y � C } - (fir n Vr \y � 7 1 1/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. NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE U PLOT PLAN PERMIT NO. o s o 0 ON� LOT BLK ADDITION A Sq. Ft, AREA OF SITE OCCUPIED BY BUILDINGS Sq. 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 AND 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. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' IAJv i l I/We certify that the proposed construction will conform to the dlmensicns and uses shown above and that no changes will be made without first obtaining approval. r NAME(S) OF OWNER(3) OF S1TE S STRUCTUREIS) (PRINT) ATURE F OWNER(] O UTHORIZED REP E]ENTATIVE DO NOT WRITE BEL THIS LINE APPROVED DISTRICT AS NOTED DATE /, MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex 2 N. Fourth & W. Cedar P.O. Box 186 Shelton, Washington 98584 (206) 426-5593 building environmental health maintenance parks&recreation planning sewer&water John Erskine 18100 NE 95th #47 Redmond, Wash. 98052 Re: Mobile Home Permit Dear Mr. Erskine: Some time ago you made application through this office to obtain a building permit. Please be advised the permit is ready to be issued and can be called for at this time. If you are unable to call in person, a check in the amount of $ 28.75 can be sent to us and we will return your permit by mail. This permit becomes null and void if not called for within 180 days of the date of application. We hope to hear from you soon. Sincerely, Evelyn Fuller Receptionist