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
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(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