HomeMy WebLinkAboutBLD0340 Final Mobile Home - BLD Permit / Conditions - 11/7/1985 TYPE MOBILE HOME
Permit No. 0340 No. Floors Sq Ftg 9:�4
Owner CHAPLER. Mary Tel 275-6907 Date 8-27-85
Address P.O.Box 1296 Belfair Zip
Contractor Harbor Mobile Homes
Address P.O.Box 237 Gorst Zip
Legal Description Beards Cove Div. 4_ Lot 68
Direction to project site No.Shore Rd.to Sand Hill Rd. ,
Larson Blvd. , turn left, follow till 2nd cul-de-sac
after Anchor Dr. on left
Pluabing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1979 14x66 2 bdrm.
Shorelines:
Setback: I'i(
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final: V� 7-
Mobile Home
Smoke Detector:
Remarks Y_ f
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 // •
426-5593 - ' ��
DATE ISSUED —
Y
PERMIT NO.3 L/
OWNER NAME MAIL ADDRESS CITY&STATE ZIP ?HONE
Mary Chapler P.O. Box 1296 Belfair, WA 98528 2 -6 0
DIRECTIONS I Fo}�ow Nor ht Shore Rd. to Sar H}lj Rd., Larson Blvd., Turn left, follow till second
TO JOB SITE Qu r Sac a er ancnor Dr. On e e t.
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Beards Cove Div 4, Lot 68
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR Harbor Mobile Homes, P.O. Box 237 Gorst, WA 98337 HARBOMH167CA 377-4461
USE OF
BUILDING Residential
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
set so mobile hom On site G G
Valuation of work: $ PLAN CHECK FEE PERMIT FEE 2 5�
, 6?L11, LSZa 141X,
SPECIAL CONDITIONS:
BEDROOMS_�T I DECKS CARPORT G NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE iJ
ATTACHED i_ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. FT.924 FIREPLACE ❑ DETACHED 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 permit is issued and all work done will be in
conformance therewith. PERMANENT i� SHORELINES
a r Mobile H e Ltd. SEASONAL [] FLOODPLAIN I
aqr Mobile HFir E.D. NO. S.E.P.A. i 1
By President Special Approvals IN OUT YES APPROVED NO
Li o.
VBOMHt,67CA 8/27/85 ZONING
Date
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
Owner Date .
8/27/85 APPLICATION ACCEPTED BY PL ECK BY ABYPROVED R ISSUANCE
t __ � ANS��
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ,
PLOT PLAN
ADDRESS NE 40 Lanyard Court, Beffair, WA 93528 PERMIT NO. N= o
Beards Cove _ b
LEGAL a
DESCRIPTION Div 4 LOT 68 BLK ADDITION u
SITE AREA —Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 924 Sq. Ft. F CO
INSTRUCTIONS TO APPLICANT a
b �
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 1rl
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION ARID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL (U
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
b a
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' 1. 00
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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.
Mary Chaoler '!!( � �1 t a
NAME— (�OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE 97 OWNER(S) ORIAUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED -
DISTRICT AS NOTED DATE
61E1T11 1flI1TIN3
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