HomeMy WebLinkAboutBLD0011 Cancelled Mobile Home - BLD Permit / Conditions - 1/9/1991r -
Sh�w, Micha&'. A. #0011
377-6363, Bremerton 4/5/83
Section 4, Beard's Cove, Lot 88, 30-23-1
Sand Hill Road, left on Larson Lake Road, right on
Schooner Loop Road, lot 3rd on right.
Mobile Home Contractor:
28'x661 , 1983 Hunt Mobile Homes
$33,264.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks:
PERMIT
0ATE L 9 'Q-8Y l
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584 /
426.5593 yes
DATE ISSUED ///
PERMIT NO. d 0 //
OWNER NAME CITY 8 STATE ZIP PHONE
M' A Temp. -6 t5
DIRECTIONS
TO JOB SITE
LEGAL (❑ SEE ATTACHED SHEET)
DESCR. Sect. 4 Lot 88 - Sect. 30 Township23 No. Range 1
NAME L�DRES� CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING
Class of work: NEW ❑ ADD N ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ v d PLAN CHECK FEE PERMIT FEE-,_e)
553 ?6 ��-
SPECIAL CONDITIONS:
BEDROOMS I DECKS — CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
ATTACHED Ll SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES��// BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT./25 4 FIREPLACE I ; 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 FLOODPLAIN L
Firm E.D. NO. S.E.P.A. Cl
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. 3-;tA Idle
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. _r
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewi MOTOR VEHICLE PERMIT
J� APPLICATION ACCEPTED BY PL S EC BY APPROVED FOR ISSUANCE
Owner I -. � �+Date 3� BY
PLV CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SITE NO.
MASON COUNTY HEALTH DEPARTMENT` ' FOR DEPARTMENT USE ONLY
ENVIRONMENTAL HEALTH SECTION DATE BASIS FOR FEE AMOUNT RECEIPT
428 WEST BIRCH STREET • SHELTON, WA. 98584 NUMBER
PHONE (206) 426-5561
APPLICANT SIGNATURE
ADDRESS PHONE NOT
SITE: ❑ APPROVED ❑ APPROVED
PROPERTY OWNER
BY:
ADDRESS PHONE
DESIGNED SYSTEM REQUIRED
SEWAGE SEWAGE NOT
CONTRACTOR DESIGNER SEWAGE: ❑ APPROVED ❑ APPROVED
LEGAL DESCRIPTION
BY:
SOIL TYPE _
TYPE OF NO. OF LOT
BUILDING BEDROOMS - SIZE X DEPTH TO WATER TABLE PERC. RATE
'SINGLE RESIDENCE ❑ PUBLIC WATER
WATER SYSTEM SYSTEM ❑ NAME SEPTIC TANKS GAL. PUMP REQ.
COMMERCIAL ONLY
LIQUID WASTE G.P.D. DISTRIBUTION TILE TOTAL FEET
DIRECTIONS TO SITE: FILTRATION AREA,---- SQ. FEET
QUANTITY OF
APPROVED STONE CU. YD. SAND-CU. YD.
FILL REQUIRED CU. YDS.
FINAL INSPECTION REQUIRED BEFORE BACKFILLING
DEPTH OF
BACKFILL
2"STRAW OR PAPER
STONE
OVER TILE
PIPE SIZE
STONE
SITE PLAN AND SPECIAL STIPULATIONS UNDER TILE
(INDICATE DIRECTION OF DRAINAGE) CROSS SECTION OF TRENCH
COMMENTS:
THIS SITE PERMIT EXPIRES