HomeMy WebLinkAboutBLD20128 Final Mobile Home - BLD Permit / Conditions - 5/12/1987 Shorelines: I-v/,Q Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL: �f,�' �� ,
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
1
Permit No. 20128 No. Floors 1 Sq Ftg 924
Owner BRANON, David Tel 275-5965 Date 47-20-87
Address NE 3150 Hwy 300 #40 Belfair Zip
Contractor Better Homes Const
Address P 0 Box 345 Pt Orchard Zip
Legal Description Beards Cove Div 5, Lot 46
Direction to project site Sand Hill Rd. Left on Larson
Lk Rd. Right on Schooner Loop
PlLwbing Mbchanical Seer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1983 14x66 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED/`, /��
PERMIT NO.aC
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER �h #yam
DIRECTIONS
TO JOB SITE �S - cyn L , (� ' - Sehgar er
PARCEL LEGAL ^^��
NUMBER / ' ) Sa7 b(xj DESCR. �-f (p D/ 5 V'_
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR �.
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE- REMOVE
WORK
DESCRIBE
WORK / cwf_'re Ae r S ,
l I?y'l 114Y&6L �
BEDROOMS DECKS - rX:' CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGES 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
TOTAL SQ.FT. .1 7 FIREPLACE f DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT f SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
r
I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATI LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREME TS 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 CONFO MANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APP VAL FROM THE BUILDING DEPARTMENT.
X WN R DATE X BY DATE
FOR OFF E ONLY
APPROVED APPROVED
DEPARTMENT YES No DEPARTMENT YES No BUILDING VALUATION / � �✓
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP � PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE ,
APPLICATION ACCEPTED BY PLAN7CH "Y APPROVED FOR ISS,ANCE [PEMIT VALIDATION�c_.��/ BY r SH CK MO TOTAL
1
PLOT PLAN
ADDRESS PERMIT NO. o
y o
z •
n >
a o
LEGAL _ /+
DESCRIPTION LOT �j�(` BLK ADDITION 0 I &/;
SITE AREA 7 ° �05 Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 7 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.
INDICATE NORTH IN CIRCLE GRAPH-S0UAAES—AfiE5_.X_ 5' OR 1'�0'
i
`V
1
�S
1/We certify that the proposed construction will conform to the dimansimu and uses shown above and that no changes will be made without
first obtaining approval.
NAMES) OF OWNER(S) OF SITE • STRUCTURE(S) (PRINT) NATURIE OF OWNER(!) OR AUT ORIZED E3EN TA TIVE
DO NOT WRITE LOW THIS LINE
APPROVED
31STRICT AS NOTED DATE