HomeMy WebLinkAboutBLD29987 Final Mobile Home - BLD Permit / Conditions - 6/1/1992 Shorelines:
Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final
Mobile Home:
Smoke Detector:%psi
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: #1 - D. FAWVER TYPE: MOBILE HOME
Owner: ROHR, KELLY S. Tel: 275-4980 Date: 02-25-92
Address: NE 220 SCHOONER LOOP RD, BELFAIR
Permit #: 29987 Floors: 1 Sq Ft: 720
Contractor: SELF
Phone:
Legal Description: BEARDS COVE DIV 5 LOT 28
Direction to job site: SANDHILL TO LARSON TAKE LEFT TO
SCHOONER LOOP RD TAKE RIGHT FOLLOW TO ADDRESS
NE 220 SCHOONER LOOP RD
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions: /;r - OW22 -
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED C
75_ PERMIT NO.
NAME MAIL ADDRESS OWNER CITY&STATE ZIP PHONE
- '-� 'St r c r
DIRECTIONS
TO JOB SITE ir, R
14
PARCEL LEGAL j
NUMBER r2 3yjC) 'SZvc<'' DESCR. v C - 2
NAME AIL ADDRESS CITY&STATE 21P PHONE _ - NO.
CONTRACTOR
t ( _ n — C
USE OF
BUILDING Ci CC L-T>A#,A L
lk
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK YWO' j ` LO
�r x /r� C
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE 2) SgFt STORIES SHORELINE Cl CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RE§,ar THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE_�_SgFt ATTACHED 0 DETACHED❑
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
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDIN DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
c7l"
XOWNER DATE _ � XBY_ DATE --- - rC
FOR OFFICE USE O LY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE of-
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING - PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP .PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLIC T ACCEPTED BY PLANS CHECK B , APPRZOFOSUAN PERMIT VALIDATION
C
BY H CK MO TOTAL
DATE
1
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a �
1 �
d o
1
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