HomeMy WebLinkAboutBLD19275 Cancelled Mobile Home - BLD Permit / Conditions - 9/8/1986 TYPE MOBILE HOME
Permit No. 19275 No. Floors 1 Sq Ftg 672
Owner MONSON, JoAnn D. Tel 884-4584 Date 9-8-86
Address 13702 142nd Gig Harbor Zip
Contractor None
Address Zip
Legal Description Beard's Cove Div. 6 Lot 12
Direction to project site No Shore Rd. , turn rt. on Sand
Hill, left on Larson Blvd 6 lots past Larson Lk Rd
oil left side, MAP ATTACHED
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck arage import
Basement —loft Other
1968 12x56 2 bdrm.
Shorelines: �lnbig2:
etb4c�C: ec ani
pecia Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detec
Remarks:
Footing
Setback:
Foundation
Walls:
Framing:
Fireplace: If
Wood Stove:
_r_— By ------+•.
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED q X��y��
PERMIT NO. Z�l /,5)
NAM MAILADDRESS CITY&STATE ZIP PHONE
OWNER r,
DIRECTIONS
TO JOB SITE �/'�,v) �IU
04z' L � <�.L�2 (v '►�'] / -CZQ �,G� ' �`C�' try
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LEGAL
DESCR. 4ei /:ct S' ddu-t A a 6 �.
CONTRACTOR NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION R MOVE REMOVE
WORK ✓
DESCRIBE _ / `
WORK 1 A 's , e cY /� +' . I-e
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
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT � SHORELINE
SEASONAL
OWNERS FIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT ON LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 CONF RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINI G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X EA TE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVE NO DEPARTMENT YEAPPROVEDIO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
G 1 /I SHORELINE
/ PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY &APPROVEDoFIOR ISSUANCE [CASH
RMIT VALIDATION
TOTAL �`� J�'
CK MO
PLOT PLAN
ADDRESS PERMIT NO. 4
0
LEGAL
DESCRIPTION LOT BLK ADDITION
SITE AREA �Z Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT Z
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 DR INAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION Al"D SEWER SERVICE ELEVATION. SHOW L ATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PIN PECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
c
INDICAT ORTH IN CIRCL GRAPH SQUARES ARE 5' X 5' OR 1"=20'
U
f`
Al I 1 11
IA tv, /_\ V I I I I
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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.
NAM VS) OF OWNER(S1 OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING