HomeMy WebLinkAboutBLD22368 Final Mobile Home - BLD Permit / Conditions - 9/13/1988 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:e,<Y 13 €S
Mobile Home:
Smoke Detector:
Remarks: Aye, --4t)`4 v
Footing: iyC, 1,? e,gYY
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
ht;
O__ TYPE MOBILE HOME U
Permit No. 22368 No. Floors Sq Ftg ggo
Owner FRISBY, Nittaya Tel275-5401 Date 7-22-88
Address P O Box 173 Belfair Zip
Contractor None
Address Zip
Legal Description Beards Cove Div 6, Lot 16
Direction to project site
ATTACHED
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1970 20x44 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED ��-C-�
PERMIT NO�c�.�_'�
OWNER NA E��� r MAILAD RESS CITY BSTATE ZIP PHONE
AO 4Z
DIRECTIONS 67 c-
TO JOB SITE /Akf� cn/ -(AQS c,.v //< . v C7c P,q5- 5-N lk-'. QP 2 N 0 FlouSf CN L/ /`/1cM 54 o
PARCEL LEGAL L.o t l6 Of B�/ :f Cp✓� NO. 6� 2S rCCbrq�e� /i7
NUMBER J� GY�� DESCR. O /0
NAME MAIL ADDRESS CITY 8 STATE LICENSE ZIP TPHONE CONTRACTOR
USE OF
BUILDING
CLASS OF WORK NEW ADDITION ALTERATION REPAIR OVE ��RMOVEM
DESCRIBED
WORK /'/G'g/ lcr �cr1c� /O c C
� >yS/QNI
BEDROOMS 2 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORI ES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
TOTALSQ.FT. FIREPLACE COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CER IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIS ATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI EMENTS 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
C 'FORM
'A THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
O TA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X TVA
' DATE 7 10 X BY
DATE_
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVEDr
YES No YES NO BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING `,� FIRE
BUILDING PERMITC-
D.O.T. BUILDING ,
i,'�l PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
LICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
r TOTAL
�{ -' BY ` l` CASH CK MO
PLOT PLAN
ADDRESS / /"• / �A/2SoN '✓/(�/, JZIL,411Z PERMIT NO.
O % /b s c
0
LEGAL D�'v
DESCRIPTION LOT BLK ADDITION u
SITE AREA / Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS D Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"a20' 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 SQUARES ARE 5' X 5' OR 1"=20'
R)
TZ
�1 A 0,1
Q
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.
r �
za
NAME(S) Oir OWNER(S) OF 317E a STRUCTUREIe) (PRINT) 16NA TORE OF OWNERIS) OR AUTHO )ZED REPFMSENTATIVL
DO NOT WRITE IELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
1