HomeMy WebLinkAboutBLD0370 Final Mobile Home - BLD Permit / Conditions - 1/16/1986 TYPE MOBILE HOME
Permit No. 0370 No. Floors Sq Ftg 1097
Owner OLSON, Jeffrey Tel 275-5487 Date 11-12-85
Address Box 511 Allyn Zip
Contractor None
Address Zip
Legal Description Beard's Cove Div. 6, Lot 52
Direction to project site Larson Blvd. & Capt. Hook Dr.
Driveway on left up hill
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1984 14x56 2 bdrm.
Shorelines:
Setback
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final: /G 8
Mobile Home:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 —�
DATE ISSUED � �1
PERMIT NO.
OWNER NAME MAIL A��}}DRESS CITY 8 STATE ZIP PHONE
DIRECTIONS 1
ff
TO JOB SITE s �` �d e-
LEGAL JJ �t (❑ SEE ATTACHED SH T)
DESCR.�d�S a �� .//'.'1S C D�� D d,
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING It '
Class of work: EW ❑ ADJITION ❑ ALTERATION ❑ REPAIR OVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT F E
C� 01�
SPECIAL CONDITIONS:
BEDROOMS DECKS ,CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ElOR AIR CONDITIONING.
TOTAL SQ. FT/f_27 FIREPLACE ❑ 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 am aware of the FOR OFFICE USE ONLY
ordinance requirementsthe regulating the work for which
the permitis issued and all work done will be in
conforms {e therewith. PERMANENT ❑ SHORELINES I l
SEASONAL ElFLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By S Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS OECK BY APPROVED OR SUANCE
Owner Date e
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. °s o
i a
n >
a o
LEGAL
DESCRIPTION LOT BLK ADDITION u
SITE AREA it 4/100 3q. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 7�'j Sq.Ft.
If
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 A-ID 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.
/r INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE X F OR 1"=20'
r
a
ti
F I
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.
NAME(S) O OWNER(S) OF ITE 6 ST CTUR S) (PRINT) SIGNATUyrE O W RIS R AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THl LIN
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING