HomeMy WebLinkAboutBLD19635 Final Mobile Home - BLD Permit / Conditions - 8/18/1988 TYPE ' MOBTLE' HOME' " '
Permit No: 19635 No. Floors 1 Sq Ftg 720
Owner LAPINSKI, Anthony Tel 275-4686 Date 12-4-86
Address NE 22581 Hwy 3 Belfair Zip
Contractor Norman Bunko
Address Shelton Zip
Legal Dels-cription Beards Cove Div. 6. Lot 51
Direction to project site Beards Cove, Sandhill , Larson
Blvd to Capt Hook Rd of on corner
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1971 12x60 2 bdrm ED: WHEN FINAL INSPECTION IS
MADE, PLEASE LET JAN KNOW-SO SHE WILL KNOW WHEN THEY
HOOKED UP. THANKS
Shorelines: Plumbing:
Setback: Mechanic
Special Interior:
Conditions: FINAL: c KY lIg �,5� fi
Mobile-To-me:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove::
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO.
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
JArtiYatuvA - S- L ,?s P - .2 7S,y6
DIRECTIONS
TO JOB SITE - Q _ S A ro _ L - - ,6 T No C
-
LEGAL
DESCR. L J S/ C 6
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR /64 SSE L Tp
USE OF
BUILDING Q REPAIR
WORK
OF W NEW ADDITION ALTERATION MOVE REMOVE
WORK
DESCRIBE
WORK oL, o [,
BEDROOMS 2 DECKS Al CARPORT klo NOTICE
�,/ A SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. GARAGE /� CONDITIONING.
NO.OF STORIES BASEMENT /y 0 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. U-421-92 FIREPLACES DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT E S SHORELINE
SEASONAL /V n
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CER FY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OB INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER ATE /- 6 X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO QCJ
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT a
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP '3 PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR IS NCE PERMIT VALIDATION
BY�'�7 CASH CK MO TOTAL 3, X,5
I
PLOT PLAN
ADDRESS r'L _ 112f3S T" CC) U 'e / PERMIT NO.
0
= o
n >
LEGAL U DESCRIPTION LOT BLK ADDITION
SITE AREA 0 O)( / L'_ Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS
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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
1 i
�a
�O
<a.
j
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) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE