HomeMy WebLinkAboutBLD22933 Final Mobile Home - BLD Permit / Conditions - 11/3/1988 Shorelines: /U 4 Plumbing:
Setback: Mechanical'.
Special Interior:
Conditions: FINAL:_ee// /3
Mobile Home:
Smoke Detector:
Footing: Remarks
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 22933 No. Floors Sq Ftg 720
Owner . COLLIER, Kathy M Tel 674- 2902Date 10-21-88
Address 3800 Sunnyslope Rd SW Pt Orchard Zip
Contractor Don & Ron Choate
Address Zip
Legal Description Beards Cove Div 7, Lot 15
Direction to project site Beards Cove, 1st left on
Pirates Den to lst right er-e L�
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1966 12x60 2 bdrm
• BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED/�12�/-C:IZ
rL �31p PERMIT NO.c 75
NAM I H 0 MAI ADDRESS CITY&STATE ZIP PHONE
OWNER ' �} ID ,2
L
DIRECTIONS
TO JOB SITE ("dt \) ' I i - c rt
PARCEL LEGAL , L
NUMBER I ' 3 CYST DESCR. k 't' )S
NAME MAILADDRESS CITY&STATE I LICENSE NO. ZIP PHONE
CONTRACTOR �l V At p F . g•, -��
USE OF
BUILDING Q �Q
CLASS OF NEW / ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK
vz�501'1& WQZ22� 1966 / X 6 �
BEDROOMS 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
�-�,_^ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
]_LC�
TOTAL SO.FT. _ , FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE ZWA
SEASONAL
OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH,NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA ING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X NER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
SPPROVENo DEPARTMENT YES No
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT S )
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY /Q - CASH CK MO TOTAL
PLOT PLAN
ADDRESS PERMIT NO. � o
= o
LEGAL
DESCRIPTION LOT BLK ADDITION- r3 SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS l �,}� �d/ Sq. Ft.
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.
5 �'N INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' 0 1"=20'
ti
I 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.
Ka, L 4(1,
NAME(S) OF OWN SI OF SITE a STRUCTURES) (PRINT) IGNATURE OF OWNER O AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE