HomeMy WebLinkAboutBLD27538 Mobile Home - BLD Permit / Conditions - 2/21/1991 CUI-end-From 5-ai-qI +0 7I-91-41
Shorelines: Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL:
Mobile
Smoke Detector: , Iz�t��s%�-g!
Remarks:�� ��,'"7-
Footing:
Setback:
Foundation
Walls: y
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 27538 No. Floors 1 Sq Ftg 784
Owner RIEDLE, MARY K. Tel 275-6122 Date 2-21-91
Address PO Box 374 Belfair Zip
Contractor Charlles Home Center
Address Zip
Legal Description Tr 14 30-23-1
Direction to project site _L on Nn_ ShorP R(j frnm Relfair
R on Sandhill Rd qo aonrox 1 mi o Belfair Manor Rd nn
L 1st L Dast Sandhlll school
F.Um ing clianical Sewer Wood Stove
Fireplace Deck Garage -Tarport
Basement Loft Other
fZ-S3D --7� - 0D(L/(�
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED - l
- - / 56 = G PERMIT NO. �[ U
OWNER N/t �� MAILADpaSS X CITY rBSTATI� ZIP��r �FI NE
{� �,�J
DIRECTIONS '(l/� [► h 7 J
TO JOB SITE At gg7e d CO.14 t S b
a MLA 3MP
rax / i E LF*�`� *,*o-e /S t -sh#0 µ, da
PARCEL LEGAL
NUMBER DESCR.L., 1
/4C O F
�ul"V�
NAME- gm O 1 L.E MAIL/� �ADDRESS CITY STyzE LICENSE NO. ZIP PHONE O
CONTRACTOR L r yt FEQ �1 �� �h.C N e �7 v ' y 'O.Z =�6 A hoe
USE l�F al e BUILDING �O
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK All
DESCRIBE
WORK
BEDROOMS ct --DECKS ::::PFL CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.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 SAYS, 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.
PERMANEM¢T SHORELINE
OWL
DAVIT CONTRACTORS AFFIDAVIT
I CE AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRA S I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REG RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDI N WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WI L WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT RS ONFORMANCE THEREWITH.NQ.CHA�GES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTVAL FROM THE BUILDING DEPARTMENT. A�ROV�F Fi��UILREPSXO 66ATE
F R OFFICE US
DEPARTMENT YESPPROVE NO DEPARTMENT YES APPROVENO BUILDING VALUATION 7-D V
HEALTH ' PUBLIC WORKS FEE
PLANNING l�, FIRE BUILDING PERMIT
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 AP ME OR ISSUANCE PERMIT VALIDATION y
�� BY CASH CK MO TOTAL //
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS• CITY&STATE rQ ZIP PHONE
OWNER !� D�% �F GVII , 9`�05�7� �2?•'�'�!�
DIRECTIONS
TO JOB SITE
PARCEL f aZ3 0-7 -001 LEG lie
NUMBER % DESCR. O(Itiviyu. �D !li �J iM
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
A( O Location of proposed construction on property.
�V O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams,wetlands, drainage.
In Circle O Attach copy of septic system"as built' or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
LI Pry P er L;LO
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N
All
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Fro,
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4-V •veal
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 obtaininipproval.
SIGNATURE OWNER(S)OR AU ORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE