HomeMy WebLinkAboutBLD15391 Basement and BLD15371 Mobile Home - BLD Permit / Conditions - 1/9/1991 - 1
CHRISTIANSEN, David L. #15391
4-16-84
Por of N-1/4 30-23-1 (Basement)
1 mile from Belfair to Sand Hill #15371
Rd. on the Northshore Rd. 1.1 miles 4-11-84
to Belfair Manor, .4 mile from (Mobile Home)
Sandhill Rd.
Mobile Home 1984 28x60 3 bdrm.
$31,080.00
Basement 16x60
$7,680.00
IZ-336 7TOZl30
Shorelines: /siq
Setback: p /<-
Special Conditions:
Footing: j Srq
Setback:
Foundation
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
Final:
Stop Work:
Mobile Home:
Smoke Detector:
Remarks: rn
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/ PLOT PLAN
ADDRESS 1�f 0 .r 1241✓r o7 c 120/75b eVh, ,,S PERMIT NO. 0 88
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A OO
LEGAL
DESCRIPTION LOT BLK ADDITION U
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ,Lle, r 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 ARID 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'
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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.
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NAMES)/OF OWNER(S) OF SITE d STRUCTURE(S) (PRINT) SI NATURE OFOWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PnINTING
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60
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MASON B ILDING INSF cCTOR
CHANGES SUBJECT TO APPROVAL i
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APPROVED
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unpourS SUBJECT TO APPROVAL
Date
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99
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BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
C�r! Pt) DA v1 12. d, 1TaY 6A /.1 WArA -
DIRECTIONS I /,ndie Porn 3e/1Qj��r� ro G�,S.',vrL� iai%.% pia 1>-o.-)ffi ;X
TO JOB SITE /. #7/ C lv &_-leelior /
LEGAL A� / SEE ATTACHED SHEET)
DESCR. �R�r
CONTRACTO 0 /f ,/`�
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
�
USE OF i f
Class of work: IV NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ r , D PLAt4 CHECK PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS_ {DECKS CARPORT [] NOTICE
BATHROOMS_ f TOTAL SO. FT. GARAGE '
ATTACHED L SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT& pp rr4 OR AIR CONDITIONING.
TOTAL SQ. FT FIREPLACE ❑ F66—e ETACHED L
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 FORA PERIOD OF 180 DAYS AT ANYTIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR. OFFICE USE ONLY
Ord i nce requirements regulating the work for which
the permit is issued and all work done will be in
jcoormance therewith. PERMANENT SHORELINESSEASONAL LI FLOODPLAIN I
FirE.D. NO. S.E.P.A. LBy Special Approvals IN OUT YES APPROVED NO
Lic. . 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 BUILDING DEPT. <
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. J MOTOR VEHICLE PERMIT
A ICAT N ACCEPTED BY PLAN CHECK BY APPROVED FOR ISSUANCE
owner '7' �o /�
.�Gttz.D,to. BY
� �" �""�'
/3/*--
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NA E MAIL ADDRESS CITY&PATE ZIP PHONE
r�s 4r► a �o• o 6a I %r ��. �!' S ,2 -6
DIRECTIONS
TO JOB SITE
LEGAL _�/ ^ �� (❑ SEE ATTACHED SHEET)
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR C
USE OF J 1
BUILDING 10-2 TT
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
16 IV x &0
O
Valuation of work: $ 76- AO PL C E < FjE O�/ PERMIT FEE ,/
�s
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT [ NOTICE
BATHROOMS____ TOTAL SQ. FT. GARAGE ;
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT i] OR AIR CONDITIONING.
TOTAL SO. FT. Q FIREPLACE I', DETACHED L;
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 the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT i i SHORELINES
SEASONAL [] FLOODPLAIN I
FirVN ::�:
E.D. NO. S.E.P.A. I ;
By Special Approvals IN OUT YES APPROVED NO
Lic 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 BUILDING DEPT. /3�✓S'
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
PLICATI N ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner __ Date . N e 9 -e 1-- B�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH