HomeMy WebLinkAboutBLD11123 Final Mobile Home - BLD Permit / Conditions - 3/12/1983 BEWON, ERnest ( #11123
St. Rt. 2, Box 112, Belfair ®�'111� J , 07-30-81
on //CC
1.3 miles up Sand Hill Rd. , left 0.2 miles/dirt rd. )N�
(North Shore) , access road is on right, turn down it
and go to clearing.
30-23-1, Tract 10 of Survey 2/149
a
Mobile Home Contractor - Self
$6,875.00
/-,�,,..�/ d'�3�/�SFr 3
,�
� gjipN Jahn V. Butler ENMfiUNMENtAtWE/►IMSEciqm
county HOC*Oaca 303 - 4 th No.
IIQII I K'. 9 / 6-5-81 9"bm, od* n 9""
Mx: Richard R. Meek
St. Rt. 2, Box 225
Belfair, WA 98528
Re: Site No. 12253
The above ,referenced lot was inspected on 6-4-81
Tb* inspection revealed that the.folloaing faatures of your
lot do not 'Net the minim= requirements set tbrth in; the
Mason County Health Department Code:
Found sandy silty loam to 36 inches, tight mottled sand
and silt to 48 inches.
The Sanitary Code provides for special systems to be designed
fw sites which cannot norully meet minimum requireeents.
If you choose to submit a special design, please have an
amOnw or certified designer complete the enclosed foe OW
01'"tw% than for our review. i
sincerely.
John V. Butler, M.D.
Mason county Health Officer
Ray Collins
Environmental Health Specialist
Noclosures
RLC:es
BUILDING PERMIT APPLICATION
MASON COUNTY r �cls/ a-
P.O. Box 186 Shelton, Washington 98584
426-5593 •, ._�0.—�/�
DATE ISSUED /PERMIT NO. 111-93
OWNER NAME MAIL ADDRESS CITY 8 STATE 1 ' ZIP PHONE
�f d.� ) W B ? 1 �6 2z
DIRECTIONS ) (7
TO JOB SITE /•3 Pn I�! 1
(❑ SEE ATTACHED SHEET)
LEGAL ``��
D ESCR _► axzu Jl &W eI2- 3 o v�-3" l
NAME MAIL ADDRESS CITY d STA LICEN ENO. P ONE
CONTRACTOR CeApp
USE OF v
BUILDING AM
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR MOVE ❑ REMOVE
Describe work: h&m
to '"� 1�7"3
4!*Kv 10/y.-
Valuation of work: $ AN CHECK FEE k1 le— PERMIT
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS___ TOTAL SO. FT._ GARAGE Ll
ATTACHED lJ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [ OR AIR CONDITIONING.
TOTAL SO. FT.-da FIREPLACE fI DETACHED Ll
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 am aware of the F p R OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINE
SEASONAL ❑ FLOODPLAIN L] _
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT. - a
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.
hich this permit is issued and that all work done will ROAD ACCESS
ibe in c for a therewith. VEHICLE PERMIT
Own r " Date . V^� PPLIC 10 AC TED BY PLANS CHECK BY ABVPRO D Is U CE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M . CASH
PLOT PLAN
ADDRESS PERMIT NO. o
= o
n >
a v
v
LEGAL a
n
DESCRIPTION LOT BILK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS 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 A"'D 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'
i
I
it 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.
NAMEW OF OWNER(S) OF SITE S STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
ICI GHELTON PRI117IN3