HomeMy WebLinkAboutBLD22772 Final Mobile Home and Deck - BLD Permit / Conditions - 11/17/1988 Shorelines: N y Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: Q,(�i/
Mobile Home:
Smoke Detector:
Remarks:
Footing:IeA
S e t b ac k:e/,--- /a 23
Foundation
Walls:/,/C
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME & DECK
• ' � Deck 768
Permit No. 22775 No. Floors Sq Ftg 1456
Owner PRICHARD, Calvin Tel 842-2543 Date 9-23-88
Address P 0 Box 4656 Rolling Bay,Wn Zip
Contractor None
Address Zip
Legal Description tiE NW,SW 30-23-1
Direction to project site Take Northshore Rd .9 mi. to
Sand Hill, Go 1�3 miles to Belfair Manor Dr. on left.
r.n _F, mi _ to NE 601 S _1 fai r Manor, on left_
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck 768 Garage Carport
Basement Loft Other
1988 28x52 3 bdrm
��`�o- BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 _
426-5593 DATE ISSUED
RMIT NO.
OWNER NAME MAILADDRESS CIT(&ST E 70 v w- PHONE
DIRECTIONS Or- uee- mo /e 1,3 In des M t5effek Ir
TO JOB SITE LEGAL
7�
/ I ��s y396
D SCR. /VE Il'-f �11,c-) '/4 5w '<4 �i on 30 c wns4,' 3 IV l W W
NAME M ILADDRESS CITY&STATE LICENSE NO. ZIP u PHONE
CONTRACTOR npn,¢_
USE OF ,n, ''/r
BUILDING 6 Or''I �h I' Obi ,-- kDrnje—
CLASS OF NEW � ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ 'i-
WORK DESCRIBE mova- on 3bc'rM m*6rI.Q. kDrrw— bLcl*td .3 Clt - c-A-rpo e4 w a ►kc-A d .SY�&p
-VX6"�
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BEDROOMS--!?-- DECKS ✓ CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. / O GARAGE YL O CONDITIONING.
NO.OF STORIES BASEMENT 110 ATTACHED JC- 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. I-Iv r FIREPLACES DETACHED ✓ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT ��� SHORELINE )10
SEASONAL_
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X WN ,f—z" DATE �� X BY DATE
FOR OFFICE USE ONLY
DE MENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING /1`v FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK ,d5
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
\TION ACCEPTED BY PLJA S H CK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY i CASH CK MO TOTAL 160, aQ
THESE PLATS MU SIT BE
ON THE JOB SIT"
FOR INSPECTION.Ci
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PLOT PLAN
ADDRESS ,PERMIT NO. 4 0
Of Slcr✓e`� UO/, �31 �� /y9 U-r^�I # %��33c� '75 00,4/0
o
LEGAL N�44 v '1) I�`� $i.�`/y Srz�+zon 3oI �jownsk a31y ;8a, e. /w� Gc�M u
DESCRIPTION LOT BLK r ADDIT N
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN.
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE lqe GRAPH SQUARES ARE 5' X 5' OR 1"=20'
Id
Z
I'
Uo
1/We certify t t the p posed construction will conform to the dlmensidns and uses shown above and that no changes will be made without
F
ining a roval.
NAME($) OF OWNER(S) OFSITE ! STRUCTURE(S) (PRINT) I IGN R OF WN R(SI OR AUTHORIZED R P ESENTATIVE
DO NOT WRITE BELOW / LINE
APPROVED
DISTRICT AS NOTED DATE
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