HomeMy WebLinkAboutBLD0454 Final Mobile Home - BLD Permit / Conditions - 11/25/1986 TYPE MOBILE HOME
Permit No. 0454 No. Floors 1 Sq Ftg 1344
Owner DURST, John Tb1 Date 10-14-86
Address P. 0. Box 344 Belfair Zip
Contractor Sun Mobile Home Sales
Address Shelton Zip
Legal Description Beards Cove Div. 8, Lot 27
Direction to project site NE 71 Captain Hook Dr.
Up Sand Hill to Larson, left to Captain Hook Dr, left,
3rd place on left
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1986 28x48 2 bdrm.
--- ------------- -------
Shorelines: �/ Q Plumbing:
Setback: - Mechanical:
Special Interior:
Conditions: FINAL:,- ,C// s 8
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426 5593
DATE ISSUED
PERMIT NO.
OWNER NAME MAIL RESS CITY ii TATE ZIP PHONE
DIRE I S "
,TO JOB SITE
LEGAL SEi ATTAED$H�ET)
DESCR. ( -O.��v� J (�
NA AIL AD R SS CITY 8,STATE LICENSE NO. PHONE
CONTRACTOR
USE OF V
BUILDING
Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe er
Altv
Q
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT ;i NOTICE
BATHROOMS I TOTAL SO. FT. GARAGE []
ATTACHED ;' SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. Op STORIES BASEMENT C; OR AIR CONDITIONING.
TOTA SO. FT. FIREPLACE L1 DETACHED LJ
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 am aware of the FO F F I C E USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES
t' SEASONAL [ ! FLOODPLAIN 1
Firm E.D. NO. S.E.P.A. 1 i
By Special Approvals IN OUT YES APPROVED NO
Lic. No.— Date ZONING
PLANNING DEPT. 0-4 - '
OWNERS AFFIDAVIT HEALTH DEPT. /0, `n-*- �Q y3 yd
PUBLIC WORKS
I certify that I am exem t from the requirements of the FIRE MARSHAL
c ra ' n w RC .27, and am aware BUILDING DEPT. / Q'
of the Mason u y or nanc requirements for
which this pe it "is s an at all w done will ROAD ACCESS
be in conf m ce re MOTOR VEHICLE PERMIT
Own D e
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS PERMIT NO. o
A D
9 O
O
LEGAL
DESCRIPTION LOT BILK ADDITION u
SITE AREA Z 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 Pl"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'
A
T
G
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.
NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) sIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON PRINTING