HomeMy WebLinkAboutBLD25014 Mobile Home - BLD Permit / Conditions - 1/11/1990 1a331�" -C93D10
Shorelines: Plunbing:
Setback: Mechanica
Special Interior:
Conditions: FINAL:
Mobile ome:
Smoke Detector:
Remarks:
Footing: , 72 7,2
Setback:
Foundation
Walls:
Framing: v rt
Fireplace: �I01D By � -
Wood Stove: _
TYPE - -MOB rLE WME`
Permit No. 25014 Ft 1248
Owner BOAD Ci�arl �e D Floors
Dage 1 -11 -90
Address %Reid Real tV P 0 Box 307 Bel fai r Zip
Contractor Mobile Home Specialists
Address P 0 Box 2288 Silverdale Zip
Legal Description Beards Cove Div 8 Lot 10
Direction to project site Northshore Rd right on Larson
Lk Rd left on Larson Blvd to lot on right.
tm ing ec anica ewer tove
Fireplace Deck a arport
Basement ,oft Otheerr
1984 26x48 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED Z
PERMIT NO.t=/L5ZV-//
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER i �S-
DIRECTIONS MAP q�s2�
TO JOB SITE -�
PARCEL LEGAL ' / n
NUMBER 233 15 1 000 1 DESCR. L' i DI V U E�(ZD-S
NAME MAILADDRESS CITY&STATE ICENSENO. ZIP PHONE
CONTRACTOR �& LE _ �� �1sr� INC. Ro. gO�p MoeILNsIIIPW 3 7-531:.
USE OF ]
BUILDING j )E�j 1� l—
CLASSOF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ A n
DESCRIBE
WORK a5tz7T up
BEDROOMS 3 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 2- TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT X SHORELINE
SEASONAL
OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI MENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
WNER DATE 1� - �� XBY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENT
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. w BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP -`� PRE-INSPECTION
�c r 1( j .�- SHORELINE
�- CL uk,-, aC WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE �F'Q
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY AP�,ROVED F ISSUANCE PERMIT VALIDATION
- I c'--'I BY CASH CK MO TOTAL
1
PLOT PLAN
ADDRESS I---/-\R_Sc) �J —:6 L--V D PERMIT NO. 0 10
A 1
s o
a
LEGAL
DESCRIPTION LOT I D -etiF ADDITION EA12D S CoIE N
SITE AREA I SD 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 GRAPH SQUARES ARE 5' X 5' OR 1"=20'
2 �
X To-
I/We certify that the proposed construction will conform to the dlmansidhs and uses shown above and that no changes will be made without
first obtaining approval.
NAME(SI OF OWNER(S) OF SITE ! STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE