HomeMy WebLinkAboutBLD0678 Mobile Home - BLD Permit / Conditions - 7/12/1988 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: �,�g/�g,/gs--,
Mobile Home:
Smoke Detector:
Remarks: �IY>�Ytci�
Footing: S/ o
Setback: so��i�� ,At� rn
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 0678 No. Floors Sq Ftg 880
Owner LAPINSKI, Anthony Te1275-4686 Date 7-12-88
Address NE 22581 Hwy 3 Belfair Zip
Contractor Fred Horsley
Address Puyallug Zip
Legal Description Div 8, Lot 124
Direction to project site Sand Hill Rd, take left onto
Larson Lk Blvd. , make loop, pass Sabre pin PrtU on rr_
Red flag on tree
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1975 22x40 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 c
427-9670 DATE ISSUED �///� a
�I Hui PERMIT NO. 0 !D ;
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
L d 86
DIRECTIONS
TO JOB SITE
FL P; oiv If
PARCEL LEGAL
N U M B E R/-,'7,� / 1 DESCR. L p j ' /Z Ll j) V 3 bF-.qizd _ G o v E=
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE Q41
CONTRACTOR F - S L Oo - 5(b R 6
USE OF "K �_ IV—rl L
BUILDING
CLASS OF WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE
WORK yJ
1) _-/
BEDROOMS DECKS �' CARPORT jJ h NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT.;L 0 a GARAGE CONDITIONING.
NO.OF STORIES ;_ BASEMENT f 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 SHORELINE
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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XO NER DATE -- XBY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING ( FIRE BUILDING PERMIT X_
D.O.T. BUILDING !/jJ PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP 3 PRE-INSPECTION
)rLLt t lei Teem,,Fr m/Jra •-A ;G 1 r! SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS HECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
{,01;� BY CASH CK MO TOTAL ��
PLOT PLAN
ADDRESS IV C 1 Q R R s 6 ICJ - L K}k),g-RLUi; PERMIT NO. 0 e
� o
LEGAL / A ry
DESCRIPTION LOT .� f�s..� j5 BLK ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq.Ft.
7 S A INSTRUCTIONS TO APPLICANT
3•S� '1 8 /ValeT P
Q IS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ANE
87 . CWJ�PA 1FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
r0R NEW BUILDINGS PRO
4, D .6 S.Sfj"tPPROPOS 0 ONSTRUCTIONVIDE AND EXISTINGTHE MNG PIROV MENTS.SHOW BUILD NGPS TE,INFORMATION IN THE SACEBELOW AND ETBACKTION DIM NF
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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
F- Pi,
tz
Q
r
D
L4
U)
J sk-
1
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
fine obtaining approval.
NAMES) OF OWN R(S) OF SITE a STRU UREIS) IPRINTI SIGNATURE OF OWNERIa) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE