HomeMy WebLinkAboutBLD22314 Mobile Home - BLD Permit / Conditions - 7/12/1988 �a a
Ll a
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 22314 No. Floors Sq Ftg 1568
Owner HARDING, Hazle D Tel 426-7907 Date 7-12-88
Address P O Box 484 Shelton zip
Contractor None
Address zip
Legal Description Lake Limerick Div 4, Lot 148
Direction to project site ATTACHED
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1988 28x56 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO. C2 iX
OWNER NA AILADDRESS.. CITY&STAT ZIP PHONE
DIRECTIONS
TO JOB SITEjL
LEGAL f-ff A-' - .L1�,✓, y - 3cc ��.Q iiyS Tl p .v t y -
NAME p MAILADDRE CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF L/ /
BUILDING WC L- - S t C!E/titL
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
WORK DESCRIBE d d//U
BEDROOMS nZ DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS 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 ANYTIME AFTER WORK IS COMMENCED.
PERMANENT '� SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
CERTIFY
LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREM TS 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 CONFO MAN THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININ APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
OW E TE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION �-
JfYJE S NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING C(� FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS fiUILDINGGROUP PRE-INSPECTION
s-c- fa/yv SHORELINE
�p d l c�rCr/► �vr1 �l 0?'�'1 PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE !
STATESURCHARGE
APPLICATION ACCEPTED BY PLA CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
�� BY ` CASH CK MO TOTAL /��, u�
PLOT PLAN
SS PERMIT NO. ✓1Q� 3�L/ o
4 0
= o
n >
L a o
x
RIPTION LOT BLK ADDITION u
E 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, STRUET 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'
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I/We certify that the proposed construction will conform to the dimension and uses shown above and that no changes will be made without
first obtaining approval.
NAMEM OF OWNER(3) OF SITE 6 STRUCTUREM IPRINTI SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE