HomeMy WebLinkAboutBLD29568 Mobile Cover - BLD Permit / Conditions - 11/18/1991 I a-1-sue- 00►-7 3
Shorelines: Plum mg:
Setback: Mechanical:
Special Interior:
Conditions: Final:
Mobile Home: % `
Smoke Detect( " ' 01,
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: TYPE: MOBILE COVER
Owner: GORMLEY, EILEEN Tel: 426-8119 Date: 11-18-91
Address: E2660 MASON LAKE ROAD, SHELTON
Permit #: 29568 Floors: 0 Sq Ft: 1200
Contractor: SELF
Address:
Legal Description: LAKE LIMERICK DIV 4 LOT 173
Direction to job site: MASON LAKE ROAD 1/2 MI N OF
LIMERICK MINIMART
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions: MAX HEIGHT IS 15 FEET OWNER SIGNED
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. �5
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER � e�w 1 max/0 sb l.�C .D S t DN - l
DIRECTIONS
TO JOB SITE Q L — i6l op Z. Lim& lGk 'h I m4,f-r
PARCEL LEGAL
NUMBER p 3 DESCR.
NAM MAIL DDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTORRIT)k S E. D SL-L- r�80y
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK Pt4T Rooi= Q
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE/aoo SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS .3 PRIMARY RES�4 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS SgFt BATHROOMS 2 SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED❑DETACHED❑
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.
X OWNER DATE D X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION p�
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
I I SHORELINE O d
tl WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
APPLICATION ACCEPTED BY CASH CK MO
PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
BY [I--lq`� I i� W.,
TOT
BUILDING PERMIT PLOT PLAN
MASON COUNTY '
OEPAFTMENT of GENERALSERVICES
F.O. Cc STET TON, W;SriINCiCN Gc—=cC
CCnc-_ '�:o2.i.:�a Try. C,
LGll nl Gorm L6J 9 .2 66 0 M sON LAC A) S1,k&MAi WA ell it
,c _c= s�,_ :MA5oN L L RD tP L. I-Im4ri Ant Mart I
f
�IvLoT l73 a_=C` i
'�
O E?s2manzs an cc;arS.
O 5e;)tiC. drainfield are rasaNa are,ar,ew_r
_ O 5eptic tank and drair'Neld settac`k< is;ar;ces (ran fcanCa?icr,s.
O !_aca?icn of prapasz.� cons:rJCiiar, ar, praper;y.
O 6uildir.y Septic sl s:?r; set�zck ls:cr;ces tram a!( prcparl j (ir�s h easements.
Indicate No�:t O wall and water fine. -
In Circle Sal�.vcter, lakes, rivers, s"rea s wet{<;;CL-, dre!nz-e.
O A%_ach copy of septic system"as hi-"r or septic parr, it'aprrava�
O Im cat: :acos2phy prc5le of praper'y and sti-,xt :re c_n reverse side.
IrAr
I I I I I i l l l III .I �i l I I I I i l I
-
I � • l _►_ - I I I i 1 1 1 I �
I I I I I I I f l I I PI I I I I I I I
I I I ICI I I I I I I I I I I I I
I I I I
I I I I I I I I I I I I I I i l
I I I I I
Illy �kAj T4 6-� 11 4bLPS I F�-LI
I I I 1 1 1 1 1 1 1 I 1 I I I ! I I I I I I ! I ( I I