HomeMy WebLinkAboutBLD0157 Mobile Home - BLD Permit / Conditions - 8/22/1989 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL: -i
Mobile Hcme:
Smoke Detector:
Remarks:
noting: et--7« <
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TypE MOBILE HOME
Permit No. 0157 No. Floors Sq Ftg 840
Owner GELTZ, W1 iam C Tel Date R-22-s9
Address P 0 Box 114 Belfair Zip
Contractor Bu Rite Homes
Address LIP
Legal Descriptio Div 8 Lot 89
Direction to project site Sand Hill Rd to Larson Blvd
to Cap't. Hook, left to Saber o Briggadun, 5th lot
on left.
um ing Me ical Sewer Wood Stove
Fireplace Deck arage arport
Basement —Loft Other
1981 1460 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. 0 5
NAME IMAILADDRESS CITY&STATE ZIP PHONE
OWNER vili-LIAM C. GyrLT1. Pa ELF 1 ,S� 81
DIRECTIONS
TO JOB SITE SAM* 04ILL 0AP rD 1L.AgSoM JILVP, 1ARIGM To C f T 1460 K EFT ro SA90 LIEFT 7hAwjgtAvvN
5"7+ L b ON L i'r-
PARCEL LEGAL
NUMBER / -57 �� DESCR. LOT gy Div 8 $g-AKD S CoVir
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR .
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCR
WORK IBE / 1 /Q
BEDROOMS 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. 940 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT �,_ SHORELINE
SEASONAL
OWNERS AZCEEREWITH.
CONTRACTORS AFFIDAVIT
I CERTIFY TPT FROM THE REQUIREMENTS OF THE CONTRACTORS 1 CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATIO27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENHIS 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 CONFORMITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAININGAHE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWtEF ATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENT
BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE.INSPECTION
Q c SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR IS ANCE PERMIT VALIDATION, TOTAL
BY CASH CK MO
PLOT PLAN
ADDRESS 7 1 !tit 8 R I G G A DuM PERMIT NO. s o
•
LEGAL C6✓d
DESCRIPTION LOT AIV 8 atrAKD'S BLK ADDITION
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS k 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,
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
r15 `'r� Iygl `03 i8 `` �
r
1 I
i
N � -
oL -9 CO -O
tL s
O I V
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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. [ s Sc q'sV lfiF , -Crl
NAME(S) -OF/OWNERIaI OF SITES 3TRUCT E(i) fPRINTI SIGNATURE OF OWNER($) OR AUTHORIZED REPAESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE