HomeMy WebLinkAboutBLD22862 Mobile Home - BLD Permit / Conditions - 10/7/1988 3'ak
Shorelines: Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Footing: Remarks:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 22862 No. Floors Sq Ftg 924
Owner WEAVER, Ronald Tel 427-0904
Address 1919 Pioneer Way Shelton— ate 10-7-88
Contractor Huston Excavating Zip
Address Shelton Zip
Legal Description Lake Limerick Div 5, Lot 57
Direction to project site Hwy 3 North to Mason Lk Rd. ,
follow Mason Lk Rd 2.8 mi. to Olde Lyme Rd. , follow .6
miles. Picnic plate on sign reads "WEAVER"
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1978 14x66 3 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
�y DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED�� �
PERMIT NO.'--2 96 oC '
OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE
V?-k 1 P -1- w , ice. ti-h 1* . 41S64 'q2"7•-(;qc4
DIRECTIONS
TO JOB SITE o��d� ►iJ• ?j �.� to QI, o-►'` L-ot kt 6C �So1�0.'; OLSati t-C"Lc roC(vi
1 n re•,F- o�- 9.01- // t�
�. G<<Gs�J vtii It icm c 1� ok% SIV rcad5 Wes?f
PARCEL LEGAL _ 1 1.
NUMBER ?��Iz� -'5`I- G0057 DESCR. 1_,0� ri7 fit) " 0� �0.ke Li YInfCX is 1�
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR ssb� �Xco IF— 1 . , ttA u,N
USE OF
BUILDING b i 1e [6 vvw
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE x REMOVE
✓
DESCRIBE
WORK Cl le r*VI6e p t- i C 5 k v , �-v„� yv,; u l y Y (Y1
w,A- Cr— L-0 t-
/ qr1c-F A/X /5), Jae
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES 1 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
OWNERSAFFIDAVIT 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 OW 'ER� ' "'THIL DATE / X BY DATE
FOR OFFICE USE ONLY
AD DEP RTMENT YESPPROVENo DEPARTMENT YES No
BUILDING VALUATION
HEALTH , PUBLIC WORKS FEEf
PLANNING FIRE BUILDING PERMIT Ile
D.O.T. BUILDING G���C PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE < f
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPR VE FOR ISSUANCE PERMIT VALIDATION _
B ., CASH CK MO TOTAL
PLOT PLAN
ADDRESS (�1/tQ�/�/Y L Z—1 k" t&- / C k — PERMIT NO. °s o
s o i
LEGAL
DESCRIPTION LOT BLK ADDITION
SITE 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, 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'
I
o
u fS
ck
I v I
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.
�/
NAME(S) OF OWNER(S) OF SITE 6 STRUCTUREM (PRINT) I NATURE OF OWNER(SI OR UTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED 17
DISTRICT AS NOTED DATE r� r