The URL can be used to link to this page

Home My WebLink AboutBLD18957 Mobile Home - BLD Permit / Conditions - 7/11/1986 TYPE MOBILE HOME Permit No. 18957 No. Floors Sq Ftg 720 Owner PECK, Donald R. Tel 42-6- 683 Date 7-11-86 Address F 890 Mikkelsen Rd Shelton Zip Contractor None Address Zip Legal Description E 854' N-1 2,SE,NE 3 -21-3 Direction to project site Mikkelsen Rd off Lk. Limeric _Rd. . Qo 1 mile, take rt, down driveway Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other 1967 12x60 2 bdrm. ------------ Shorelines: PMec ni�:,�' 14 � 2 7*6�Q/� Setback: ha Special Interior: Conditions: FINAL: Mobile Home: Smoke Detect *.Og -2 Z-FG Remarks: Footing Setback: Foundation Walls: Framing: DGi�M IT Fireplace: EXPIRATION Wood Stove: DATE _�_ — ,..... BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 426-5593 DATE ISSUED/ PERMIT NO. /�J�5 NAME MAILADDRESS CITY BSTATE ZIP PHONE OWNER DIRECTIONS / TO JOB SITE r• �� LK c , t LEGAL �,.�/ DESCR. /[/ �� C ./� -341 _ � J NAME MAIL ADDRESS CITY R STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING /_ . 7 ` P_ CLASS OF WORK NEW5 r ER ADDITION ALTATIOf4- REPAIR MOVE REMOVE ✓ DESCRIBE WORK �. ' x 62 Cl BEDROOMS Z DECKS YX3� '' CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS l TOTAL SQ.FT. ( GARAGE CONDITIONING. NO.OF STORIES _L 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 TOTALSQ.FT. LQ FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT C--- 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 REGISTR4TION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE ENTS 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 OWN R DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVEN0 DEPARTMENT YESPPROVEN0 BUILDING VALUATION `�`1 �Gi HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE PLANNING PLUMBING MECHANICAL STATE BUILDING FEE ,r STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APP V R•ISSUANC PERMIT VALIDATION G 1 " Yt C ASH CK MO TOTAL ` ��;j i PLOT PLAN ADDRESS JC.� /�i��/S�L� �; ✓� PERMIT NO. 4 0 = a ` n > a o 0 LEGAL ' n DESCRIPTION LOT BLK ADDITION / u SITE AREA —3E �L' 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 A"ID 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 kK - TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' Ir PM ll � 7Zrq V� I 1 sv ( 11 1 Ty ev -z v- ko 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(a) OF SITE S STRUCTURE(S) (PRINT) GNA E OF O R(3) OR AU ORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING FOR DEPARTMENT USE ONLY -4 -- ■ Approved ■ Not Approved REQUIREDDESIGN SYSTEM . • —INSTALLATION: ■ Approved ■ Not Approved DEPTH TO WATER TABLE SOIL TYPE: TYPE OF • OF • BUILDING •••• COMMERCIALSINGLE RESIDENCE PUBLIC WATER WATER SYSTEM SYSTEM EJ NAME ONLY :LIQUID • DIRECTIONS TO l�SEPTIC TANK • L. PUMP • • TOTAL INSPECTIONF I LTRATION AR EA TOTAL SQUARE FEET FINAL ! 1 BEFORE DEPTH OF BACKFILL 2"STRAW 272T R A OR PAPER STONE OVER TILE PIPE SIZE •� .•;!. 1 I �=� 4 •Cyy • . STONE SITE PLAN • SPECIAL STIPULATIONS UNDER (INDICATE DIRECTION OF DRAINAGE) CROSS SECTION OF TRENCH ■ i � rr ■ ■ i�iairi■r■ � ■ ■ r�i■ r■m 1i1a r� ■ ■ ■r■■■■r■■■■�■■�■■r■■■or■■■ rr ■ r ■ ■ ■ ■ ■ rrr ■rrrrrrrr ■ ■rrrr ■�■ ■ ■■ ��■ rrr ■ " iir■r+r�r■r■■■rnrr■a No■rr i irr r;it ■ri rrrr■■: r■■r■■�N11 wirf�■r�:�■!■i��■Ar�r� �R� � rrrr ■r�ii�ri■ ■ rri �r� rrrr r■ r ■■■■ ■lion■r■■rrrr ■r■Hy ■r■i■■■ rr ■rrrr ■■ rrrr r rrr r ■r■■rr■■rr■■r■r■■■rr■■■rr � � . i ■■ ■ ■ rrr■■■■■■■ ■ r ■ r �� i �■■ ■� r��i� i��r � ■err r�iir■�irrrr■rrr�rrr�wiiri��w�i �rir�N iI i�t �r � r _r ■ ■� rr ■�0 0 MEN cei �ii r■ � ir■irrrns �saunas rr■ ■■ ■ ■■r r■■■rrr ■ rrr■■■■ ■■■r■■r ■ �rrrrrr■rr rrrr ■ r our■ rrrrrrr rrrr ir■r■rrrrrr�iii ■rrr r� ■�iirr■i i■�■ r �■■r r ■■ `rri r■r■1■1■■■■ ■r ■ ■■■ ■ ■ r r rrrr ■■ r■■r�r■rr�ir� r�rr��r �r■� �i�iir �"�■■iiii■��r�� ■�i■ 'fir �i■■■r ��r■■■ r r ■rrrr■■rr ■ ■r � r■ r ■ r ■■fir r ■ ■ ■ ■rrr ■■■■■ r rr ■■9 ■ rE■ s r■■rr■ ■ ■ a r as so on r ■ rr�iriirr■r ■rrrr■■ rrr■ rrrr ■■rri �rrrrrr■r rrrr err rrr■r■rrrrrrrrrrrr rrr rr rrr r■■ ■ r■ ■ r ■ ■r rrrr �■ ■ r■■■rr■r■rr■ ■ rr■�ir rr ■■■ ■ rrr rrr ■ fir