HomeMy WebLinkAboutBLD17931 Cancelled Addition to Mobile - BLD Permit / Conditions - 9/13/1985 TYPE ADDITION TO MOBILE
Permit No. 17931 No. Floors 1 Sq Ftg 912
Owner KINNEY, Chester Tel 426-6861 Date 9-13-85
Address E 990 Mikkelsen Rd. Shelton Zip
Contractor Self
Address Zip
Legal Description S-1/2.S-1/2,W-1/2,NW-1/4,NW-1/4
Direction to project site Turn on Mikkelsen 35-21-3
Rd. ,cross Cranberry Cr. ,gO 500 ft. on Bonneville Power
line,make sharp rt. at Kinney sign
Plumbing X Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
Shorelines:
Setback: '0,
Special Conditions:
Footing:0,-(�- 9116 A-
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:4 _ 1r&c1
Mechanical:
Interior:
Final:
Mobile Home:
Smoke Detector:
Remarks:
pow
NULL
DATE —t- BY __Y.- _.
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PLOT PLAN
ADDRESS PERMIT NO f
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LEGAL LOT {ry 2 I��1 N /I(���� �1 3 ADDITION
DESCRIPTION `j °
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 ARID 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 dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE h STRUCTURE(S) (PRINT) dIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE/BELOW THIS LINE
DISTRICT AS APPROVED ED ! r DATE
CHRISTMASTOWN PRINTING
MASON COUNTY
P.O. BOX 186 Shelton,Washington 98584
PLUMBING PERMIT APPLICATION
IMPORTANT— Complete ALL items. Mark boxes where applicable.
Name Mailing address—Number,street,city,and State Zip code Tel.No.
Owner
2. —
Contractor
The owner of this building and the undersigned agree to conform to all applicable laws of Mason County and State of Washington
Sign of applicant _ Addres Application date
LEGAL DESCRIPTI
Location
Of
Building
NO. PLUMBING FIXTURES FEE
/ WATER CLOSETS �O n
j BASINS
BATH TUBS '7 O p
SHOWERS
WATER HEATERS
AUTO.WASHERS "� �. r'
SINKS
FLOOR DRAINS
DRINKING FOUNTAINS I
LAUNDRY TRAYS
Connect to City Sewer
DISH WASHER
DISPOSAL
URINAL
Ajr
(Show Street Names & Property Lines)
INDICATE LOCATION OF MAIN SHUTOFF VALVE FOR WATER.
PERMIT SKETCH IN SEPTIC TANK & DRAIN FIELD LOCATION OR SUBMIT
c ON OTHER SKETCH.
DO NOT WRITE IN THIS SPACE — FOR OFFICE USE
Approved by Permit fee Date pemit issued Permit number Receipt No.
CHRISTMASTOWN PRINTING
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED s�J
PERMIT NO.
OWNER NAM MAIL ADDRESS CITY& TATE ZIP PHONE
v
DIRECTIONS �,/'/1 011, Tl AS_ SZ17, / x
TO JOB SITE rI
LEGAL 7— Z z J (❑ TTAc D SH T)�s
DESCR. S' J \A1 NW NW 3 5 ^ 7- 1 - 5
NAME MAIL ADDRESS CITY&STATE LICENSE NO.
CONTRACTOR s>�- r
USE OF
BUILDINGS,;,! ./
Class of work: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: Ana-r oN
7 = 9/a 30 �, 2-736 0 l
Valuation of work: $ l PLAN CHECK FEE PER 5R F EfEN
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT ❑ NOTICE
BATHROOMS t TOTAL So. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STO q6 BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SQ. T.L--' FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
'CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
tho( permit is issued and all work done will be in
c nformance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN ❑
Fi,r1% E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT. °I
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
1 certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT. gas
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be i onformance therewith. MOTOR VEHICLE PERMIT
r
_q �/C APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date . �J�.J BY
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING