HomeMy WebLinkAboutBLD18205 Final Mobile Home - BLD Permit / Conditions - 1/14/1986 TYPE MOBILE HOME
Permit No. 18205 No. Floors Sq Ftg 1489
Owner WELLS, William A. Tel 426-2907 Date 1-3-86
Address E 5961 Hwy 3 Shelton Zip
Contractor Sun Mobile Homes Shelton
Address Zip
Legal Description W-1/2,SE-1/4,SE-1/4,NW-1/4 36-21-3
Direction to project site
Sun Mobile Homes Sales Deer Creek
Plunbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft other
1986 4 bdrm.
Shorelines:
Setback://C
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final: /27�4
Mobiles Hone:
Smoke Detector:
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 / —3-Z4
DATE ISSUED Q
PERMIT NO. ��'�o-s •�'�� YPO
E MAIL 9DDRESS CITY 8 STATE ZIP E
OWNERI��' / .19a
DIRECTIONS �Uha�/
TO JOB SITE
LEGAL EE ATTACHED SHEET)
DESCR
CONTRACTOR
NAME / MAIL A�D[RESS CITY,B TATE LICENSE NO. PHONE
P'+v 0 //O�• Q�?, �/✓r2��ly 2 a� d
USE OF J
BUILDING
Class of work: AW NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: /
Ire-
Ale S'q /'f- -4/0 1 �`1ljb /9
Valuation of work: $ PLAN CHECK FEE PERMIT FEE
7 ,5Y4. o v o
SPECIAL CONDITIONS:
BEDROOMS I DECKS CARPORT C' NOTICE
BATHROOMS. �__ TOTAL SQ. FT. GARAGE ['
ATTACHED I� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES� BASEMENT G OR AIR CONDITIONING.
TOTAL SO. FT/r`y FIREPLACE i_; DETACHED L
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 am aware of the
FOR OFFICE USE ONLY
r the requirements regulating the work for which
he permit is issued and all work done will be in
onformance therewith. PERMANENT i5 SHORELINES
r SEASONAL CI FLOODPLAIN ;
Firm fs' j /T� E.D. NO. S.E.P.A. I
By Special Approvals IN OUT YES APPROVED NO
Lic. No.
yi yZ Date 3,4- ZONING
PLANNING DEPT. 3 -(?�
OWNERS AFFIDAVIT HEALTH DEPT.
WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
BUILDING DEPT.
of the Mason County ordinance requirements for �G
which this permit is issued and that all work done will ROAD ACCESS
bbe�in conformance therewith. MOTOR VEHICLE PERMIT
v / _ � APPLICATION ACCEPTED BY PLANS HECK BY APPROVED FOR ISSUANCE
Owner Date . /? e
4 �tz�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS jIF / !/ ' — v PERMIT NO, f o
LEGAL
DESCRIPTION LOT BLK ADDITION �N
apx,s(" "
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. f
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION Al"D 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'
J
)
yJ h
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.
// 11,14LI,)" //s
NAME(S) OF OWNER(S) OF SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
GHFLTON PRINTIN3