HomeMy WebLinkAboutBLD22162 Final Mobile Home - BLD Permit / Conditions - 11/21/1988 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions:- - FINAL: el(-&t/ 1C
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 22162 No. Floors Sq Ftg 528
Owner SUN MOBILE HOMES SALES Te1427-8926 Date 6-15-88
Address E 5961 Hwy 3 Shelton Zip
Contractor Self
Address Zip
Legal Description 36-21-3 Tr 9 SE NW
Direction to project site Deer Creek Hwy 3 (old loratian
of dealership)
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670
DATE ISSUED
PERMIT NO. cAC22 16
NA ME ��>/ MAILADDRESS CITY&STATE , ZIP PHONE
OWNER
1� Ti`od�t r
DIRECTIONS *r A
TO JOB SITE (.(/ 0�cl lot-.i /-1G't7 41 PARCEL LEGAL
NUMBER,30f OL'T- 6ZI10 DESCR. 3 � 2/a 3 / —
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF / /
BUILDING (� ACC- / a! A �C � �i�o e,- M d it /e 45�,-* C�
CLASS OF NEW ADDITI N ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE /� � / /
WORK lOVQ /7/` l'" /'L/ O( O ce j _('Q
/'`{ 4 0 c4l �e tic
16776 tea° °--�
BEDROOMS DECKS CARPORT NOTICE
P - SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTALSQ.FT. J �` 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. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT 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
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
OBT NING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
NERC ��"` "' �`✓� � �✓ _ 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 jC PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
�--� SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE r J�
STATE SURCHARGE I
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
�'��� BY ,,,��� CASH CK MO '
PLOT PLAN
ADDRESS / / J PERMIT NO. o
_ \ s
LEGAL �)
DESCRIPTION LOT BILK ADDITION
C\
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 r'
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- w j
TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL ]}y�
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- k
TION THEREOF. 01
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I
a
L/
-e
I/We certify t at the proposed construction will conform to the diminsiohs and u shown above and that no changes will be made without
first obtaining approval.
NAMEM OF OWNER) Or SITE & STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE