HomeMy WebLinkAboutBLD18174 Final Mobile Home - BLD Application - 1/16/1986 TYPE MOBILE HOME
Permit No. 18174 No. Floors Sq Ftg 1064
Owner BEARD, Robert W. Tel 830-4215 Date ,12-6-89
Address 38635 Seabeck Holly Rd.NW BremertonUP 98312
Contractor None
Address Zip
Legal Description G.L.1 & 2 10-23-2 (Blacksmith Lk. Tr.
Direction to project site Tr. 55-A)
MAP ATTACHED
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1983 14x76 2 bdrm.
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
food Stove:
Plumbing:
Mechanical:
Interior:
Final: / 7/, 8 �.
Mobile Home:
Smoke Detector:
Remarks:
i
MASON COUNTY DEPARTMENT OF GENEKAL SERVICES
Lega�' Descr i pt i Section wnsh i p Q1,3_ North, Range aQ West ,
Project:
Date Received /ems
Address of Project
Owners Name00 -
Address �l
Phone
Directions to Project Site
HEALTH Fee Paid Receipt No. Date Received
Plot Plan Type of Septic System
Tank Size gallons; Drainfield Length feet; Approved for
bedrooms; Septic System Site Approved Final Approval
Contractor Phone
Inspected By Completion Date
Water Supply Approved
PLANNING Fee Paid Receipt No. Date Received
Residence Commercial Plat
SEPA Final Declaration EIS Required
Shoreline Exempt Shoreline Permit
Local Decision
Appeal Final Decision
Preliminary Plat Date Final Plat Date
Contractor Phone
Project Engineer Phone
By
BUILDING Fee Paid7/, 7, Receipt No✓�/7"/ Date Received/,-72-6,
Plan Check: Approved Denied with the following corrections
Conditions -
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED p
PERMIT NO.
OWNER NA E MAIL ADDRESS CITY TATE ZIP /2 PHONE
DIRECTIONS
TO JOB SITE ;
LEGAL ( SEE ATTACHED SHEET)
DESCR. 7.` _C, -o� C- ` � �!t_kr 7;;
NAME MAIL ADD CITY 8 STATE LICENSE NO. HONE
CONTRACTO
,217
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
00.
�e 2--re z -e-1,?r e
Valuation of work: $ 00 PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
BE DECKS CARPORT ElNOTICE
BATHROOMS TOTAL SQ. FT. GARAGE ❑
NO. OF STORIES BASEMENT ElATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
OR AIR CONDITIONING.
TOTAL SO. FT. FIREPLACE ElDETACHED ❑
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 ofWashington and I aware of the O F F I C E USE ONLY
ordinance requirements
the
F
regulating the work for which 1
the permit is issued and all work done will be in
co formance therewith. PERMANENT ' SHORELINES
SEASONAL I; FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT
YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for BUILDING DEPT.
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
� (� APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Date . `� YL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA H
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. o
f °
= a
n >
A O
LEGAL a
DESCRIPTION LOT BILK ADDITION u
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 A"'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.
r—
INDICATE NORTH IN CIRCLE G PH'\S ARES ARE 5' X 5' OR 1"=20'
j ;
11 E
1F
v
v
f -'I
I/We certify that the proposed construction will conform to the dimensions nd u ove d t ri!c n 's`
first obtaining approval.
NAMES) OF OWNERS) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING
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