HomeMy WebLinkAboutBLD21430 Final Mobile Home - BLD Permit / Conditions - 2/18/1988 o(:31 a
Shorelines: PlLnbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:C/, V 9's ¢' -
Mobile ome:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove: _
TYPE MOBILE HOME
Permit No. 21430 No. Floors Sq Ftg 1848
Owner BERNDT, Lee Tel 275-3065 Date 1-21-88
Address E 21 Judy Lane Belfair Zip
Contractor None
Address Zip
Legal Description Lot 12 SE & 14-1 2 11-23-2
Direction to project site F; ;rn�_L R to Tannprvi , ,e nU
Turn left. Take a left on 1st dirt rd. Go 1.5 miles.
Lot is #12 on left side.
Plumbing ec anica ewer Woo Stove
Fireplace Deck Garage Carport
Basement Loft Other
1988 28x66 3 bdrm
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.. I.EC/11 DESCRIPTIO: t
A:; that portion of the Southeast quarter of Section 2 and of the "orth
'-; half of Section 11. all in Iwnship 2' •.orth. Range 2 Uest. W.Y... in
.`� Ye Son County. Washington. described as fellws:
nEC11^:IRG at the quarter section corner common to said Sections 2 and
I1; thence N 0' 41' 3C" E along the Vest line of said Southeast quarter
of Section 2 a distance of 357.06 feat; thence S 21' ?" 51" E 534 feet.
�aC more or less. to the center line of the Tahwa River; thence in a eneral
Southwesterly direction along said center line 4C14 feet. more or �eas.
to the South lint of said ?north half of Section Ili thence S t6' 15' 53"
W along said South line 1125 feet. more or less. to the West quarter
corner of said Section :It thence % 5' 06' 43" W along the West !in* of
4' said Section a distance of 1257.1C feet; thence 1.7 3t' 59' 5?" E 124C.'3
feat; thence 12' 59' 3!" E 5C3.47 feet; thence S 47• CC' 04" E 26C.01
feat; thence S 72' 27' 45" E 318.' feet; thence 15' A" 55" E 1-12.11
feet; thence K 53' 42' '_'" E 321.3C feet to the %orth line of said Section
11; thence S 86' 08' 16" E along said North :ine 75'.75 feet to the POIKJ`
OF BEGI%%,T%G.
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO I-z2 &6
W N E R NAME MAIL ADDRESS CITY&STATE P H 0 N zzeze�- '
DIRECTIONS / T
�TO JOB SITE L. / L_
PARCEL LEGAL _ i
UMBER DESCR. LeJj _ SE. IV CONTRACTOR //- -
NAME MAILADDRESS CITY&STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR VMOVE REMOVE
WORK
DESCRIBE WORK / l� /
% / 7`/1-1-1 Imo)
BEDROOMS__ DECKS CARPORT NOTICE
i SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. 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. 17�G FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRA ON 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 CO ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI G APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
/ ' 7 i
NEf DATE X BY_ DATE
FOR OFFICE USE ONLY
DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING ( FIRE p BUILDING PERMIT 'J
D.O.T. BUILDING Ay ? PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE -'
STATE SURCHARGE
:ATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCEPERMIT VALIDATION
BY I �I f i CASH CK MO TOTAL
PLOT PLAN
ADDRESS IlZe /_� MIT NO. f o
LEGAL
DESCRIPTION LOT BLK ADDITION o
SITE AREAS 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 AND 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'
� wlZ sa I
'26
01 � r S
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(!) OF OWNER(S) OF SITE s STRUCTURE(s) (PRINT) IGNATURE OF OWNERM OR AU'70TRIZED REPRESEr-ATATIVF
DO NOT WRITE BELOW THIS LINE
r,
DISTRICT AS NO ED DATE I ✓ �✓