HomeMy WebLinkAboutBLD24752 Mobile Home - BLD Permit / Conditions - 11/9/1989 Shorelines: Plumbing:
Setback: Mechanica :
Special Interior:
Conditions: FINAL:
MobileHome:
Smoke Detector:
Remarks:
Footing: � 8.
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 24752 No. Floors Sq Ftg 840
Owner SNYDER, Lawrence P. Tel 372-2729 Date711-9-89
Address NE 6971 Elfendahl Pass Rd Belfair Zip
Contractor Victor Johnson
Address Zip
Legal Description Tr 1 Surve 4/l9-22 11 -23-2
Direction to project site 0 air st on arCr/DeWatfo
Rd, South on Elfendahl Pass Rd approxI mile. st resi 7adrive
on West side. Above address
P umm ing Mechanicai Sewer Wood Stove
Fireplace Deck ravage _arport
Basement Loft Other
1981 1460 2 bdrm
BUILDING PERMIT APP
4f%A
MASON COUN I� D
DEPARTMENT of GENERALMERVICES
P.O. BOX 186 SHELTON, WASHINGTON OU5947 1989 /
427-9670 DATE ISSUED ✓ '�/-sy�
rJ L !.A"�U E''WftS 1=rt,i'�.�_ SEPF\l'' a N0�7 /fir
OWNER NAME „� ,FAIL DDRESS CITY&STATE ZIP PHONE 3-la
wl L N 27
DIRECTIONS
TO JOB SITE 14 til
ON A.P AIL& 1R5T R .c\ vEwA') N 6a
PARCEL ? 1y LEGAL � //U� # /9-0!
NUMBER �� / ��� DESCR.' '� it -� '2 'rom 121/10 e olD-1K
NAME AIL ADDRES CITY&STATE LICENSE NO.
CONTRACTOR �' /A)5� a/-/D ;1 7
USE OF
BUILDING
CLASS OF NEW ADDITION TALTERATION REPAIR MOVE REMOVE
WORK ✓
I T
DESCRIBE
WORK L- E^ _ 0 Wob f)Orw-. (o( 0 -
L D l (q-] 1 I5I -)J0 N l s �d .
BEDROOMS DECKS CARPORT NOTICE
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
p��� COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. o 0 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AF IDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY T AT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRAT N LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIRE NTS 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 C NC ERE NO CH G SHA BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
0 A PPR RO BUI N D T 10 ,Z37-8cr APPROVAL FROM THE BUILDING DEPARTMENT.
MO N E / X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT Ixg, -v-
D.O.T. u BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
ACCEPTED BY [ftAA�S CH BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL
APPLICATION
\62 1 BY /e`"�' CASH CK MO
PLOT PLAN
JDRESS, C 1G —1 (� L'y �/ �j�— �5 5 (�� PERMIT NO. LAO L
,EGAL
DESCRIPTION LOT BILK ADDITION
QqO Sq. Ft.
�
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS C
a
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'
77 w i� t
NV tS
I
tft
i
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X
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I/We certify that the proposed construction will conform to the dlmenfiO�s a�1h70 ab and that n c anges vyill be made without
first obtaining approval. (/�(/ N/
Jp�{N r- pc-91RIE AL1 0(,X X 1 t!S1TE)
sKi yaR (Moa(Ld urt ewe
N AM[lf) OF OWN[Rlfl OF SITE 6 STRUCTURE(S)_(PRINT)IPRIN TI IGNATURE OF OWNERISI O UTHO IZED REP S NTATI E
DO NOT WRITE BELOW TH/S LINE
APPROVED DATE
DISTRICT AS NOTED