HomeMy WebLinkAboutBLD28867 Final Mobile Home - BLD Permit / Conditions - 10/10/1991 Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: F INAL:q�iy
MobileHome:
Smoke Detector:7sia0 ,
Remarks: c/�VIA
Footing 6e v.??^ %6d
Setback&c
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
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TYPE MOBILE HOME &K 2- LZ--
Permit No.28867 No. Floors Sq Ftg 1232
Owner Mark Postier Te1275-3418 Date 8 22 91
Address NE 60 Rainbow Lane Belfair Zip
Contractor
Address Zip
Legal Description 25 23 2 Lot 1 Blk 2 Mission Creek
Direction to project site End of Mission Creek Rd
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck arage Zarport
Basement Loft Other
BUILDING PERMIT APPLICATION ,�1L
MASON COUNTY All"
DEPARTMENT /
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED 'I ✓
PERMIT NO.
OWNER
NAME MAI4ADDRESS CITY BSTATE. ZIP PHONE
DIRECTIONS
TO JOB SITE
PARCEL LEGAL ,
NUMBER ,� - DESCR. `,O / �C 'G .Z D / D �
NAME MAILADDRESS CITY BSTATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS
WORK O✓ NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE
DESCRIBE 1/ ,
WORK OCI� / J
BEDROOMS .3 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
COMMENCED WITHIN 180 SAYS, 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
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER QATE f� 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
D.O.T. BUILDING j f/ PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP r'. . PRE INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
-APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION .�
TOTAL 7_
BY, CASH CK MO 1
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER
DIRECTIONS v S
TO JOB SITE
PARCEL LEGAL
NUMBER IUU�6-0-odoolj DESCR. n ��p off, 0 S e_<
Indicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.
O Attach copy of septic system as built or septic permit approval.
O Indicate topography profile of property and structure on reverse side.
O
I/We certify that the proposed construction will conform to the dimensions and uses sh ;;n4abve and th ch will be made without first obtaining approval.
SIGNATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE