HomeMy WebLinkAboutBLD17871 Final Mobile Home - BLD Permit / Conditions - 10/18/1985 THE EXISTING CABIN IS TO BE USED FOR STORAGE ONLY
TYPE MOBILE HOME
Permit No. 17871 No. Floors Sq Ftg 798
Owner STRICKLAND, Ralph Tel Date 8-29-85
Address NE 81 Steelhead Dr. W. Belfair Zip
Contractor
Address Zip
Legal Description Mission Creek Add. Block 6. Lots
Direction to project site 12 13
North Shore Dr. to Mission Creek Rd. , to Rainbow Lane,
to Steel Head Dr. N.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1986 14x57 2 bdrm.
. Shorelines•
Setback• U1'
Special Conditions:
Footing:
Setb ack:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior•
Final• / t `` f
Mobile Home:
Smoke Detector•
Remarks:
I
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 �a
DATE ISSUED / �/'`7
PERMIT NO. / 7O / l
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
1 , s T H�-'vMe.
DIRECTIONS
TO JOB SITE
LEGAL qM - (❑ SEE ATTACHED SHEET)
DESCR. /'//ISS/O/7 I�F'0-�
CONTRACTOR
NAME, SS CITY&STATE LICENSE NO. PHONE
USE OF f
Class of rk: ❑ NEW ❑ ADDITION ❑ A RATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
/ X
Valuation of work: $/� 2 O PLAN CHECK FEE PERMIT FEE��
SPECIAL CONDITIONS: 10.7
/577r7
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
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 certi y that I am a currently registered contractor in WORK IS COMMENCED.
the fate of Washington and I am aware of the FOR OFFICE USE ONLY
ordi a the requirements regulating the work for which
the ermit is issued and all work done will be in
co ormance therewith. PERMANENT SHORELINES
SEASONAL ❑ FLOODPLAIN El
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. N Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.d1A
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 BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued an t all work done will ROAD ACCESS
be in conf man rewit MOTOR VEHICLE PERMIT
AP ICATION ACCEPTED BY PLANS CHECK BY RO FOR ISSUANCE
Owner Date .1� BY'
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
7- � ��
_ADDRESS ��� el ��/ (aC�ht`!�� �� PERMIT NO. F o
o
LEGAL r
DESCRIPTION LOT �� �,) BLK L 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"ID 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.
C F� a FTlc ,1� sTn� 1_►y
INDICATE NORTH IN CIRCLE SCff/ RIA bRAPH SQUARES ARE 5' X 5' OR 1"=20'
/Zta 6:*1
I'
L•
I
v
l` `ov ill
IS
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.
r 1
NAME(S) OF OWN ER(31 OF SITE R STRUCTURE(S) (PRINT) IGNATURE F OWN R(3) OR AU ORI REP ESENTATIVE
DO NOT WRITE BELOW THIS L NE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING