HomeMy WebLinkAboutBLD20303 Final Mobile Home - BLD Permit / Conditions - 6/30/1987 Shorelines: n//S, Plumbing:
Setback: Mechanical :
Special Interior:
Conditions: FINAL:e4 3 6 -
Mobile-Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 20303 No. Floors 1 Sq Ftg 924
Owner WATSON, Vincent A. Tel 275-2185 Date 5-27-87
Address NE 31 Steelhead Dr. N Belfair Zip
Contractor None
Address Lip
Legal Description Mission Creek Tr. B1. 6, Lot 6
Direction to project site 2 miles up Mission Cr. Rd. from
Belfair St, Park
Plumbing Mechanical Sewer- Wood Stove
Fireplace— Deck Tar-age -75-rport
Basement —Loft —ether
1977 14x66 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED`f)
PERMIT NO. ��C
NAME MAILADDRESS CITY&STATE q 3^J'z ZIP PHONE
OWNER V c<n 1 1& 5"r-e E P d ) , AJ ��'� �u /' _A1
DIRECTIONS
TO JOB SITE Z r {' ,o [ ( r 571 . FqrK
LEGAL
D SCR. L p O'
1 SS I� 'Q C � �) �.��
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ T
DESCRIBE
WORK Q / t'+ tJ_ e'fx e4,A Iff-S 10f.
IeZz
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
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE ( DETACHED ABANDONED FORA PERIODOF 180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED.
PERMANENT SHORELINE
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT 1 AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISr RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQ REMENTS 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 NFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBT INING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X WNER DATE Z� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH *r PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. c BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY I PLANS C CK IBY APPROVED FOR IS UANCE PERMIT VALIDATION
/y� ,�� ! I
i"�.� BY Yam' CASH CK MO TOTAL / �\�
G1ix ow PLOT PLAN
S .
ADDRESS PERMIT NO. f o
= o
n >
LEGAL p�I _
DESCRIPTION!'�.15 j✓/C/L Cl j�T �'- BLK ( ADDITION Uz LF
SITE AREA b Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS L/ 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.
0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
t
I/We certify that the proposed construction will conform to the dinwnsidns and uses shown above and that no changes will be made without
first obtaining approval.
NAME(S) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERISI OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE