HomeMy WebLinkAboutBLD0330 Final Mobile Home - BLD Permit / Conditions - 7/29/1986 TYPE MOBILE HOME
Permit No. 0330 No. Floors Sq Ftg 720
Owner MIDDLETON, Alan L. Tel Date 8-13-85
Address P. 0. Box 818 Belfair Zip 98528
ContractokSelf
Address Zip
Legal Description Mission Cr. Tracts Bl. 7. Lot 6
Dire6tion to project site Mission Cr. Rd. Stealhead Drive
on the end.
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1968 12x60 2 bdrm.
1
Shorelines:
Setback: /Q-
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Interior:
Final: /,.r �11�9 l'G 1
Mobile Home:
Smoke Detector: `
Remarks:
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO. d
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
1&vu i� /—
DIRECTIONS
TO JOB SITE 42 5�4e4 A e Ciro/
LEGAL f (❑ ATTACHED SHEET)
DESCR. 1� f�� �jj(� /� sit• ' ��I�/
J
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING C Lp eCZ✓L
Class of work: ❑ NEW p DDITION ❑ ALTERATION El REPAIR ❑ MOVE ❑ REMOVE
Describe work: ` ,1
t.QiZ el :2c° �`LCJ
Valuation of work: $ e, � PLAN CHECK FEE PERMIT FEE S
a et elr.
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS_ TOTAL SQ. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT ❑ OR AIR CONDITIONING.
TOTAL SO. FT. .?D FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
NTRACTOR 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 certify th I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the per t is issued and all work done will be in
confor nce therewith. PERMANENT ❑ SHORELINES I,
SEASONAL ❑ FLOODPLAIN ❑
Firm
E.D. NO. S.E.P.A. L'
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
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 3 S?g
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
Owner /�/liH 1 � �te . APPLICATION ACCEPTED BY LA ECK BY APPROVED ff�R ISSUANCE
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PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
CHRISTMASTOWN PRINTING
PLOT PLAN
ADDRESS PERMIT NO. o
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i o
n >
LEGAL
DESCRIPTION LOT BLK ADDITION
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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 ARID 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.
6
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 dimensirfns and uses shown above and that no changes will be made without
first obtaining approval.
NAMEIS) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNERS) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
CHRISTMASTOWN PRINTING