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Home My WebLink AboutBLD24621 Final Mobile Home - BLD Permit / Conditions - 9/20/1990 Shorelines: Plumbing: Setback: Mechanica : Special Interior: Conditions: FINAL: 0,4 j .no7 I Mobile ome: Smoke Detector: Remarks: noting: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE. HOME Permit No. 24621 No. Floors Sq Ftg 1782 Owner HERT a p Tel 275-3848 Date10 19_gg Address NE 370 Haven Lk Dr Tahu a Zip Contractor Sherwood Homes Address Be fair Zip Legal Description Haven Lake Lot 312 Direction to project site Off Northshore, up Belfair Tahuva Rd to Haven Lk Dr (Havel Lk sign turn left, 112 mi. turn left up dirt drive at NE 300 Haven Lk Dr. um ing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport' Basement Loft Other 1989 27x66 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED O 6j PERMIT NO. 46O?L NAME MAILADDRESS CITY&STATE ZIP PHONE OWNER Aap eHrAlk'970v6n t &- 7-,qXuya WA fe-S- e 27.% F DIRECTIONS r / TO JOB SITE F/_ ohftyf Ott QGl i'r ermA q �� /o' atV K Qh. vGj. L .t; �r k -- ��z w►11� T)-h Q u 't7' 4�,1r c ws -it N oo vtn 4 PA CEL $`l-00?1 Z LEGAL f- 10 NUMBER DESCR. �^ 4O -p3 f /S- L• T/ //��4K�J ;I_66 NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF / ) BUILDING �dYyl., �i 7 D CLASS OF NEW !/ ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK Alofj i L S Q 'j z e'd BEDROOMS DECKS A/a CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS Z TOTAL SQ.FT. A/4 GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT 7�G COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE A DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT __X_ SHORELINE -AL, SEASONAL OWNERS AFF)DAVIT CONTRACTORS AFFIDAVIT I CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION AW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMEN 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 CONFOR ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING PROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OVYN DATE q 6 X BY DATE gg V ' F R OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YESPPROVED,O BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING I FIRE BUILDING PERMIT D.O.T. v u BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP 3 PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY PLANK BY APPROVED OR I UANCE PERMIT VALIDATION S C r° � CASH CK MO TOTAL /6 7 75- PLOT PLAN A0 3/7_ ADDRESS PERMIT NO, s o S 0 0 LEGAL DESCRIPTION LOT BLK ADDITION SITE AREA 7.! Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS ] �Q 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. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' pr relID 71, hl e a C ,,Jwu La ti a �'d I/We certify that the proposed construction will conform to the dlrmnsiOns and uses shown above and that no changes will be made without first obtaining approval. NAME(S) OF OWNERISI OF SITE 6 STRUCT'JRE(S) (PRINT) -TIONATtfRIE OF OWNER(SI CFR AUTHORIZED REP ESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE 1 MASON COUNTY DEPARTMENT of GENERAL SERVICES Courthouse Annex 3 425 '-1. Cedar P.O. Box 186 Shelton, Washington 98584 (206) 427-9670 building environmental health maintenance landfill parks&recreation fair/convention center planning sewer&water October 17, 1989 Ralph Herth NE 370 Haven Lake Drive Tahuya, Washington 98588 Re: Mobile Home Building Permit Dear Mr. Herth: Some time ago you made application through this office to obtain a building permit. Please be advised the permit is ready to be issued and can be called for at this time. If you are unable to call in person, a check in the amount of $ 107.75 can be sent to us and we will return your permit by mail . This permit becomes null and void if not called for within 180 days of the date of application. We hope to hear from you soon. Sincerely, Evelyn Fuller Receptionist �.33b-ffi-o 031�