HomeMy WebLinkAboutBLD25710 Mobile Home - BLD Permit / Conditions - 5/18/1990 y
Shorelines: Plumbing: '
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
TYPE MOBILE HOME
Permit No. 25710 No. Floors Sq Ftg 1232
Owner EDWARDS, Roderick Tel 564-0630 Date 5-18-90
Address 7428 S 8th Tacoma Zip
Contractor NW Services
Address 1619 Auburn Way N Auburn Zip
Legal Description Collins Lake Div 1 , Lot 13
Direction to project site Lake View Pla7e
Tahii�a
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck garage import
Basement Loft Other
1990 28x44 3 bdrm �3 �� � 0OIL
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. S
AME MAILADDRESS CITY&STATE ZIP PHONE
OWNER Q -er bL Eduiarots 94Z,? A 5(A-b(D
DIRECTIONS
TO JOB SITE -e-- E `7
-Q_/-)u
PARCEL NUMBER 22331 D SCR. 1��V , � #1�)
NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP--(,g� PHONE
CONTRACTOR �' -�IUS K-00 Avdir1��, A 1"�'; Wh 3b"
USE OF
BUILDING 6 �
CLASS OF NEW �[ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓ K
DESCRIBE ''II 11,
Tc
WORK ( U( L`-Yl 4 mob ViGnu
/a3
BEDROOMS 3 DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES __L BASEMENT ATTACH ED 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. IIDr7 FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT _ SHORELINE
SEASONAL
OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUI ENTS 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 CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA INGAPPROVAL FROM THE BUILDING DEPARTMENT.
/` APPROVAL FROM THE BUILDING DEPARTMENT.
WNER'���'/ ATE y — X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO r C/CJ X
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE 15 Qp
WOODSTOVE
PLUMBING
444-44
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
kICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION /����
BY CASH CK MO TOTAL
PLOT PLAN
ADDRESS PERMIT NO. C o
i •
LEGAL
DESCRIPTION DI'(/ - / �J LOT BLK ADDITION ,.
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS �d Joy 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.
pkai&L �>eL �ap� (,c4ia ch-ec .
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I
i
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.
NAME(S) OF OWNER(!) OR SITE S STRUCTURE(!) (PRINT( SIGNATURE OF O NERM OR AUTHORIZED RE P ESFNTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE