HomeMy WebLinkAboutBLD27715 Mobile Home - BLD Permit / Conditions - 7/16/1991 - 1 _
a
5
2a3-5� -S -
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: FINAL:
Mobile cme:
Smoke Detector:
Remarks: AlcTP
Footing:
Setback: x z
Foundation
Walls:
Framing: PERMIT �<
Fireplace:
Wood Stov .,
DATE — By
TYPE MOBILE H014E
Permit No. 27715 No. Floors Sq Ftg 896
Owner Carla Bryan Tel Date 16 91
Address PO Box 1373 Belfair 98528 Zip
Contractor
Address Zip
Legal Description Coilins Lake Div 2 Lot
Direction to project site Northshore Rd to Belfair Tahuya
Rd- . go 6 mi to Tahuya Belfair Rd, L at Collins lake
R at Pine
Plumbing x Mecbanical x Sewer WoodStove
Fireplace Deck Marage arport
Basement soft Other
Second mo i e approv—lector imm is e family use only.
Drip lines must maintain a minimum of 5' between all
structures.
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
4 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED C�
PERMIT NO.
NAME MAI ADDRESS(� CITY&STATE ZIP PHONE
OWNER ILL �.�. tJ�?C j q saR
DIRECTIONS TO JOB SITE T R . - (n V^ T
`j
PARCEL LEGAL _
NUMBER C: DESCR. 35 Vt 2 ( pl1 � �S -►� i�C
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. n
CONTRACTOR (fj
USE OF
BUILDING R(c)
WORK O✓ NEW ADDITION ALTERATION REPAIR MOVE `� REMOVECLASS
DESCRIBE
WORK
Er Lx
0
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE T SgFt STORIES�_ SHORELINE❑ CONDITIONING. Q
BASEMENT SgFt BEDROOMS _ PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT 0
DECKS S Ft BATHROOMS COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR `CI
g SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE 0
GARAGE SgFt ATTACHED 0 DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
XOWNER 1 RATE ��� XBY _ ____ DATE
FOR OFFICE USE ONLY
DEPARTMENT YEAPPROVE NO DEPARTMENT YEAPPROVED1O BUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT �~
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP �J PRE-INSPECTION
SHORELINE
WOODSTOVE
i- PLUMBING
MECHANICAL
c maitmurn STATE BUILDING FEE t
APPLICATION ACCEPTED BY PLANS CHECK BY APPROJED F0 ISSUANCE PERMIT LIDATION
f -1 C / 1BY ASH CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. Box 186 SHELTON, WASHINGTON 98584
427.9670 OATS ISSUED
PERMIT NO.
NAME MAILA00 SS CIi 3 STATE ZIP HONE
OWNER IA 0K Q Cr 0ri0A &'R + wtAIAt bY� 0 LA e fW� ,,/ U3 k U=
DIRECTIONS I rV Sty , to el ar^ TAIVA R b 90 1 x ►'h% o Ca J I;1% 1 lt-
p
To Joe SITE ; -f � K;5 ti A r fire IC-04 Cc'rthtt o q• s1 �
otOP 1A � o
qy Lh�� wr
NUMBER331 SPAEL "10(j OESCLEGA;; L.6t 3S p �f p� G o
Irdicate below: O Property lines and dimensions.
O Easements and roads.
O Septic, drainfield and reserve area, or sewer.
O Septic tank and drainfield setback distances from foundations.
O Location of proposed construction on property.
0 O Building & septic system setback distances from all property lines& easements.
Indicate North O Well and water line.
O Saltwater, lakes, rivers, streams,wetlands, drainage.
In Circle 0 Attach copy of septic system"as built' or septic permit'approval.
O Indicate topography profile of property and structure on reverse side.
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TOPOGRAPHY PROFILE OF PROPER iY AND LOCATION OF STRUCTURE
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