HomeMy WebLinkAboutBLD24662 Mobile Home - BLD Permit / Conditions - 10/24/1989 Shorelines: Plumbing:
Setback: Mechanics :
Special Interior:
Conditions: FINAL:
Mobile ame:
Smoke Detector:
Remarks:
noting:
Setback:
Foundation PERMIT
Walls:
Framing: NULL & V
Fireplace: p�E _ RY
Wood Stove: �^
Typg MOBILE HOME "oZ033 5 �5
Permit No. 24662 No. Floors Sq Ftg 1080
Owner AYMAR, Lewis F Te1275-5302 Date 10-24-89
Address NE 180 Hilltop P1 Tahu a Zip
Contractor Buy Rite Homes
Address 71 ver d a I e Zip
Legal Description Collins Lae Div 2, Lot 45
Direction to project site Above address
Plumbing Mechanical ewer Wood Stove
Fireplace Deck arage Carport
Basement Loft Other
1985 27x40 2 bdrm
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED v r
PERMIT NO. 2 yZZ.Z
NAME MAILADDRESS CITY&STATE ZIP PHONE
OWNER T JAl9 -- 7iS b
DIRECTIONS
TO JOB SITE # ROT 3_ qjwDp
PARCEL ee�� LEGAL
NUMBERoI� I �/ 04ZV� DESCR.
NAME ' MAIL DDRESS CITY&STATE LICENSE NO. ZIP PHONE
CONTRACTOR ! I'Y)E v 1
USE OF _
BUILDING M
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK ✓
DESCRIBE
WORK SXirT a W1,09 MMZA: e 1
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES --L BASEM ENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. /DHD FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT SHORELINE
SEASONAk
OWtEAFFIDAVIT CONTRACTORS AFFIDAVIT
I CETHAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUNTS 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 CRMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA AP ROYAL FROM THE BUI NG DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
O N IRATE �� X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT Q�
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP -3 PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE Q
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS C ECKBY / APPROVED FOR ISSPANCE PERMIT VALIDATION TOTAL L�
BY J CASH CK MO �"
PLOT PLAN
ADDRESS PERMIT NO.
� o
LEGAL
DESCRIPTION LOT BLK ADDITION u
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 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.
Ivy INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
d0
)15
17
G
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.
i
Lrkli,j F. R~//V1�4/,7
NAME( 1 OF OWNER(!) OF !IT 6 STR CTURE(S) (PRINT) I RE OF OWNER( OW TM IZED REP ESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE