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HomeMy WebLinkAboutBLD0025 Final Mobile Home - BLD Permit / Conditions - 8/2/1983 Oroutt, Kirk & Dianna L. #0025 692-5289, Poulsbo 5/17/83 Lot 4 of Collins Lake #4 . See Attached Mobile Home Contractor: Setright Mobile Homes $19,888.00 Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior:' Interior : Final: � 8"3 Stop Work: Mobile Home: Smoke Detector Remarks: i 14 BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 s— *� / --3 DATE ISSUED a; PERMIT NO. d d OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE Q ,T— P o . 7 GcJ 9�- DIRECTIONS TO JOB SITE LEGAL Lot 4 of Collins Lake No. 4, as per plat thereof recorded In([I SEE ATTACHED SHEET) DESCR. Vol. 8 of Plats, Page 19, Records of Mason County, Washington NAME SET2/c�/tT �j G�R/�-qtrnt� St2�U�C E CITY&STATE LICENSE NO. NE �X CONTRACTOR _ 14comQ , I _Cvscr�I (/ k3 USE OF IN S 2 — 5777 BUILDING �L Class of work: g NEW ❑ ADQI ON ` ALTERATION C REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ iy —� PLAN CHECK FEE PERMIT FEE ZS `01 / SPECIAL CONDITIONS: BEDROOMS {DECKS CARPORT NOTICE BATHROOMS (TOTAL SO. FT. GARAGE ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT OR AIR CONDITIONING. TOTAL SQ. FT. FIREPLACE DETACHED : THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR 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 that 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 permit is issued and all work done will be in conformance therewith. PERMANENT SHORELINES (� SEASONAL FLOODPLAIN ❑ Firm E.D. NO. S.E.P.A. ❑ 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 _ of the Mason County ordinance requirements for BUILDING DEPT. j which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT APPLICATION ACCEPTED BY PLANSCVECK BY APPROVED F,OP'1SSUANCE Owner �� Date ' ,- i, B ��� PV CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH PLOT PLAN ADDRESS PERMIT NO. i o i o n > o LEGAL n 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 A"'D 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' 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. NAMES) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE SHELTON VRINTING I .ill-C A U S N N T q� FIRE MARSHAL Y 1 P.O.BOX 184 4th & CEDAR SHELTON, WASHINGTON 98584 TELEPHONE 426-5593 April 13, 1984 REF: Residence of Kirk and Dianna Orcutt Lot 4, Division 4, Collins Lake Called to Orcutt residence at 1430 hours on April 12, 1984, in regard to electrical defect in mobile home. Determined the smoke detector did not work due to lack of electricity in circuit. Several other outlets were not working in the home. I advised Mrs. Orcutt that should she choose to sleep in this residence she would do so at her own risk. I also advised her to contact HUD and Manufactured Housing Authority in Olympia. Many other defects were observed in this unit. Ed Piland, Deputy Fire Marshal DEPT OF GENERAL SERVICES EP/jw I