HomeMy WebLinkAboutBLD92-01511 Final Mobile Home Space 44 - BLD Permit / Conditions - 7/21/1993 -+ = "Z z
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date A-a-93 by (�
BG/SLAB Insulation Floors Final 4✓--
date by date by date by G
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
d77' biget "JAM, GZ. Q�yr 1.t31I,�
ilot afl / rJl
?ss,, - 3'-R3 �r►►n Dce. 2 2-a 3 �wd 40
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Permit No.BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner KP/✓/✓P/x D. Phone#(20(,) 31 S--- 7 yV Y
Site Address Ally.,l CJ,'ecu /11dLl <O&c,- I VY
City Az4fazz State WA. Zip K-5-2 4/
Directions to Job Site 4- k
01'aa./ a �u-f 40AIa
dorIiQAI dr" mark
Owner Mailing Address Y o
City Po-d lack State 6c1/1. Zip q e33 9
Lien/Title Holder ' r l 19
Address 2 11 C-
City Ala dr`f State Zip -99339
#2 Contractor Name Contractor Reg #
Address Expiration Date
City State Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply • Well
(If residential, proof of potable water may be required. )
4 Parcel No. \ 2-2 'LO 6-0 -7 -OU
Legal Description A(( Loch 7 to
i
#5 Building Square Footage: (existing/proposed)
1st F1 17 Z / 2nd Fl / 3rd F1 Loft /
Basement / Deck / #Bedrooms / #Bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
;j Other sq ft /
#6 Use of building Describe work NL��-tom
'3
.f #7 Type of Job: New �.. Add Alt Repair Demolition
Woodstove Re-roof Bulkhead Other
#8 Mobile Home Information
Model Year IoViO Make L'Ikar-u Model 06�c 66111
Length 44 FT Width IV rr Serial No. q�-
#Bedrooms #Bathrooms Type of HeatrcQ
'i
#9 Any water on or adjacent to property: Saltwater Lake River
Pond Wetland Seasonal runoff Other
F
::::
Show €a1lowng on the site flan
Exsstin Structures? Fences
;;.Stnscture: Setbacks Driveways
Water Linea
Shorelines
Drausage ;Flan Topography
Septic System Welds
Proposed Improvements a B sements
Name of Flankang Street
Scale
Nam e;of Fronting Str..eet <
Date
APPLICANT TO DRAW SITE PLAN BELOW
Vaca0-/ L o C' Co 6
----------- 4(JIiPell
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�v0V ' sep Vi
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i I '►O�0 10 w�e O W N PV'S ��Ccr r
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Ci•T Qp ro V.1 rhA-A3
(ape
Plumbing Fixtures ($2.00 each) Fee: No. Boilers/Compressor Fees:
No. Toilets 0-3 HP 6.00
Bath sins 3-15 HP 6.00
Ba Tubs 15-30 6.00
Showers 30-5 HP 6.00
Hot Water Htr 50 HP 6.00
Laundry Was
Sinks No. Air Handlin;nit
Floor rains <= 10, 000 c 7.50
Laundry Basin > 10, 000 m. 7.50
Dishwasher
Disposal Other
Urinals Evap Coolers
Other Hoods
Fire Suppression
Permit Basic Fee 3.00 Domes. Incin.
TOTAL PLUMBING $ Comml. Inc' .
Rel epair 6.00
Mechanical Fi3 res as Outlets x 2 .00
No. Fuel es Woodstove separate
Furn < 100K 6.00 Other
Furn >= 100K BTU 6.00
Furn - Floor 6.00 Permit .Basic F 10.00
Heat :um
ps 6.00 TOTAL MEC ICAL $
Vent yst - 3 .00
Vent Fans x 3.00
......... ......... ........ ........ .......: ..'..................:... .............
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SVSPENDI3D::OR :ABANfO A ;>EERI g;:> >. :::::>DA�.?! E�t:>lis[01 :>< ::: :
NE> .::FO....:.:... :. :.. .....: D..::O.....:: 8 ...............:.......:..:...:.:::.:..:............:...::.:..:..:..:::.:....:.::::...:::.:::::.:::::::::. ::::::::.
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OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I certify that I am exempt from the requirements of the I certify that I am a currently registered contractor in
contractors registration law RCW 18.27 , and am the State of Washington and I am aware of the
aware of the Mason County Ordinance requirements for ordinance requirements regulating the work for which
which this permit is issued and that all work done will the permit is issued and all work done will be in
be in conformance therewith. No changes shall be conformance therewith. No changes shall be made
made without first obtaining approval from the Building without first obtaining approval from the Building
Department. Department.
X OWNER !J X BY
DATE: 9 q2 DATE
I
Return permit to: Department of General Services 426 W. Cedar Street/P.O. Box 186
Shelton, WA 98584 427-9670/1-800-562-5638
.... . ......
FOR OFF>:CIA .:: .... si ?G te* €. laf* >::>:::>: ::::>::<::: <><<:>;>::>::::>:::>:<:>:<' ::>s>:<;....
DEPARTMENTAL, REVIEW
FOR OFFICE USE ONLY
'i Planning:
Environmental Health: P o ,�..
i Building Plan Review:
Occupancy Group:
Fire Marshall:
:')ther
_:::. FEES
Special eoncti.ti�hs: '
Site Inspection
9
Permit 4
Buildin 9•o�j`
-, Violation Fee
Violation Investi ation Fee
I
Plan Check
Plumbing Fee
1
Mechanical Fee
1
I
I Woodstove Fee
Building State Fee H•S�
3 1
} Building Z.aluataorf
5 .75
f �
TOTAL i ?
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg.III 426 W.Cedar
P.O.Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
PERMIT: BLD92-1511
OWNER: FORKER, KENNETH
ADDRESS: ALLYN VIEW MOBILE PARK SPACE #44
COMPLIANCE TO ATTACHED CONDITIONS REQUIRED:
1) All construction must meet or exceed all local codes.
2) Must obtain occupancy inspection prior to occupying unit.
3) Must maintain 15 between mobile structures and 5' min.
setback from road easement line.