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BLD96-0521 Mobile Home Replacement - BLD Permit / Conditions - 5/4/1996
0 , 'i" cri n > > rn m Ml z Q > > > F7 m z Cl) > o m c- 1=m m Z Z 0 11) :13 a z > 0 0 V) Y) v z rn C) > m 200 0 Z6 OD -it C, ac > gi* Z V) -.i > > > > 0 — Z Z 0 Z` � > ail > > T < az 7—� c j 2� > 0 z z cr, rr > > co z > IK Sfi 20 --4 CJ) VC OD > =J 7, Z z C/) < < Asa c - ,' l �, .�' t � z4 3, -� x -s � � O OL Z47-4 z z z > Z 0 10 rn 00 0 ab lb Ilk .'D o OL OD' Q fA Orl z we M 0 > W m C, to r- 10 +n + 42, S m cr -0 Z Z rn Aff- -10 10 > > - 0 CONCRETE MECHANICAL MOBILE HOME Foptings-Setback date by Ribbons date by Gas piping date -( -mot b Foundation Walls date by Set Up a date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Attic Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by Water Line FINAL INSPECTION date by date by date by R 1�P y6 W y� A ;1 i� 7 1!( 1 f rn CL—m Z, x —>=C>=M > xlu --i -V x -n—" -.2 Z It -Omz> mo + 0 :a - 17 o B - rr— OL -nz Ml a uo >rn 00 "!= 0 10 n6o Z co--i M�r to "Ito = 00 wo< 0 =MC71= z C 0 0 —a 0 C) M ir 2 rw 0 cn Z -7 rj.-- 57 OT = 0 - rr, X o a< 0 OD 0 M-"== Grp -1 ci)co CA < < "'o Z A CD cis :T w OL OD Q v 01 Int)eoll Me+ 0 - 0 =r altz zz-to �CD Q6 mr-cl)z 0- Q6 Z czrn M ; cc =(D C -6 in ;;M F-r- w 0 u M -14 0 c>r- M - c T M-f uf� fI iI Ii M 017 t:r cn r, OD "M O =rl m< (D z 0 a oz ac CLM cr CL r_ cr T 0— Z6= 06 -V (D—(b 0> Ir m 0 ib a < tiY) -7 P+C;611 CO2 > — �—,. 0 cl) M T Z a C 11, : 0 O la-A 0 -!o Oo n oD Mr Z wx ;C nc Q tr 06 MD p, f+w 0 0 CD 0 (D —*o CIL 77 —3 0 --CL- -rf(M Q6 W z ED —Mco 0 < ;J) 0 is 74 Building Parmit #_5� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location >r;-)07k S t This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance de. as da��( n]2p►kL . r 3nseel �u Irr— h xndY�&,ds qtA ardsad You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK )16 Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑OK to Department (d Date /O o3 Inspector DO NOT REMOVE HI TAG Building Permit # � MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 00 7,,7 e o f5 TO ,,C'05� - This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: 4L)P fl o u 5 9- o Items listed below must be correcte to am code compliance G)v o AE �.E'/o.0 O loll You are her by notified that the a ve corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK a Call for re-inspection when corrections are made before continuing a Make corrections, items will be checked on next inspection ❑OK to / �,� Department l Inspector t 45A Date p DO NOT REMOV TMS; TAG _ PermitAo._ nn MASON COUNTY o�o' BUILDING PERMIT APPLICATION Q� 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 witevy er T- to M'tc�tt rt�� �o% «a Phone# 27�- Address '� 1'1�3 HWJ 2 Fire District# C A-��T f tr - St w r+- Zip gf35'�•�, Directions to Job Site so &AJ w o utr Ole' L- City � '"C'1�� gKEA2- a •$ � T t G �`�� bc- W t L ` a SHR�-,00fl +�• {S2 w f� ?)-,D Tu ots -rw s a nue-PIL+ d-co .N v s�1+{zou4N �4 K L lb 6-D of gk*) ngo v T t/�- • . Owner Mailing Address iF- t'?dv'5, 4wy 3 -P CD -4e-sir' too 5 City _A-LL)r� St t,j Zip 1? �� Lien/Title Holder �?iN tca �jTai c�� Address L:54, r-A-c er% rt�3ay�� City St Zip #2 Contractor Name Contractor Reg#LS4Ol4IAN&rit I Address S 20 74kg-�kag- z -..A Expiration Date/ 22 / qCL City 54-1e-a_-rn&�N St tom►41 Zip 4�58 Phone ��Nu -��7 J 0 #3 If septic is located on project site, include records. Connect to Septic?4�Public Water Supply Well �S Connect to Sewer System? Name of System Y Y (If residential, proof of potable water is required) cel No. IZZ 30 - !,q - qQ1 ZO egal Description erg t 2- ,F ! 1 u'F o 33 #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building' gr -- 1uv�,��F 4m±= Describe work S42,t #7 Type of Job: New Add Alt Repair Othe IM #6 MOBILE/MANUFACTURED HOME INFORMATION Model Year 14gc,_Make 6)Qd Model LOAq 'S� Length qA Width Z5-9 Serial No.6w --6, #Bedrooms ?.— #Bathrooms Z Type of Heat A eql K'W Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Cree Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other t ShwX-AoU+owing on the site plan N Lot Dimensions - Flood Zones Existing Structures ' Fences- Structure Setbacks Driveways-,' W Water Lines -' Shorelines Drainage Plan " Topography Septic Systems Wells 7 Proposed Improvements Easements,- 4 Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan LICANT TO DRAW SITE PLAN BELOW too TO k �N✓ �/{S���DIMEMareNS� � K Z �d A �-u5 --� FKd � I � � � {�pq c�fi u� 5 a�*� l�c.•r't ccN ���\ .- � Zoe�'.:D 11+:E.,ag�r.�/-• APPLICANT TO lJRAWN TOPOGRAPHY fs PROFILE BELOW y�o �ilYf,�Lw.oq C4, tame- ram 15 3 �/QY�" ✓VIA!�1���(�Q�(�'l�� i 1 +r r riru Plumbing Fixtures ($3.25 each) Fee Mechanical Fixture§ ($6.50 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs Units Showers _ Furn BTU Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems Sinks _ Spot Vent Fans Floor Drains Ng, Boilers/Compressors _Laundry Basins _ HP Dishwasher No.. Air Handling Units _Disposal _ chn# Urinals Ng,, Fire Protection Systems Other _ Auto. Fire Alarm Sys 50•00 Fixed Fire Supp. Sys 50•00 Permit Basic Fee 16.25 Auto Fire Sprink Sys 35-00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. ` CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH.NO CHA GES SHALL BE MADE WITHOUT R MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAININ R AL FROM THE BUILDING THE BUILDING DEPARTMEN f DEPAR E T. X OWNER X BY DATE DATE L_ L/ \s : ; z DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: g �6 Buildin P n Revie Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other 60 Other. Building Valuation: TOTAL FEE Ake) MASON COUNTY DEPARTMENT 01P HEALTH SERVICES , Water Quality PeraonaI Health finvironmental Health PO BOX 1666 SHELTON,WA 98584 LOCAL(360)427-9670 BELFAIR(360)275-4467&4468 EE 1-800-562-5628 Application for Determination of Adequacy TOLL FRFAX(360)427-7798 Instructions 1 CQiaplete I';art 1 v dete�nauatvm caxt be made .Fart�as fi�11v�,�,nleted:::: 2 Co>axplete the�of Part:�apply#r3g t��lxe type:of�ater:syst,�m -: � ��� � �Xet��i: I� a�w ►,at�>tiin�ris{v:tlt�:l�d .�f©� i�a, . PART 1: Applicant/Parcel Identification ) Date S'/G Name of Applicant �v c'�.�—� :c ,� - Mailing Address L-+—y4 Telephon� a� 2-�S-_4/-fdq Assessor's Parcel Number i Z 2-3O ! o /Z 0 T e of Water System Check One : Reason or Application Check One): ❑ Public/Community Water System(2 or morn Building permit connections) ❑ Land use application,if so.. t Individual water source(one connection),if so.. p Division of land (\ Well #of Parcels? '❑ spring/surface water SPH9 ❑ Other(explain) ❑ Boundary line adjustment ❑ other(explain) (�'c Ln i sk-ir\' PART 2: Water Syst� InformatiA Complete the section appropriate for the type of water system being evaluated for adequacy: Public Water System Name of Water System Water Facility Inventory (WFI)Number: ❑ The water purveyor has filed a letter granting blanket hookups to this water system. ❑ I am the manager of this water system. The water system has been approved for services. There are connections in use. This will be the connection. �s water system is able and wing to pro'Te water to this(these)connections without exceec�m9 the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date H.1WDATAWRCHJMWATERAD3.WP Update:October20,1995 W-7