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N. 0 0 ao 0 -n,o 0 w va o ca m w m o m 0 -0 a cD 0 a MECHANICAL HOME Fbodngs-S,36ack date Ribbons date by Gas P%*V date by Fourx,a*a wads date by set UP by INSULATION date /�Z`� -C� byL SOJVLAB ins rs an ulation Flooal by date by date by FRAMING Wails FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by FINAL INSPECTION Water Une date by date by date by Cv [J• , TLM n A / /TCT c: l �`GP� 1 ICJ /-'t r• 1 L✓/S S f�,A s. T�- �� PERMIT NO.: BLD MASON COUNTY � � ) BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner „�A. P, plc/r'`T"i � , 9r Contractor Name Arf-. f� I>?cjc'7 i0. J , rE✓G Mailing Address fflelW j-"I"A'C wZ, Mailing Address City J,f Stated Zip Code 4?,J:3F e) City It's► ra,.e State 4-A Zip Code '74 ec" Phone( ;bO 7999-?._s'.�$6 Other Ph.( 60 .If e - s� Ph.(_j�LJ ) /li -f her Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System✓''" Name of Water System_IlLk;0414, 141�fA7:td', -11'ARCEL INFORMATION-12 digit Tax Parcel No. !°�? ? / 0 410,i�t' ire District Legal Description 7,0^1 3z Site Address(Please include street name, street number and city) f Directions to site 460 ^4CS'/ S`• .! A-;,'.tt s` j2AI ,dJ',w�+ J 1reo oxf I— X; i W-r _F;©c Will timber be cut and sold in parcel preparation? (Ye o Is your property within 200' of the following: Body of Water (Name)Surd crA/ r-A ��iC Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 777 PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB New_ ./"Add Alit Repair Other Use of Building Describe Work tf r"pM,� ' i_ c:i. "-.c : ,� No. of Bedrooms—7No. of Bathrooms_ SQUARE FOOTAGE-1st Floor 17Y'2- 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make mw ;,,,z-, Model /1�ef,d �R Model Year Length 4',a WidthZ_ Serial No. f/Y• /S'11✓.3 No. of Bedrooms No. of Bathrooms Type of Heat 7,o C" ,an urt;hase Price $ f 9, d i/A- Replacement Unit ?(Yes/No)ZVO Installer Name t 4'644e1"%rP..+r Certification No. ,C J410 NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No chan s shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. �� ��../ first obtaining approval. c 1 , Date 5'f j X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date 'submittal Amount Due ' .� _ Receipt No. z, 11, .0 DEPARTtVfEN>, EVI APPRQVED DENIED cv ITIv[V eo;pES ... .. . . .... Building Depart<h�)/ 2j' `_� _✓° d/ Occ Grou T e Cons r. Planning Department 0 Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES ` MASON COUNTY PROJECT SITE INFORMATION Case No. PARCEL NUMBER Date sw SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 I I E-adjacent property line I I I I I I I I I I I I I I I I 1 I I I I � I I I I I I I I � I I I I I I e I I I I � I I � I I �✓' I I I adjacent property lined I I <—adjacent property line SAMPLE SITE PLAN adjar�nt property line—) 22-0' _ _ Fadjacent property line sc.a I p 36- �R ve - sa>I CREEK i' fi HOM 6 I Gcaatu jTIMOPouC smpt:c. �I 1 I R I VAC/1NT I I CrARA45 I(� P0.oPaSCD T F-so' \ \ I A&R=LLTtLAAL 80, I —i00' \ I L—e.LL I � I I I I ] i00 I A I adjacent property line-.* ; ! a". ; Fadjacent properi� line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dtSt�ncm fiv s.t ru�tL�Y �1 dca'tar,cL ro Slops. �-c¢ dis+anc� to e `..-r✓ fit. /,,` �,rr .g"n re Date PERMIT NO.: BLD W V 1-tv I r MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ;,' r_ ✓ .,-d '.S Contractor Name, 't Mailing Address Mailing Address City w Stated Zip Code ter';,"ti' City t .�= :,.. Sgte Zip Code Phone( '• " ) .=�:r s > . Other Ph.( �. ) :. 4 ' Ph.( 'Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic .�"- Existing Septic Connect to Sewer System Name of Sewer System Well Water Systemr'' Name of Water System t '" PARCEL INFORMATION-12 digit Tax Parcel No. > 4 / / �=�»% .. ( ' ..-Fire District .-- Legal Description �t , w-./ 4_ -v =, ,.t1 /-^ - Site Address(Please include street name, street number and city) ° r' ,�� f•` ,�i Directions to.site ? '. ...y . i Will timber be cut and sold in parcel preparation? (Yes4NJ V Is your property within 200' of the following: Body of Water (Name) ),4,,.2 +'Y Saltwater Lake River/Creek_IZ Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB New_T,� Add Alt Repair Other Use of Building Describe Work j` , ,: i:,. No. of Bedrooms No. of Bathrooms . SQUARE FOOTAGE-1st Floor i ?! - 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garacte Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make;,srz:/,-',4Z ti Model Model Year !">' Length ;„: Width:° 3 Serial No. -4 No. of Bedrooms { No. of Bathrooms Type of Heat .:_ v.z z Purchase Price $ 11, Replacement Unit ?(Yes/No) Installer Name t9; , Mt a,t Certification No. c',}3 '<- NOTICE: THIS PERMIT BECOMES NULL 8.VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-]certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. zr ,r. first obtaining approval. X i ;' .; Date_ f V. 'i X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by pate Submittal Amount Due Receipt No. DEPARTMi NTA�.;REVI W APPROVED.IaENIED'' CON1DITION CORES Building Departr>rfit Occ Group Tvpe Constr. Planning Department Environmental Health Department IV I'T Jul �Ltnt,; Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee SU Plumbing& Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 ��a Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION r Owner , �;tr 'f,. ,' ;r� ,�� x Contractor Name,�,'. �`���s:~i2rR�; 'v.u� .; - c✓<� Mailing Address { zcl�.k ! Mailing Address City &F�,.y ,1 State, Zip Coded e) City 7.4 F," pe ,, State 4-'A Zip Code Phone( J ) 'J � c Other :. her Ph.�)_ Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septicf:::�LExisting Septic Connect to Sewer System Name of Sewer System Well Water Systeme,""_ Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 12_ 3.3 Z- 1 s-) / 0=0,0 ?. t�ire District R 2 Legal Description '¢ . ,� 2- Z3 der ,:cj Site Address(Please include street name, street number and city) . _ 3 '/ Directions to site Vic::, AIIZ°< � X,1 7 10i1V..14.e_,! oaf✓` ���y✓ .3 t':ty.� �J�� aJ X1,ski" ;loc- Will timber be cut and sold in parcel preparation? (Ye Is your property within 200' of jhe following: Body of WaVr(Name) �u ��`..�. > K '; �g` Saltwater Lake River/Creek_� 0 Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE SEAS ALRESIDENCE❑ � TYPE OF JOB Newer Add �jt: Repair Other Use of Building Describe Work j. �c ,c `fir ri E r1 tr No. of Bedrooms_:' No. f Bathroorns 2 SQUARE FOOTAGE-1st Floor 1 7 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Maka,rrr ,,Z.�. Model , /_' Model Year Length WidthZ, L;�; SeriakNo. �// - IF 31-5 No. of Bedrooms No. of Bathro_o(ns � Type of Heat itddlr9o�t!fir r'urpbase Price $ Ili f d!.7. Replacement Unit ?(Yes/No) 1t/O Installer Name r ,,.,/ Certification No._ L� NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 18f�DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure:for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware o-the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No chan s shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. r ^y first obtaining approval. X ,> ' Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by ; Date ` f-,;:. %�+ubmittal Amount Due , Receipt No. .0 ' --- —= C7PARTMEf�T �Vl Al? vl_p D' tEp C£)II1I ITIrN eopU Building Departm6y f a< /� rJ (' Occ Group -,.Tvpe C6nstr. �7 / Planning Department Environmental Health Department Public Works Department I Fire Marshal o.. Valuation $ . 1 `mo FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES D:\CivilEng\268\dwg\68LL.dwg Thu Aug 30 12:40:56 2001 'Ap CONSTRUCT 120 IF 7Q�oo�z\'=amS�:y f:�e gyo m�_m oo'o8n•SAno�Sm,>�,�� e��\z�rE 3�A$$'��'�.g.�.,,Pb�gg44`o @\ ����,'�`������'i�,���A IS�^\�A`;>�t�\',�'��s'`\�',�v�s•��.`'.ti 0w\�.7�,'\1E�\B 1 0w6.`M\M�6\.E Mu`G..M2 L STOCKADE \T?O�,•l\pK�AD�E FENCE Ng>°C2 EJ K v.�`IrI—IIiItIIi 1I III I�I-IIV II_I I_II I�I I I IOI 'I AJw�2 lN{e{ s YAm� 'F� rL \t'1 P_CTyN-OW DITCH a'�E.1ED MODEL 451 F51'-0" 2T-4' mo o cr I m<�L, $h m Pz qm 9 F nSl HIGHWAY BY-PASS DITCH r Ko�mB�vmz4�0m8 ToNAwaRo.'fia"W`9 1 POP FA 4' - P \ } 81 a T 1 P m nm Wm I aI C zo f!l ^o z 0 SITE PLAN Prepared BY SCALE -10 R-le—_ P-pmea LAMPLIGHT HOMES DISPLAY MICNAELF.WNEK,P.E. DATE 08-30-01 JACK JOHNSON CCWSUL TANG GWL ENG/NEER CHECKED BY: w W P.Q. BOX )119 SWEETWATER CENTER DEsx BY: MFW BELFAIR, WA 98528 BREMERTON.WA 98311 HWY 3, BELEAIR SMERWOOO DRIVE DRAWN BY MI W RE . 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I J f "r iftr 1��:,3 f r ;,r.iStr�t�,a ;#�Lj aTr ti ^?r '� r i ,lie t fl (.N C'eCtll{t5�t Ifi�} tl;ftl � provid +1 zw li {plrcglr yn pC7 r !rr cn�t ,� c rnlp(k31f37t3tot�r piU t+usaitt W'' � � f_S ,+, �s wilt b6 mi in tt �> the ter ;t E `I= op I r �u t r a�a�, anri 1h,et ,i +r ., °.1 [dtf ' ilntorr a rinfici4y r�zq►,uFi#i �. p I t r'.I r 1'1 7 + "1T x .1-�' r -e -r r 'r'�T:,.•*--sr ,.tam.. t7" rr't�..e...._w:... .7.._..ol .... I SITING of a MANUFACTURED/MOBILE HOME The siting of manufactured and mobile homes is reserved to the local building department. See RCW 43.22.440 which states: "These rules regarding the installation of manufactured and mobile homes shall be enforced and fees charged by the counties and cities in the same manner the state building code is enforced under RCW 19.27.050." RCW 19.27.050 states "The state building code required by this chapter shall be enforced by the counties and cities." The Uniform Building Code (UBC) in section 101.2,Purpose, states: "The purpose of this code is to provide minimum standards...by regulating and controlling the...location...of all buildings and structures within this jurisdiction..." In addition,RCW 46.70.023(1)allows"A mobile office or mobile home may be used as an office if it is connected to utilities and is set up in accordance with state law. A state-wide trade association representing manufactured housing dealers shall be permitted to use a manufactured home as an office if the office complies with all other applicable building code,zoning, and other land-use regulatory ordinances." SITING a MANUFACTURED HOME 19-h-1