HomeMy WebLinkAboutBLD97-0698 Mobile Home #16 - BLD Permit / Conditions - 6/18/1997 OQ
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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Building Permit # MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584 /
(360) 427-9670
CORRECTION NOTICE
Job Location _-:70 7��e—fC_( , �
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
7. �L�. ��_ ��P<% �7zc it Gam ., E�
11&= gr ss, ram(
n
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
`ptall for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑OK to
Department__/y '
Date $- 8—�
Inspector L-u./
DO NOT REMOVE THIS TAG
Building Permit # 7-cam 8 MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASH INGTONN"98584
(360) 427-9670
CORRECTION NOTICE
Job Location A.1 c Zo
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
YCG,-•ivr� �O� ,0�0 .F,'Y+4 :C/
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
) Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department l a
Date - —9 Inspector o 5
DO NOT REMOVE THIS TAG
MASON COUNTY Permit No.
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �Q4�1 0.%
PLEASE PRINT (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) Qb
W,,wt,
re
r �Q Phone# I'
dda5A / 2ZZ
Fire District#
0 �OtS52 Q St�_Zip ZIP
Directions to Job Site�Jt {/ — 7�7
Owner Mailing Address an /3 c
City 1-be-7— (J
Lien/Title Holder St t,fti Zip yx -
Address
City St Zip
#2 Contractor Name ,( t,is Contractor Reg#
Address 2C&2 �L ����z Expiration Date /
City ��-� B�� l
St GJti Zip yP3GG Phone# 76 77
#3 If septic is located on project site, include records. M 1H /c,�t
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4r rNo. 1233Z - Doosi�
egal Description '
#5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft
#Bedrooms Basement
# bathrooms Deck Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of building M/&
Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION (� 3 i
Model Year � 7' —Make( ,Xodel
Length_Width _2 7 Serial No.
#Bedrooms # Bathrooms_,;.- Type of Heat 4 JUN 1 8 ���7
r
Purchase Price$ _ii;a,;,,
A��H
AA,, f,\1'CE
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
F
how following on the site planensions Fences Structures Drivewayse Setbacks Shorelinesines Topographye Plan Wellsystems Easements
ed improvements Indicate Directional by (N, S, E, W)f Side Street in relation to plot planf Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures 3 each) Fee Mechanical Fixtures / 6 7 eat
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units pees
—Showers — Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
—Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. Air Handling Units
_Disposal cfmk
_Urinals No. Fire Protection Systems
—Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ 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 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT 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 AMAWARE OFTHEORDINANCE 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 CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTME DEPARTMENT.
X OWNER r X BY
DATE CQ �Z `i l DATE
FR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
FEES
Special Conditions:
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other �� Z6
Other
Other L
FF=Builcringion: TOTAL FEE L
GOLDEN BELL MOBILE HOME PARK
N.E. 20 ROESSEL ROAD
BELFAIR,WA.98528
360-275-4623
Deede Schattenkerk,Manager
Mason County Building Department
P.O. Box 186
Shelton, Wa. 98584
As required we are sending you notification of a new lease agreement with the
following new tenant. Lease agreement will commence when their MOBILE HOME
arrives on our pre-existing lot I'f"you have any questions,ple se call a rriingnor
business hours. '��4' tica r� J ti`�
Legal Description:
Tract 420 Sam B. Theleis Home Garden Tracts Vol. 4 page 20 Records of Mason
County. Parcel # 12332-50-00050.
NEW TENANT NAME ILQ�s�• ��i�A�
NEW TENANT LOT #__ �__
Thank you,
Deede Schattenkerk
Manaager
MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
Personal Health
Environmental Health
Water Quality
PO BOX 166 SSHELTON,WA 98584
LOCAL(360)427-9670
BELFAIR(360)275-4467&4468
TOLL FREE 1-800-562-5628
Application for Determination of Adequacy FAX (360)427-7798
Instructions
1, Completo part L No determmationean be,made until Part l isftl L.9=212fed.
2. Complete only the portion of Part 2 applying to the type of water system utilized.
3, Submiteo feted lication-withattachmentstofiiehealth departmentforrmow.
PART 1: Applicant/Parcel Identification
Name of Applicant / 'Cl/�` �� �FZ� Date /o
Telephone f7� 3z77
Mailing Address
Assessor's Parcel Number /02
Type of Water System Check One): Reason for APPlicatiOn Check One
Public/Community Water System(2 or nwre Building permit
Connections) LLanduseapp lication,if so..
❑ Individual water source(one connection),if so.. sion of land
❑ well Parcels?❑ Springisurface water 9=Other(explain) ndary line adjustment
er(explain)2 C
PART 2: Water System Information
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
presently connections m use. This will be the connection. water system is able and
willing toe water to this(these)connections without ex�cee in the limits of the water system or any limits
set by state and local regulation.
Signature of Water System Manager
Date
H:IWDATAIARCHJMWATERADL WP Update:October 20,1995
W-7