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HomeMy WebLinkAboutBLD2000-01501 BLD96-0359 BLD23630 Mobile Home #21 - BD General - 1/10/2001 PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION -4 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467.Elmo 360 4825269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Own e1. 44/1 * ,' , Contractor Name Mailing Address f'tr Mailing Address City r State- r Zip Code y City State Zip Code Phone( ; ) = Other Ph.( Ph.( Other Ph.L 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 WellWater System Nameof Water System P CEL INFORMATION-12 digit Tax Parcel No. Fire Distri egal Description „ 7. Site Address(Please include street name, street number and city) �A Directions to site "^i, i Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream- Slopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB New_Add Alt—Repair Other_Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make:. Model r r:: ?r Model Year T% Length Width Serial No -,' No. of Bedrooms , : No. of Bathrooms Type of Heat _Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. %! 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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. first obtaining approval. X ' :tE Date (? v (r X Dale FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW. APPROVED DENIED CONDITION CODES Building Department; 1A /. ,y;s,= Occ Group Type Constr. Planning Department I ZO6 0� Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES :3%y<:%%.:x.i.:<.:: Y....A.�:#::. :..� . or�<o..W'9AWa,`:h�:,✓;t ».Fo< oh:. 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 AFPLICAPT INFORMATION CONTRACTOR INFORMATION Owner-,—A14 1-11 1 Q t r¢ , Contractor Name Mailing Address— � Mailing Address City i fate { Zip ode ,(i_j,ri City State Zip Code PhoneL- ,� ) rx- - ;%��Other Ph. ate Ph,( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer SystegY Name of Sewer System Well Water System Name of Water System : PARCEL INFORMATION-12 digit Tax Parcel No Fire District Legal DescriptionPtt S _ ��� i�. Site Address(Please include street name, street number and city) 1 IS , C n , {r . Directions t0 Slte.fl le' r .':S t,1 !' t -' r-t�" k f k r r r ::' ��Y F Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek_ Pond Wetland Seasonal Runoff StreamSlopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB New_Add Alt Repair Other—Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq ft. Garage Attached Detached Carport Attached—Detached— MOBILE HOME INFORMATION-Make ti' ytModel y' LI yt -]4,,1 Model Year Length :y Width - Serial No. ; . t - No. of Bedrooms No. of Bathrooms ' Type of Heatr11h, dilly ; Purchase Pnce $_ = Replacement Unit ?(Yes/No) R . .. Installer Name ^ Certification No. 144 Z�•` 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-]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. first obtaining approval. X ,. r T"P. �, Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due t Receipt No. DEPARTMENTAL REVIEWr ; A PROVED DENIED CONDITION CODES Building Department,/,A, (> / /� ten/ ) oT n c-r p I f r Occ GroupType Constr. M PAi i'Rtl L.W'J" Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) > 4i, K r r .•r jars massf , TOTAL FEES �i . PERMIT NO J 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 360 482-6269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner p1/ Contractor Name Mailing Address Mailing Address City Stale_ Zip Cbde City State Zip Code Phone( Other Ph.( 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 System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site - Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek_ Pond Wetland Seasonal Runoff Stream. Slopes or Bluffs PERMANENT RESIDENCE©. SEASONAL RESIDENCE❑ TYPE OF JOB New_Add_AltRepair Other—Use of Building Describe Work No. of Bedrooms No. of Bathrooms_ SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. 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-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 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. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Group Type Constr. Planning Department Environmental Health Department C4 r 30 &J Public Works Department i Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee etbs lc / 'go Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES O':5"S::y�ggdi:. ..ei?"..:�:' yy:. .:ct' ..:8:."• FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION v� ) Case No. p Name ✓� li l [r, PARCEL NUMBER/J_:eat-50 -AQS0 Date - 06 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 pro erties if on shoreline or within 100 feet of adjacent property line. adjacent r roperty lined 1 f� r I Fadjacent property line IT I � s Pare �yy-e' —� m a� sy i Qy S�PY� 1 t r� An -t . I adjacent r) ert line--.- Fadjacent property line SAMPLE SITE PLAN adjacent property lined 310' r �ryVE _ Fadjacent property line .gF.A-S�UAL L I � � HOME I G¢6GN CRFEK \ I to I ri°usa 1 I F 4J i P0.o Pea<O s¢pf:c --�I I K— 60• —ram ___ /So•--�I �[ R VACANT 30 i PAOPo]Cn P6NIGLLLTWRAL SO ' k—ea --mot '• � �s I \ �c I \ I I I .w '/00 —� I 'I adjacent property lined i c \i Fadjacent ro ert' 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 dis+anca_ +o ruGtLLYG di9'tan GL YG {c¢ ♦e a Signature Date e Golden Bell Mobile Home Park N.E. 20th Roessel Rd. Belfair, WA 98528 (360)275-4623 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 agrement will commence when their MOBILE HOME arrives on our pre-existing lot. The new tenant will be serviced by the Belfair Water District #1 . If you have any questions please call during normal business hours. Legal Description Tract # 20 Sam B. Theler's Home Garden Tracts Vol. 4 page 20 Records of Mason County. 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C co N E; O O N N � N O (D 1 O O � O_ i CONCRETE: MECHANICAL MOBILE HOME Footi.js-5niback date b Ribbons date by Gas Piping date by Foundation Walls date b Sat UP date by INSULATION date -'��U BG/SLAB insulation Floors Final ` date by date by date by FRAMING Walls FIRE DEPT. date by date b date _ G-'a-�% / by PLUMBING - Attic y OTHE Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I /2-2-9-m s ©/c J- /O —O tng6 03t0 d FLU I✓ t N ;, MASON COUNTY r BUILDING PERMIT APPLI"A�ION �. 426 W. (;adbT+ +; nx 13f, $haltnit,WA 96`-,8' -27 h` L to J a LL'r.aIGt1540 JOJ .-,it(, --_ -- - - _—. u�f!L _ „ - ng Add, H}Si:J'.dr''Ii^5 101-alcid on pLSiect 51' I ';lu'le f' C ,tUS. 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(fit Hovi, i;t Ir.,r iYar. .II IiAIti _ - - AutIJ. r:r _ F _ 15.00 A i , t e 'a :mit Baser, Fee - ,Ns, O; et THIS PERMIT BECOMES NULL AND V-- OID 1F� _ _ - - - - - �RK OR CONSTRUCTION AUTHORIZED IS NOT COM- Pe;mIt Brief FGe LACED WITHIN 180 DAYS OR IF CONSTRUCTION OR i It IS SUSPENDED OR ABANDONED FORA PERIOD nJTAL I•iEGPAi:i�-._ n DAYS AT ANY TIME AFTER WORK IS COM- CwD_ PROOF OF CONTINUATION OF WORK IS BY -;g OF A PROGRESS INSPECTION. nNTRACTORSA,;-1I K IC - cRc AFF). VfT FRTIFY THAT I AM EXEMFT FROM THE RFQUIRE- II CERTIFY THAT 1 AM A ,,uPRFN1LY NLGI`• � ' - " n OF THE CONTRACT ORS REGISTRATION LAW CONTRACTOR IN '1HE STA I E Vr WASnIN..�TC 1< l u2-- AND AM AWARE OF THE MASON GOLINTY I IATING THE WORK F�^H rAH CH THEt?ERMIT IS :Y dANGE REQUIREMENTS FOR WHICH THIS PER• ' AND ALL WORK DONE WILL isE IN NFU .' L SLI L) AND CHAT ALL WORK DONE WILL BE IN RIANCETHEREWITH. NOCHANGESSHALLBEI THEREWITH. 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BOX 186 SHELTON, WASHINGTON 98584 1O 427-9670 DATE ISSUED PERMIT NO. �2 3(,.3 0 OWNER , N Fv 110R MAILA'DOLE SS CITY&STATE ZIP PHONE A->-S Tce�.rL CLOT) DIRECTIONS �k lol , _ 6L 17 TO JOB SITE n_ I ^ I - /`i ,AC2 PARCEL ^�1?J /-� NUMBER/d33 �� G'�D` " LEGAL l cl DESC m:hf-%Fr/� : CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE USE OF n��� //�� 1 'A/fT y3. _ y BUILDING 5 % 1lVvC.Q- I�r I r1.A CLASS OF NEW ADDITION ALTERATION REPAIR MOVE �/ REMOVE WORK r DESCRIBE WORK flare, 19?7 FleeAwoad Mo6. 1, Ovke z x n,ro ,t• dz Leif /ha��� Ik z i- w seder o d sk«f, N S. 114-1 * Is 09-FL n'l BEDROOMS DECKS CARPORT NOTICE BATHROOMS - TOTAL SQ.FT. GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT TOTALSQ.FT. I7-31 FIREPLACE COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRA. ON LAW FICW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE ENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN C, ONUDRMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINI GAPPROVAL FROM THE BUILDING DEPARTMENT, APPROVAL FROM THE BUUIILL,DDII GDEPARTMENT. X OW ER DATE X BY Y/ g DATE FOR OFFICE U k ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED YES No YES No BUILDIEPERMIT TION7FEE J HEALTH PUBLIC WORKS PLANNING FIRE BUILDID.O.T. BUILDING PLAN CSPECIAL CONDITIONS BUILDING GROUP PRE.INN SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE ♦J. \JF� STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION ��- BY `�-%� O 1( CASH CK MO TOTAL O� y� 101�en :ell i Obile ` ome cr._. TO ::bom this - y concern; Ar 1ll cc tif, b, t c�OS .- "caller. Teas a plied for ti aenc; i_n 0 , , = k loc+ y d _ L .- .- oes, el d. spnce ;0. 71. his pLrm , ; Pat -ar A Occo ,odste f �* " l - o,�tC IOC .10 11; rt O'^P^-- ,Lh i `'e Ore gent tin pre o"' "MAD)) "Ones in ,,e J_ a_r1._. he _� is 2ys em „� �� �,e ,i d to , ar_?.1F to full co rli-,, o . Torty( v om3sl half Of Msc All be si ,le :7l We Ot_.^ ^ h l i. oublo i e. 1 hope this incor vti,, :^,ill cla- if- hn situ tion. spect ''ully !olden -ell - obiln ome nom, A . I. Tj F-oessel d. elfeir, .a 9 5.. , John T. MckuV owner` "lbert L. nders ;m ia�e!r) a 3 3a - SCE 6bo SCE ia33a 50 Shorelines: yip Plumbing: Setback: Mechanics . Special Interior: Conditions: FINAL: Mobile cme: Smoke Detector: RearkS: ."P Doting: � i�� >B`i Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 23630 No. Floors Sq Ftg 1232 Owner FULLER, Joseph J _ _ Tel 582-2647 Date 4-28-89 Address 8101 83rd Ave SW A- 5 aroma Zip Contractor ee s Mobile Home Towing Address 960 52nd St E Puya up Zip Legal Descrip ion am e er H & G Trs. r 20 Direction to project site Hwy 3 to Belfair. NE 20 Roessel Rd Golden Bell Mobile Home Park SD 21 va ing _ c anica ewer Wo Stove Fireplace __ Deck Garage Carport Basement _ Loft _ Other 1987 28x44 3 bdrm