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HomeMy WebLinkAboutBLD94-1590 Mobile Home BLD16649 Final Mobile Home BLD22998 BLD96-1312 Mobile Home - BLD Permit / Conditions - 2/14/1997 Permit No. t MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 owner - (v/NI( olt_e Address 4F, g7 Fire District# City St zip Directions to Job Site aezz Owner Mailing Address 3z5s?r W-10 J*?- City St li/ Zip Lien/Title Holder Address City // St Ll�� Zip #2 Contractor Name hL O I AO 17ZI LO 4�d n es Contractor Reg# Address Expiration Date city cqOt25' G St—ezi�Zip Phone # #3 If septic is located o�ct site, include records, Connect to Septic. Public Water Supply W I Connect to Sewer Sy tem? Name of Syst m ��(Z� Dar.all or, Xzk (if residential, proof of potable water is required) #4 - .-Parcel No.k�---3Z-t!&a-_<�� /�—�� e escri on ( � `C.vrt . -r'hL eA 'i. I Ile ZO #5 Building Square Footage: (existing/proposed) 1st Fl I I CD/ 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other // sq. ft. / #6 Use of building fQaiialle-t ` Describe work AKoT/- "22e. i,'l/�2 -�/��iSTi✓16 #7 Type of Job: New Add Alt Repair Oryl_M_)�7 n rn � FDJ #8 MOBILE/MANUFACTURED HOME INFO MATION 1L�5� ITIIVV�` �m7uT1 Model Year d 9 ;? Mak r odel n r.T 2 5 Length_Width 5 Serial No. # Bedrooms # Bathrooms Type of Heat_ /ec. $CALTH SrRV1 Fr Purchase Price$ IZAr o #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 Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by IN, S. E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW I �� I ` Hx2s �P ,:�:,uruzv 1vla� Yl2Pl-� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 1 Plumbing Fixtures ($3 25 each) Fee Mechanical Fixtures ($6.50 each) No.—Toilets IRCLE FUEL TYPE: Gas, Electric, Bath Basins H tpump, Other _ ath Tubs � �6 Fees _Sh ers — urn BTU _Hot W r Htr — He tpumps _Laundry her _ Vent stems _Sinks — Spot Ve t Fans _Floor Drains o.. B il _Laundry Basins — HP _Dishwasher No. Air Handling Un s —Disposal — cfm# _Urinals RQ, Fir i n S s _Other — Auto. Fire Alarm Sys �•� Fixed Fire Supp. Sys `0•00 Permit Basic Fee 16.25 Auto Fire Sprink Sys �•� 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 APERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- 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 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 CONE ANC THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHO FIRST STAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING T BUILDI D MENT. DEPARTMENT. O / X BY DATE�r7 �cl �9�� DATE FFOROFFICI�USE ONLY: Accepted by: �Date DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: M6131LE k)6MP MfZh SIr f&CN J G�14 ljl 6�7&V7*� Environmental Health: s) T-2a � Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit VIA_ V�lk lSD Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other_ Other Building Valuation: TOTAL FEE GOLDEN BELL MOBILE HOME PARK N.E. 20 ROESSEL RD. BELFAIR, WA 98528 PHONE#(360)275-4623 DEPT OF GENERAL SERVICES P.O. BOX# 186 SHELTON, WA 98584 As required, we are sending you a notification of a new lease agreement with the following new tenant Lease agreement will commence when their MOBILE HOME arrives on our pre-exisiting lot. If you have any questions please call during normal business hours. Legal Discrepton: Lot 20 Sam B thelers-home garden tracks. Volume 4 page 20 RECORDS MASON COUNTY. PARCEL NO-12332-50-00050 New Tenant Name: New Tenants Lot: THANK YOU, Dede Schattenkerk Mgr. 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D A no—Ib oa nC0 .ri—T1 Q 1#00 S- ax - �r=i1 47 -ccI a a Q.3 - CQ ay oCme y we — aC AOf-=h@ h— M•-- Q A . amG C tv 3 me m x h�Ga I r q hw U 00 C�C R � y - q m�i �c �9 +w I of av•+w w'+w a r„ + + o m O n I _ - 1 p me wm-m v Q z wwa7 Ve co -a- w I m I O N 0 -n*Q 7G 9 C e m w ^ rn m o £c- w - I o 3 -cc, 0 ce � Q I r rn :- _ + owwa 3 v mm -x�:- v. wmw - I v � I I I I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 / 426.5593 DATE ISSUED C --,// f/�p�/ PERMITNOI MiTNAME MAIL ADDRESSCITY&STATE ZIP PHONE PARCEL NUMBER.- 3 r � DG2�J' O LEGAL DESC NAME MAILADDRESS CONTRACTOR CITY&STATE LICE S O. ZIP PHONE USE OF BUILDING CLASS OF WORK r NEW , ' ADDITION ALTERATION REPAIR MOVE REMOVE DESCRIBE WORK Qn7 �X r Q1 BEDROOMS - DECKS CARPORT NOTICE BATHROOMS TOTALSQ.FT. _ GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. NO.OFSTORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT TOTALSQ.FT. _ FIREPLACE DETACHED COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PERMANENT SHORELINE ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. SEASONAL OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY TH T I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATIO LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREME S 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 u'e.,(/a IN IN CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING Q OnN OBTAININ PPROVAL FROM THE BUILDING DEPARTMENT. .� nO tz APPROVAL FROM THE BUILDING DEPARTMENT. X O R /_ DATE --1 n -k k X BY DATE FOR OFFICE USE ONLY DEPARTMENT YE NO APPROVE DEPARTMENT APPROVED HEALTH YES NO BUILDING VALUATION 9,36 O C,'_ � PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT j� D.O.T. BUILDING 1'e//'c' PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP s- � PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE �G STATE SURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION BY G�� G -„26 a CASH CK MO TOTAL 9g. 7�5 �77 PILOT PLAN ADDRESS /I/,C .' GLl�ss�� /�� 3�7 PERMIT NO e O � LEGAL R °_ DESCRIPTION LOT BILK ADDITION e ri SITE AREA S G / _So. Ft. AREA OF SITE OCCUPIED BY BUILDINGS. �(� Sq. Ft. w l INSTRUCTIONS TO APPLICANT v THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF I PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,ANDSETBACK DIMEN SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STRSET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' i i i I/We certify that the proposed Oonstruction will conform to the dimensions;and uses shown ove and that no changes will be made without first obtaining approval. � e 1 [UI O N Rl 1 OF el a RUC IUR Ial (PRINT) ION♦ UR 0I OWN Ia) OR AU TNO RI ED R I> EaEN TA TIV DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 �— DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRE S CITY 85TATE 5�4 C P ZIP PHONE Coll. Y/1 a E m- �°lfGi/" 11iG. 8 2 DIRECTIONS TO JOB SITE C /�✓f�7 !/� /7�J6-'G�7/�� 7`?Z��`n� '�R- r `—' a�� LEGAL �^ (- SEE ATTACHED SHEET) DESc Irr��. T/�f�fr'S�.�mfCJI r�Er7 7izrc�T; Ti; , 3�1- 3 / NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE CONTRACTOR USE OF / /' / C BUILDING ZIrl 1{2 A /fB/7�J t° Me, Class of work: � ❑ ADDITION ❑ ALTERATION ❑ REPAIR < MOVE ❑ REMOVE Describe work: Valuation of work: $ PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS_ __. IDECKS.- CARPORT '.) NOTICE BATHROOMS ; TOTAL SO, FT. GARAGE I '. ATTACHED _ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT OR AIR CONDITIONING. TOTAL SO. FT, FIREPLACE i:: DETACHED f THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER I certify that I am a currently registered contractor in WORK IS COMMENCED. the State of Washington and I the aware of the FOR OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in conformance therewith. PERMANENT . SHORELINES , SEASONAL -: FLOODPLAIN Firm E.D. NO. S.E.P.A. I By Special Approvals IN OUT YES APPROVED NO Li . o Date ZONING PLANNING DEPT, OWNERS AFFIDAVIT HEALTH DEPT.`/717e PUBLIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware of the Mason County ordinance requirements for BUILDING DEPT. which this permit is issued and that all work done will ROAD ACCESS be in conformance therewith. MOTOR VEHICLE PERMIT / M APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE r Ow �1'- Date J PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. C SH MICHELSEN, Kevin & Kathy #16649 4-5-85 Sam B. Theler's Home & Carden Tracts Tr. 20 32-23-1 Golden Bell Mobile Home Park #34 NE 20 Roessel Rd. Belfair Contractor Mobile Home 1984 52x24 3 bdrm. None $23,088.00 D J5 o n w r X x (D ro ZC 0 ro M o m 9 0 O' 0 7 n n 0 0 �"' O K Oro Cn (D 1-+v w (D (D M n C O (D a G .T n fD rt 0 a a w Y (,-D--, x Ho0 0 r0 p n w D07 n nT ° w n n n Oq O .. K .. �"' T.' K rto a� nA'(w'+ N .. rD (, n (D o° w rt K 1 � a V�D C6 ��k C ��('�7G �G y-;�a Permit No. KASON cbUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 q� PLEASE PRINT 'j� #1 Owner ns 7t - 7 ddress f Fire District#�'�`� ity � G f St _ZiP Directions to Job Site Uoc-V n� t f '� 1n 'Ztl kn,'- lzS,4r on Ares cea Ae, J0 SP�Bp A c"ol efA-1c0tic.e 4-c:) C 04� 3elt t-D 121t IEP� Pork /I lo4h Owner Mailing Address )Q art, fl7h City \�g,� St fA - zip 4 7F5-7T Lien/Title Holder r ,ry a YCeP Want '3J Cocp Address 'Pp ` 73o City �-eclerj tOaAd St k)a Zip 9/P063 #2 Contractor Name 'ili � - At+2 thy-o 5 Contractor Reg # i?u y Rz H� //Lkk Address 3 S U 3 1,454 7faft Hcvv /to Expiration Date/ 3/ / 95� City 2 c_•} Occy\ard St l,& Zip g36L- Phone# q79— 07?5— #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well �( Connect to ewer System?_)Name of System (If res' tia nl, proof of potable water is required) C � � V # Parcel No. _3 3 rro SO Legal No 5RM .�ii�ellers H��� 1 G Ae T 4cfis i act n #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. �d/1 #6 Use of building �o str�ps� a Describe wor Off 9� #7 Type of Job: New '/ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION EGEW Model Year 199y Make5Kv/,;re Model arncdcelMQ OCT Length5-b WidthsSerialNo. OM L n # Bedrooms 3 # Bathrooms Z Type of Heat /L i<w GENERAL SERVICES Purchase Price $ 471�00() #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 At ba, Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional b N, S, E, W Name of Flanking Street y ( ) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW I - i << I I o APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW le \-A Vj, Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. UnitsFees Showers Furn BTU 1 Hot Water Htr _ Heatpumps _Laundry Washer Vent Systems Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher N4: Air Handling Units l Disposal cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No her 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 15.00 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 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 CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWN ZFi_.. `C��� X BY DATE DATE FOR OFFICIAL USE ONLY:Accepted by: lr 0jjj- ' Date: 10 20 q( DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: S� 43'�C 11S I� ' f5✓cw c �t� S� y /yy��/f�AVEC ID/ CM /' 03 rT�T I ou S fp�rC(M,, f�r�'N� r' As v �/� C c,"to� , Clwf Environmental Health: I Building Plan Review cpC Occupancy Group:_ Type of Const: s' Fire Marshal: Other: Special Conditions: FEES Building Permit 2-9-12 Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE v � 00 05 -0 O, a> U o } c N � C O -0O Um � Z c'0 Y ' 07 U x C CO - m _ 2 ° C S Z i I i I I i I I ao i � o1 U o 4- CD ,o c O 0 _t Um 5 _ -_ = z � N 10 O0 U x _- Q o ca - - _ - I a Lr CONCRETE MECHANICAL Footings-Setback MOBILE HOME date by date by Ribbons Foundation Walls Gas Piping date b date by dais Set Up BG/SLAB Insulation INSULATION date z- 2.3- date Floors Final FRAMING date by date •Z-Z 3- j 5 b Y � date by Is FIRE DEPT. PLUMBING date by date by Groundwork Attic OTHER date b date by D.W.V. WALLBOARD NAILING .S�• 6— Z- Z 3' �� date by date Y Water Line FINAL INSPECTION date by date by date by f OQ _ == = D _- co 0 °, C z _- COZ - _ _ (DWn ` = ' C O cn ol CoQ CONCRETEa CHANICALZ MOBILE HOME eRibbons Footings-Setbackdate b date s PipingSet Up Foundation Wallse bqby date date ULATIONFinal BGISLAB insulatioorsdate date e FIRE DEPT. FRAMINGllsdate date te OTHER PLUMBINGic Groundworkte date ALLBOARD NAIL D.W.V. te dateNAL INSPECTION Water Linete by date date I11L� la iI 2 Vl c� SM n� �-+ G r � Ad'r r 12a to �� 17 ✓ / ; .O-V /� s 7 c d,!l ec ! cT,� ti i i i MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION NOTICE Job Location 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 f 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 O OK to Department TC.) Date it �-� 1 r Inspectorl)(� oo'. 4 yvv-' ' DO NOT REMOVE THIS TAG