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HomeMy WebLinkAboutBLD2000-00139 Final Replace Deck BLD92-1457 Mobile Home BLD16503 Final Mobile Home BLD14549 Mobile - BLD Permit / Conditions - 4/7/2000 FORM MUST BE COMPLETED IN INK ^' 2 PLEASE PRESS HARD PERMIT NO.: MASON COUNTY , MISCELLANEOUS PERMIT APPLICATION ` 426 W.CedarlP.O.Box 186,Shelton,WA 98584 / i Shelton 360 427-9670 Belfair 360 275-4467 Elms 360 482.5269 Seattle 206 464-6968 �r APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address r �_� / /X i �� —z Mailing Addresses f . City %, tate/zi Zip Code ,;!; _> I- City i . Statt Zip Code ' Phone .3G U L L'I - Other Ph.( Ph.( iOther Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration L PARCEL INFORMATION-12 digit Tax Parcel No. of 3 �2— / r�_ / r -, — Fire District - - Legal Description 1,13 32 - SO - 00050 Site Address(include street name and city Directions to site /_7 ­e-/,,;s t �" � i. �-ii /i/,.ram / / -'� ' ,/' � �—z Will timber be cut and sold In parcel preparation? (Yes/NO) Is your property within 200' of the fallowing: Body of Water(Name) Saltwater Lake River/Creek— Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New_Add_Alt Repair_Other—Use of Building Describe proposed construction P-k— T�(0.C_l �k IS�I(-\Q CteC K — � J 1, SHORELINE PROJECTS New Replacement_ Repair Expansion_ Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. \ NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF T 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 CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith_ No changes shall first obtaining approval. be made without first obtaining approval. X Date. �, )( Date FOR OFFICIAL USE BEYOND THIS POINT Accepted b r Date 1 1 Zc ` c Submittal Amount Due P Y � Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department KO fit-- piu-n (}TI= Occ Grp Type of Const. Planning Department Environmental Health Department Public Works Department Fire Marshal I . Valuation $ I I FEES Building Permit Fee Site Inspection Plan Review Fee /` l Other UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: MASON COUNTY 211 I MISCELLANEOUS 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 �"' 4• APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address Mailing Address ._ t City State.,,. .-, Zip Code Cd r-= State Zip Code _, - Phone(?)(- t i i ! lb-' Other Ph.( Ph.( Other Ph.(_) Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. Fire District Legal Description Site Address(include street name and city Directions to site: o WIII timber be cut and sld In parcel preparation? (Yes/No) by Is your property within 200' of the following: Body of Water(Name) ll,�C Saltwater Lake River/Creek_ Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New_Add_Alt_Repair_ Other—Use of Building Describe proposed construction F=C C ,r IOuIL{ v SHORELINE PROJECTS New Replacement_ Repair Expansion_ Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. 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 CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first obtaining approval. X a Date / a X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date / �� / Submittal Amount Due .l '--- Receipt No. f i f DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department A ND s *e Fir. ) RTF Occ GrpUt Type of Const. 5r� a g Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee y S S Site Inspection Lia' on Plan Review Fee 01 �H Other 8 ST41, y,$O UFC Plan Review Fee Other Violation Fee j( s )S Pre-Paid at Submittal TOTAL FEES FORM MUST BE COMPLETED IN INK /� ���� PLEASE PRESS HARD PERMIT NO.: MIS BLQ9 aL MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 4279670 Belfair 360 275-4467 Elma 360 4825269 Seattle 206 464-6968 a APPLICANT INFORMATION CONTRACTOR INFORMATION Owner �iif' „✓ Contractor Name Mailing Address o7i �iF ,Pow f1.4� Mailing Address �:,,. •, ,- �- ,.-- City State Zip Code City. "..-«, - State,, -. - Zip Code _ Phone( Other Ph.( Ph ( laiiklwili=Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. �, S Fire District Legal De cription is 3a - So _ ooaSC� ress(include street name and city ections to site: 1 II timber be cut and sold in parcel preparation? (Yes/No) " - VV✓✓ Is your property within 200' of the following: Body of Water (Name) �J C Saltwater Lake River/Creek_ Pond Wetland Seasonal Runoff Stream- or Bluffs TYPE OF JOB New_Add_AltRepair Other—Use of Building K Describe proposed construction SHORELINE PROJECTS New Replacement_ Repair_ Expansion_ Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. NOTICE: THIS PERMIT BECOMES NULL R 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 CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by I —Date Submittal Amount Due . .I Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department NC 3rf-=. 1- Occ Grp Type of Const. Planning Department 2 440 'U �tfT.lu�t��(os Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee Other UFC Plan Review Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTALFEES M ' M 1 b � I T� �� C �� U � � � 1, � �/ �', } — e ti � � �, _ ��,, f �' '� --_ - — _ ,� b -- -- / - _--- /; � _- I _ t,-- x r-{ r-- A--�-Z- -x � -- __� __, __ _ __. ___ _r---max___._ �{� 11 �.., i �� i i �3 � j i a _-- _ - ��n � i�� ~ ° � , l v i� � � � L �� - - -- 7 , T-i-- � i a ti i � � ;, i ; � (l 4 __ ._ 3�- _ -- - --_ _ ____ � I , � w '� �� � ,. _02/08/00 14: 48 V2757205 BELFAIR ANNEX 0 001/004 /s i � Skid / � T 1 lv y 7` fV /`/'in PL G'/ ��/ C'ciLr C� le . o3 .0A ,00 19+ 1A y2757205 BELRAIR ANNEX Q Oo2.,004 MASON COUNTY BUILDING DEPARTMENT DECK CONSTRUCTION \` MAXIMUM 4^SPACING ALLOWED GU4RDRc/L MOrALLHD ON ALL DEtJC* OVER u BETWEEN PICXETS !o^AOoV GRADE GUA L VvEm T L O�RV EI AT 9/4LL �EDC R AL90 /� ACA /ND/CA M. rE O/SP /NO/GAT>• . RA,9TiSC./HR9 . _ 4� I ♦DVD arac/Nr. "y YIY.M1I"IS Al 4p I O NA rZNC AND '� /� 4•I']/K rdBTENCRO �ra� r c�rr wrrr I e/a irio ar-dc//,� 11=// P•IR^2V/D IU07'L m AOrNALTE Ma-le=LOCK M4/T! uv aRAC♦'CEr OLGp� IIAVH CL i f N ]RI M/ TN/O LOCAT/rJ4G�V PROV/OH 4• ffA7pD/L'ARTN G:YGiA�IVGE wrfrc •^ALL OTNHR/BRAD CONSTRUCT/ON /`7^4 7-,FR/,4L S aaajDN �ls/u.]c.ocy AA®AL RCTLNT/rA LAr Pi'Nrw TRGdrED s-- m ARE ALL ACClPTAOLH T24TER/ALD FOR UDE /N DHdC CGTVDTIVJL•r/faAL ^• w000 GUR/CD AV TNC a %%DcND, BY CONTACT ]lery c�i.r_IvwTt• e�Ie Mc'ilwra ,w e<avcAscry .+parr �c�e Rcmvraary rRaouur+= +T«..rae IIKAPGt Lln^M/NIPBp/OCP•rN POR GNGAEED P/CONCnffiTa � Ilr:lO T M'h ti}rl.:, DIRECTION t.,Y 1'ii w OF SWING MIN. DOOM �� ]IMMAX �l]NESNIXL —�{y Bacon uxL 1 �1E ]G H" uiNwLu ++ SINGLE STEP DOWN ACCEPTABLE a-],ui.]m w�fMN �oD1ER DI+14SZ1F A7" "" DIRECT IF 11ETiA0VIUf wi iIVNB1a OF 6WIN0 OAIvgAI suw�.AEE 111I1D rurru ne,umwne ,r nnnne Plp1pMPNpF EVE1 InNII / \ LANDING TO BE LEVEL,VYTI71 MODE W DOlECT10N OF DOOR SWING FLOOR IEVEI RDN NOT ACCEPTABLE nISE AGOCRABLEONArC3MDIN3TAWnOtl —IANODAR FLOOR LEVEL INTERIOR ONLY 1 0 44- c G p s 6OO/£OO X9NNV BIVd"IH9 907 LSL7.9 6b :6i OO;AO/70 - 02/OA/00 14: .51 V2757205 BELFAIR ANNEX 10004/004 J r 1 � � f I t n u // i 2 F ` 2 ma CL 0 CD° mu 0 (m0CD 00 ( ; k / o 00 $ e / f $ ] § ] g ) ) 7 ° m \ \ ( ( % � ± ) e _ � _ > o ` Az cc k \ /-§ ) zr =$ ) 0m FT ) ƒ - ,/ D §m ( @ ` > Cl)\ § § \ Z$ � % 0 Q & 2 ) % \ ® / n mom z OD CO F M 0 ° \ Z w w � g = 2 7Zo0 3 $ = n m m m_ 0 r m / a . . .. } \ \ # g o % ° ` � 639 \ CO k CD @ .. .. ..Cr lu / § \ z § } J . . . � 2 > 2 gq CD } / 0o Co + x & � e \ } § � � /\ j § � § } -4 r- � k Er .. .. 0 # � � ( Q ® m q %{ \ k xUD 0 03� E n : 2 / m3 - z - - - x = moo m \ \ } \ \ } / ( 27 \ \ } § % ` ! 3 ` 2 ƒ E ) % V) ) - . 0 § 7 [ 22 \ CO » 0 cc ( } 2\ 2 0 = 2 ) m m \ & / : mmm � u f > V 0 00 > 0e ` \ 2j © zz � ® ° ` - M §) ) \ ) RL- _ \ �jf M m y \ \ ( > q � _ \ \ 2 aF >(K m 7@ 0 ° _ § § § §\ { Z0 = r Pi a\\- - - - - - ° jZ \ \ \ k � \ § ¥ § / \ W r avu 4 rn v 0 N co 0 O O O Sir 0 -10D X m00am afc 1 c; m 0 - O ° n� ,� > � � o Pm �< 3 N - � � o ti m -�{ Z o OI�n -10D m no a CD c c 00 o 0m0) < 3 < CO9ZZ om p i COM m0 � c M a ODmD � m Cl P m mZ c--Qa � Z0 m ?o -jy -zi -NIQ = C, a CL 9 < m0 � o yo � o ' ow 3 0 � m � n ADO ? a 0Opaom S? mCD o Q CmZ D m vvcm -i (n m �0 aS. co -0 CD 'XN mm � mc m .Zl � 0 3 m Pa Oc CDC tnom � � ma m m� = mhCL m aaCL z2DGcu Sao Ccu D � 0 cu co -A� = < �n oT O P m DDCD ccr m � 0 C N � m in M coma, 0 _ m (� _ ,°» X 0 Pam .. 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O N O O N o � Z3 m m o a 0 m O O c 3 CD 3 o � CD _. 0 O D m a m 0 O y m m y m ^ o � o o. ( c N O > O Qo 7 O O a � m �< o C CD _ o C N m-o W CD o — a 1 5' � w v o CD o' CD 0 a CONCRE?E MECHANICAL , MOBILE HOME Footings.Setback date by Ribbons date by Gas Piping date b Foundation Walls date by set tip data by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEFT. date by date date by PLUMBING Arc by OTHER Groundwork date by D.W.V. date b WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date /i_ by date by � 7 J � Z�C� .®?�/iz'9� �/,i/C_ — irC%y�OG CE'�._rui�?�'Y— /I'.<ff- � �✓.Si.9iti3 W .�7zoc��i3�1 427-9670 MASON COUNTY BUILDING DEPARTMENT-,�,b ALL PERSONS ARE HEREBY ORDERED TO AT ONCE STOP WORK I aka -!SO - 000 SO On these Premises at This order is issued because A.M. Posted P.M. 19 By WARN 1 NG The failure to stop work, the resuming of work without permission from the Building Official, or the removal, mutilation, destrucjion or concealment of this Notice Is punishahl: by find anp pris ent. r' r Z- 7-de�m z.if=> iToss�c :?G � c `y,U MASON OUNTY Permit No.BLD j�' `. BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner ,- 0-1 atJ' Site Address Phone# City_ c !-�'�,+, State 4 )14. ctions to Job 1 e zip, 4 -- C3 Owner Mailing Address , a_? City w .S Lien/Title Holder State_ _zip Address �[�. City d�'r y, State #2 Contractor Name Address .Z)M ��"Q Contractor Reg City—u". , _ Expiration Date State) zip-1ZHft$phon #3 If septic is located on project site, include records. Connect to Septic?--' Public Water Supply _Well(If residential, proof of potable water may be required. ) #4 Parcel No l Legal Description �(V #5 Building Square Footage: (existing/proposed) /a 9t Fl_Ap-/g4. f Basement / 2ec F1—/ __3rd F1__/__Loft_ / Garage_ / Deck rt #Bedrooms_#Bathrooms—a_/ Carport / Other (Circle: Attached or Detached?) nn sq ft / #6 Use of building ICEi/ e. r Describe work #7 Type of Job: New Add Woodscove Alt Repair Demo ition Re-roof Bulkhead Other a.11� #8 m Model Yea /V9 Make_ /T Model- X 7 - "d 2 Length Width__ ��'' Serial No. #Bedrooms �,T #Bathrooms --�._. Type of Heat #9 Any water on or adjacent to property: Saltwateake Pond River Wetland L Seasonal runoff—Other_ l9A �S Show followinc on the Site g a*+ Lot Dimensions Flood zones - Existing Structures Fences Structure Setbacks Driveways. Water Lines Shorelines - Drainage Plan Topography Septic System Wells Proposed Improvements Easements Name of Flanking Street Scala: Name of Fronting Street Date:. APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Ip No• filets ($2.00 each) ,Fee: No. Boilers/Compressor _ Fees: y�Bat basins 3-15 HP 6.04 Bath Tub's / _LShowers 15-30 HP 6,00 t Hot Water Htr � 30-50 HP - _ 6.00 _ + .-f#P Laundry Washer 50,',i�,lm 6.00 _Sinks No. Air Handling unit _Floor Drains _<- 10, 000 cfm. _Laundry Basins i _Dishwasher —' 10, 000 cfm. 7.50 _Disposal Other —Urinals �- _Other --EvaP Coolers _.Hoods Permit Basic Fee 3.00 —Fire Suppression TOTAL PLUMBING �.01) —Domes. Incia. $ __COttmll- Incin. NechaDical Fixt,irgs _Reloc/Repair 6.00 _Gas Outlets x 2.00 No. Fuel Types _Woodstove _Furn,<! 100R BTU 6.00 _Other Fu/fin >- 100R BTU 6.00 �- 1 rare - Floor 6.00 Permit Basic Fee Heat Pumps 10.00 6.00 TOTAL MECHANICAL $ _Vent System x 3.00 _Vent Pans x 3.00 NOTICE: THIS PE&MIT BSCMM NULL AND VOID IF NOBS OR. COSSTRIICTION SUSPENDED OR AB AUTHORIZED IS NOT ONED FOIL C plTg� 180 DAYSp OR IP CONSTRIIMaw. ox iPOR1C.Is ANDONSD A PERIOD OF 180-DAYS AT ANY TINS ArM.WORE: IS CC�IRCEO. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 1 certify that I am exempt from the requirements of the I certify that I am a currently registered contractor in contractors registration law RCW 18.27 , and am the Sate of Washington and 1 am aware of the whichaware of the Mason County Ordinance requirements for ordinance requirements regulating the work for which which this permit is issued and that all work done will the permit is issued and all work done will be in conformance therewith. No changes shall be conformance therewith. No changes shall be made made without first obtaining approval from the Building without first obtaining approval from the Building Department. Department. X OWNED n� �,r.ET�u 1 X By DATE: /-:2. DATE Return permit to: Department of General Services 426 W. Cedar Street/P.O. Box 186 Shelton, WA 98584 427-9670/1-800-562-5638 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY ... Planning: YvIS Environmental Health: Building Plan Review: �� Occupancy Group: -3 Fire Marshall: Other: FEES Spe Site Inspection � L(C n 1 1999 (PA 4 Build t GENERAL .SERVICES Violation Fee i Violation Investi atiod"Fee Plan Check Plumbing Fee Mechanical Fee Woodstove Fee Building State Fee r J D Building Valuation: Q5 TOTAL - D� MASON COUNTY DEPARTMENT OF HEALTH SERVICES POST OFFICE BOX 1666 SHELTON, WA 98584 (206) 427-9670 APPLICATION FOR DETERMINATION OF ADEQUACY FAX 427-8425 Revised 09/01/92 INSTRUCTIONS 1. complete Part 1. No determination can be made until Part 1 is fully completed. 2. Complete only the portion of Part 2 applying to the type of water system utilized. 3. Submit completed application, with attachments to the health department for review. PART 1: APPLICANT/PARCEL IDENTIFICATION I IIIli ll ll ll li ll it it llll1111111111111111111111l llli lilt lttllliilllll llilllli lli til lli llllllllll lltiilllllilt{ilil l 111 tilllilll!lll lillllillllltltlll lllll ll l 111 l ll l llllll l ll ll NAME OF APPLICANT �Mej `ajk, 7?la 1 i,,.,e ( ( DATE MAILING ADDRESS 14-D�- 0,PvLyvl Bye, TELEPHONE (266 ),S77-079•S ciar -' sa�a� siy ASSESSOR'S PARCEL NUMBER x. n. % Oas_ SUBDIVISION (If Applicable) LOT TYPE OF WATER SYSTEM (Check One) REASON FOR APPLICATION (Check One) Public/Community Water System Building Permit, Single Family Res ❑ Individual System, Drilled Well ❑ Building Permit, Commercial ❑ Individual System, Dug Well ❑ Building Permit, Replace/Remodel ❑ Individual System, Spring ❑ Land use Application ❑ Name Individual System, Surface Water Type ❑ Individual System, Other ❑ Other PART 2-A: PUBLIC WATER SYSTEM auuuuuuunuutlnllaml:Duuuuuuunuituulliiltlluiililliililiiil{Il111ililil munnuutlmualnllltlltnuuuuuunuuunuuuuunuw NAME OF WATER SYSTEM WFI ID A:E&Q6 ❑ The water purveyor for this tsm has Previously filed a Certificate of water adequacy with the health district. ❑ I As maoa9er of the above referemctl water system. Ths Water syetse has Dog approval for _ service Conneetions, with _ ComeCtims Presently in uss. The applicant has approval to connect to this water system. Service of water to the applicant for domestic purpoese is conaLtent with both the water system Plan and the Water right permit presently in effact. water lines are available to the applicant's property line, or the applicant has made satisfactory errangements to extend the lino. SIGNATURE OF SYSTEM MANAGES DATE gro-pk 5�uay, AC-uc k ` (2e CAP , _ 1 , 1-7 I' ' s i i i � I I � 9 tr 1 6 i i i - a f O 3 _ - o Z) Cl) = = = x n O _ -- -- = = z cf) U j C O{ n ::3 (D -O Q- 00 Q cn X = D -I O z CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BGISLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork A�0 date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by r Oo g � D ' OD � z i c 0 Q O 9 cn � o � ' Q � 0 n :3 (D op O � CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by dai Up���_ data by INSULATION by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walla FIRE DEPT. date by date by date by PLUMBING Attic OTHER`� /�2Q 919 Groundwork date by date b WALLBOARD NAILING D.W.V. date b date by Y „r/,i,.S,2 J, tJ✓�<.,�yls<cy Td Water Line FINAL INSPECTION _:F3 date by date by date by �EG L7 L�tiOi.v!-f'L� BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 �ti� pJ DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS CITVBSTATE ZIP PHONE EA UE0� 0 n1,� 20 �D�SSE� �D'L36 r3Ec fia(e �yA �� sz r DIRECTIONS /� TO JOB SITE 66)CDEL) BELL- rVlj/LE£ 140ME PAkIC LEGAL / (I'. SEE ATTACHED SHEET) DESCR. RN1 7}�,Ec..�ZS Np.+�l� FiA2L1E� 7-AAr7 T2, zo 3,2 3_ / NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE CONTRACTOR Lk�dT M09IL£ HOME— GMT ")4 USE OF, C l�=r, 140 Class of work: - NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work: Valuation of work: $ Q PLAN CHECK FEE PERMIT FEE SPECIAL CONDITIONS: BEDROOMS. _ — (DECKS __._. CARPORT '_I NOTICE BATHROOMS _ _ TOTAL SO. FT. _.. IGARAGE ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES._ BASEMENT i OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE I DETACHED L. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR CONTRACTOR AFFIDAVIT ZED 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 W Inngtonand I am aware of the FOR OFFICE USE ONLY ordinance req menu regulating the work for which the permit issued and all work done will be in conf Orma a therewith. PERMANENT SHORELINES . SEASONAL FLOODPLAIN Firm E.D. NO_ S.EP.A. By Special Approvals IN OUT YES APPROVED NO Lic. No.___ Date ZONING PLANNING DEPT. � f OWNERS AFFIDAVIT HEALTH DEPT. 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 at all work done will ROAD ACCESS be in c for nce t erewith. _ MOTOR VEHICLE PERMIT 2_i U. — 8- VA ICA I;ACCEPTED� PLANS CHECK BY APPROVED FOR ISSUANCE 0� --- 4 Date_ J PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH KENNEDY, Robert J. #16503 2-13-85 Sam B. Theler Home & Garden Tracts Tr. 20 32-23-1 NE 20 Roessel Rd. #36 Belfair 98528 Golden Bell Mobile Home Park Contractor Hunt Mobiles Mobile Home 1985 14x70 2 bdrm. $18,130.00 ,ro m0 tii r+ t90 ( �.A0 N O ,.r, r. p x N r• r• �i O N O O n o o ar o M o o n n a o n c o H N N ro Fw.. ray M '•' w ° 'O r• P. W F rt+ F�•• W N .. r• r• a r• � rO w n ❑ w, �. 3o fDm o mo o' „ ID e n .. r •• � .. m 7 o N O F+ rt N O y N N UILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED PERMIT NO. ,I I NAME MAIL ADDRESS CITY&STATE ZIP PHONE W S N,E o -sE� o F / '/ I-] SEE ATTACHED SHEET) P/'�G'CNAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE ROWELt/NF Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe wor O z iN a o 9 Valuation of work: $ I �"\ PLAN CHECK FEE PERMIT FEE / /�� C SPECIAL CONDITIONS: `/ U BEDROOMS__ (DECKS. _ CARPORT L NOTICE BATHROOMS_- _ TOTAL SO. FT. ._. GARAGE ''_; SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT C ATTACHED C OR AIR CONDITIONING. TOTAL SO. FT -_ FIREPLACE D. DETACHED I_`, -- 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 FOR A 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 FO OFFICE USE ONLY ordinance requirements regulating the work for which the permit is issued and all work done will be in Conformance therewith. PERMANENTV SHORELINES SEASONAL L FLOODPLAIN E Firm E.D. NO. _ S.E.P.A. L: By Special Approvals IN OUT YES APPROVED NO Lic. No,—. Date ZONING PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT 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 BUILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS be in conformance there ith. MOTOR VEHICLE PERMIT APPLI TION ACCpPTED BY PLANS CHECK BV APPROVED FOR ISSUANCE Owner yr .�[C(ll ✓� Date r!\/� By PLAN CHECK VALIDATION CK. M.O. CASH iXIPERMIT VALIDATION QCK% M.O. CASH GOLD'TEId ,'s'?I,L MOBILE HOME PARK To Whom It May Concern I , Joe Pede.�erri , owner of the Golden Bell Mobile Home Park andf1 ` c��a�� 8�� have agreed to a Rental agreement pertaining to Space 36 , an e.;isting ;pace of the Golden Bell Mobile Home Park . This agreement is in effect upon the issue of a building permit . Thank you for your cooperation . Joe Pedet erri , Owner Deede Schattenkerk P .O.Box 490 Manager Belfair , Wash . 98528 N. E. 20 Roessel Rd . #19 Belfair Wash . 98528 275-4623 WRIGHT, James #14549 8-17-83 32-23-1, Sam Theler's Home & Garden Tracts, Tract 20 Golden Bell Mobile Home Park, Space 36 Contractor Self MOBILE HOME $31,080.00 I- o m hi o m o 0 ti h m 9 o rt r• p x N 0 r• ry 0 6 0 O H. O rt rt O f) G O n µi O 1•r O fD rt O w w H. o w m ro a B a m 9 o c n m �° o w µ •• w o• v r• a w r• -r"•• w rryo �y o o w H. n 4) n p-ooc rw-� PV 7ryc" n n n oc O n .. r• .. •• p mg .. w .. � m o c'. CDm q w H V IDa r• w o 1� ql nr.