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HomeMy WebLinkAboutBLD92-00830 Mobile Home #412 - BLD Permit / Conditions c It P ' .. A® �•. . .., .. ... .., .. ,., a «. «, ,� � IM • s„i .., r+s. ...: �. � :^. rs5 ::i. i.. +� �ram- ,cS Q < � ai vs Aw qp T Ad' Z m arc >< •ra r. bi :.0 w e° V 3( AIM am V r/ /^"'. 2 w m art o © Or.- f�r Mid: !R • v 'X in • tCi L1: rs. G? w"'- sw : 4 +w f «t '�` < �Q' � �,.,{ �, T! h•t ;Li ¢ti ru sue" 3: .T. 4' X ,�': � +L" a cd r<r eS. � W �" � � ;.�s $L€` LA..� vn a•- �+ 1i :.�; �; .,; :ie � ;'� ..i :� v � arm® � _ aD ar w we 0 uj cc Ted ..!'. � 4.j in 4. li.; ait '• .arF wa { kr. €'V �$'^ tiw"` V.. J.. i (t' d{r d c —Am 40 3:2 Sri Li � i � - sLi € ..•` ••• « AC [ .c! v. at9E 3+ 2! ! 01if.F +' s•- �. v air ..�{�...a'. .'"�. �""' 1 - .>-. r++ .na .,p».- d. - ..,.„n _i.... .. N Z �`_ � � as � L"" �: ri ,�- ':'3 «°t.. '."«� .ri :r; � t,. q a �.. � # °''• s'3 � J ;.F ''.. � �e e—:r+.�+ c +�. + c1is.- �. a Q h!I ti � �t ,�� �:•; r \ . - � - .. aa, sa. �...m,yc Sri, m CONCRETE MECHANICAL MOBILE HOME �jpeaeo Footings-Setback date by Ribbons P600- fd e by Gas Piping date b Foundation Walls date by Set Up date by INSULATION dated by BC/SLAB Insulation Floors Final date by date by date Z Q L by W.G FRAMING Walls FIRE DE PT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by )L is 4e 2 Gw �<K BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER rtiAME MAILADDRESS CITY&STATE ZIP PHONE 1 a vn W�Ilac.� hie j,n Sim UtL, qyS-<fj DIRECTIONS TO JOB SITE PARCEL LEGAL C NUMBER O 3it�ZDESCR. J 41 Z CONTRACTOR PHONE ME MAIL ADDRESS CITY&STATE ZIP LICENSE NO. USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE ✓ REMOVE WORK ✓ DESCRIBE WORK ( ) AREA: NUMBER OF: PLEASE INDICATE: NOTICE _ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE,CL SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT. SgFt BEDROOMS PRIMARY RES.a--- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED LI DETACHED)Q OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS 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 CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNERIQ�n �ct���1 DATE XBY DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YES No BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK �SPECIAL CONDITIONS BUILDING GROUP l PRE-INSPECTION �t ^) y JS iM y ?r 7 �' .J� SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLI TION CCEPTEDBY PUN$C E KPY AP ED ISS IA ICE ^ PERMIT VALIDATION J //1/ ( TOTAL ' �� BY �jj CASH CK MO the mason county assessor Darryl Cleveland Dear We have received a copy of' the tax certificate for movement of your mobile home . In order that we may accurately value your mobile home , please complete the questions below and return this form to our office by This information is imperative to prevent a possible double assessment on your mobile home . MOBILE HOME DATA LENGTH WIDTH L MODEL Q MAKE MODEL YEAR ! MOBILE HOME LOCATION INFORMATION SERIAL # A. My privately owned land yes no OR B . If rented or leased land who from? NAME ��� ADDRESS ESD '-L-i\Jk QS ZD L , CITY S STATE �� L-TZDO C . Real Property Parcel # 4 ( from tax statement of new location) D . Mailing name and address for owner of mobile home NAME rno.c,, y n C.C- ADDRESS- 1 qt) Ql_V;ixg 1 4 WACITY & STATE S kC Hbo, E . Location address of mobile home City F . Date mobile home `w"'as placed on present site G . Purchase Price I '-C3`( c DATE I3I�Z SIGNATURE' 4,� TYPE OR PRINT NAME (f M e ss, TELEPHONE NUMBER Ci Q (.- P.O. Box.] 4holtnn Wa^hinnfnn OASRd Dk--., n'17 nc-7n BUILDING PERMIT PLOT PLAN MASON COUNTY J � CE=AFhT IEN7cfCENE?.ALSERVICE5 F.O. 5c cE 5i iELTON, WAS'r'INGT0N SE E r�=Mti Ala C CA rr p { Q Cr�l�.r*� ^1 U-) F. ' � U C.J4 rl J ('tl cS hC �d yt �.c�R, ! i1,5 e 9 ail I l A i.t= CV t2u� wo 330 Q==�� I �� 1Z O Se^Zic. dr Ginfieid er:d reserve ?r_, Cr Se•N_r, _ O Se-tic Zzr.k zr:C'. drzinfiefd sattae< is:2.nces frcc fCC:'�ctiGnS. O Lcczticn of ccns:,-uc�kr, crt Property. O $ septic sls:em sat�ackCis,:nc_s from aH ArperY (i„es I __sa .ents. O Well and wzzar rine. Indiczte North O Szl:•vc�er, fakes, rivers, S:raam.s,We?zr:,�s, drz:nzl-a.In Circle O A,-:zch copy cf s2 tics stecZ`as �e:i;'or Septic � Y � O lnl- czt_ ;eccCra-.hY prcf;fe cf praperty and st..:c:ure cn reverse side_ I I I I I I I 1 1 I I � I I I l l l l l l l i l l l - I I I I I I I I I I I I i I ll l l i l I I i I I I i I I I I I I I I I I I III 11 1I I I I I q11 II I� I I i 1 1 III I I I i I IIIT III �' ICI I I I I I c �-