HomeMy WebLinkAboutBLD2000-01169 MFG Home BLD2001-00668 Final Decks BLD4265 MH BLD93-01171 Deck BLD93-1070 BLD9673 - BLD Permit / Conditions - 10/6/2000 Inspection Line(360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
_ RESIDENTIAL BUILDING PERMIT 1� -;aW`6LD2000-01169
OWNER: BARBARA THORNTON 898-8614 z . � '
CONTRACTOR: C EIVED: 09/11/2000
SITE ADDRESS: 6780 E STATE ROUTE 106 UNION SPACE 24 „ ,b3 8� ISSUED: 10/06/2000
PARCEL NUMBER: 322325093001 EXPIRES: 04/06/2001
LEGAL DESCRIPTION: UNION HOOD CANAL LAND + IMP CO LOTS 1-30, BLK 93 + LOTS 4* B K 100 + VAC STS ADJ EX E OF R/W+ LOTS 19-
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME SHELTON TO HWY 106 TO ROBIN HOOD VILLAGE
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 6 No. of Stories: 1 Occ. Load: Building:
Valuation: $47,246 Buil ing Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make FLEETWO Length: 48 Ft. Front: E 17.0 Ft. Shoreline: Ft. Water Body:
Rear: W 5.0 Ft. Slope: Ft. SEPA?:
Model:LAKEPOIN Width: 27 Ft. Side 1: N 10.0 Ft. Shoreline Desig.:
Year:2001 Serial No.: 11 Side 2: S 10.0 Ft. Comp. Plan Desi .: Rural Activity Ctr.
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 09/11/200 $175.00 54511
C flding State Fee TLG 09/26/200 $4.50 54785
Modular Home Issuance TLG 09/26/200 $175.00 54785
EPPPlan Review CEW 10/03/200 $50.00 54785
Planning Review Fee KS 10/06/200 $38.00 54785
Total $442.60
BLD2000-01169 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-01169
CONDITIONS FOR
BLD2000-01 1 69
1) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
MOBILE HOME PARK SETBACKS SHALL BE 15' FROM OTHER STRUCTURES; 10' FROM PROPERTY LINES AND 5` FROM RIGHT-OF-WAY AS
PER MASON COUNTY ORDIANCE #118-91.x
3) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS A REINSPECTION FEE, BASED
ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X.
5) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, Approval WILL NOT be
granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour (minimum 1 hour) will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X��n�
6) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy) I hereby assume
all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the
inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the 1997 UBC, and will be assessed in
addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that this
investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X��'�
7) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck allowed without drawings or a
building permit MUST be under 30" in height from surrounding grade. NO second story decks, or decks above 30" can be built without a permit Any
landing or deck that is 30" or more in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers
requires a handrail. Xis `
8) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including
installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be
clearly marked in the installation instructions.
BLD2000-01169 Please refer to the following pages for conditions of this permit. 2 of 3
All property lines shall be clearly identified at the time of foundation inspection, X �2
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building can be occupied.
OWNER OR AGENT:�ra�s...�.a. s DATE: 16 0
BLD2000-01169 Please refer to the following pages for conditions of this permit. 3 of 3
i
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 ,f 4Ae_
BG/SLAB Insulation Floors Final
date
aRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b
date by D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
&te by date by date by
2Cx% m W7A�(r-o
.SEA-tiIQ t.C1.G=�/J cs'�lJl1
SSE Q 054eti&-v
�'F-
AyWhso
/1/nc- L f G 7- 6 -o /r/
�O
cJ S
Cc9rrcc-
ec_ d- S-
46
�� der c_
Z-6rv�C i n C r G c J i n 5 d / eL&--t f C 4 (rc
n C. G U . r c...J 'LQ/ -/o re cJ t
Building Permit # MASON COUNTY
0 �/� BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
NOTICE -
4 f.
Job Location � ,�� �'- J i� T� ,���«ram /t� %�o�^/rZ)/,/
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
KIlS oA:, e b)TI04 94- aF EA2P217— V00 2 ' e ornco r
/f/j in/Ti9i/ti/ S-� Fi2v� O `iE� S K�'T��z� vt L ini� i'c• k'��' L��E"
NO
/u5% C i&t/ ANCiN L -L iL OAJS/721, COA1,0ifit
E St.,om Npr PLAN 5hWi,y bc,�) H O"e 1,5 LWc4-'- vx:�
S t i AA10 i Ai C-04 Ti ow Tv ,t le '% N rciti' l fJ
As Ake—
D EYE LP D j S,2,t?C T Oi ,(�)o.147 .
NS �a- lvAl / 0" /z D
lgez /i<lil e_s IAA 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
❑ OK to / l
❑ This is not a complete inspection Department u /cl,/q
Date /� j-5 � �� Inspector bU '-)Sj EXT Z
moos NO *T MOOV TH14411h T ' ,olw
Building Permit # MASON COUNTY .
0/r BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location G 7�O 7zz/
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
"p Aj b e. Nor ?c .6M Mot e A N �F-" iZA" IFVO vF '.v�?
47
4AI t/,c yc s=re A o W,411 NCT ,C x#1Z-,CD ,kr yc r c zfwc-
?y 47
57'r G✓rr+p A'?'�': 7.rg714,'5 ii j
�T O X rV 1--'-fi2 JIVII - / d-Z 6/Ji/17i415 2;91
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
xCall for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to /
❑ This is not a complete inspection Department 9
Date 7 - 2-00o Inspector
moos NnT MOV THI k TMLow
Building Permit # c, MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTI E
Job Location 46>W 49' .5r,Rom: /a 6 tsp c93
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
All Ci-00c-f-
ff
r y� S T U` fIM� L SQL'
3 - -5 7- Si4o4 i/ 3 ,, v ae-s
KAi owoi ion) WtO 7
M 14 �.w �o.� ' 'C �0 2 -_a �4/vo yv ee'05;:Z �� , .rzor<
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
❑ This is not a complete inspection Department
Date �e 10�4501 Inspector I)t,!5 Al 4��7—
moos NOAT MnV TH11fth TA Lot
Washington Home Center, Inc.
Floor Plan Lake Pointe 4483G V V S - Barb Thornton
4483G 3 Bedroom 2 Bath /-',pprox. 1296 Sq. Ft.
Breakfast
Area
Dining
Kitchen Room Bedro��m
O
I
Utility
0 I
o
hr1.
o� Bath Master
LJ Bedroom Living Room
_ Bedroom
2JE
1 Linen Cabinet, 18"
2 N E W Orders,Mst Ba Window Is Now In Diff Local
Specifications subject to change. (c)1996 softsell,Inc. Sep/7 20
Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 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
fQ�Gnd: Items Listed below must be corrected to gain code compliance
7.
11P �oi�_�Ych) 6 �m F7.
r
o
oi-
«� s
� s
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
❑ This is not a complete inspection Department
Date Inspector
nO NOT MnV ; THI
� T, " ,��
PERMIT NO.: BLD 2d I `
MASON COUNTY
BUILDING PERMIT APPLICATION 1-7
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
!LICANT INFORMATION CONTRACTOR INFORMATION
ner ( ` t 0 "4 Contractor Name
iling ddress ' , e't Mailing Address
ly. , ,�11 State ! Zip ode , City State Zip Code
hone ter Ph.( f ) - Ph.(� Other Ph.0
en/Title HEIder ; _ Contractor Reg. #
kddress Expiration
N
'SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water Systems
PARCEL INFORMATION-12 digit Tax Parcel No. Fire District
egal Description 4W-4m SL) 11
Site Address(Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)_,AJgP
Is your property within 200' of the following: Body of Water(Name) A10 Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
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 s`
MOBILE HOME INFORMATION-Make odel 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 Wlii-H "O--DPYs-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-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 /71 Receipt No.
DEPARTMEN. REV EW APPROVED DENIED CONDITION CODE$
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
PEES
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 ( )
T OTALFEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
BkJXfjJJ
� Case No.
Name ✓I7 PARCEL NUMBER Z2d� 7A_ 6D 1
A1
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicaltiong N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography J�
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I Fadjacent property line
I �� • i
I �
0 lee irJ--h
I
1
I I
1
I I
I I
I �
I 1
I 1
I 1
I 1
I �
adjacent property line-> E-adjacent property line
�t r
SAMPLE SITE PLAN
adja�nt property lined ,� E-adjacent property line
� D 30' rR�SCRuE 3�1
I Hom Gaat u
Cr�►� i
I Housa
j � -0 Posen
I 1 ,
I IF— 60' —ISO �I
R
VAGwT T c,�rtAaa
o I
31 PM1oPa�CD /
T A6,R=LLITWiAL So
I ,
I � I
1 i0o,
I I
I I L -aLL
I I
I " /00 I
adjacent property line-q i !a'• c \i Fad'acent properfy 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
d1 StAr,GQ to
ruttu.Y�
di5'tir,LL *o
S�opa �o¢
F~ dis+a.,cm
yZ
Signature Date
Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
0 Shelton, WA 98584
1
RESIDENTIAL BUILDING PERMIT BLD2001-00668
OWNER: BARBARA THORNTON RECEIVED: 07/10/2001
CONTRACTOR: ISSUED: 07/24/2001
SITE ADDRESS: 6780 E STATE ROUTE 106 UNION SPACE,-4 EXPIRES: 01/24/2002
PARCEL NUMBER: 322325093001
LEGAL DESCRIPTION: UNION HOOD CANAL LAND & IMP CO LOTS 1-30, BLK 93 & LOTS 1-30, BLK 100 &VAC STS ADJ EX E OF R/W& LOTS 19-
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
DECKS ROBIN HOOD VILLAGE SP#24
General Information Construction & Occupancy Information Square Footage Information
No.. of Bedrooms: 3 Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck: 152
Type of Work: ACC Fire Dist.: 6 No. of Stories: 1 Occ. Load: Building:
Valuation: $1,444 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make FLEETWO Length: 48 Ft. Front: E 8.0 Ft. Shoreline: Ft. Water Body:
g Rear: W 50.0 Ft. Slope: Ft. SEPA?: No
Model:LAKEPOIN Width: 27 Ft. Side 1: S 27.0 Ft. Shoreline Desig.: Not Applicable
Year:2001 Serial No.: I Side 2: N 15.0 Ft. I Com . Plan Desi .: Rural Activity Ctr.
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty• Type Qty. Type By Date Amount Receipt
Plan Check Fee KLW 07/10/200 $41.05 56733
Building State Fee JRN 07/13/200 $4.50 56888
Building Permit Fee JRN 07/13/200 $54.00 56888
Total $99.65
BLD2001-00668 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2001-00668
CONDITIONS FOR
BLD2001-00668
1) This applicatio i'subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X--,-e--1Z7
3) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely
impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of
the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For
further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or
access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any
construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future
planned work whic may affect your project.
X
4) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5'setback from all property lines,
easements and 10'from all County and State Road right of ways. X, -
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building can be occupied..
OWNER OR AGENT: � DATE:
BLD2001-00668 Please refer to the following pages for conditions of this permit. 2 of 2
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
APPLICANT INFORMATION CONTRACTOR INFOR T r0A4VL<+oV)
Owner r f4 y.,, r ,.yil Contractor Name ''##�'
Mailing Address- �411) v (f t, J 3 Mailing Address
City State se)zx Zip Code 4.,44 4 S, City State Zip Code
Phone(.;:_ ) Other Ph.(_____) Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address 1 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.�3 a CQ;5cl _/ / Fire District—..
Legal Description
Site Address(Please include street name, s reet umber 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 Alt Repair Other Use of Building
Describe Work
r R-
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE 1st Floor 2nd Floor
3rd Floor Loft Basement Deck 0�1, Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make t ,y� r�'f u��`'° Modell ti.Nrj n i— Model Year
Length 4.-,, ; Width Serial No. "CJ No. of Bedrooms No. of Bathrooms
Type of Heat G Purchase Price $ 14 t) Replacement Unit ?(Yes/No)
Installer Name Certification No. 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-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 Date Submittal Amount Due .lie. Receipt
D.EPA►RTM.ENT - VIE1N AP:PROVEA DENIED CONDITION CODES
__
Building Department
Occ Group -A- I T e Constr. t✓
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
f\ a0
Valuation $
FEES
Building Permit Fee �-1 �� Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee L\60
Violation Fee Pre-Paid at Submittal ( 0 )
TOTALFEES
i
r
g
o
to m � m m W W
_ m m
v
z
� z _
0
� W
a
F o �
z �
m J
a mz m
� d
t A
g
3vz C
o m m2 (::� 1ci
-- �i�►Nr� 1�1n 1��7�C��1 1___
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD
MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name lara rn+gv, PARCEL NUMBER ��5� 7� )5-'Q
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
1
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System G
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line-� , I Fadjacent property line
I �
I '
I
I
I �
' I
I r
� GiaT �U
I I
I '
� I
I I
I '
I I
1
00
I
f GvAy 100
/ I
� I
' � I
adjacent property line-> ' E-adjacent property line
SAMPLE SITE PLAN
a3CdEjR 4aEcsEo K t property lined I
Fadjac.GHeOnncau.tpU4r o p/e
/rjy l.
neD 3io' so rLL _ "'JtiA _\ ) p t
I4— 6o'
VAG .,T Trtos�r6
0.o
en
T Af.RZCtiLTL1tiAL $O
i 1
1 I
1
I xt /00'
"I
I
adjacent property line-), ; 1 \; <-adjacent propert' 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
diafiar.ca. to
ru.ct-L-i'e-
d ia'ta r.ct_ to
f_ Slopa. t'o¢
dis�anco_
f o ,t
Signature Date
w
f
Jacobson, E. S. #4265
3-12-79
Robinhood Trailer Village Sp. 23
Mobile Home
3Zz3Z LSD 3czV
Pr ' 1 BUILDING PERMIT APPLICATION
It MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED '
PERMIT NO. Ta��
NAME MAIL ADDRESS CITY&STAT ZIP PHONE
OWNER r� 5 C O b S f! .77
->> � U/6 S` d 8SB y y.ZL -,'A y
DIRECTIONS
TO JOB SITE , n,6/itJ
LEGAL _ (❑ SEE ATTACHED SHEET)
DESCR. �-c'�DN►`J 9� -DL.I.J G 1 i3O .(,!V
CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE Ndv PHONE
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERMIT FEE�O . old
SPECIAL CONDITIONS:
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SO. FT. GARAGE ❑
ATTACHED ❑ SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT El ATTACHED AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED ❑
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME 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 Di
SEASONAL ❑ FLOODPLAIN Cl
Firm E.D. NO. S.E.P.A. C
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
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 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 therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date_ B
PLAN HECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K M.O. CASH y
I
' Permit No. Rktl
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 - ` Phone# ��% %97
Site Address Fire District#
City St LZ)A _Zip cv
Directions to Job Site —
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name �O n fi Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System?—A—Name of System
(If residential, proof of potable water is required)
#4 Parcel N<422a uow C-ki-� 5 c+jA(, L j p k i r7 2ouktoea-
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loftr.
/
Basement / ec & / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building C. Describe work
#7 Type of Job: New Y Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 9J�' Makes odel
Length Widths Serial No.
# Bedrooms `—# Bathrooms_ Type of Heat
Purchase Price$ , Q, CLOD: b
#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 easonal Runoff Other
t �
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 (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
JV
d ,
Cn
T
cn
✓f,
- y
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
P
o`
M &0-
peck..., ed C-61,
VI., 60cl
-O 's
dc
ig&CK-
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. unh Fees
_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 _ 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. 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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 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 OF THE ORD]NANCE 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 OWNER ( / vyh-� ( X BY
DATE / oC� DATE
FOR 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:
Special Conditions: FEES
Building Permit
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
Permit No.4cn-3—td-170
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 �� \1���� � Phone#
Site Address Co"I %Z) 261-1.7 I� p (.0 Fire District#
City l 1 n) —St Zip ��613
Directions to Job Site w�ti
Owner Mailing Address x o1q
City J�n cM t kJ(�\ SAn_ St Zip NO
Lien/Title Holder V\DTsQ-
Address
City St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply_Xc Well
Connect to Sewer System? Name of System
(If residential, proof of potabl water is required)
#4 Parcel No.3 --a3a _ _ 93ao
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other (Yta b il-- flmm Q _ sq.ft. 9 ) 0 .
#6 Use of building IZeS Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year s Ma/k))e ? �/y o odel ��t>1t
Length_��Width Serial No. 1S
# Bedrooms c2- # Bathrooms�_Type of Heat i=1,
Purchase Price$ '000,00
#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
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 (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
C E::
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
_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 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 $ NQ 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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 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 OF THE 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.
� l i
X OWNER X BY
DATE — �. DATE
FOR OFFICIAL USE ONLY: Accepted by: '�� � � Dater
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY '
Approved Cond. Hold
Approval
Planning: ti� , ti I h 1�jj
Enviro menial Health: r 2
�t 1 >)-7 h
? t
? 2 �-
Building Plan Review ' ►t'L�i �=
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit O
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 -
� 4
ROBIN HOOD VILLAGE
E 6780 Highway 106
Union, WA 98592
1-206-898-2163 & FAX 898-2164
July 7 , 1993
Mason County Building Department
Re: Mr. & Mrs Calvin Edwards permit
To Whom it concerns :
Mr. & Mrs. Calvin Edwards are moving their Fleetwood
Sandpoint 14 ' x 60' 1993 coach in space # 23 . The parcel number
for Robin Hood Village is 312232 50 93001 .
If there are any questions, please feel free to call either
Maureen or Bill Woodcock at the above numbers.
Cordially,
C
Maureen T. Woodcock
MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1`0i I N'-&A:C I 1014'i IIA 1 1 4Z 7-96/0
F I Wil, L N A N 0 H Am 4;� -7 2 6?
lilvt, H 1 0
PERMIT
OWNH: CALVIN 11)WAR111% NULL & VOID BY EXPIRATION
CON I RAI, FON - DATE �14 BY
I. In G A 1, #41#4 1101111111 (1141 IA16 h the to t61S 1--3#. ItK 13 t ills 1 -o, m m 6 vat six m F1 [ Sf it, fill I$# fit I Sol
CI ASS OF WORK NEW H 1%0 0 I;A I H 0 1 fpf A100111 8'i 9 A I f RE(HPI Jim AAQIJNT 4', DAII
I'Y P F OF USE . . . . . AC s ti 1 tits it
Ot'I"Up . (11(00p . , . a ? 1 1)h H! i i1h
1 YPE OF CON'') I 1 0 "m I 4A,# fVj, 14*1
()C,(,UP , 1A)A0 — 0 14 0 0 lj,y I t')V1..,-.3 , , . . 0 Im 1 6.51 I'Vim
0WF 1-.L, . U N I I'S, . . 0 PAliKiNvi c-PA(j 0 1
INSPECF10N ARFAv :I H 0 14 E t I N f 'e
SE FHA C K 1-0 1 I. f P, 1 lit- I I Y111 11
FRON 1 0 f t BA Ili 0. HP ey
PEAk ? O . Of I HA I if 'I I Ili'.:,
0 . 0 f 1 1-11.1 W 1,14 If,H I I Ij 0 1 io 141-1
v, 0 . 01t WA l [ k fir:'A I I k If,.,14 1001, ti 1 1.1 0 0 tip la
%010, INE . (b f I o I lit, "I WA4
o 14 1, kS, 0 iO ;ik
ARLA K I I t,1-41" N ',J'NK 0 1,1( AI J,,I I tq IS 0
FIJIOR ORIAIN'i . 0 VI NI 'I Y, It 11,1 0 1 VI'll- t)0 1- E it 0 1 1 N1, I I 1 0
It M I N t I N Ii FO If N I - th VI NI I AN'; 0 111,10111" 1 • 1 0 t3 I I' I it tv
H AS E M t-N I I I-AtJNL)k'( IPAY'; . IMMI, '-) . I N I 1N . 0 t: k 1.A I It -
it I P IIANIII I-Nfi ON I I ', I'mml I Ni. I N 0
6AR/C ARP z 0,-;; f (iAt?H 1 0 0 0 0 1: 1(41 0 Ift I (Iii It I I-,Ii I i,
AT /0 1 Ok I NA I. 0 > 1 0 0 0 0 c fin 0 11 1 111 It I;N I I
1#0 10 F,,)Dt# 11000 0101110 11011L PARI . 'OV't 13
1,141's 1111011 0011h Noft. AND 14fiff! if WORI ()r (0111011tutf1oll Allillilph Is 1101 chilill'offl) IIIIHIN 186 DA0, 0 If TbNs1ANCTi.11M lip Nopt IS 5NSPfNHtD fop A P19104
2; AN� 11 6 4 If AfIfF lm� Is 0111011(fo.. rVietAff OF 101111)(111411"ll Of Howl 0 A I)PHIMS lospirfloo MilM Fill! I11111 DAY pfltjolli FINAI J11%pItlififf ##$I of
P1,01fN?f,Nr Oil 1 (,AN Ilf 0 (Ill'ift
91,1111: : 011 Alit JIT 'Du.
Ill.b._PFAI, rev: 113131/41
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
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
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
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1hvq1r 4 h 6 opal
La6p NU . z BLD93- 10/0
t or : CAtVIN IF DWAkUli
Page : I
11 1he moo , hAndling and sLoraqu of hazardoit" mal.viriAls of 11-Amm"ble and VOW
it vvrenswk. 10 qat' is io n"J. allo-ed wilho"t the appio-ai ol the Nu�"" vup �-
Fir . alu "I
21 Pro nee struct"ic or y poriLl"n H t " t qr oat er Won AM lrt hviqht. tram qiadp linp .
flit!r In ysji i i i m i i,t, 0. • i if -Im oil fav"PPIly I i "04 , moveme"i-n and linbc OF
1 ) P1,114406111t io 1991 uNtl "P1111 AffilOiNo cohl' ' MION 104 ( V ) ANTI btflIoN hl : . All nflt.b 1011141
HAVE APPROWD NUNH17h - UH FtOOIV�414 F1t"" 1010 IN KFICH A PO% FIFON A4 10 131 PIAINIY VinIHIL
ANO 11FRIMLE PROR QL nlmftl ON k"taft f- P"hl1Nh IM PROPhRlY MA40N v""NI7 H0111111NO
P17PAlITMEN-1 REQUIRL " 1HAl IH14 hl CONP11110 PRION 10 CM11INN LON ANY 411-1 IN4Pl?C1ION% . ie
RIMSACIIIJIN FEE . RASLD nN PA115 IN 1AH11; nA OF 111V 1441 IINUOPH H1111DING 10OF Will HU
rLD IF 01 IN N I 1� VMS I " Idni AD"NFS% ON MIL Pk I HR 10 1;l "111 , 1 -11%18
N
4 ) RE901REU INSPEC1 .1 "N4t i s i ttil I 1 "bPok , irl"P-vilort pilot to
skiii-ing, Final Irl6pwGhinn-prior to "Po"ry ) I have U-Colve a roNv of Uhn 6"n"ral
KformaLlon and Insi-nilatio" ln"dotit t"r
detailed descriptions of oil i "clutupd ivinp-cll""s or; my mobile /man" I "-flit pri homt:
instn1lation . I harshy *0s."mN all ronport" li'MEY tor lho .0hod"At"q 01 lh"4v raq" ir-d
inspeution% . If theme req" ired i lIFE), v t i "114 Arq not t -quwRlod. i "np-" ivd A"d wirl"M(I
off ( approved by thq in�p-- lvor irl tho Vinviribod "rdet , I - "th" I 0inPovilott
lvetl and n"approved )
i "vvwUtja1- 1on tk- p"r""ant. to Lhw 1 "41 HH17 , lahl - in "ill b" "�qvnwwl
in addiLion to my oriqi "al pormil VeQ4 to tyn" lv- any q"-" ' ionmbIm plosl ' ' P . "I
probLems Chat have been disco-ored . I I "t- Litor ""d-rcloitvi Wolf thin
be scheduled az two a I town . ""Lit rpqolu9' inisl9l aiv / I I I,' �4 I
UnspectJon ) wil. 1 be qvarfl.u4 fur ' Lhp residenco Q--000r/
whichi nicinstorn
w
MASON COUNTY
Mason County Bldg. III 426 W. Cedar L-41
P.O. Box 186 Shelton, Washington 98584
P 1 11110. >t:1, 1 1 B 1 01 1, 1 Y()ft 1 1`4 f't- t, I I tJ N', i,A 1 1 4 2 T.•.9 610
HI fWUf— N 1)1)to A N 1 411--T;?b
BLO93--10/0 I' 1I��,F: t �'4.,i+�'�1: f?v� I f'I lii ;_ t,1IN1'10 1:r0,* HI f:
OWN1- h CAt Vl f* f t)WAR04
I:I)N# PAt.') 01l
I f fiAL #9111 1665 CA111 1A#tk t 1111' (14 IM 1 341, $1111 43 1r tM 1-11. 111 111 11 YAK. M W.1's f :ovitja"t I#1S 11-71 111 1 74. 1' 73 911.1 111 fit II SRty
(;1. A1,�:i Of WORK . . t N1:' •d f{+ I)k ; 61 iA1 1-1 : 0 i iPS'I t1i4Utiltt !1`r GdiE AfffTi+f ' fY1� � P.�i1{t1N} 13Y Ht?if RECEIVF�
i Y W 1 0 U tf s C S i ) ( Et l 1.5 . a th .-w �,r �;e «: Q -•, � �%; _ -,
ttOL16' . . , . I11. 1.)(1 , HE] lift l 0 -, of iift�?iJ N#
Iyf'f- 0P C H T e f:FREP1_At.#' s 0 ISM 4 hR lilt it 0,4i ;al q#
+tt (11P I-0Al1) . . 0 WOO1)`, f OVI. 0
Owl I_ t . UN.1`i IN(;
I N ,}�V CI 10 N Ak1, A 0 ';I#tt4(1. i t N1: r Ltd �f#1At' 1N�_fu i°A#Rf.A(li#N: �
'SP-1tNAC `, _-....__ . _._.__.._ __._ ft) Tif # N f Of I Iy#,i `, !mit 1,'; 't:1)01)- _._._.. pit ttl't1, I#ON(-
# 1 0 N I n N 0 It t., ti,'� I i1 f S Fi S.1.Pd'
ftf AR .. , . , :, Ui t 1; bh 114 1 I.It ; . d'i ! r, t#}, &) MOW- I - 1`1 1 1 1140t')1
1 f.)L of i i . F f, . N f I: :;;i MU:k°s . . . e9 t !I#lid r f Iax.;I I 1 (.t • 1) t 0 Id 1, 14 IAIi 1 _ _. ..
11W ( :; 1 .(4 ! 0 t (Jtwl i I 1 f1# A 1 EWi f3 111- hNt3f'ti 1 Id i
fi1. 1Nf: . N 0 0_�.1, � t:( t) 1 fit;`=, WAF Alt f;, 0 f.ilf,,N VI ))Ot? _ 1tiit.. ._
Ill f4 _._...___._ __.., f,I IG14f N tiLNR 0 lit At I'1Ief1' t9 to
i. (1f ti`f: I1.it0k 0 k A I N 0 V� NI `- Y' .iIti1', 4i I `?t1#' : ti+tt 1 i4.. ii 11. IN(,TH : (,0
Bit T L III 1Nth . s d f llk CNK. 1 N(-,', 1"00N-1 , . 3 Vi 04 1=A N 0 f4 0 1411t 111 _ 1 4
HA #.:Mf:N1 . 0 1 1 AI)IN1)k'I I'kAy'h_ . . . = ih 1rt1Mt. `, I. t!t'. 1. 1N � 4� - "I- If1Iit 3f
t)I I t , 0-,t 01 `*141,40 `iHL,R1. . _ . . . 0 A 1 14A141)1 1_Nt,i IIN1 1 1H IN ' N Io,"I'i t
I? t, API= .: 0 f. t1ARH () T` Pt_);4At.`.n . (I 1 61k400 I'm . r ()I /IzI I A I I id
I161Ni�i -, , . _ . . 104"00 ,' t tit If' I' ONII ', Ft
I X I L)Rf ', A Efi', (li11 1 t # 0
PR0JIi1 1ESrRfpltuN:
11RN,II(} t1IfAflu1iI'f1wy f#ti to ROBIN RII(1lt V1(1.A�i
ii[B PIRAII 61(O1111' NU#t ANI) VOID If "opt (tR ;4U1fRNt11d11 A1111100111N iS $tlf (110011UP VITN1N 100 1AYN, tiR If t'1tN`,1P1!(:Tf04i 0 }#Rllf IN 0stFf0cp [Of A M110
4T 11# PAY`; Af ,tNY tjjR AfIrR 401f 1�' (01111MIIf T ovilirt 61' (1#1flt�AlluN, Nt "Opt IS A PRiiWSS MPUIJON NIIIIIN I#f 199 DAY P(116# tINAi INMrI1I4111 119"'1 Of
1,PPROM 81:160 Rmf f A +A OF AfM1
013111£fi 3R AetK't i)AIt.
OLU_PRAi , 4I1311�-,2 C0tPt_.I.A"(.4- 10 A11ACHI: 0 CON1111t11M1% IS RLQUiRE0
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 41", -
BG/SLAB Insulation Floors Final
FRAMING dateby date by date' by y
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic .2
date by date by �J
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
lik
Robin Hood Village
iJL. VIRTUi INVI((1
September 8, 2000
Mason County Building Department
Shelton, WA
To Whom It May Concern:
Barbara Thorton has our permission, as owners of Robin Hood
Village, to put her new manufactured home in our park and on our property.
If you have any questions, please contact either Bill or Maureen Woodcock
at 360-898-2163.
Cordially,
Bill Woodcock
C--
Maureen Woodcock
E. 6780 HIGHWAY 106 UNION,WA 98592 (206) 898-2163 FAX(206) 898-2164
COMMITMENT FOR TITLE INSURANCE
EXHIBIT "A"
IN MASON COUNTY, WASHINGTON
Order No. 62157
Lots one (1) to thirty (30) , both inclusive, Block ninetythree (93) ; AND,
I
All those portions of Lots one (1) to fifteen (15) , both inclusive, and Lots
twentyfour (24) to thirty (30) , both inclusive, Block one hundred (100) , which
lie Westerly of the Westerly right-of-way line of State Highway No. 106;
TOGETHER WITH all that portion of the North half of vacated Boyle Avenue
adjoining said Lots on the South;
TOGETHER WITH all that portion of the South half of vacated Allyn Avenue
adjoining said Lots on the North;
TOGETHER WITH all that portion of vacated Smith Street lying between said Blocks
ninetythree (93) and one hundred (100) ;
ALSO, Tract B of Short Subdivision No. 184, recorded October 28, 1975, Auditor's
File No. 307840, and being a portion of Lot twentythree (23) , Block one hundred
(100) ;
All of said land being located in the plat of Hood Canal Land and Improvement
Company Addition to Union, Volume 1 of Plats, page 9, records of Mason County,
Washington.
Portion of Parcel No. 32232 50 93001 .
Barnhart, T. #9673
12-4-79
Robinhood Trailer Village Lot 23
Plat of Union, Lots 1 - 30-in Blks 93 & 100
Porch
$501.00
` BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593
DATE ISSUED
PERMIT NO.
OWNER NA E MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE & e,
LEGAL (O S ATT HED SHEET)
DESCR. ` o
NA MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
BUILDING Pp rc
Class of work: P NEW &ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
r -7 f
l�
Valuation of work: , PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIO
L.�
BEDROOMS DECKS CARPORT ❑ NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE []
ATTACHED Ll SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT [] OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE [I DETACHED G
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
CONTRACTOR AFFIDAVIT IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME 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 LI SHORELINES LI
SEASONAL FI FLOODPLAIN I
Firm E.D. NO. S.E.P.A. ['
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
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 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 therewith. ] MOTOR VEHICLE PERMIT
APPLICATION ACCEj2L!4
PT D BY PLANS CHECK BY PROVED FOR ISSUANCE
Date
.�ZCG�ZCQ
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
♦�
i
��� - _ -
_ +
�a `��
`u1 ,�
RR .I
,1
�_ � _ -