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Home My WebLink AboutBLD13625 Mobile Home Space 33 MIS98-0005 Propane BLD13625 Final Mobile Home - BLD Permit / Conditions - 2/24/1983 • >< BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 DATE ISSUED p{` PERMIT N0. OWNER AME MAIL ADDRESS CITY&STATE ZIP PHONE 34 0o DIRECTIONS gr TO JOB SITE r f , LEGAL ([I SEE ATTACHED SHEET) DESCR. Q A3v , (� NAME MAIL ADDRESS CITY&Sf ATE NO CONTRACTOR /30 USE OF BUILDING re.A rr c n eAl Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR X MOVE ❑ REMOVE Describe work: /T/o/3X1'E dTfylel —4�c+ W2 19 9 Valuation of work: $ PLAN CHECK FEE PERMIT FEE, ��a� 0 SPECIAL CONDITIONS: N BEDROOMS DECKS CARPORT ❑ NOTICE BATHROOMS TOTAL SQ. FT. GARAGE L. ATTACHED a SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING NO. OF STORIES BASEMENT I OR AIR CONDITIONING. TOTAL SO. FT. FIREPLACE I- DETACHED ❑ 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 In SEASONAL I J FLOODPLAIN I Firm E.D. NO. S.E.P.A. i- By Special Approvals IN OUT YES APPROVED NO Lic. No. Date ZONING PLANNING DEPT. OWNERS AFFIDAVIT HEALT DEPT. )3 3 L'Z? LIC WORKS I certify that I am exempt from the requirements of the FIRE MARSHAL contract or registration law RCW 18.27, and am aware UILDING DEPT. of the Mason County ordinance requirements for which this permit is issued and that all work done will ROAD ACCESS M nformance therewith. MOTOR VEHICLE PERMIT P LICATIONACEQT�D BY PLANS CHECK BY APPROVED FOR ISSUAN Kner Date . U F%I CHECK VALIDATION CK. M.O. CASH PtAMIT VALIDATION CK. M.O. CASH MASON COUNTY Mason County Bldg. III 426 W. Cedar RO, Box 186 Shelton, Washington 98584 M 1 ,"�xC—' 1—= L._ t— A N 11~ Q kJ f--; P E 11 M i -r- FOR INSPECTIONS CALL 427-9670 M 1898--0005 PARCEL :322325093001 PLAT :UNPL.0 D I V : BL K : LOT . JOB ADDRESS i 0780 E STATF ROUTE 106 UNION APPLICANT : ROBERT MASON OWNER : ROBERT L MASON LEGAL : 00101 6000 CANAI I.A1O A fit f1 101S 1-30, BIX 93 A LOTS 1 30, BtIt 11# I VAC STS AOJ fK k Of All A LOTS 19-22 A 1 29.31' 23 BiK III ITA A Stil PROJECT DESCRIPTION : PROPANE TANK, HFATSTOVF TO BE INSTALLED IN ADDITION, OUTUE T PE�ylEXP1RAT10N 14ULL Vpl� PROJECT LO(:ATlON : `nT,,)101 aY MCREAVY 70 106 TURN RIGHT '10 ADDRESS SPACE :33 DATE PROJECT NOTFS : 'TYPE AMOUNT BY DATE RECEIPT MCFE # 7 . 00 TW 01 /02.1.98 46193 MCFE $ 7 .00 TW 01 /02/98 46193 MCps $ 17 .2.5 TW 01 /02/98 46193 � WDST $ 34 .00 TW 01102108 46193 TOTAL - 65 .125 OWNER OR AGENT DATE ..'�''•YLJ,9::,-. '.' 'iR..'YfYS�':'4f1tl:+.Le:{'". ,y':�2'!`]S9C�..r1963.5QGytIF::.YA�^:.� MISPIM•T, rev c 11111192 COMPL I ANCU TO ATTACHFI) CONDITIONS IS RF6UIRED 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. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P F 1-1 1A 1 .f." C= (J N 0 1 T' I C3 N �=� Case No , e M I S9A-0005 For : ROBERT 1. MASON Page , 1 1 ) PURSUANT TO 1991 UNIFORM BU I LE)I NG C:ODF , SECTION 30,05)(C ) AND SECTION 513 , ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSt^S PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STRI"E T OR ROAD FRONT I N(y THE PROPERTY . MASON COIJNTY Btl I LI)E NG :DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPECT I ON FEE , BASED ON RATES IN TABI f 3A OF 'THE 1994 UNIFORM EU I t[)I NG CODE W I IA BF- ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 2 ) The owner shaE1 have available on site ror Inspection bV Mason CountV, a report indicating the name and license number of the Enstailer , the amount of pressure at the time of testing and the length of test time . This report shall be ni(Ined bV the person conduoting the test . 3 ) ALL CONSTRUCT I ON MUST' MEET OR EXCEED ALL LOCAL CODES AND UBC MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 REQUIREMENTS 4 ) It the tank size Is between 125 and s00 ga I i oot; you must follow these tau i de I i ne.1 s 1 . Tank is to be io feet from any buidIing, public way or property line . 2 . If the tank Is exposed to probable vehicular damage , provA de protective bollards . 3 . All weeds , grass , brush. trash and other combustible material sha l I be kept a minimum of 10 feet away 1'ro►n LP containers . 5 ) CONSTRUCT ►ON PROCESS TO BE FIELD CORRECTFD AS RFOUIRED PER MASON COUNTY BUILDING DE PAR TMENT AND (IN I FORM BA)I L D I NG CODE 6) THE HEAT STOVE. IS f0 BE INSTALLED IN THE ADDITION ON THE MOR I L-E q2) - . Permit NA 1-S MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner e— T a S C)Y\ Phone# Site Address /E �S'T/EEZ—_X l /6 6• eeZ,,0 cod!/.(Aer Ct"g �tL�� — City aJ2 4" » St L/'74 . Zip Directions to Job Site Owner Mailing Addressl/� �f city /hlU>? St LUa Zip1��"5�.2 Lien/Title Holder lJ >2 e-- Address City St Zip #2 Contractor Name Contractor Reg. # Address Expiration date City St Zip Phone #3 Parcel No. - - G � - I�jCO I Legal Description #4 Use of building ` Describe work #5 Type of Job: New Add Alt Repair Plumbing Fixtures ($3.45 each) Fee Mechanical Fixtures ($7.00 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. Other _Other Gas Outlets Wood, Gas, Pellet Stove 34.00 Permit Basic Fee 17.25 �c ra(1/t nF rtTT 1A(1 l�- TOTAL PLUMBING $ Permit Basic Fee " 17.25 TOTAL MECHANICAL $ � No Basic Fee for Wood, Gas, Pellet Stove NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced. Proof of continuation of work is by means of a progress inspection. NOTE: If this permit application includes the placement of a fuel tank, heat pump or other unit to be located outside of the existing structures, a plot plan MUST be submitted as required below: Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. 97 V) "o OT� OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRAC- THE CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM TOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE AWAREOFTHE MASON COUNTYORDINANCE REQUIREMENTS ORDINANCE REQUIREMENTS REGULATING THE WORK FOR FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES CONFORMANCE THEREWITH. NO CHANGES SHALL BE MACE; SHALLBE MADE WITHOUT FIRSTOBTAINING APPROVAL FROM WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDIN- THE BUILDING D ARTMENT., DEPARTMENT. X OWNER X BY ! i DATE l— Z — 9k DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: Fire Marshal BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED - Q PERMIT NOo( NAME MAILADDRESS CITY&STATE ZIP PHONE aQ(� OWNER Si-�B13�NS /d a s =v �' DIRECTIONS TO JOB SITE O�iNY`IoOD /yJOa-L WclnE' PAr ,4,- n GU ;zv'g PARCEL 3 LEGA NUMBER L k4olal`la-1 p8� � g ESCR � � TKi NAME MAIL DDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING - ' d`Q�/IV,--E CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r ESCRIBE WORK Xl BEDROOMS � DECKS zZ CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR Al BATHROOMS TOT SQ.FT. GARA E CONDITIONING. NO.OF STORIES i BASEM ATTACH THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FI REP CE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT O/LINE OWNERSAFFI VIT CONTRACTORS AFFIDAVIT I CERTIFY TH I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF CERTIFY W 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 IN IN CONFO ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAININ APPROVAL FROM THE BUILD G DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X O DATE X BY DATE- FOR/OFFICE USE ONLY DEPARTMENT Y SPPROVEDJO DEPARTMENT YEAPPROVEDIO BUILDING VALUATION ieoq HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK , SPECIAL CONDITIONS BUILDING GROUP Lx PRE-INSPECTION WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY I PLANS CHECK BY ED FO S�UANCE PERMIT VALIDATION -I -q 0BY CASH CK MO TOTAL `�/J� PLOT PLAN ADDRESS E . 6 7a 6 J'SyZ PERMIT NO. f c • °o LEGAL DESCRIPTION LOT BLK ADDITION 0. SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft. INSTRUCTIONS TO APPLICANT 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 PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION AND SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY l INS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. OINDICATE NORTH IN CIRCLE I I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAME(a) OF OWNER(S) OF SITE S STRUCTURE(SI (PRINT) JIGNATURE OF OWNER(SI OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE .f z. �..F` z k� �_ �.1i� _ - `, a V A/�� .. �+Q< ir' YJ ` •' :' v ,SM Barrow, Charles A. #13625 ::,) -Phone Listed 2/24/83 Plat of Union, Tracts 1 - 30, Block 100, E of R/W & Tracts 1 - 30, Block 93 Robin Hood Trailer Village, Space #33 Mobile Home Contractor: 14'x7O' , 1983 Robin Mobile Home Sales $17,094.00 *One bedroom to be used as den. Shorelines: Setback: Special Conditions: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: Plumbing: Mechanical: Roof: Exterior: Interior: Final: Stop Work: Mobile Home: Smoke Detector: Remarks: