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Home My WebLink AboutBLD92-1429 Mobile Home - BLD Permit / Conditions - 1/3/1993 Ij MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 L.O :al:: II..... II:::]' :I[ IIII 1L:i:ii P If'.i:' IIli :'.:II:: ..11 FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND 8am 427-7262 BLD92-1429 PARCEL : 420361400030 PLAT: DIV: ULK : 1.OT : .708 ADDRESS : W 2070 CLOQUALLUM . . . . . RD SHELFON OWNER : TOM NUTT 249-4257 CONTRACTOR : OWNER IS CONTRACTOR LEGAL : SE NE S OF CREEK EX S1/2 E OF RD i S 611 W OF RD FS 19361:62 CLASS OF WORK . . : NEW BEDR : 3 . BATH : TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT 80 DATE RECEIPT TYPE OF USE . . . . : MH STORIES . . . . . . . : 1 OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . Ott: PRMT $ 25.25 KS 01/04193 31928 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 STFE $ 4.50 KS 01/04/93 31928 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 DWEL.L . UNITS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : 2 SHORELINE ?. . . . : N ! TOTAL: 29.75 VALULATION: 4760 ✓ SETBACKS-------------- TOILETS . . . . . . . . . . . 0 FUEL TYPES---------- BOILERS/COMP----- MOBILE HOME-- FRONT. . . N 5 . 0ft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0 REAR . . . . S 20 . 0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : KIT SIDE ( 1 ) . E 100 . 0ft SHOWERS . . . . . . . . . . . 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------ SIDE (2) .W 100 . 0ft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 ? SHRLINE . ? 0 . 0ft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 74 LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 68 BUILDING . . . : 952sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 14 BASEMENT. . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O -SERIAL#---- DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : 0 S1502 GAR/CARP : ? 0sf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC /REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm. : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTI0N:MOBIIE HOME PROJECT L0CATI0N:0UT CL000ALLUM RD TURN RT INTO 4TH RESIDENCE DRIVEWAY PAST MASON COUNTY SALVAGE FOLLOW DRIVE ABOUT 700' TO PROPERTY THIS PERMIT BECOMES INULL AND VOID IF WORKOR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD RPPROVEDABEFOREABUIIOINGAITNRBEOOCCUPI QMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE OWNER OR AGENT: C �_.. DATE: 8L0_PRAT, rev: 03/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 =::" q::::: 11 2: IPmll ::If 11"" il::::: tl;:::U II"II N:::;U ::IC: "'q'' al:: tl:::U II''ii Case No . : BL092-1429 For : TOM NUTT Page : 1 1 ) The e , handling and storage of hazardous materials or flammable and combustible ti a ds in this structure is not allowed without approval of the Mason County Fire M ial . X aajcD.,aG. ?ei t (Qo(�oSE'd iM� � devN e aJ�' �,oe Ate d,v e�/►�ob� ce, .%;j � 4 £clLlll L. lYU.l3LU MASON C0IIN= ` BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner TC- ry ;.,C t Phone# __v► _ U:�S % Site Address_�_O, Qm( -j C r rr (Zc{ City - r St t C i . Zip Directions to Job Site S S Owner Mailing Address 3 -I-I N. flctCCi Mi2 City fl- -S( nCT St I. C,' C:. Zip S - 3 Lien/Title Holder 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 Well (If residential, proof of potable water may be required) #4 Parcel No. y_U:71P - iy - Cx�G�r Legal Description #5 V Building Squar, Footage: (existing/proposed) 1st Fl /fit a� 2nd Fl / 3rd Fl / Loft Basement 1 Deck #bedrooms #bathrooms_ Garage 1 Carport / (Circle: Attached or Detached?) Other sq ft #6 Use of building Rti;, y e. Describe work '._ r, et (nnbi Ie V)CM Type of Job: New Add Alt Repair Demolition Woodstove Re-Roof Bulkhead Other #8 MOBILE HOME INFORMATION Model Year Make Model Length ( ( Width Serial No. 91�O L #Bedrooms_ #Bathrooms i . Type of Heat LICdi 1C, v n i( _f wtx cJS Zv #9 Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff otherK 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 Scale: ys = ' Name of Fronting Street Date: // A / - 92— APPLICANT TO DRAW SITE PLAN BELO APPLICANT TO DRAW TOPOGRAPHy PROFILE BELOW- Plumbing Fixtures ($2 each) Fee Fee No. Toilets Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP 6._ 00 Hot Water Htr 3 -15 HP 600 Laundry Washer - 15-30 HP 6 :00_ Sinks 30-50 HP 6_00 Floor Drains 50 + HP 6_00 Laundry Basins No. Air Handling Unit Dishwasher <- 10000 cfm. 7 . 50 Disposal > 10000 cfm. 7 . 50 Urinals Other Other Evap Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUMBING $ Domes . Incin. Comml . Incin. Reloc/Repair 6 . 00 Mechanical Fixtures Gas Outlets X 2 .00 No. Fuel Types Woodstove separate Furn < 100K BTU 6 . 00 Other Furn >= 100K BTU 6. 00 Furn - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 6 . 00 TOTAL MECHANICAL $ 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 ANYTIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER,. X X BY DATE // { .5'L__ DATE Return permit to: Department of General Services 426 W. Cedar/P. O. Box 186, Shelter., `'LA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by,• Date: [ / �� FOR OFFICE USE ONLY D C [t [1 '[E !TiApproved Cond Hold Approve l Planning: Environmental Health: Building Plan Review: 5 Occupancy Group: Fire Marshall : Other: ii FEES -1 IISpecial Conditions : it IlSite Inspection I II II II II I II II IlBuilding Permit I 7 II II II IF HI II II IlViolation Fee I II II II II 'I II II IlViolation Investigation Fee ( II II II II I II II II Plan Check I II II II II Iit II II II Plumbing Fee I II II II If II II II (IMechanical Fee I II II II II II II IIWoodstove Fee I II it II Ii } II II IlBuilding State Fee I II IlBuilding Valuation: II II TOTAL�7�J II