HomeMy WebLinkAboutBLD95-0177 MOBILE - BLD Permit / Conditions - 7/25/1997 w o ao-i -o
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CONCRETE MECHANICAL MOBILE HOME
Footings,Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
data 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 I
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Permit No._B idq� �(7q
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 ev
q6'
PLEASE PRINT n
#1 Ow r _� r��� �� c�c��� Phone# 6C -
to Address C \J'Jck Fire District#
City ��k� I" h St l� ZIp�9-�''-�-
Directions to Job Site W — - yq I
0 e 11 c !cc —
n Cl t2 O ca CC)
Owner Mailing Address
City St YA11 Zip
Lien/Title Holder
-
Address
Clty 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
Connect to Sewer System? Name of System r( a 0( A
(If reside al, proof of potable water is required)
cel No.
Legal Description1') �s.> lT� LT1 V.� W +`V iS j nn Db
Tom. r1 0 SvrVec� 13�188� '�Inc,k
#5 Building Square Footage: (existing/proposed) 7
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / # bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms _# Bathrooms Type of HeatTf e.( t,k)c�
Purchase Price $
#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
i
�t
1
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
��v
Plumbing Fixtures ($3 each) Fg& Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
ath Basins Heatpump, Other
Bath s No. IiEila 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 Ai�o Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Othe1�,,.,
Gas Out184s
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.
X OWNER X BY
DATE DATE
DATE
FO OFFICIAL USE ONLY:Accepted by: Date::
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: �U
Environmental Health:
l0 A�
Building Plan RevAwpq, Li
.-IfY
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit �d
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 O�
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O.Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
February 24, 1995
Sheb Weddle
P.O. Box 1910
Shelton, WA 98584
Dear Sheb:
It has come to my attention during your Structural Plan Review that your Manufactured Home
had some alterations made to it.
Any and all alterations, repairs or changes within or on a mobile/manufactured home requires
permits from the State of Washington, Dept. of Labor & Industries, Factory Assembled
Structures Division. This permit is being approved through the building department contingent
upon approval ofL & L No electrical or utility hookup is permitted until this approval has been
received and proof has been provided to the Building Department. Notification has been given
to PUD to not connect utilitie to this unit or provide electrical service to this unit until it meets
this requirement. Any utilityookup or occupancy of this unit will be in violation of Mason
County Code.
If you could provide our office with a copy of the signed, approved application Mason County
will then grant occupancy upon the approved set-up inspection.
If I can be of any further assistance you can reach me Mon-Fri 8:00-5:00 (206) 427-9670 Ext.
352.
Sincerely,
G 1.
Christine Herth
Building/Clerical
cc: property file
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