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Home My WebLink AboutBLD99-0443 mobile - BLD Permit / Conditions - 5/20/1998 > Z Z 7: 7n 1T- ;7!E I-E > Z7 x OD s s s S, ol U) :3 7� CD z z N) St zs� O C) CONCRETE MECHANICAL MOBILE HOME 'S Footings-Setback date by y date b Ribbons Gas Piping dated'" Foundation Walls date by date by Set Up . BG/SLAB Insulation INSULATION date �� / / by_ i Floors Final date b FRAMING y y date by date by date by Walls FIRE DEPT. PLUMBING date by date by Groundwork Attic OTHER date by date by D.W.V. WALLBOARD NAILING date by date by i Water Line FINAL INSPECTION date by date by date by A_ /` �'-� .,e f ram/ /��✓�,�' c�. C{S� ,rfl2.. SEE' f�7TAC�i.60 ' -Coo —�- 71,0 . ; - 40,441 47 z> (T, 7-, >77, 0 C) x < 0 Z 7 z� OD �c Z ol cn :3 gym.�,>� � �` -�� a - O 10 01 -47 z co V� S < Z6 00 x I 0D ol > :) - cn 7 co cn (D 10 co is 71 i a 1 'r `1 M J x OD o O 01. z c N -, o n 10 Q co Q O � t Diagram of well number: 54187 = Casing ( ) = Hole - - = Screen ! ! = Perforation FORMATION DESCRIPTION DEPTH COMMENTS --------------------------------------------------- Surface BROWN CLAY 12 CLAY & GRAVEL 48 SAND CLAY & GRAVEL 54 83 Static Level YELLOW CLAY & GRAVEL HARD PAN 94 101 SAND & GRAVEL 106 ------------- Completion 1 5 ---> --I I L � � ' Permit No. U BUILDING MASON COUNTY PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT c / #1 O ner { r'f ►� � CLY►�� A J 60XVIE-e- Phone# a(e �/7 Site Address 3OG W (Y�i cv� 1�i1�`t Fire District# it t2��• Zip Cityh'�G TDB/__ _ Directions to Job Site //,O 2 /0 /i i 7 Owner Mailing Address ` 02 City s h e L-Tn� St Zip Lien/Title Holder - Address St Zip City #2 Contractor Name SZQF Contractor Reg# Address Expiration Date / / City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?I_Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) # Parcel No. q 2 00 2 - 7 5 - L3 6 6 L. Lg¢ gal Description '�i o� ��tr_►^✓ I 1129 4" 2 J a` P*e #5 Building Square Footage: (existing/proposed) 1 st FI �1/ 8 / 2nd FI / 3rd FI Basement-/-Deck / #bedrooms o! / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. #6 Use of building I&Wre L Describe work #7 Type of Jo New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION -15 Model Year/9�B Make ccE Model �DD�° a di98 Length l5 Width 39 Serial No. # Bedrooms _# Bathrooms z Type of Heat E)rfeJri e ru rn1a-E Purchase Price$ #9 Indicate by circling the applicable rce 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'AO-5 �7 c, —� L cif 1 - APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW -44 fa Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) No. 2 Toilets (,, 70 CIRCLE FUEL TYPE: Gas Electric 3 Bath Basins o.A 5 Heatpump, Other 2 Bath Tubs -16 No. Units Fee / Showers , 35 Furn Z BTU 2 Hot Water Htr 1v.70 — Heatpumps t Laundry Washer �' 3S" — Vent Systems / Sinks J — Spot Vent Fans O Floor Drains No. Boilers/Compressors E HP 0 Laundry Basins Dishwasher � � No. Air Handling Units 0 Disposal — cfm# O Urinals No. Fire Protection Systems _Other — Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 16.75 Auto Fire Sprink Sys 35.00 Permit Basic Fee — TOTAL PLUMBING $ 0.,3I No. Other _ Gas Outlets / Woo , Gas, ellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- 16.75 MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee WORK IS SUSPENDED OR ABANDONED FORA 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 OFTHE 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 t--'� � J X BY DATE 36 DATE 07 I �QFFICiAI. Dat USE ON Y. ?ted by: e DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: A.-G4a"4017 647Z/ { oot scram pia., c !'ne S 14EF I ' Environmental Health: i i Building Plan Review ,, J�„L Occupancy Group.- Type of Const: Fire Marshal: i 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 Plumbina Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) No. Z Toilets l,. 7o CIRCLE FUEL TYPE: Gas Electric 3 Bath Basins t oA 5 Heatpump, Other 2 Bath Tubs r ~/�J No. Units Fee / Showers 3.35 Furn BTU 2 Hot Water Htr 41.70 — Heatpumps I Laundry Washer 31 3s — Vent Systems / Sinks 3• — Spot Vent Fans O Floor Drains No. Boilers/Compressors HP 0 Laundry Basins — I Dishwasher 3, No. Air Handling Units O Disposal — cfm# No. Fire Protection Systems O Urinals —Other Auto. Fire Alarm Sys 50.00 _ Fixed Fire Supp. Sys 50.00 16.75 Auto Fire Sprink Sys 35.00 Permit Basic Fee — TOTAL PLUMBING No. Other _ Gas Outlets / Woo , Gas, ellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- 16.75 MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 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 OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- EATING 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 DEPARTMENT.OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. X OWNER X BY DATE DATE 77 Ala x IFF�IAL USE tNl~Y: epted lay` Date: x DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Fr Environmental Health: i Building Plan Review Gt�-L s7--7 Occupancy Group: 9--3 Type of Const: !�n/ Fire Marshal: i Other: Special Conditions: 'FEES 5-7 ' 00c) -F Building Permit 00 P(�O Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee a Other Z�- �-4 Other Building Valuation:_ 60a " TOTAL FEE L,l, Plumbing Fixtures ($3 35 each Fee Mechanical Fixtures ($6.75 each) No. 2— Toilets (o. 70 CIRCLE FUEL TYPE: Gas Electric 3 Bath Basins t oA Heatpump, Other 2 Bath Tubs rI No. Units Fees / Showers 3 35 j Furn BTU 2 Hot Water Htr 4,.70 — Heatpumps Laundry Washer .3.35" — Vent Systems Sinks 3., 5 — Spot Vent Fans O Floor Drains No. Boilers/Compressors HP 0 Laundry Basins — Dishwasher r No. Air Handling Units 0 Disposal _ cfm# O Urinals No. Fire Protection Systems — Auto. Fire Alarm Sys 50.00 _Other _ Fixed Fire Supp. Sys 50.00 16.75 Auto Fire Sprink Sys 35.00 Permit Basic Fee — TOTAL PLUMBING No. Other _ Gas Outlets / Woo , Gas, ellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- 16.75 MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee WORK IS SUSPENDED OR ABANDONED FORA 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 OFTHE 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 ING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. X OWNER �Qa2� �- X BY DATE 36_ DATE j. F#011L USE ONLY,kc pted by: Dat�R i� DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: i i Building Plan Review 62 C�x,�,��,. 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 oxx�mx � o 12'-10' rA��yC1fN1 i m D TIC nOC�CNC Ic 1 M,..I 65'-4'- 1 PORCH I1 PORCH yr�a C,.MH�rAPzS =j?:p3i v0 3C�Dr 57'-6'— WATER ------- f 53'-a' f 52'-a'— o + ELECT 6I, t 41 f I n I f f t I I 1 I f I 5c I I I t I I 1 I n = I ( ( I 1 f 1 N 1 i v 30,' 99, 15' 99, I I ) 1 1 a I a ) t 1 clu t H I I t I � 1 1 t 1 ( ~I I 1 Z) I 1 1 Z 1 t rl I t -1 0 I � 'oi nt i > Di iD Di D '^ GASto ; D � i to Z trri 1 3 1 WASTE t I I t t = t I l = f l = f D t N It Ln I I I I I t I 0'— N 1'1 Z c7 Z00 'd 990£ ZE 09 1 : 131 MOH VORA LZ:01 (NOW)86 ,LZ- 'M