HomeMy WebLinkAboutBLD2000-00083 MOBILE - BLD Permit / Conditions - 2/22/2000 W
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j CONCRETE MECHANICAL MOBILE HOME ,
Footings-Setback date by Ribbons
date _ by Gas Piping date .2^;2 y Z oovo by egg&Ar,
Foundation,Vvalis 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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
rrysp�'e770 47TWehfo d ew
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NCRETE MECHANICAL MANUFACTURED HOME W
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o ings d Setbacks C#�ts Piping
Ribbons C
o or Date By interior-Date Bar Date By Fn
w Date By Exterior-Rate By
ra
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Point Load r Isolated Footings INSULATION late sy
BG!SLAB INSULATION
Crate By Date By FIRE DEPARTMENT in
Foundation Walls Floors Date By
Crate By, bate By DECKS
F RAWI Nd Wars Date B
Date By bate By PROPANE TANKS
Vault Dutc E3y
PLUMBING
Data By OTHER
Groundwork Attie
Bete By Type.
Date By Date By
D..w.rr
DRYWALL Type:
Int Brace Mali pate By W
Date By Date By FINAL INSPECTION 0
(D Water Line Firs Sepe ration C
Data by Date By Date � is /b By L.n07 p
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3 Type of Inset. Pail Date Date Dune By _ Comments 0 00
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PERMIT NO.: BLDV%_any )
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 I CONTRACTOR INFORMATION
Owner A ,6 Bou V1 e r Contractor Name dli .e •�r+ce NW
Mailing Address .,306 P+.v%- eo-e3 Wgt Mailing Address 8705 #,aw 6y, Ljr V&
City ',rJ7Ae/to.0 State,GUa Zip Code City Cfiy� lea State fiJC Zip Code s r
Phone(3&) 8Wo-(PTffOtherPh.( ) Ph.(b) S/9� i5-1%7 OtherPh.0
Lien/Title Holder Contractor Reg. # HOrwti ES 7( / O YO PY
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer
System Name of Sewer System WeII__)(__Water System Name of
Water System
-1 —L"
PARCEL INFORMATION-12 digit Tax Parcel No. -7$" / QT Fire District
Legal Description
Site Address(Please include street name, street number and city) . e ♦,es KJ:
Directions to site �.� ;> ; a m - �� o. ?� o-�
-t p 5".t" 4
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
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
MOBILE HOME INFORMATION-Make 6o/ rdt,0te(.T Model C*WGO'L.F Model Year 1999
Length�Width 2-7 Serial No. wO�E+73�✓ GZI No. of Bedrooms %7 No. of Bathrooms 2.
Type of Heat Purchase Price $ ys980�- Replacement,Unit ?(Ye Al'
Installer Name ,f e S+✓vr a�e Al� Imc Certification No. WA wS 1($3'e��"-0
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-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 a royal.
X Date X Date /A
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
D .ARTMENTAI" RaV p'�Ni�t2 Cf3NpIT1fJRi CC?pE
Building Department /'16". t 1S a
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
i
Fire Marshal
Valuation $
Building Permit Fee UC, 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 ( )
'f.::.':. . TOTAL FEES
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Return Document To:
Mason County Department of Community Development/Building Division
Attn: Debbera Coker
PO Box 186, Shelton,WA 98584
Addendum to Certificate of Non-Conforming Development
Taxpayer: VANDERBUILT MORTGAGE AND FINANCE
Owner at time of violation: ELLIs B BOUVIER
Site Address: 306 W Pine Acres Way, Shelton
Legal Description: TR 6-C of Survey 13/188 TR 3 of SP#2244
Parcel No.: 42002-75-90063
The recording of this document amends and releases AF#1933907 regarding the lack of a final
occupancy inspection of the manufactured home and required landings located on the parcel
identified above. A final occupancy inspection was performed and approved by the Mason
County Building Department on July 8, 2010. The manufactured home is approved for
occupancy as intended.
;eraiCoker
ths 13th day of July 2010.
Building Inspector/Code Enforcement
I certify that I know or have satisfactory evidence that Debbera Coker is the person who
appeared before me, and said person acknowledged that she signed this instrument and
acknowledged it to be her free and voluntary act for the uses and purposes therein mentioned in
this instrument.
Given under my hand and official seal this 13th day of July 2010
NOTARY PUBLIC
State of Washington
KATHL.EEN SOINE
Commisslon Expires AUGUST 22,2010
NO-UBLIC m and foie
State of Washington, residing at
Shelton . My term
expires ��; f�