The URL can be used to link to this page

Home My WebLink AboutBLD93-0383 MOBILE - BLD Permit / Conditions - 4/30/1993 Q Q o n CJ) OD Jo O V_ z .. .. \V n OQ Z t on CYI 00 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date (9 b dam/ °G`2 Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Finaldate c/ FRAMING by date by date 0 .7"1;" f, by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING j date by date by Water Line FINAL INSPECTION date by date by date by d3 7 Q I Li cn O � x OD OO Ol C Z Q = C cno Q � -f- o Op O 00 4 f u MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTONI 98584 (206) 427-9670 CORRECTIO NOINICE Job Location .300 ,1W ?o-,o /�G,)7.3 - D3kT This structure has been inspected by Mason County Building Department and the following VIOLATION of Coun La s and Ordinances has been found. yO u ",6,0 �o ltems listed below must be corrected to ga n code compliance ✓1 Lac T /ll /YO •� l�.cJ �L�/� � 1/it�� rIA/1 5-4 .Qid� 101, to w- You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK [a Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OKto Department —,46�6"l Date Aj ZZ Inspector / DO NOT REMOVJYTIH41S TAG I ti .�a'�a,� �:�►'��a�+. -�`��'� �,� '' ` cam` '��►�,� `�.,,��h�>� \`� � s' Permit No. MASON COUNTY BUILDING PERMIT APPLICATION ALo 4_3- b PLEASE PRINT #1 Owner S � � �� " Phone# i' 9,10 Site Address / Fire District # City St Zip Directions to Job Site k 'v `' l 'v\ l 2 ti ` VT Owner Mailing Address - - V.A_ City jr ��n C, St Zip Lien/Title Holder Address + City t�C P �C� CSC 1,_ St-LAAA zip�N #2 Contractor Name "� • 2 Contractor Reg# Address xpiration 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 is required) #4 Parcel No. 14 Z-GCS c, - i Li o(—,t Legal Description l G� #5 Building Square Footage: 1st F1 2nd Fl 3rd F1 Loft Basement C� Deck �'�' _ #bedrooms _3 #bathrooms e- arage <'±a Carport lam_ Garage/Carport: Attached or Detached Other #6 Use of building 4 v'('Xj�, V'��;br�1 Describe work 62 - Imo_ #7 Type of Job: New X Add Alt R pair Demolition Re-Roof Bulkhead Other #S MOBILE HOME INFORMATION �j,� Model Year 93 Make 1-t.f�=_R ail_i Model t. Length ,S I Width Serial No. #Bedrooms #Bathrooms Type of Heat 'C, #9 Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other Show following on the site plan FF- 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: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Show following on the site plan Lot Dimensions Flood Zones Existint structures Fences k_a Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate DirectionaYb N Name of Flanking Street Y � , S E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW PIVS .Ti `' SI C . . c�.tih APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW tup �+ " Plumbimt Fixtures Fee Mechanical Fixtures No. Toilets Primary Heat Source (circle type) �L Bath Basins l ct heatpump/other 6 Bath Tubs 1 Showers N . FEE Hot Water Htr Furn Laundry Washer Heat Pumps -3 Sinks Vent Sys (Central) Floor Drains tVent Fans (Spot/Whole) Laundry Basins Boilers/Compressors Dishwasher HP Disposal Air Handling Unit Urinals cfm. Other Fire Protection Systems Permit Basic Fee t TOTAL PLUMBING $ Other Gas Outlets .Hookups o�Pellet/Gas Stove Other P rmit Basic Fee TOTAL MECHANICAL $ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, 0 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 I^� �(Qr,mot_ X BY DATE 3-�i,3 DATE Return permit to: Department of General Servi es 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR aFF`ICFAL USE QNLY� AC:cept d b� Date ' �/ i DEPARTMENTAL REVIEW ' .. FOR OFFICE USE ONLY 11 Approved Cond Hold Approval Planning: i Environmental Health: -tl Building Plan Review: Occupancy Group: Fire Marshal: Other: FEES (ISpecial Conditions: II IlSite Inspection I II II II I I II II IlBuilding Permit I (I II II Il II II 11violation Fee 1 II II II I 11 II 11violation Investigation Fee I II II 11 11 11 II Plan Check I 11 11 11 I i 11 11 11 II Plumbing Fee I 11 11 11 1i 11 11 II 11Mechanical Fee I 11 11 11 1 11 11 1lWoodstove Fee I 11 11 11 ii ii 11 II 1113uilding State Fee I II IlBuilding Valuation: II 11 TOTAL I Ii l� if 11 �I 1 PERMIT TM NO. _ENT OF HEALTH SERVICES 'Qo -- f ; r SITE EVA UATJO _ DESIGN AND ALLATiON o BOX 186/SHELTON,WA 98584 Date Data 3 p f Receipt o, Receipt No. , HONE(206)427-9670 Amount$ Amount$ f 2-25-93 LRIVATE K APPLICABLE ITEMS ✓ DAYTIME PHONE: ING NEW SYSTEMShelton, WA 98584 C/O Stock a Assoc. Attn Rick Ni OLD SYSTEM �t ING SYSTEM STATE:' ZIP:,Da Air rt Road FAMILYPRQ+ SS.` ECIFY:; SPS FOR LOCATING SITE:— - WELL "Da r-�--90 past the Dayton Trails entrance USLIC SYSTEM I � "1mr wAr='s. ' '- — _SYSTEM ID NUMBER _�r��3- ( -dd a ll�lr !rt is on the right just before the Kids SYSTEM NAME -- APPLICANT {k IAA Craf ei nI holes are well marked. -- — ��- AME Donna Coleman _ IC Name Lot see �P ft.x n, ILINGADDRESS P O Box 70 p Installef t, '" _ _ Size: 1.25 Shelton, WA-98584___. Name —_—acres T LEPHON-E_L._ )426-3319 - Deslgrlir,ry Numbero IGNATURE m. Bedrooms 3 o _ PLO C ► K it, r� I �C Dra t r, l �y7ryrygy 4rrr., tY_+ T.V tl �r 8 0 P tpoatlon of test C Lu hobey�owl 1993 ,to' � � IQ) propdKtybcundarbs, � I � Ic 4 ��V1C O dr l � ,Er /�y• �.� 00 s /, J� NOTE DO NOT DRAW IN Y r, '; IQ p,,,y4YSTEMDESIQN �283 f h, p,gy�oa A�R�R� o. *>{ OFFICIAL USE ONLY. DO NOT WRITE BELOW DOUBLE LINE. SOIL LOGS ---- — -- - ` L(, � SJ k0 O�f 4Ca9Q5C 040 t lst�`S l D I)e95 6 30" �a S cfZ 4 K t it" "ka9 r De h from Orf inal g Gra a to ReslricHve Lay r or Water Table: ER DESIGNATION SCORES MINIMUM SYSTEM REQUIREMENTS Design: vof One D Level Two T 'i4.. vs tk . feHOR -S �r Septic Tank Dally Capacity: ?� Gal. Flow: 1110 GPD " Appl. InfilL Depthfrom rgna Rate Z GPD/FT'Area �(� FT' Grade to Bottom of Zoo Absor lion area: 1 Total Inspec Date 4 COMMENTS/CONDITIONS FOR APP OVAL Il of sire �t Afa 7A ll �.f 3d O OwrMr eslp rArodd*r MIM MW w of to verity precise system layout ❑Owner must arrange pre-installal�conferences with health dept.staff N` U Vhntor roqbked 0 Extreme care no teded during site preparation to preserve existing topsoil from*4 spedf Ruse of the property or any site alteration affecting the system design may Invalidate this permit. This e8'3 years from date cKIssue.Daniel of this permit maybe appealed to the Health Officer wfthfn 10 days of SITE:0 Desipn Regr/red U :U DESIGN: U Approved ❑Not Approved INSTALLATION Approved 0 Not App,cct BY: DATE) ly: DATE: BY: DATE: ► MASON COUNTY ! 4 DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVEI TION CENTER ADMINISTRATION April 16, 1993 Charles Roy P.O. Box 475 Tenino, WA 98589 Dear Charles: After reviewing your Building Permit Application I have come across an incomplete "Plot Plan'. We will not be able to accept a Septic Application layout. In the Building Application we need the.following information: Lot Dimensions, Existing Structures, Setbacks, Water Line, etc. Please review the list on the following sheet. At this time I will forward your Building Ap lication to Environmental Health. If we do not have a new plot plan after this department I will have to put it on hold. If you have further question's please contact our office. Mon-Fri 8:00 to 5:00. Sincerely, n �a Christine Herth Clerical 13 Q�