HomeMy WebLinkAboutBLD92-1410 MOBILE - BLD Permit / Conditions - 2/19/1993 z
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date Z 9 by
Walls FIRE DE
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by i
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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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
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 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
MASON COUNTY Permit NO.BLD
'
�4 �AUJLDING PERMIT APPLICATION
PLEASE PRINTO�
1. 6
#1 Owner �,4CJL- OC-i�'�1.41V/S Phone# �-�' 6,2/ -9270
Site Address w3.38� �4 YT�iU-A/�ePceT�?O,�Fb
City s�r` TON S t Gf/. Zip
Directions to Job Site V/L-4,,46C G O7 3l
47-f/A/O Tff tilO.f'7"S1�U7�fE�'L..Y CUL-DE-S.4G
J
Owner Mailing Address 116 i(/W 55
S�4TTL-e
City St We Zip y'�rG7
-LienTitle Holder S/7 OiVL_Y /Nr4
Address -475 �A/re✓�lON7`�O .
If City 1--4&�f St off' Zip970��
r #2 Contractor Name ��C_/�S'ffOruE� E-eContractor Reg#
Address 5325'Z-/77L4156C�,C /e0.40 Expiration date
City TU/yl GU�F7-die S t�Zip�l&�O Phone/ 900-S62-605Z5
#3 If septic is located on project site, include records.
Connect to Septic? f''ES Public water Supply, Well
(If residential, proof of potable crater may be required)
#4 Parcel No. *000
! Legal Description L- '3 G.4?7//,4/V t/! 6E,4J'� f'LOT"/litfjp
,eECO,E't�E�7/N !/OLUiLIE/O 7J' X, GE 97 ANO '76 �2ECO,e01'
#5 Building Square Footage: (existing/props
Ist Fl / q60 2 n d FI / -- 3 rd F3 Lof t / --
Basement / - Deck_ #bedro J3 #bathrooms
Garage �_ C POrt / (Circle: Attached or Detached?)
Other sq ft
j #6 IIP of building }i 7--77 C--/IFS'/ s,tribe work IlVd7 f-L,fF7-/6?tl
#7 Type of Job: New� Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead_,.. Other
#8 HORTTIE HOME tnR
.MATTn*r
Model Year MatCe - ; Z/A/E Model
Length— Width,2� ' Serial No. 79e5;0
#Bedrooms 3 #Bathrooms Z Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond______ wetland seasonal runoff
_earn i.n(z _z Ytuzes ($2 -each) roa
No . Toz�ets Vent Svstems X 3 . 00
Bath Basins Vent Fan X 3 . 0o
;'- Bath Tubs No. Boilers/Campressars
Showers 0-3 NIP 6 . 00
Hot Water Htr 3-15 HP 6 - 00
laundz
l Sinks�^
Sinks v Washer 15-30 HP 6 . 00
3 30-50 HP s . o0
Floor Drains 50 + HP 6 . 00
Laund+•y Basins NO. Air Hand.Iing 'Unit
Dishwasher 2 <= 10000 cfm. 7. 30
Disposal > 10000 cfm. 7 . 50
Urinals Other
Other Evap Coolers
Hoods
Permit Basic Fee 3 .00 Fire Suppression
TOTAL PLMM=bTG $ Domes. Inci.n_
Comml. Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 .00
No. Fuel Types Wacdstove separate
Fury < 1001C BTU 6 , 00 Other
Furn >- MOOR BTU 6. 00
Fu= - Floor 9 . 00 Permit Basic Fee 10 . 00
Heat Pumas 5. 00 TOTAL MECMWXCAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION•
ADTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTn E AFTER WORK
IS COMMENCED
OWNMZS AFP-=Vrr c rZRIC ORS AFF=AVZT
I CERTIFY THAT I An EXEMPT FROM THE REWIREMEHTS OF THE .! CERTIFY THAT I AN A a RRENTLT REGISTERS CONTRACTOR
CONTRACTORS REGISTRATION LAY RCW 1E.27 , AND AN AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANa REOUIRETMOITS FOX WHICH ORDINANCE REOIIREMENTS REGULATING THE WORK FOR WHICH
THIS PERNIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUS AND ALL WORK OOME WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SMALL SE MADE CONFORMANCE THEREWITH_ NO CHANGES SHALL SE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
OEPARTMENT. OEPARTMENT.
g owxElk a BY
DATE DATE
Return permit to: Department of General Services
426 w. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
FOR OFFIC' AL USE ONLY: Accepted by: Date:
4
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
Name of Fronting Street Date- I !i-7774F.
� I
PLI= TO DRAW SITE PLAN BELO
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PLICANT To DRAW ToPOG _U)HY PROFILE BELO
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DEPARTMENTAL REVIEW
FOR OFFICE WE MMY
Approved Coed Hold
Approval
Planning:
i
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Environmental Health:
i
Building Plan Review:
Occupancy Group:
Fire Marshall:
a
Other:
BEES
(,special Conditions: (1 Ilsite inspection ( Il
go
II II IlBuilding Permit'
II it +--Il
II II Violation Fee ( Il
Il 11 Violation Investigation Fee I II
II II Plan check I II
II II II it
II II Il Plumbing Fee I II
Il II IlMechanical Fee I II
it II I!
II II Il Woods t ove Fee ( II
II II il—• - 1
I, II IlBuilding State.Fes
'I
IlBuilding Valuation: II Il TOTAL 11
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September le, 1993
9 v J
Mason Country
:Department of General Services
426 W. Cedar
P. O . Box 186
Shelton, WA 98584
Re : Building Permit
BLD92-1410
Gentlemen:
Enclosed is a completed building perm ' application for
a deck adjoining a mobile home . The T =it for the mobile
home was issued on February 18 , 1993 . I was under the
assumption that the deck was covered IT this permit . The
deck was noted on the original applic ion and was shown
on the site plan (copies enclosed) .
I have added a drawing that shows the 2onstruction of
the deck.
Please call if there are any questions.
Sincerer
6aul De anis
116 N.W. 55th Street
Seattle, WA 98107
206/621-92 0 or 206/783-3873