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Home My WebLink AboutBLD93-1139 MOBILE - BLD Permit / Conditions - 8/18/1993 3 � r. } t \ -V Z N X \ J O OD O of z (D � C O Q � z :)70 � 0- cn co z CONCRETE MECHANICAL MOBILE HOME 'C.� /•/ Z��9� Footings-Setback date tY Ribbons ) date by Gas Piping date ' �� Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date f by date by d�-- "/- % by FRAMING Walls FIRE DEPT. date by date b PLUMBING date by Y Groundwork Attic OTHER date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Eno H, cu > 0 CJ) x n J 0 OD 0 ol C: z :3 C/) + :7 ,< (D o 0 C: � � Zcn 0, o :3 co -0 cn At IC r coo y 11 i t —� Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 L:O ,\� #1 Owner Ci-i F'Q12D �• �- LEILA- rQ. KING' Phone# Z WO - y'7D _/ 9 9(0 Site Address U) /50 J0,4 rDm/ /VU JOLACC Fire District# City S (A e LTD St U-)A . Zip Directions to Job Site Dl N017,61 7-0 " av-a oc,c - / 'i o 7&f-- 24yroly 7XAt4s 6,1B1x 9,1D, FG A,l &I ;r// TD TOP OF /GL. RQCEED Ai GT LiAt TO 7-f/4 C-N R44olglivo ChQCA L16- ApPR F SAS. Owner Mailing Address L aSgD- f 77f A V6 S City De5 mVi U&S St (L6 Zip 9$/9e Lien/Title Holder Address City St Zip #2 Contractor Name (fit✓NJ_A M l ry L 4A)DS p/1V6- S I-kgMontractor Reg# ►3G07/kLC',/U 0(-' Address P. O. g D )( D Expiration Date City 5 l e L-TY) Sty c)R Zio 995SV Phone# 44,-)--42' #3 If septic is located on project site, include records.a;5�EF- S;SPj/c 5i�� N«✓r�fv� pRo�oSTD Connect to Septic? • Public Water Supply < Well Connect to Sewer System? Name of System (If residential, proof of potable water is required)__> /N c #4 Parcel No. '-/a 00 8 - -7 7 - Op/a D Legal Description la r- JOR- E I- keCD"EJ 10 VO • 1S _ P_,WJ& S pd� I" 40J)'T Dk�S FCLLI✓ ti-0. 17 3,4 D 0) T DrJ v2.�`t S #5 Building Square Footage: (existingdropose 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building K.'e- S D G40 C't5 Describe work #7 Type of Job: New Add Alt Repai Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year I 9 93 Makes A. Model k,,/ee PO/NT Length_Width Ug, Serial No, /d'4 13 # Bedrooms 3 #Bathrooms Type of Heat I✓LE C> Purchase Price $ C j t 3 , 0-0 Indicate by circling the applicable source if any water is on or adjacent to subject property: ver 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 -PRaPOSF_D ------ �i Slop 3�, Obw N o F—---- 2 00,— SO /ob'CoRoAxco� PAAGM_IMv , Ol,Q DRIVEL✓RY 11 1E I,-F'Xlsrllve WgfGR Hrx..a., �--- 5✓2V Ey P f/V f (6-70/11.1) PGw<_/L y-Tf_4F_�NWJF APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i w Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each) No. 2 Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heat'ump, Other a Bath Tubs No. Uni s Fees / Showers Furn BTU Hot Water Htr Heatpumps / Laundry Washer _ Vent Systems / Sinks Spot Vent Fans Floor Drains No. ! Boilers/Compressors 0 Laundry Basins _ HP Dishwasher No. Air Handling Units ,19'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 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets 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 Per it Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 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 FOR OFFICIAL USE ONLY:Accepted by.:, J Date DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: � k Environmental Health: 14i Building Plan Review N5-r4k-�-- pt-a Mt;% e-C +S m�s� ,411.4 17"R!N 4LL jteQ, p �/-494) 56-7- ,BAe4:�,S Occupancy Group: M051 t' ype of Const: Fire Marshal: Other: Special Conditions: No IPL}A 5 .ScyPmrrr`D FEES Dec: 'S . C.+ /VIVt't 43uiLp-> Building Permit I-T-"LI- art fe , My= tLeS gM I t'— Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor i Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE (� MASON COUNTY BUILDING 111 426 W. C DAR SHELTON, WASHINGTO 98584 (206) 427-9670 CORRECTIO NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance 14,16 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date f/ i T. Inspector -..- DO NOT REMOVE' tHIS TAG MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORIIECTIO NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date Inspector DO NOT REMOVET141S TAG MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORI%ECTION� NOTICE Job Location �,�/ nll This structure has been inspected by Mason County Building Department and the following V OLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance oo U You are hereby noti' ed that the above corrections shall be made BEFORE �led PROCEEDING WITH ANY FURTHER WORK Lk Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date D /7' Inspector DO NOT REMOV HIS TAG MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTIO NO ICE . Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when c rrections are made before continuing ❑ Make corrections, items will �e checked on next inspection ` ❑ OK to Department Date — Si Inspector TAG DO NOT REMOV IrI41S MASON COUNTY BUILDING III 426 W. CE AR SHELTON, WASHINGTON 98584 (206) 427-9670 CORR�ECTION� NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance ,n You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date / ` Inspector AG D6/N T REMOV Tj414S T MASON COUNTY ' BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION� NOTICE Job Locatio This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance S7 � You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK b-dall for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date / , A 9 Inspector DO N T REMOV ' " iS TAG