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HomeMy WebLinkAboutBLD98-0292 MOBILE - BLD Letters / Memos - 4/21/1998 V4 M '7 z 7 1, Z z z z 5 77 z z cv� 0 z z 4r OD ol D 3m 0 z z z :3 Q ms cn N) ZT (> S 'S, n n z z 0 1 Q- OC) ,ALL r CYI 00 z z 73 77 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons n date by Gas Piping date ,Z;�. g b , Foundation Walls date by Set Up _ -7 date by INSULATION date .� "v�`l' by BG/SLAB Insulation Floors Final <:y date by date by date lit by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by Water Line FINAL INSPECTION date by date by date by � /-t CA _ Z r Z> Z.> 7 z < < < z > < Z < < > �s z ba cn m T7--ft z OD C: P" ol cn < I(D —zz < 0 77 (a V7 z < > T 7. > N) z C) 0 n 0 z 100- 000 Z" CTI -77Z 27 OD z 7 > T S C S C& a4 ell` 7-1 ZJ X 77a Z Y, =-:,r 4— 4- 0-1 —Z a ZL x OD F 01 :3 cn 47" N) 10 QL CTIop OD Z <i ID 1Z za v OQ o oD x n U) M_y�� 0 o W Ol cn n O � O QN Z o n 10 Q 000 Ol �'/Permit No. 134n4$-01902 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) C PLEASE PRINT 4 #1 Ow er ��.����• �� Phone# � �b ite Address wu 0� L o, W Fire District# City �1t">rJ St wp&S' Zip q �� Directions to Job Site �ua�Ch2R WLj0 qo -to WcsCW414 Li . \iJ q0 to (.Na Owner Mailing Address �0\ �+ City Sty\&- Zip g Lien/Title Holder Address City St Zip #2 Contractor Name ROB'S EXCAVATING Contractor Reg #" as 1Ey1511KQ s Johns Prairie Rd. Address Expiration Date City St Zip Phone# q7!A2- UV 7 #3 If septic is located on project site, include records. Connect to Septic? 1)( Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) 4 Parcel No. a(. 162 "n - OIflZ. Legal Description �, (11- D1160 #5 Building Square Footage: 1st FI 2nd FI 3rd FI Loft Basement # Bedrooms # bathrooms Deck Other Garage Carport (Circle:Attached or Detached?) #6 Use of building ;SCR Describe work 0-tA.14 C &:'�a�.kCT,Z� #7 Type of Job: New X Add Alt Repair Other S VNC�K #8 MOBILE/MANUFACTURED HQVIE INFORMATION Model Year A?�, Mak Modeler bar fiGZ Length Width_Serial No. # Bedrooms ) # Bathrooms_ Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent t0 subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Indicate Directional by (N, S, E, W) Name of Side Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW i APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) No. Toilets CIRCL FUEL TYPE: Gas, Electric, _Bath Basins Heatp'mp, Other Bath Tubs No. Units Fees Showers __ Furn BTU Hot Water Htr _ Heatpumps _Laundry Washer _ Vent Systems Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher No. Air Handling Units Disposal _ cfm# _Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00 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 Permit Basic Fee 16.75 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:OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATINGT E WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL NORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREW H. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FI AINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. PART T. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY:Accepted by; ©�zte DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: V I Environmental Health: Building Plan Review 71Rr— Occupancy Group: Type of Const: Fire Marshal: i Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other Other Other Building Valuation: TOTAL FEE �O N rJ�c " ,e-s ak- )E PLANS MUST BE uN THE JOB SITE �31� Ed INSPECTION. MUST MEET ALL CURRENT WASHINC;TON STATE CODES �;HANGES SUBMIT CHANGES FOR APPROVAL PRIOR (C PER--ORMING WORK o 'RD MASON BUILDING INSPECTOR CHANGES SUBJECT TO APPROVAL cY �5�---DATE . Z So 4 \ �o�a� �ONrJ\c. �.e,cX 33 I' c� o � S�o�L r I I