HomeMy WebLinkAboutBLD92-0830 Mobile Home #412 - BLD Permit / Conditions - 8/13/1992 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
k 11 C A 1. 1, 4 2 7-9 6 7 0
BL092-0830 PARCEL : 420013300040 PLAT : 01V: tiI. K - I.Or ,
JOB ADDRESS : E 140 BLEVINS. . . . . . . . RD Unit: #412 SHELTON
(.OWNER : RICHARD BECKER 426-8266
CONTRACTOR : OWNER IS CONTRACTOR
l_E G A L : S 543.65' Of EIN SW SW FS 18173
I I
CLASS OF WORK . . : NE:W BEDR : 2 . BATH : 1 ITYPE AMOUNT BY DATE RECEIPT (TYPE AMOUNT BY DATE RECEIPTI
TYPE OF USE . . . . : MH STORIES . . . . . . . : 1 l
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : Ott 'MH0F $ 55.25 03K 08/13/92 31093
TYPE. OF CONST . . : ? FIREPLACES . . . . : 0 ISTFE $ 4.50 DJK 08/13/92 31093
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0
OWELL . UNITS . . . . : 0 PARKING SPACES : 0 I � _ /
INSPECTION AREA : 2 SHORELINE?. . . . : N TOTAL: 59.75 VALULATION: 14504
SETBACKS-------------- TOI LETS . . . : . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOMF -
FRONT . . . E 20ft BATH BASINS . . . . . . : o 0-3 HP . : @
REAR . . . .W loft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MOOEL : KTI
SIDE ( l ) . N Loft SHOWERS . ... . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE (2) . S loft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 26Y--20
SHRLINE . oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------
AREA - ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 93
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 56
BUILDING . . . : 784sf DRINKING FOUNT . . . : 0 VENT FANS . : . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 14
BASEMENT. . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O -SERIAL#----
DECKS . . . . . . : 06f DISHWASHERS . . . . . . : 0 AIR HANDLING UNIITS— COMML . INCIN : O 13404
GAR/CARP : ? @sf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:MOBILE HOME
PROJECT L0CATI0N:E 140 8 L E V I N S RD #412
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED FVI0ENCF I CONTINUATION OF WORK IS A P R 0 6 R E S S INSPECTION WITHIN THE 180 0 A Y PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BUILDING CAN BE OCCUPIED. s�
OWNER OR AGENT: _ — DATE:
BL0_PRMT, rev: 03131J91
?epic No.3LD
MASON COUNTY
BUII.,DD;;' PERMIT APPLICATION
PLEASE PRINT
44
#I owner o Phone#�2 44
Site Address Q aLtrIVIAf ,,aZ1 /V
City�'l� �rrs St
Directions to Job Site .SW'f':rz,_. T-
RL
Owner Mailing Address
City St Zip
Lien/Title Holder ���c,e��.,,
Address z.) 2C) _01 brViA;_ Po A
Ci ty� nJ S t- -zipc,
c;x„
#2 Contractor Name`y�,�'e �,�,a. /�oayc'S Contractor Rag".
AddressS c_ .z j Kwa'l P_'d F mization date_ / / 5P.?
C.i.t'V T/V&4 ro n) S t"-Zip Phone 2 C 7s'c u
#3 If septic is located on proj ect site, include records".
Connect to Septic? _ Public water Supply__ well
(If residential, Proof of potable water may be required)
#4 Parcel NO. Q-
�egal Desciption `�c,�z,.�} : ':1 ^/,c C� 1
#5 Building Square Footage: (existing/to., ca"
1st Pl 2nd F1 / 3rd Fl - / Loft /
Basement Deck / #bedrooms LZ #batbrocros
Garage— / Carport / (Ci.:cle: Attached or Detached?)
Other
sq ft /
#S Qse of building !em Desc.-ibe work /N
#7 'Igoe of Job: New _ Add A.c_ Repair Demolition
Woodstove Re-Roof Bulktead_ Other
e r MOBILE uOMr TV'rORMTT'ON
Model Year �= Make K/ T Model-_ Z=
Length_ Widt.t lcr. Serial vo. 13 y o
"Bedr;,oms _ tt8ac:zroocns�_ Type oz :?eat ,d
"9
Any racer on or adjacanc co prooer:y: saltwater
r=uP ,,, Lake
- _�� - •c- -oG � 52 mac 1 =moo
va l _.,__ecs � gent Sysc�mc { 3 . 00 --
Sac z
Tent Fars X 3 _ 00 _
3acy= s No . Boil.ers/C=Pressors
Showers 0- 3
of racer
eau:dr r Washer _5-3 0 HP 5 . 0
-1—S - 30-50 ap
Sa - ap
3a3 s
No. Air 3aadl:.aq II>L t
Dishwasher <� 10000 cam.
Disposal
--- > 10000 cam_ 7 .
Ur_:al s other 0
Qther Eralo Coolers _
Roods _
Per..i.t Basic Fee _ e Suppression
TOTAL PLMCB=r. $
Domes.
Cain:
Relcc/Reioa_J _-
MeChan4Cal F 4,�-,,-oa
Na
Fuel
Gas Outlets X 2.00. ----Types
WOcdstave o
--. < 1 00 K B2TI 5. 00_ Otter
I001K B=
Floor 6. 90��
Pe=it Basic Fee 10 . 00
—Seat, Puarps 6. 00 'TOTAL 7AECMUrIC.AL $
NOT=CS:
TE2S PERMIT HEC3MES N=.L AND 70m i".- ?CRK OR CDNSTRIIC�ON-
AIITHaRZ' NOT =6*fM= 180 DAYS, OR L' CONSTRIIC2'ION OR WORK
IS SIISPEM= OR A kMCN= FOR A PERIOD
IS CnMMzic= OF 180 DAYS AT A772'11t WOR_K
ass ar:FmAvr:
yr
I CERTIFY THAT I AM EI090T MM THE MMIRElIBITS OF r"
COIT"C-40" REGISTRATTON LAu tCH IS.Z , AM An I CERTIFY rRAT I AM A CLIRREIITLT MCISTEM CZ�AC;�
OF THE XASC11 WN I CX r X TRf STATE Of '"=I MGTd1 AMC I AM AUIE OF rW
C�pl TT ORD I RAMC$ RI. W I RE?�El1TS fL VN I I N ORO I MAMo: REQJ I R81ET1 TS a Emu T I MG rw VORK RM uN(C}I
I IS PEAIT IS I EUI AIQ TUT ALL ES SXAL3CW WILL BE IN TVI! PEMIT IS ISSII'FD AMP .ALL 6pK 0 ME WILL SE IN
� 'r FIRST
rNERELiTII. 1q CR4. F S7uLL RE HANG C=7MfaxANCE T?IvmiT11. 40 GRANGES SHALL SE WE
VEPA*Tw RIRST OiTAiM(NG AIMROyAL fRd1 THE liIfLOIMG VITQT ff f[RST QiTAIMING APPMMAL f IItiILOIMG
OEPARTI�T.
CETAXTMOT.
X a
nAis X 3T
- IIATZZ
I
to :
426 al. 0epar=ent`of G r
eneal Se.—ices
Cedar/P . O . Box 186 Shelton, *A 98584 427 -3670/1- 300-562 -5623
90R DP?IC L BSc ONLY: AccePc`d 5v. Dace : / - 50-��
Show !ollowi=q on the site plan
Lot Oi=ersions Fl oed zCees
RY: st::g Fences
St Se ctacks Or'_veways
Wacer ,; .,es Shorel; es
Drainage ?!an TODograpty �
Senor. Svsr-ams Webs
P=dosed �rcvemencs Easements
Name of FI ;^q Streec Scale:
Name of Front�.=g St-eer Dace:
PL.Z= TO DRAW S=,z PLAN BELOW
I
I
PLI= TO DRAW 7OPOGZA23v pROF= HEIR
I
1 MN TAL, REVIEW
F(m amcs u= auLY
AQWV%,W Cand Moto
�oaro►.l
P laaa�q
EaviSC:amBIIt31 Real.th:
. 1
Buildiaq Plan asview: �
C`
Occupancy Group :
Fire Marshall:
IISPeGizd Canditj=s: If QSite Inspection I u
II n
IF
II II qBmil�s Pe=it f �5 n
It � �
II If JViolatioa Fee I II
II InnI gViolacioa Iavestigacz.on Fee I II
II n
II fl 11 Ilplan Check i II
II II I!II II II Plumbing- Fee I `IIf
II II IIMecYaaical Fee I II
II II Ilwaadscove Fee I If
I( II II I II
I If II Building S to ce ?ee I II
.I Imo-- � �-5 ,
valuac_on : .I
L - II II TOTAL I II
�— "
gv>11 1 REM NMILR RWKTRR
ROO #201 alevir a Rd X
Sh41t n, MA. 98584
206-426-2015
Date: July 31 , 1992
RE: Building Permit. for Richard & Joyce Backer
SPACE: #412 of Evergreen Mobile Estates
The Beckers have permission to occupy space #412 at Evergreen Mobile
Estates. This space is served by the water- and septic systems of
Ev green Mob Estates that have been previously approved.
Peter F.1 kinnock
Evergreen Mobile Estates
Owner / Manager
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El 7 50 v
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