HomeMy WebLinkAboutBLD92-0065 Mobile Storage #412 - BLD Permit / Conditions - 8/7/1992 MASON COUNTY f
Mason County Bldg. III 426 W. Cedar .
P.O. Box 186 Shelton, Washington 98584
M 3E S C E L L A N E0 U S P E f2 M IE T FOR INSPECTIONS CALL 427-9670
MIS92-0065 PARCEL : 420013300040 PLAT: DIV: BLK : LOT :
JOB ADDRESS : E 140 BLEVINS. . . . . . . . RD Unit: #412 SHELTON
APPLICANT : RICHARD BECKER 426-8266
OWNER : RICHARD BECKER 426-8266
LEGAL : S 543.65' OF E1J2 SW SW FS 18113
PROJECT DESCRIPTION :
mobile storage only
PROJECT LOCATION :
E 140 BLEVINS ROAD
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
MHSG $ 0 . 00
TOTAL : 0 . 00 OWNER OR Nf DATE
MIS PRMT, rev: 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Fes' E" R M X. 1- C.) P-41 (::) :a::: ....d 8::. ('J P4
Case No . : MIS92-0065
For : RICHARD BECKER
Page : 1
1)
Permit is for Storage only of Mobile Home . No Occupancy allowed ,
do set up or blocking , no utility hook up . Mobile will be required
to be removed if found to be in violation of any Mason County
Regulation/Requirements at owners expense .
Per ;i"svalid for a imu of days from the date of issuance .
X
_ Permit NO.BLD
MASON COIINTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner_82ugf2l 2 Phone#
Site Address_ J."M 4"31�7 U A.5 2�)
City St Zip
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St
Zip
#2 Contractor Name Contractor Reg#
Address Expiration 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 may be required)
#4 Parcel No.
Legal Description
#5 Building Square Footage: (existing/proposed)
1st Fl_ / 2nd Fl / 3rd F1 / Loft
Basement / Deck__ / #bedrooms _ #bathrooms-
Car _
Garage- / port / (Circle: Attached or Detached?)
Other
sq ft_ 1
#6 Use of building Describe work
#7 Type of Job: New ____ Add- Alt Repair Demolition
Woodstove_____ Re-Roof Bulkhead Other
#8 MOBILE-HOME INFORMnTIMh-�
Model Year_ Make
Length________ Width_ Serial o.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other
Show following on the site plan `
Lot Dimenafoas Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of FL%aking Street - Scale:
Name of Froticing Street Date:
APPLICANT TO DRAW SITE PLAN BELO
APPLICANT TO DRAW TOPOGRApSY PROFILE BELO
liimbin(z Fixtures ($2 each) F o0
No: Toilets Vent Systems X 3 . 00
Bath Basins vent Fans X 3 . 00
Bath Tubs No. Boilers/Compressors
Showers 0-3 HP 6100
Hot Water Htr 3-15 HP __.�-. 00
Laundry Washer 15-30 HP 6.00_
Sinks 30-50 HP
. 02.
Floor Drains 50 + HP —6. 00
Laundry Basins No. Air Handling -Unit
Dishwasher <= 10000 cfm. ' 50
Disposal 10000 cfm. 7. 50
_Urinals 0t1ier
Other Evap Coolers
Hoods
Permit Basic Fee 3 .00 Fire Suppression
TOTAL PLMMING $ Domes. Incin.
Comml. Incin.
Reloc/Repair 6. 00
Mechanical Fixtures Gas Outlets X 2.00
No. Fuel Types Woodstove sevarate
Furn < 100K BTU 6•90 Other
Fern >- 100K BTU 6.00
Furs - Floor 6.00 Permit Basic Fee 10 . 00
Heat Pumps 6.00 TOTAL X9CXMCAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIlKE AFTER WORK
IS COMMENCED
OWNM AFr=v= CMTrPJ%=RS AFFIDAVIT
I CERTIFY THAT I AN EXEMPT FROM T11E RECUIRemon OF TNNE I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAY RW 18.27 , AND AN AYARE IN THE STATE OF YASNINGI AND I AN AYARE Of THE
OF TINE MASON CMXTY OROINANa REOUIMIEM FOR WNICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED ANO THAT ALL WORK DOME WILL N IN THE PERMIT ES ISSUED AND ALL WORK DONE WILL BE IN
CONFORANCE THEREWITH. NO- CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITWW FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER r 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 OFFICIAL USE ONLY: Accepted by: Date:
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880 #201 Slaving Ud K
Shalt4tt, MA. 99584
206-426-2015
Date: July 31 , 1992
RE: Building Permit. for Richard & Joyce Backer
SPACE: #412 of Evergreen Mobile Estates
The Backers have permission to occupy space #412 at Evergreen Mobile
Estates. This space is served by the water and septic systems of
Evpfgreen Mob Estates that have been previously approved.
Peter F. P nnock
Evergreen Mobile Estates
Owner / Manager
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