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Home My WebLink AboutBLD28226 Mobile Home - BLD Permit / Conditions - 5/30/1991 Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: / Mobile e:L-4 Smoke Detector:, Remarks: y. »� Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 28226 No. Floors 1 Sq Ftg 1120 Owner EDMISTON , DON Tel 426-9192 Date 5-30-91 Address SE 371 Brewer Shelton Zip Contractor self Address Zip Legal Description Lot 1 SP 1297 17-20-4 Direction to project site 6.39 mi out Dayton Matlock Rd Plumbing Mechanical ewer Wood Stove Fire lace Deck -arg e ar rt -- --'Loft oft Other PRE EXISTING MOBILE HOME SINCE 1984 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED ` PERMIT NO. OWNER NAME MAILADDRESS CITY STATE ZIP PHONE DIRECTIONS TO JOB SITE 3`j (�� y� J�ATL PARCEL LEGAL NUMBER IDESCR. NAME MAIL ADDRESS CITY 3 STATE ZIP1 LICENSE No. CONTRACTOR USE OF BUILDING c CLASS OF NEW ADDITION ALTERATION REPAIR MOVE �i" REMOVE WORK ✓ DESCRIBE Als WORK -SET-E u yr)e- / C j AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE /Ls• SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS 3 PRIMARY RES.d THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED 0 DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CER't•IFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING O AINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. E - A X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVENo DEPARTMENT YES NoBUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT �5 D.O.T. BUILDING C_ PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP ry ( PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL ) STATE BUILDING FEE (/ 1PPLICATION ACCEPTED BY PUNS CHECK SY APPRO D F R ISS ANCE PERMIT VALIDATION TOTAL , �5 CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SH ELTON, WASH I NGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAM ILA DRESS -CITY&STATE ZIP PHONE OWNER DIRECTIONS TO JOB SITE �� t7� �� : I�,� _ m `Z- A . PARCEL LEGAL f _ NUMBER 4", N Z90C T4 �iU I DESCR I �Tr ` jhO2T L(VT \LC1 1 Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building & septic system setback distances from all property lines& easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams,wetlands, drainage. In Circle O Attach copy of septic system"as built' or septic permit-approval. O Indicate topography profile of property and structure on reverse side. G) I IF l L R O I/We certify that the proposed construction will Conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. c SIGNATURE OF OWN (S)OR AUTHORIZED REPRESENTATIVE 00 NOT WRITE BELOW THIS LINE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE I i I S. Gown Craig tie Masan cr y Be have recently received a copy of tag: csrtificace for mobile home movemAnc on your mobile home_ I= ocder chat we -my accurately value you mobile homo, please complete the questions below and recur= Chia fora to our office by Ic. is imperative chat this information be provided cc prevent a paasible double assassment. MOB= HCME DATA LEltC$ �? � vllTtg 2- 7 1 f t�mEr-. xis u-1/ `c% �� Sk Gt n/ a, t f31/ lbDaa.E HCHE LCCZX=C 1 rMTM sATIQlt =TAT_ A- bly privacely owned Land- 3- If rented or Leased land who from? mum ADD8E5S "r CI;r & Sr = C- ReaL Property Farcel 41 (CAX statement #) V.2 0 /74 Z 9 4CE '�0 D- !Sailing acme and address for owner of mobile borne - wDDRsss S. 3 7 �iP C w L f2 Czn s MTE E_ Location address of mobile hocse r. Dace mobile hc=e was placed on present site pe C. Purchase Pr ice Z ovo. rYP E a8 PA L'{T NAME <" y T.-L:-'HcziE xu-12Es y LU . < `1 3- CJurt7cuse Shelton, Wasnington 4P.S34 Phone 427-9670 MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton, Washington 98584 (206) 427-9670 building environmental health fire marshall parks & recreation fair/convention center planning June 4, 1991 i I Don Edmiston SE 371 Brewer Shelton , WA 98584 RE : Site Inspection Dear Mr . Edmiston, - I have found that the set up of your mobile, located at 6391 Dayton-Matlock Road , Shelton , is in compliance with county requirements as of the date of installation. (6-4-91) . Due to the positioning of the mobile and other natural surroundings , your mobile home is protected from high winds therefore not requiring tie-downs . If I may be of any further assistance, please call me Monday through Friday from 8 : 00 to 9 : 00 a .m. at (206) 427-9670 ext . 359 . Sincerely, Rob Lum Building Inspector RL/pb cc : property file Rob Lum