HomeMy WebLinkAboutBLD98-0341 Mobile Home - BLD Permit / Conditions - 7/2/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 SC, V--' I-_ L_ A fV IF LJ `3 P L-- k-T IVa i T FOR INSPECTIONS i AI L 4e 1-9t).,x)
. M I S98-0341 PARCE.:L s 4201675Ff0030 PLAT: 17 I V : BLK : LOT :
JOB ADDRFSS : 121 W CARMa N RD N SHE TON �
APPLICANT : RANDY BLAIR (360)402--0138
OWNS R s RANDY BLA I R (360)402--01 36 pEAM"IRAT1Q4
LEGAL. : 11 3 OF &UAY I41I#1 �VL�' Volt) B
PROJECT DFSCR I PT I ON : u�10 I gY
MOBILE HOME
PROJECT LOCATION :
SHELTON MATL.00K RD 10 CANNON RD, NORTH, FOLLOW TO PROPERTY ON LEFT SIDE JUST PAST 61
PROJECT NOTESs
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TYPE AMOUNT BY DATE RECEIPT
MHSG $ 42 .00 TM.1 07!021 9t3 47572
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TOTAL : 42 .00 OWNER OR AGENT____.._---------.___... PATE
MIS. Fill, revs #4161192 COMPLIANCE TO ATTACHED CONDITIONS IS
REOUIREV
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
oundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by I
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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RF_ RM 1 T C. t7N 1 'T 1 N
y
Case No . : MIS98-0341
For : RANDY BL.AIR
Page : 1
1 ? All approved p i ans ire rf>qu i red to be on -.site for inspection purpose.: . If i slspt-o f i on
is oa I i ed for and plans are not G« site, Approval WI t_L NOT he granted . in addition , a
Re- inspection fee In the amotint of $42 .00 per hour {minimum 1 hour ) will be 1.,harged and
must be collected by this department prior to any further inspections being performed or,
approval granted ,
2 > PURSUANT TO 1994 UNIFORM SU I LLB I NG CODE , ALL SITE MUST BE MARKED w l TH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY V I S I BLF AND LEGIBLE FROM THI:
STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPARTMFNI RCOi.IIRI"S THAT
THIS BE COMPLETED PnIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON MATES IN TABI F 3A OF THE 1'+94 UNIFORM BUILDING CODE WILL BF - ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOP TO REQUESTING INSPECTIONS .
rb
3 ) THIS STRUCTURE IS CONS1DtERFD UNHFAIED SPACE (NOT TO EXCEED 1 WATT/SOUARF FOOT nR 3 . 4
n
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
'Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING An,c by OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by i
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
BTU/HR/SQUARE FOOT) , AT SUCH TIME THIS (:ONU I T i ON CHANGE S, A CHANGE OF USE -PERM AND i,
MECIIAN I CAL PERM I T SHALL. BE APPL I ED FOR AND APPROVFC) PR I OR TO THE CFIANri X _� /J.
4 ) ALL. CONSTRUCTION MUST MFED OR EXCEED LOCAL. CODES . IF ANY OUEST I ONS, PLEASES �
r:.'.ALI THIS OFFICE BEFORE. CONSTRUCTION .
5 ) CONSTRUCTION PROCESS TO BE: FIELD CORRECTED: AJS Itt'OU I VED PER Mn ,ON 001INTY B0 1 L D I N(i
DEPARTMENT AND UNIFORM BUILDING CODE
K
CCMCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
'Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
-a 3i
' MASON COUNTY PERMIT NO.: MIS�t
MISCELLANEOUS PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICAN INFORMATION CONTRACTOR INFORMATION
Owner K Contractor Name
Mailing Address Mailing Address
C it ba u+0 State -lip Code 1 O City State Zip Code
Phone l 36a 7 Other Ph.( ) 1(0)11 of 39 Ph.(_ Other Ph.(�
Lien/Title Holder Contractor Reg: #
Address Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. O I / / D nQ --:;5 rD Fire District
Legal Description if d5c-lY✓ j
p Site Address(include street name and cit ?
Directions to site: CdL 4 fin/ j
P n/ -
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building 0 r4g
Describe5 proposed construction A?J!' Lrtt 1 j es Le w,n e /L,,_P a
C•�ha rl e p L15 12� vTD✓a
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-]certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of Washington and that I am aware of the
ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued
will be don conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
first obtai in approval. be made without first obtaining approval.
X Date 7 2 X Date
FOR OF ICI L USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due `� Receipt No
DEPARTMENT REVIEW APPROVED DENIED CONDITION CODES
Building De artment v eh
Occ Grp Type of Const. 410
Planning Department
4�i S�j o s oo �►soc,9
Environmental Health Department
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Public Works Department
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Fire Marshal ,.
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee Other%0-A414tl e-O O S,,,—o 2
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal ( )
} ' ",;...• ° '%'` TOTAL FEES
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 In icate Directional by (N, S, E, W)
Name of Side Street Ll a 0 �� OQ 3 in relation to plot plan
Name of Fronting Street
APPLICANT TO DRAW SITE PLAN BELOW
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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