HomeMy WebLinkAboutBLD93-1374 Mobile Home - BLD Permit / Conditions - 9/21/1993 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
D( P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback Z/-F date by Ribbons
date by Gas Piping date b
Foundation Walle date by
date by INSULATION by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls
date by date by
PLUMBING Attic by OTHER
Groundwork
date by
DW D.W.V. b 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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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 Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
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
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location (.,,� �CtQ7 �J� �,d-
This
_�� � _ u� Jc. �structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
I kaA o oe,Ao I- 7 (I 1 tr 1 1
"PP C!'i Aio' 1
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
W15-all for re-inspection when corrections are made before continuing
a Make corrections, items will be checked on next inspection
❑ OK to I
Department
Date Inspector cl �1
0 *00 NO OT MnV TH1wmh, 'T'm ,* '
nnuu
]D MASON COUNTY Permit No.
AUG 3 0 1993 BUILDING PERMIT APPLICATION q q
PLEA
Cedar/P.O. Box 186,PAShelton, WA 98584 427-9670/1-800-562-5628
EFRINT`' .SERVICE W'
#1 Owner o 6 .rA 7- CV R E e Phone#(?ob ) Y.2 6
Site Address,L;y o o s,,ylrLr-aAl- mA TLac E! RD Fire District# fG
City S- , FL7-aAZ St AVaS W Zip, &C-Z5Y
Directions to Job Site as o---v T 4,To.N 12i.4 r '7-o ",(e-.H.4,#g,a go 60
PAS 7- / r- +A/A TAXE A .v0 DA .c/E & RiofsT rM.,s 1S .4BavT
f
4006 10AST J-0 G Al A TIkE & t1 O, -4AIA IAf ✓6 -,,A V
S :C-A Gie 4.1/:J f T-E A40 a i L E ;V T 1 n/ /_/{a-y T-of AI&E a .,IiTF/gait
Owner Mailing Address T-4 A4 E
City St Zip
Lien/Title Holder c'bo
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
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 6(2 O/7 -�2 L- 9'OD 3 O
Legal Description T 3-S'E el Z0! -20 N dATAI-AA ye,C y
#5 Building Square Fpotage: (existing ropose
1st FI iD l-o i t 2nd FI — / — FI — / — Loft /
Basement `' / Z= Deck 34 a l #bedrooms #bathrooms_ / —
Garage / Carport --- / — (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building � E7R\ Describe work /�V� �+
Oder wmobi!e- how - /46Ve- 4--t -4e-+-v -ILtw � AOyft4e
#7 Type of Job: New Add Alt Repair Other 9EP4A c c Ha,,j E
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year S Make1.WUt&rAAodel - coop Ps,A N H N,2 ye V41 a 2
Length vo Width 3i!2v Serial No. noT jevif.r y&r'
# Bedrooms 3 # Bathrooms 2- Type of Heat E LEG
Purchase Price $ 2 o , 7 5-
%�U 769C 7,-.4rJi)
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream etland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions -F4aa
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Ghore4 nesr—
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional by (N, S, E, W)
Name of Flanking Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
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30
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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i WA '�
a � okrvF ,
Plumbing Fixtures ($3 each FQk Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric
Bath Basins Heatpump Other
_41h Tubs N n• F=
Sho ers _ Furn BTU
_Hot Wa r tr _ Heatp ps
_Laundry sher _ Vent Sys ems
_Sinks _ Spot Vent ns
_Floor Drains No. B 'I r / m r
_Lau dry Basins Hp
_Di hwasher No.. Air H n lin i
isposal cfm#
Urinals No.. Fire Protection Systems
Other — Auto. Fire A rm Sys 50,00
\ Fixed Fire u Sys 50.00
pp Y
Permit Basic Fee 15.00 — Auto Fire�Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Woo , 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 Bic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING D A TM T. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:_��
�_
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Ms
Environmental Health: 4'1'� ;w,� �\1 - Qv-� oti, aN t h�J l eS e.✓ti
Building Plan Review . N 2
ir..
Occupancy Group: og1 Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
=Buildinguation: TOTAL FEE DY
1376/ •b/
' (POTLATCH 1:BT6001 Q
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