HomeMy WebLinkAboutMIS97-0213 Mobile Home Storage - BLD Permit / Conditions - 5/8/1997 e
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Ian 1 :S<—I L... 1_.. ANF- 01tlfi pE rim I U FOR INSPECTIONS CALL 427. 9070
IAIS97•-0213 PARCEL -32.303500102€3 NLAT :AYPLO 1 DIV: BL.K : 1 LOT : 26
JOLT ADDRESS : N 90 AYOCK BEACH DR L_I LL 1 WAIII'
APPLICANT : W I L.L.i Ap 200--334--041 1
OWNER : WILL I AM JOHNSON 206-�334 --041 1 jt"Exv YPIRATION
LEGAL, : A1aCK REACH BLK: 1 L9Ti 28 ' ^'
PROJECT L+ESGF( i P1' 1 ON =
MOBILE HOME. STORAGE
P(IOJE(' f LOCATION t
APPROX 10 MILES NORTH OF HOODSPOR7 ON IIWY 101 , AYOCK BFA{:II 115 LOCATED ON THE FAS'L SIDE OF IIWY
101 , TURN INTO THE COMMtIN I TY FROM HWY 101 AND MAKE THE FIRST RIGHT TURN ON AYOCK -REACH DR I VF:, LOT
IS LOCATED F 1 VF LOTS DOWN ON R I GI1T LOT 2#3
PROJECT NOTES
TYPF AMOUNT BY DATC RFC;F I P1
UH (; It 33 .00 KS 05/08197 44435
TOTAL 33 .00 OWNER OR NT hATL
MIS PAMI, 4111192 COMPLIANCE TO ATTACHED CONDITIONS ,IS
R E( U I R 1E:[7
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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
P F R M 1 Z C, C73 IN I') I I' 1 C7 N -,
Case No . s MI'W7- 021$
Fors W I LL I AM JOHNSON
Page , 1
1 ) The, under-sa i gne►d property owner is aware of then uncerta i my regarding Mason Coontv 's
development regulations created by the Growth Managment Clearings Board 's Order of
Ootober 2 , 1996, and In c.Tonsidertst fort of Ma:-,on Courity 's: wi I 1 ingness to proceed with
prooesssing of zapplioation:s which might be effected by the Order, the und►.►r•signed
property owner hereby agrees 'to waive any lawsuit , an't i on , or c l i am for, damaoess aqa i ro;: t
Masan County which may arise out of Mason Coun ty 's actions In acceptance, processing
and/or, I ssuanoe of such permits or, approvals ( hereinafter "pe;rm i t t i ng actions") , which
damages ate attributable to the County 's; decision to take permitting action-,.) despite
the risk that changes to the County' development requ l at i ons might later make t ho
County 's permitting actions invalid .
�U ? ) Conditionc> attached to E4!_097- 0426 are also appl icables tc°► this;
application .
[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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MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 \Owner Phone# Fire District#
�'`*e Address City (=J I 1 1 (,� 66J�
Mall Address 4
City �Lz_" )P r�ll� St. t 1 Zip
Applicant Phone#
Applicant Address
City St Zip
Directions to Site:
# Parcel No. - - d LD
Legal Description
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date Project Completion Date
#5 Use of Buildiing ` Describe proposed construction
- °- _
'Depending upon the type of permit,a floor plan and plot plan may be required.
`This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRSTOBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY
DATE 7~ ��� �J' DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
FOR OFFICIAL USE ONLY:Accepted by: Gate:
I
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning vf.L p( APP COND APP HOLD
Building
Fire Marshal
Other
pecial Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $
/1 y�41 BeAc-14 Sud 2)ivr5 b cl wAs Esr ra�s.H�� --
PR I o2 TZ, T165- Ah6V -- —
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