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Home My WebLink AboutBLD93-0246 Mobile Home - BLD Permit / Conditions - 3/30/1993 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 b a 9-4 t..w I . I I c tKi I I ;0N Rt) SHE t. I ON PERMIT N I LHAI- I OTTO 4;'6 f,E 5,11 NULL Pi VOID BY EXPIRATION DATE 6Y t , IN 9 xi NII SEI 14 th.4llt i i i+ ttfl f 11 i14Ff 4110111111 NY llAlt lift.111'1 iii('t 1411((0I A', IiAIk Ill I.lIPI' It 1 `rzmn-:rn �. ., r_:cc>..•�__ r x._- r r.^., r� .cos z _ r :. .r •cee.•�o:�s�sase�sa • lit. Wi . 1-11 1611I 0 . 01 V 14"of } It# to #-it +lttlr '+ , t;�ttd flftt t'1 !al # kl �:i11t 4 �I N.i1 rt#t1R, 4r t;t-r i i'AI-,k fN1; PA ,tll.itri I i Nf r1 t ;OIAI Iwo r4 ufll4Tt'if tdi .x:. '^�':tSxK��Cff.3CIICL:'•u'.�rS^•z'. T'^_^1, r v..PY.`Tle''C R:.Ff....ozffan ?_f.«...•^A"=•�>_+r^�•r-^^.... oil I I i YI;I •..; (;11 1 1 l 1< , i r lima, iytl14 1 1 1 III)Ml .. ri) l)'t t. HA I It H A 5 I N of i 11A IH I ItH':, . 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Ra�9mns�a:c:+�xzart* .. :a.�,�.e:ao-yes.::.•Easy.:.::�^,r:--:.F.�osa-.�w:a�-.�.caee.,.:.-rrr--ex,-cr•r ..s:,.....-era-ra�:�^.ee�e.;.,��,• ,.�..•: ..xa*-. ,-r•-e.>s:.-..-x•.z-r.^:-.....er•-v+caea+,r...�•, FROdfcl Gf°,tbff'fll .:NUNIit ��p/>is'7 /.�1:275`��'��2 PROIJCT f.01:Alf0Vfi1 A66111 S Ill a Nlt.fti 6111 CMOVIIiN €A, I'NRN tffi .wif"'ff #iN Rlr. 40 01111N 1101V411 I'M R011tA 'NA Ai1t',tlUA'r all lot lift pptNl Pffolll Itcoof`.1 Nu{tt AND Y61B iff Villii. UR (ONSIR01101 AIITNNRi'19 1>. Nttl 1ANNFNI.fit WIIN)$ 18# BA75.. OR It aN',IRNII(if$ aR JIM 1ti S11'P1901It Illli A. 1'f0100 A PR Gf�ABfF EA �Il��116AI,,�NRB Ittitit tUPfW'fNfFO. fu gf0t: tit cGNflNVAlf(IN Of WORM. 1S A DA06HISS 1NSPftltliN uIfNIN i0. 1dt 0AY PtR1AA, FINAf IN1PEf118N NNS1 BE OWNER OR A0.Nf, Nlljolli. 1KV 44 +f/91 {'iMtMf'i I ANC 10 A 4 i A(.NI.1t I ONO i f tltd`, I .., r+f Q111 14 :tl CONCRETE MECHANICAL MOBILE HOME Footings- ack 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 d date by ate 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 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 MASON� � � �� COUNTY ��U U �� K -K �K � U�� U �y " ~ "" ~~= ~~� " ~ `~= ~�~ ~= " ~ " " M{JSC}[l CC)U[lf« A|dC]. U| 426 W. Cedar P.0. Box 186 Shelton, W�x6n'nnfnn 98584 1 0 ][ &- 1'. ][ N F» FR: AwoJ[ lr FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND 8am 427-7262 0LD93-0246 PARCEL : 419023200010 PLAT : DIV; BLK - LOT: JOB ADDRESS : W 431 ELS0N RQ SHELTON OWNER : 141CHAEL QTTO 426-85563 CONTRACTOR ; L[G A L : T8 1 OF NH SH FS 16381 CLASS OF WORK NEW 8[DR : 3 . OATH ; 2 T Y P E AMOUNT BY DATE RECEIPT T Y P E AMOUNT BY DATE RECEIPT TYPE Or USE . ' ' ' : MH STORIES ' ' ' ' ' ' ' , 1 UCCUP ' GROUP . ' . : ? BLDG . HEIGHT . ' ; 0 ' 0ft TYPE OF CONST . , : ? FIREPLACES . , . . : 0 UCCUP LOAD : 0 WOODSTOV[S � 0, , . . ^ , ^ , , / DWELL . UNITS , , . . ; 0 PARKING SPACES : 0 INSPECTION AREA ; 2 SHORELINE?. , . , ; N SETBACKS-------------- TOILETS ' ' , , . , ' . . , ; 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOME-- FRUNT . . . N 6 . 0ft BATH BASINS . . . . . . : 0 : /ELC / 0-3 HP . : 0 REAR ' . ' ^ S 5 . 0ft BATH TUBS ' ' ' ' ' ' ' ' : 0 3-15 HP ' : 0 M0DEL ; MODULINE SID[ ( 1 ) ' E 5 ' 0ft SHOWERS ' ' ' ' . ' ' , . . ; 0 FURN < 100K BTU : 0 15-30 HP ' : 0 -MAK[------ SIDE (2 ) .W 5 . 0ft WATER HEATERS . , . , : 0 FURN )=100K BTU : 0 30-50 HP . : 0 SUTTEN SHRLINE ' 0 ' 0ft CLOTHES WASHERS . . ; 0 FURw - FLOOR ' ' ' : m 30+ HP ' : 0 -YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP ' ' ' ' ' ' : 0 93 LOT SIZE ' ' ; ? FLUOR DRAINS . . . . . ; 0 VENT SYSTEMS ' . , ; 0 EVAP COOLERS : 0 LENGTH : 60 BUILDING . . . : 1680af DRINKING FOUNT . . . ; 0 VENT FANS . . . . . . : 0 HOODS . . . . . . , : 0 WIDTH ' : 28 BASEMENT. . . ; 0of LAUNDRY TRAYS ' ' ' ' : 0 DOMES . INCIN , 0 -SERIAL#---- D[CKS . . . . . . : 0ef DISHWASHERS . . , , . . : 0 AIR HANDLING UNITS-- COMML . INCIN : 0 28742 GAR/CARP : ? 0ef GARB DISPOSALS ' ' ' : 0 (= 10000 cfm' : 0 RELOC /REPAIR ; 0 AT/DT , : ? URINALS ' ' , . . . . . . . : 0 ) 10000 ufm, : 0 OTHER UNITS , : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT U[SC8lPT0N'N08lLE PROJECT i0000H:60 ABOUT 5 TO 5.5 Mli[S OUT Ci00UAiiUN 8U, lU8K i[R ON [iSUH K0. 60 DOWN Y0Y0[ 8lKT ROAD. 00 DRIVEWAY ON THE iRl. PERMIT BECOMES l l WORK 08 CONSTRUCTION AVT8VKl�0 IS NOT 0Nn0C0 WITHIN 18V DAYS, OR IF CONSTRUCTION VK U0K: IS SUSPENDED FOR A P[0U0 THIS 8' ^A^' ^^ ^^ ^ PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE �yPKoV0 8[FU8EUVIiV OWNER OR AGENT UAl[' D0_y8NT. rev- 0/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BLD93-0246 For : MICHAEL OTTO Page : 1 1 ) Must take water sample prior to final occupancy . Permit No.BLD MASON COUNTY BUILDING PERMIT APPLICATION 7�o PLEASE PRINT `��+ #1 Owner !)1 c.h Act \ Phone# 9 1�LG- 53sS3 Site Address lA7 Ll•�l C•Ison 2c� City SIr\P St Zip. sl ' Directions to Job Side qc) Ry3ovk 5 io S YL m;1e ou{ yo�all� z 'jsov\ 2d - `�o mow r RoAd 12e 5-e -V .e- cAcvLe- (-k ova Owner Mailing Addresses, City S1\e� rum _ _St t30. Zip fl "11 Lien/Title Holder Cc)+Zp , Address .500 5, 3, ( •� Swt /oa, Po ►sox O City Fec; ezw ,o , v St JJ:7 „ ZiP�3��G �:Icr n2 Co or Name_ --Rm�liaA- c. Contractor Reg# Address Expiration date City L YA-ce 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. `I I � 0 Z - -3 3- - GOO 10 Legal Description T 9� o; n►VJ -5;w 45 Building Square Footage: (existing/proposed) Ist Fl If.ao Maw 2nd Fl - / 3rd Fl / Loft / Basement / Deck / #bedrooms _ #bathroouls�_ Garage / Carport / (Circle: Attached or Detached?) Other sq ft / #6 Use of buildin ohla- Hom _ Describe work Pu�t „Q A- GV' �O #7 Type of Job: New. Add Alt Repair Demolition Woodstove Re-Roof Bulkhead Other Mobio_ ► n ne 6: M0131LE H - TION Model Yea Make h�o n l n e, Model I I P,v\ Length t u c6d��Wji d ate_ Serial No. S y #Bedrooms_ #Bathrooms `L Type of Heat r►Q c �-ct\c� 49 Any water on or adjacent to property: saltwater lake r pond wetland seasonal runoff oTte r Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems wells Proposed Improvements Easements Name of Flanking Street ,� Scale: Name of Fronting Street 1�Je11 Date: APPLICANT TO DRAW SITE PLAN BELO r .................................. -41 via c3a�� ti�,Z . rV woe O � 7 PLICANT TO DRAW TOPOGRAPHY PROFILE BELO A 7 ,.'=i ncT eizzures each) Fee No. Toilets Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP 6 . 00 Hot Water Htr 3 -15 HP 6 . 00 Laundry Washer 15-30 HP 6 • 00 Sinks 30-50 HP 6 . 00 Floor Drains 50 + HP 6 . 00 Laundry Basins No. Air Handling 'Unit Dishwasher <= 10000 cfm. 7. 50 Disposal > 10000 cfm. 7 . 50 Urinals Other Other Evap Coolers Hoods Permit Basic Fee 'T 00 Fire Suppression TOTAL PLUMBING $ Domes . Incin. Comml . Incin. Reloc/Repair 6 . 00 Mechanical Fixtures Gas Outlets X 2. 00 No. Fuel Types Woodstove separate Furn < 100K BTU 6. 00 Other Furn >- 100K BTU 6 . 00 Furn - Floor 6 . 00 Permit Basic Fee 1,Jr00 Heat Pumps 6 . 00 TOTAL MECEANICAL $ 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 ANYTIME AFTER WORK IS COMMENCED i OWNERS AFFIDAVIr CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DOME WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST 08TAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DEPARTMENT. r x OWNER a BY DATE DATS 'T 3 ,p Zeturn permit to: Department of General Services &26 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW ' FOR OFFICE USE ONLY Approved 7C=ond ootdApp Planning: 7 Environmental Health: C j Building Plan Review: Occupancy Group: /,. Fire Marshall : 0 ther: FEES Ilspecial Conditions : II (ISite Inspection ( Ij II II I it II IlBuilding Permit fl 11 I` i�`�4 �I I( II Ijviolation Fee I II II II I I Ij II ((violation Investigation Fee I (( II II I I II II jj Plan deck I II Ii II i I II II II Plumbing Fee I II II it ((Mechanical Fee I I( II II i I II II Ilwoodstove Fee I II II II I I II II IlBuilding State Fee IlBuilding Valuation: II II TOTAL I � �� if If I J� �j BUILDING PERMIT # DATE ?- q Planner Area Q CHECKLIST FOR PROPOSED CONSTRUCTION Yes No [ [ ] Within 200 FT of designated shoreline, wetland, or associated wetland Where? 01/!� �JYG-�ef��f -- 6-cis 119_)) Ly i [ ] Proposed construction on/over/in wetland V1 Proposed construction within floodplain i Eagle nest [ ] [1 ] State road access needed Commercial Development (parking standards, sign (( ordinance, public works review, other applicable agencies) Mobile Home or RV Park Exempt from building permit application [1) [ ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-500) [ ] [ ) Meets all requirements (which section(s) of SMP does proposed construction pertain to?) NH [ ] [ ] Variance or Conditional Use Permit required [ ) [ ] Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) [ ] [ ] Exempt from Substantial Development, but within Army Corp. jurisdiction (WAC 173-14-115) [ ) ( ] Address needed [ ) [ ] Directions needed ,i a nni LIRA ROAD Isabella II Creak II ZONES 1 � i ZONE C i I i i i a fi d i i " E4W • w• me IUSNEDEN p 19 N •,, RAN ZAPS, Inc. 89 TOWNSHI WASHINGTON coma Way 'g MASON COUNTY N98499 SCALE 2 IN. - t MILE T,Sh on —� 1-5222 4 2 .� Yt 6.60 r 4s7146.1 e � 1 Rod, 4b.b e. ' VQ Cr. 45.t5 � 46. �tior : c �� 'J PeAaNeTT � O�jY D 44.35 I P4 M � N � F av N f. tt 42.30P. �V I C 41.37 41.6 41.91 UwpBE 43.0� I� 41.26 41ao o'Kl R �� r• t gLooMFlELD ��+ L // M"�.` _ D. I oa..`r cus.t � � 1 51MP30N 1_J— T.BQ, Co. E_ w.wooweu __J-- r H. _ °�1 N �U'9 �R IWO[RSDN µ PHli LIPS 19' Q' L�• TIMBER GO O ` 11 P.51MP�OwJ O S�pL00M BARKER V ZZ( BURNS SKOK Y� IOER•fScN IRS. e�, No �IMPSON < Co. 5oN TBw Pew T MBE ` Q` a �.►�t 51 M P M O N CA" N r� D. O4] yT1LKci u SON TIMBER CO. mU � MO/4ViN < ►M. u Ary O' y �" LOCNRA 1NANKE \ O 0` MARTIN �a yr, CO INC. E Q S REINTJES 50LUMG 3 �\ 51MP5ON TIMBER GO, J W 1 �� IERPA � ,Q i [l3tME yyJ 51MPSON TBFi. MpsoN ER Co. x Co. s H v o SON TIMBER CO TEN ACRE S Tgdi 3 10V oc 5CHOOL D15T. N0.309 `eva r- 13 P50N T ER G�5 o. SON IM9ER G 4 O SIMP TIMBER '5 ' N TIMO CO• ' SI aQ 51 pN TIMBER t5 IV PORT BLAKEI Y J P__ MtCORM/�, r[l Q r,c�SON L13P CO.