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BLD92-0879 Mobile Home - BLD Permit / Conditions - 8/14/1992
• y MASON COUNTY © Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 R •C A..N N ., � t il^•N ['� � � t N� d"'N t N r �•' ltrft !i1 iii• t . . . . . . . . . . . . prR'NIIT I TtINY Fq 1ti.1n NSi►t3--1fa7I & VOg ) Sy EXPIRATION + uN : k, ,t I,t OWN UR t<► t:UN'IRAc tOR NUS + r (; ; ltrlter slt�rx IARIAN 1i Otto 100 ell, Ill tot s-1� Alois ANJ TE 4q BY fI I nl !, .,1. NIW fll' +Ik t;i; 111 � ! fm 409tiNI I, PAIf NfiIIPI KnitII !lAII Pf II!- 1 I ft'�' ,' fit tilt !11 1 till I " 1 14 141 t►dJ111 +` sl(`tn � 14't t III I till': ! i 1 !;1 I Ir,t ; st i>11'f 4 'g !u (1+ lti!'I: MAU t TtI'1 ItI� 1,,f DWI 1 1 I;01 1 t•) I'(lldt. 1Nt, ! w. > I t �N',I`l -f ! ON Alei, ES ` ti itI)I(I I ) is. N It � In1at iK 4 vqI Il Aft+1i± +►{ ' C..YJL_".lY9M•^...';:3YYP.�:':T4'.L•i^'.W2-:.aC'C".^.•aR^+t."./..]J. d'•LR/+./...;c�a:..:a_'��'T/Y'.._..^T.:...Lb...�Ki`RSIt"T..5:]f.C3G:Y^.:W.�"`P aR'.:".^.� 1y11Ii I I I illlf9 i PlIN i t hf Ate - . 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M Of S(RIP110N,NARlt1- HUNT PROJUIT lotAINJI11 fRUN N(RfAVY RU 40 U(SI 91 �IH �,I ME tfft AT Pnkf I+)uN`.:fNA ill flit ill Ie rlNi .I IAtf A ITiI iilttnu till AROUND 10 'ivRuci 'd IAII • 1',1 NRIk1fu67 to THE NI 1111S PERAIT Rt(01111; NUtt Ali) VOID If uAlit OR (AASTRU(11A11 A11(HOIII?fR IS 101 (ONNEN11lr uIIHIN is# NAf•, lip if 111CIRA(flON OR 111001 IS votipf*IrEN FOP A PFf;tltb U lUi PAS 1 rNl' 1 Nf T{{R 4►4gg i fNNENfFS. fVINEHtf 0! (0111106010N 8f UURt. i', A PVOdRf55 F11,4F11111N U11H1N 181 tR t11 5.P ll M PI0 HNAi INffi1"N 011%1 RI AtVRAVFII PSt R.. 1iUII11N6A 1AM fif D i:41{t'�, NEWER 0 AlifNl 014 PRN!. rQv. A+,±)lot ( IIMPt IT ANC f 10 A11•ACHFtl C.(iNl)11 t(IN`; 1 :i RI QlttR1l) CLNCRETE 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 by date by D W WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by C 1 1 I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I L_ f 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 FRAMING by date by date by 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 Permit No.BLD MASON COIINTY BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner_ / Ohl Y f F/135 s �n Phone# Site Address C.K 19 L-0fs 94l0 City ckry�o rJ S t Val A- -lip Directions to Job sitefkam McrQAyg� (Zp �v wit o� 5T� T 724U If�{7 AT_ port Town/s�d St. 5o kp tt ►i' ll +o P;fj sT -rAKe s- taO FoNo+J &Qra �fou.�d to SP[�.Ce 5f. TR,Ce IST r;✓c�.lA4t Vftib +0 -kie R<<tirlT Owner Mailing Address 7 0. &aX C�aL City _ LLN iON St V1114 Zip 9$S92 Lien/Title Holder 5AME 49S Ab�vt Address City St Zip #2 Contractor Name 177-ic-7_,64144M61—Contractor Reg# Address Expiration date City St Zip Phone #3 If septic is locate on project site, include cords. Connect to Septic? Public Water Supply Well (If residential, proof of potable water may be required) #4 Parcel No. 3�23 2 -5.2 - /9oo9 Legal Description t, ,Y,'o,J G'Qgrs Mgrbor AiJy Eke kk 4bD ZLI< t 9 (01,Q 9 A.JD If,) Al" Abe' #5 Buildin;S Square Footage: (existing/proposed) 1st Fl 2nd F1 / 3rd Fl / Loft / Basement / Deck / #bedrooms #bathrooms_ Garage / Carport / (Circle: Attached or Detached?) Other sq ft / #6 Use of building, Des gibe work le t�> 47 Type of Job: New X_ Add Alt Repair Demolition Woodstove Re-Roof Bulkhead Other #8 -MOBILE HOME INFO Mn'r IQN Model Year 197V Make C -1Ar,PiorJ Model 'TAMA4.4C,K Length (o F Width hq Fr Serial No . 92�?oio gg-7co #Bedrooms #Bachrooms_1 Type of Heac ELecT,k;c_ #9 Any w ka.- on or adjacent to property: saltwater lake rivepond wetland seasonal runoff other i �wOH aT-gaW I O'I3fi ?'II302id hHd�L'�pdOZ Mho 01 .I.tvT�''JI'Idd�f too) 3'hWJ� 3WDN 3'1�4Q�+J >lNbl 1 lead MJ� j 0 3E— �Z�B told 3SIS M�t2iQ �.T, S.I1�'JI'Icid� a�EQ �aa �S b=Znos3 go aureN o aureN s�IIauiasPS s��ratua�o����Pasodc.�d sTTaM su:a�snS o , cdaS .L4d-ea5odos seTE a52IIt-esQ saIITTaaouS sauTZ aezvm s�aMar�:sQ s�{c�q�aS asn�cn��S sacua� sasr.;cr�z�S b�-os x3 sauoz pooTd suoz uaurzQ ao7 =PTd a:�Ts alcP uo bQTinoTTo3 mOIZS Plumbing FixtureS ($2 each) Fee voo No. Toilecs Vent SYste-*ns X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP 5 . 00 Hot Water Htr 3 -15 HP 0 . 00 Laundry Washer 15-30 HP —Sinks 3 0-5 0-HP Floor Drains 50 + . 00 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 3 . 00 Fire Suppression TOTAL PLMMING $ Domes . Incin- Comml . Incin. 6 Mechanical Fixtures Reloc/Repair . 00 Gas Outlets X 2 . 00 No. Fuel Types Woodstove separate Furs < 100K BTU 6 . 00 Other Furn >= 100K BTU 6_00 Furn - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 6 . 00 TOTAL MECHANICAL $ 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 OWNERS AFFIDAVIT 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 RCV 18.27 AND AM AWARE IN THE STATE OF WASHINGTON ANO I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WRK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK OONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK GONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING OEPARTMENT. DEPARTMENT. X OWNER —f C3 - p W X BY OATS _S A In�1 9 2 0A.:. Return permit to : Department of General Services 426 W. Cedar/P .O. Box 186 , Shelton, PIA 98584 427 -9670/1- 800 - 562 - 5623 FOR OFFICIAL IISE ONLY: Accected bv : �Kk5k_t Dace: PARTNI ENTAL REVIEW FOR o"ics usz atmr -- — Approved Cand Meld Approval Planning: Environmental Health: �AT Building Plan Review: Occupancy Group: Fire Marshal: Other: FEES (lSpecial Conditions : II IlSite Inspection I II II II U ' '1 II II I1Building Permit I Z�11 II II H 'I II 11 Ilviolation Fee I II II 11 1i 'l II 11 Ilviolation Investigation Fee ( II II 11 H '1 II 11 11 Plan Check I 11 II 11 L ' it ,l Il 11 IlPlumbing Fee I II II II i, '1 II 11 11Mechanicai Fee I it 11 11 I I II 11 IlWoodstove Fee I II it II I I 11 IlBuilding State Fee I ii ,1 I1Building valuacion: II 11 TOT ,I � 1