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Home My WebLink AboutMIS95-0419 Cancelled Temporary Storage - MIS Permit / Conditions - 3/15/1999 ILI MASON COUNTY Mason County Bldg. III 426 W. Cedar .� P.O. Box 186 Shelton, Washington 98584 - M ! � P � 1 f F i1N i i�. PFt: i io NS GALL 417-9678 .. C. FI_ LANI� C7U5 E RM M1S95-0419 PARCEL : 12317140001O PLAT : D1V: BLK : LOT : JOB ADDRESS t NF 2481 OLD BEL.FA I II HWY BELFA IR APPLICANT : R ICHARD MEDE IROS 275-2110 OWNER : R I CHARD MFDE I ROS 275- 21 10 LEGAL. : TO i Or SE OF 1 S/ 16 SEC 16 NULL \(� PROJECT DESCRIPTION : Temporary storage of mobile homo which i4 to be removed bV Augeia,1 I PROJECT I.00AT I ON , SAME AS ADDRESS FROM BELFAIR ON THE LEFT SIDE . GRAY HOUSE WITH WHIIF INIM MAILBOX IS MARItf-n WITH NAME . PROJECT NOTES : I� f TYPE AM01iNT BY DATE RECEIPT \ MHSG t 16 .00 TLG 06/21 /95 000 f� STFE 4 .50 Tl G 06/21 /95 0002 I TOTAL c 19 . 50 � OWNER OR AGENT - `-- DATE '9Ca•A1CAi.�.' 61S 1I11T, rev; 04101192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 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 Mason County Bldg. III 426 W. Cedar RO. Box 186 Shelton, Washington 98584 PEF RM I "T CC) N0 1 1 1 C3NS Case No . : MIS95-0419 For : RICHARD MEDFIROS Page : 1 1 > This is for the TEMPORARY storage only ot a mohile/manufactured home . No occupanoy, no utillt,,�conneotions, no permanent set up . The unit must remain with wheels and tires on a�`5e received from this • i t e prior to August 20, 1995 . This unit must be located ra pri n imum of 11, 5 from al 1 , t er structures and property I i nes, easement I i nes and road right of ways . f "X i i 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/Sl%AB 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 Page No. 1 CASE HISTORY FOR CASE NO.-: MIS95-0419 RICHARD MEDEIROS NE2481 OLD BELFAIR HWY BELFAIR 03/19/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MISA010 Application received / / / / 06/19/95 06/19/95 TLG MISA500 (F) Issue permit / / / / 06/21/95 sent to Belfair for issue on 6-23 TLG 06/21/95 TLG MISB110 Structural Plan Review 06/20/95 / / 06/20/95 DONE TLG 06/20/95 TLG MISB130 Planning Review 06/19/95 / / 06/20/95 DONE AHB 06/20/95 TLG MISB131 Environmental Health Review 06/20/95 / / 06/20/95 DONE PSD 06/20/95 TLG MISC100 Inspection 03/15/96 03/18/96 03/18/96 THE OFFICE HAD RECEIVED A COMPLAINT THAT FAIL LW 03/19/96 LAW SOME ONE WAS LIVING IN THIS UNIT: I SPOKE WITH MR. MEDEIROS AND REQUESTED TO LOOK IN SIDE THE UNIT, UPON LOOKING IN THE UNIT 2 BEDS WERE LOCATED IN THE UNITS LIVING ROOM AREA, MADE UP FOR SLEEPING. I LET HIM KNOW THAT NO ONE COULD BE SLEEPING IN THE UNIT, THAT THE PERMIT HE HAD WAS FOR STORAGE ONLY AND THAT HE NEEDED TO REMOVE THE BEDS FROM THE UNIT. Permit No. MASON COUNTY BUILDING PERMIT APPLICATION M)5� �Cq 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT ner , Phone # gI e E 2 Address N491 Oc.'9 �'LA4y P �,y Fire District# 44//Z St t>A _ Zip`15S5Z� Directions to Job Site Owner Mailing Address City St Zip Lien/Title Holder — Address Clty 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) f�1 _ >y _ acolc� #4 rcel No. �� egal Description le l n� t` n �a t.�-1 r11�1 e-C j LO #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / # bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of uilding es ribe work #7 Type of Job: New Add Alt Repair Other rj( hkr P Z„j0 v #8 MOBILE/MANUFACTURED HOME INFORMATIO Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater, Seasonal Runoff Other l 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 Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW P®ri IV (( F« L7 \l APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each N Toilets CIRCLE FUEL TYPE: Gas, Elect, ath Basins Heatpump, Other Bath ubs No. Units Fees Showers F BTU Hot Water Htr Heatpumps _Laundry Washer Vent Systems _Sinks — Spot Vent Fans Floor Drains No. Boilers/Compressors Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfm# _Urinals No. Fire Protection Systems Other Auto. Fire Alarm Sys 50�00 Fixed Fire Supp. Sys 50.00 Pe it Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. hPr G 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 Basic 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. WNERS 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 OF THE 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 C ES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITH T F ST OBTAININ AP OVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUI NG D A THE DEPARTMENT. X OWNE G� °� X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by; ` ` Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: 0,6 , Building Plan Review Occupancy Group: 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— Building Valuation: TOTAL FEE