HomeMy WebLinkAboutBLD92-1457 Cancelled Mobile Home Park #36 - BLD Permit / Conditions - 9/22/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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
by
Foundation Walls date by Set Up O
date by INSULATION date --)-2 YE3 by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Waits FIRE DEPT. -
date by date by
PLUMBING date
by OTHER
Groundwork date by
date by WALLBOARD NAILING
D.W.V. b
date by date Y .s�/ Y U dc.�[+,C.vc�+ 70
Water line FINAL INSPECTION _913
date by date by date by
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner --� - o-�q,�
Site Address/f �7 -� Phone#
City
_ State �______Zip c�Q �,
ctzons to Job Sz e
U `f'
Owner Mailing Address ,
City � 03 ? S
Lien/Title Holder State Zip q�x
Addressc7. rc� �)
City
State__L&j `Zip ,r
#2 Contractor Name- ` 3�
+� -k2 "' 'Vf_�Contractor Reg #
Address a
Cit ---Expiration Date
- -- —State,,�L2�ZiP Pham�d
#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,�
Legal Description L N
#5 Building Square Footage: (existin
9/proposed)
/::� st Fl—I, 2nd Fl_ / 3rd FI.
Basement Deck / Loft
#Bed`°° #Bathrooms a
Garage--- / _Caxport_ /
Other ----- (Circle: Attached or Detached?)
sq ft /
#b Use of building j
Describe work
#7 Type of Job: New f Add
W°odstove Re-roof +'~' Alt Repair Demo ition
Bulkhead— Other '
— a
#8 `obz.l_e Hsm tion
Model Yea /99 Make
Length Width �•' Model �Yl 71 _ -a�
— Serial No
#Bedrooms #Bathrooms .
Tyne of Heat
#9 Any water on or adjacent to property: Saltwater Lake
Pond----Wetland -Seasonal runoff r River
Othe_ . 7 '
1
Shaw follQu2ing on the site gian
Lot Dimensions Flood Zones
Existing Structures Fences
Structure SetbacJcs Driveways
water Lines Shorelines
DraL.age Plan Topography
Septic System Wells `
Proposed Improvements Easements
Hama of Flanking Street Scale:
Name of Fronting Street
Date
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOpOGRApHy PROFILE BELOW
Pt ($2 .00 each) Fee: No. Boilers/Compressor
No. 9 -Toilets Fees :
0-3 HP 5 nn
..y�_Batk �a9ins 3-15 HP
_Bath T b�._.` �~ 15-3 0 HP
( _ Showers
30-50 HP�.- 00
_f Hot Water itr .U U 50
1'0
Laundry ',usher �, r
—I—Sinks No. Air Handling Unit
Floor Drains 10, 000 cfm.
Laundry Basins > 10, 000 cfm. ~�
_Dishwasher _Q . --? 0
Disposal Other
Urinals Evap Coolers
Other Hoods
__Fire Suppression
Permit Basic
PLUMBING
0 --_Domes. Incin.
$ 0 C) Couna . Incin.
Reloc/Repair - 4
I� ani Cal �'i't�
Gas Outlets x 2 . 00
No. Fuel Types
Woodstove
Fury,,< 100K BTU _ 6.010 Other
Furn >- 100K BTU 6.00
Fern - Floor 6.00 Permit Basic Fee
_Heat Pumps 6.00 1o_nn
TOTAL MECHANICAL $
Vent System x 3.00
Vent Fans x 3.00
NOTICE: THIS PERMIT BECOMES NULL AWL) VOID IF WORK OR. CONSTRUCTION
AUTHORIZED IS NOT CCMOIEXC= WITHIN is D"S1 OR IP CONSTRUCTION OIL.WOR1C.is
SUSPENDED OR ABANDONED FOIL JI pE&IOD OF 18G DAYS
C>�ICm. AT ANY TIMB 11FTESt ROStR IS
OWNERS AFFiOAVIT CONTRACTORS AFFIDAVfT
I certify that I am exempt from the requirements of the I certify that I am a currentt r
Contractors registration law RC the State of Washington a
W 18.27 , and am a registered cand ! am aware o re for;n
aware of the Mason County Ordinance requirements for f the
ordinance requirements regulating the work for which
which this permit is issued and that all work done will
be in conformance therewith. No changes shall be the Permit is issued and all work done will be in
conformance therewith. No changes shall be made
made without first obtaining approval from the Building without first obtainin a
Department. g ppravai from the Building
Department.
X OWNEj� n.�i� X BY
DATE: ---.—
DATE
Peruse permit to: Department of General Services 426 W. Cedar StrEeet/p_o. Box 186
Shelton, WA 98584 427-9670/1-800-562-5638
FOR OFFICIAL USE ONLY: Accepted by:
Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Plarr ing:
V11S
Environmental Health:
Building Plan Review:
occupancy Group:
Fire Marshall:
Other:
Eco
wri
FEES -
Site Inspection
oe
Buildi t
GENERAL SERVICES
Violation Fee
Violation Investi atiod-Fee
Plan Check
Plumbing Fee
Mechanical Fee
Woodstove Fee
C
Building State Fee J�
L3uiilding valuation:
TOTAL ! v�
C70
C 7