HomeMy WebLinkAboutBLD94-1590 Mobile Home #34 - BLD Permit / Conditions - 12/16/1994 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
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MECHANICAL
tback MOBILE HOME
date b Ribbons
by Gas Piping
alls date date Set Up
SG✓SLAS Insulation INSULATION date 2- 2.3 s
date by Floors Final
FRAMING date by date —Z 3- i by
date bv Walls FIRE DEPT.
PLUMBING date by date by
Groundwork Attic OTHER
date b date by
D.W.V. WALLBOARD NAILING �• i Z 3'
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
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MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORREC ION NOTICE
Job Location
This structure has been inspected by Mason County BuildingDepartment
and the following VIOLATION of CountyL r p
found: aws and Ordinances has been
Items listed below must be corrected to gain code compliance
1 k,
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
j Call for re-inspection when corrections are made before continuing
I Make corrections, items will be checked on next inspection
] OKto
Department }
I date 17 � l ; �
- Inspector
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,
Permit No.
ASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628
#1 *wn,erone, 1_ 7 ddress f- rid Fire District#���� f St _zip_9
Directions to Job Site Uc c--y, 11.,4 +n or, Ane--�--ej AA
3eit l.i-I Qork
Owner Mailing Address pQ 301L 97(--•
City St—a 0zip4
Lien/Title Holder &Eg'g4 'rcpP� �ncanc•a.;' Coop
Address I'p i&.L 37,90
City S-ederoj l�.k~ St k�a Zip 99YDL-3
#2 Contractor Name� - A;J7P, b6-4,5 Contractor Reg # �L,.; N JIZk�
Address 3 5'4 bX'5� 7 c Ncy�it� Expiration Date/ 31
City (7c•Lard St !A)A Zip 9 g 36L- Phone# 4179- D T95—
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to ewer System? _Name of System
r
ntial, proof of potable water is required)o. �_3 3 2 _ C� __ � G' 1
Legal Description SAn �*11e-rs Keg. .1d C 14ell Vacs i c4 cf - D
#5 Building Square Footage: (existing/proposed)
list FI / 2nd FI / 3rd FI J Loft I
Basement / Deck / #bedrooms / #bathrooms
Garage / Carport I (Circle: Attached or Detached?)
Other sq.ft. /
II .� c�� °�'
#6 Use of building o s,c3► Describe work
#7 Type of Job: New Add Alt Repair Other 'Q
#8 MOBILE/MANUFACTURED HOME INFORMATION E ta
�u Model Year 19 9 y Make 3kj/„u Model tt� 0 C 1
Length5-b Widths Serial No. 09`d3 L-, _ n
#Bedrooms _# Bathrooms Z Type of Heat /Z i!w GENERAL SERVICES
Purchase Price $ 4/n00
#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 it
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
1
-7�:
,
1 J '
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
-l
l
•Lt'
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each)
No. _Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs N uDhaFees
Showers _ Furn --- BTU _ .
_1_ Hot Water Htr Heatpumps
—_Laundry Washer Vent Systems
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins HP
Dishwasher NQ. Air Handling Units
1 Disposal cfm# _
Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, 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.
OWNERS 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
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 CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWN h�G��� X BY
DATE U /'"� ID- ZD�� DATE
FOR OFFICIAL USE ONLY: Accepted by � LJ Date
J
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Plannin S� 13,( 11S c�
g 1y cnv� G Lam. 5Jq t.+ve lO` ,:j7cm ylhh/1S
1 n �'//
P14-114 (4 v�/v/� 17 �r hoc (-GLty4-
-_ --
Environmental Health:
I
Building Plan Review
Occupancy Group:_ Type of Const:
Fire Marshal:
I
Other:
Special Conditions: FEES
Building Permit j
Plan Check I
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE