HomeMy WebLinkAboutBLD93-1369 Mobile Home with Garage and Deck - BLD Permit / Conditions - 10/26/1993 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
li P.O. Box 186 Shelton, Washington 98584
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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
I
I
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date//"
Foundation Walls date by Set Up
date by INSULATION date v�— byD�4
BG/SLAB Insulation Final
Floors
date by date by date by (`J
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by pp date by date by
-------------- ----------------
MASON COUNTY
Mason County Bldg. 111 426 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
Pew
MASON COUNTY so ' D
BUILDING PERMIT APPLICATION �..
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 ` )9�
PLEASE PRINT -
-- GENER&-- NICE-&,
�__ ,/�
l #1 Owner a/�� N-�� �£ n, ��/F Phone# 57'n 5-;�17
Site Address A/ E. 2�0-RI w.j r6�EX ,(,4t4k teol-10 Fire District# '--
E
City 72) GJ St /' - _Zip 3/ 7
Dir ctions to Job Site 6,-'o —T v�0 £1 i cv - u� - ' ���/iwu A
F T L[
v ,,J /1� ewi` o r 6-2 ,A l� vs' � LrFT-
Owner Mailing Address S3 ""r_' o--tc Nc4i1-f30X el-rac�c
City St Zip
Lien/Title Holder — l✓O i f-n1 -
Address
Clty St Zip
#2 Contractor Nam 4'�fa Contractor Reg# 7C{1
74-
Address X -7 Ex irai'on Date��/_ /
City St Zip Z!- Phone It
7
#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) N
CM
#4 Parcel No.
Legal Description GOUEP-NI-&ENT LoT -2, -SECPpM 5 - -r&CLNJHIP 7 Aj0rETN,=,e�Uro� 1ccJ�ST wiH.
#5 Building Square Footage: (existing/proposed)
1 st FIs9`� / 2nd FI / 3rd FI / Loft /
Basement / Deck #bedrooms 3 / #bathrooms Z- /
Garage /�� Carport / /9'Z, (Circle: Attached or Detached?)
Other sq. ft. /
(-PPL cD) (Pe w 6)
#6 Use of building 140 ME *- cf,P— E -i- Dc K Describe work / 6bi t- HON e
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year MakeS/�l ��IFVlodel
Length wl'G Width c" Serial No. i,v6: , 0
# Bedrooms -3 # Bathrooms 2.. Type of Heat
Purchase Price$l0 y, di) o -t 72�X
#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
Show following on the site plan
Lot Dimensions Flood Zones r
Existing Structures/ Fences#2- C
Structure Setbacks Driveways
Water Lines Alelvr Shorelines
Drainage Plan Topography
Septic Systems Wells 700=E-
Proposed Improvements Easements A/,)
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 BELOWWEST Pry;'•, o S �/093 ' tZ #Z
CW
o t µ w 9 Al
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
owl
0�
3�f��X
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each
No. Toilets CIRCLE FUEL TYPE: Gasj lectric
L/ Bath Basins Heatpump, Other
Bath Tubs No. Unitsj�n�� �r/f Fees
Showers = Furn �✓ BTU
Hot Water Htr Heatpumps
!Laundry Washer Vent Systems
Sinks S 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
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 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 CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING-AP OVA FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE B G DE RTME DEPARTMENT.
X OW ER�i X BY
DATE 0 '< DATE
777
FOR OFFICIAL USE ONLY: Accepted by: � �-��-� '��--' Date: 1
-- ——
1
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
1
i
Environmental Health: (?)u- SUzj i c Zecd�c�S
Building Plan Review N S i i1 CL ►2 /V14=G a"G-S c 2 WAc_oPSU/76
Occupancy Group:rn0 B)�'l"ype of Const:
Fire Marshal:
Other:
Special Conditions: Alp p!A-NS SuBMrTt-(--b FEES
t o P,- A-N✓'f Dt-r r4S Building Permit
Lr4►Z 9 t°ST" A C `ro
Plan Check I
A 1&4m t T iS 3(o LnR-Sak-
iLtwn/ �wr tf.�4S vet,—mfT• Plumbing Fee
& -(L tc Al t D e 14NS t A ,DFRA�!1 Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE