Loading...
HomeMy WebLinkAboutBLD2085 Mobile Home - BLD Permit / Conditions - 8/5/2024 Harper, Thomas #2085 12-28-78 21-23-1 Tr. 1 SE 1/4 SE 1/4 NW 1/4 Across tracks from log sorting area. Mobile Home /Z� Z/ 0�/ avo BUILDING PERMIT APPLICATION MASON COUNTY C�G� P.O. Box 186 Shelton, Washington 98584 /z3z Z� DATE ISSUED —e�Q 7O PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE ,ES 4w- ! G�/,a S'Z 7.S- 609Y DIRECTIONS OFF 6!/��T S/D .ej�!- ,Zf,�,e - TO JOB SITE X46 SO.C-7-1A s ,g'v79 LEGAL (❑ SEE ATTACHED SHEET) DESCR. Z/ - 23 . / TXIjeT % Of S& (,If SF% IVKJ%� CONTRACTOR NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE USE OF BUILDING Class of work: )(NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE Describe work:, , Y�IL Valuation of work: $ , r-D PLAN CHECK FEE PERMIT FEE a�• y-0 SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECK BY A ROVED FOR ISSUANCE Type of Occupancy Division 44 Const. / Group r✓ Size of Bldg. No. Max. �(Total) Sq. Ft/ AS�, Storiesof Occ. Load CONTRACTOR AFFIDAVIT PERMANENT SEASONAL E.D.NUMBER I certify that I am a currently registered contractor in RESIDENCE the State of Washington and I am aware of the MOBILE HOME ordinance requirements regulating the work for which the permit is issued and all work done will be in Special Approvals Required Received Not Required conformance therewith. ZONING HEALTH DEPT. Firm PUBLIC WORKS By ROAD DEPT. Lic. No. Date OWNERS AFFIDAVIT I certify that I am exempt from the requirements of the N O T I C E contract or registration law RCW 18.27, and am aware SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, of the Mason County ordinance requirements for VENTILATING OR AIR CONDITIONING. which this permit is issued and that all work done will be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS _ p SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER Owner L Date. Z7 a WORK IS COMMENCED. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SITE NO. � PARgEL NO. - ��j-� 1 RECEIPT THURSTON-MASON HEALTH DISTRICT "DATE BASIS FOR FEE AMOUNT NUMBER DIVISION OF ENVIRONMENTAL HEALTH ��� ` SQIC� 2000 LAKERIDGE DR.S.W. FIFTH 8 BIRCH ST. PHONE 753-8073 PHONE 426-5561 OLYMPIA, WA 98501 SHELTON, WA 98584 APPLICANT AD E S PHONE DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW ex !7gyS Z SITE: VI _ APPROVED ❑ NOT APPROVED SEWAGE CONTRACTOR I BY: NAME OF PLAT LOT •Y� NOTwI NO. SEWAGE: APPROVED ❑ APPROVED SEC. TOWNSHIP Z� RANGE BY: DESIGNER:;W 1 �F S'e- SE-l� �(/W f/ TYPE OF ,y���� NO.OF LOT SOI L TYPE n BUILDING.�F" /7'�/sC BEDROOMS Z SIZE w�X WATER /! GARBAGE DEPTH TO WATER TABLE FT. SYSTEM DISPOSAL PERC TESTS INCHES PER HOUR LIQUID WASTE G.P.D. BY DATE PRIMARY NORTH -SITE PLAN AND SPECIAL STIPULATIONS: SEPTIC TANKISI GAL. PUMP REQ. (INDICATE DIRECTION OF DRAINAGE) DISTRIBUTION TILE TOTAL Go FEET FILTRATION AREA �I ''l SQ. FEET QUANTITY OF APPROVED STONE CU. YD. SAND CU. YD. FILL REQUIRED CU. YDS. 3 SPECIAL SYSTEM REQUIRED THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT THE MAXIMUM DEPTH OF THE DISTRIBUTION TILE SHALL BE BE- TWEEN 12 INCHES AND 36 INCHES FROM FINISHED GRADE TO TOP OF TILE UNLESS OTHERWISE STIPULATED BY THE HEALTH �-� OFFICER. IF THE ELEVATION OF THE BUILDING SEWER IS TOO LOW TO MEET THESE ELEVATIONS, A SEWAGE EJECTOR MAY BE REQUIRED. ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES: BETWEEN WELL AND TANK OR ANY PART OF THE TILE FIELD, -�/?i �•+. 100 FEET FOR SINGLE RESIDENCE, MOBILE HOMES, DUPLEXES AND MULTIPLE DWELLINGS. NO DRAINFIELD WITHIN 100 FEET OF ANY WELL, FRESH WATER LAKE OR STREAM; 100 FEET FROM �(bQ ANY SALT WATER BODY. NOTE: 'FOOTING DRAINAGE, DOWNSPOUTS, WATER SOFTENER AND ANY OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED TO OR DISCHARGED INTO THE SEPTIC TANK SYSTEM OR THE SEWAGE DISPOSAL AREA''. ALL SEWAGE, INCLUDING SINK AND LAUNDRY WASTE, MUST BE DIRECTIONS TO SITE: CONNECTED TO THE SEPTIC TANK. — /+aes i(.k�477v o< zF 2 V d� FINAL I SPEC ION EQ RED BEFORE BA K ILLING ,6�) - eV TO BE BACKFILLED AFTER INSPECTION 12" TO 24" 2" STRAW G' STONE OOVER TILE } FI 1 I STONE UN-DER TITTLE-� THIS SITE PERMIT EXPIRES ' r I F CROSS SECTION OF TRENCH ©M I