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Home My WebLink AboutBLD93-0297 Mobile Home - BLD Permit / Conditions - 4/5/1993 MASON COUNTY PLRMIT Mason County Bldg. 111 426 W. Cedar NULL A VOID By EX P.O. Box 186 Shelton, Washington 98584 DATE 14"By BY 1A IL) A 11: 1 It 1 w,4 4 1 ", f 9-11 Ot A I N'S-P k C'l 10 N t A 1.1 CA 7- (11. A I I v ki 1 11 SE 1344 ARCADJ.A RI) 1sllE 1. t ON 0114NI il. 4an6-3?0., tAAS$ 01- IAURh. ............. 1`4 L L"A lit III, It A I H FYFrf h0fill"! Of bAlf W111'17,VI,I ? 111101161 ill IIA I F RE(l jvI 0 UP GROUP 111 111, lit I i3H 1 0 0 i 1. JARIlt 04160'li (. o� I I y 1,r" f 1.,4)N s I I 11 I I,I A 0 Siff 4.!,# #JP 041111044 0 U P I 0A0 0 Wool),, I ovi 0 D 1-14 V I I UN I I*S i H P h I�1,' 1 140, 0 7N1iPFi*,1 ION AREA H is,,,I 1 4 14 1, Itilill 194 kis vill!IIA110111, #I I I I I. 1 0 M0,K 1--fi1 I I I't list I I I 1i'4 Y, )111 0 01-1 1 1 1- H111111 FR 0 N 1 0 0 11;f HA 111 HW. 1W, fil- 0 RI. 14 k 0 ol'i H r"s I II l til-t" 0 Fit' 0 limill I I I l I I I 111itil 0 il I �"11 W-IL k 7 0 *F I I R N I 00F H I it o 1 !N- o fit, 0 fill t I 0 W ti 1 f k Ii I A I f.It o F(114 N 1 0 0 r, H I I I 10 '�o Ill' F4 I lit Iiai ! N 1. 0 01 1 C1 it I lit, '�'' WA!'Mi- k S 0 1.:11 R N A I? 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All It' lip It"pt 1% �ilsqffqpvp top A (All o w4p. 1pffp�- ('14froolf f (Jo oullik (IV 44LAIT Is h 1 t Isio'-plilli, I#v: 13j'i1j9l 4-0111111111 [ANC 10 111 1ACHU0 CONDI I IONS I'-* K Owvkutl 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 FRAMING by date by date by 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 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 FRAMING by date by date by 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 P.O. Box 186 Shelton, Washington 98584 F O R INSPECTIONS C A L L 4 2 7—9 6 7 0 BETWEEN 5pm AND Sam 427-7262 BL093-0297 PARCEL : 32O2824O0O20 PLAT : DIV: BLK : JOB ADDRESS : SE 1344 ARCADIA RD SHELTON OWNER : BRUCE SAEGER 426-3202 CONTRACTOR : LEGAL : TA 2 OF 9112 SEC EX FS 11224 CLASS OF WORK NEW BEOR : 2 BATH : (TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . : MH STORIES . . . . . . . . 1 OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : O . Oft IMHOF $ 100.00 NJP 04105193 32395 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 STFE $ 4.50 NJP 04/05/93 32395 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : 2 SHORELINE?. . . . : ? T0TAI: 104.50 VALULATION: �`�iU 0 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES------------ BOILERS /COMP---- MOBILE HOME-- FRONT . . . O . Oft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0 REAR . . . . O . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : FLEETWOOD SIDE (1 ) . O . Oft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE (2) . O . Oft WATER HEATERS . . . . : 0 FURN >=1O0K BTU : 0 30-50 HP . : 0 CANYON SHRLINE . O . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 92 LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 56 BUILDING . . . : 1568sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 28 BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O FACTO GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTION:MOBIIE PROJECT LOCATION:I.3 MILES OUT A R C A 0 1 A TTHFFISSlgPERMIIyTTS pBEETCOMMESTTNNjUUELL AAFNNDDE VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD gPPROVEBABEFOREABUIIUINGACRNRBEOOCCUS HA HENCE EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE OWNER OR AGENT: DATE: BLD_PRMT, rev: 13/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BL093-0297 For : BRUCE SAEGER Page : 1 1 ) All upland areas disturbed or newly created by construction activities shall be seeded , vegetated or given some other equivalent type of protection against erosion . c_ s +� Permit No. MASON COUNTY BUILDING PERMIT APPLICATION PLEASE PRINT 6W 9 3 _DQQ� L #1 OwnerbfuC-e ' kerPhone# �_* - _'3 Z 12 -2-- Site A04ress Fire District # City � IiL St L(�A Zip j Directions to Job Site L-7 7),) �1�z �aW_'f x� Owner Mail 'n Add ess City -Lfl d�/'� St42� Zip 5 Lien/Title Holder Address City St Zip #2 Contractor Name`-�'�J/ /� C 5 Contractor Reg# Address 7 Expiration date City St4�pZip Phone #3 If septic is located on project site, include records . Connect to Septic? Public Water Supply Well K (If residential, proof of potable water is required) 74 Parcel No. Legal Description #5 Building Square Footage: 1st F1 2nd Fl 3rd F1 Loft Basement Deck #bedrooms 2 #bathrooms ?/Garage Carport Garage/Carport: Attached or Detached Other #6 Use of buildingr Describe work T('*Q'*3',1a__hanV\_& n7 Type of Job: New >4 Add Alt Repair Demolition Re-Roof Bulkhead Other #8 MOBILE HOME--INFORMATION / L Model Year 11 make Model Length G✓'�-'� i Length_ Width Serial No. #Bedrooms ?/ #Bathrooms DTI e of Heat rt9 Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other Show following on the site plan S Lot Dimensions Flood Zones -Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells n, Proposed Improvements Easements Name of Flanking Street Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW n.� 1--39 r G APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW `f't" l GAL } �unlbinct Fixtures Fee No. Toilets Mechanical Fixtures 2Bath Basins Primary Heat Source _c heat um (circle Bath Tubs e_ � p p/other Showers ` /Hot Water NO. FEE Laundry Washe Furn � � Sinks lC;��h.��-� Heat Pumps Floor Drains Vent Sys (Ce ral) _ Laundry Basins Vent Fans pot/Whole)_ Dishwasher Boile /Compressors Disposal HP Urinals r Handling Unit Other — cfm. _ --- Fire Protection Syst s Permit Basic Fee _ TOTAL PLUMBING $ Other Gas Outlets . kups Wood/Pellet/Gas ove Other Permit Basic Fee TOTAL MECHANICAL, $ 10TICE: THIS PERMIT BECOMES NULL AND VOD IFOR AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IFWORK CONSTRUCTION ORCONSTRUCTION :S SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK .S COMMENCED '+JITTERS AFFIDAVIT CONTRACTORS AFFIDAVIT CERTIFY THAT I AM EXEMPT FRO7WOR)KCDONEWILL REMENTS OF THE NTRACTORS REGISTRATION LAW AND AM AWARE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR THE MASON COUNTY ORDINANCNTS FOR WHICH IN THE STATE OF WASHINGTON AND I AM AWARE OF THE IS PERMIT IS ISSUED AND THATONE WILL BE IN ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH VFORMANCE THEREWITH. NOHALL BE MADE THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN SHOUT FIRST OBTAINING APPTHE BUILDING CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE )ARTMENT. WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. OWNER TE X BY DATE Lrn permit to: Department of General Services W. Cedar/P.O, Box 186, Shelton, PTA 98584 427-9670/1-800-562-5628 R OFFICTAT, LFSE QNLY Accepted blr a Date DEPARTMENTAL EVZW F08 OFFICE USE ONLY Approved Cond Hold Approval L� �3 (3 Planning: Environmental Health: Jai t I ' IL P i f�- 3J Building Plan Review: �. Occupancy Group Fire Marshal: Other: FEES II II Ilsite Inspection I I IlSpecial Conditions: II I II II IlBuilding Permit I rDv II I II II II IlViolation Fee II I II II II IlViolation Investigation Fee I II I II II IlPlan Check I II I II II Plumbing Fee II II I II II II IIMechanical Fee I II I II II II Ilwoodstove Fee I II l y II II IlBuilding State Fee I I II TOTAL I IlBuilding Valuation: 1� ��i�,. tee► � ...� d -�'!. BUILDING PERMIT # r v DATE Planner Area �}�,� ac CHECKLIST FOR PROPOSED CONSTRUCTION Yes No [ ] [ ] Within 200 FT of designated shoreline, wetland, or associated wetland Where? [ ] [ ] Proposed construction on/over/in wetland [ ] [ ] Proposed construction within floodplain Eagle nest State road access needed [ ] [ ] Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] [ ] Mobile Home or RV Park [ ] [ ] Exempt from building permit application [ ] [ ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800) [ ] [ ] Meets all requirements (which section(s) of SMP does proposed construction pertain to?) [ ] [ ] Variance or Conditional Use Permit required [ ] [ ] Exempt from Shoreline Substantial Development Permit process (Wac 173-14-040) [ ] [ ] Exempt from Substantial Development, but within Army Corp. jurisdiction (WAC 173-14-115) [ ] [ ] Address needed [ ] [ ] Directions needed