HomeMy WebLinkAboutMIS93-0798 Cancelled Mobile Home Storage - MIS Permit / Conditions - 6/25/1994 MASON COUNTY PERMIT
Mason County Bldg. III 426 W. Cedar NULL a VOID.BY EXPIRATION
P.O. Box 186 Shelton, Washington 98584 DATE /f�By. J4
F' 4L 1-.. "' w Ew cj. tt.p _; e 1..z t . x --u- ;.i i R LNSVEL1 !PNN CA I I 4 2 7--9 S 7 to
! APPL (;!':NTs Ta';s3ARA 383-C8fLIN 42Y— 001
L 1.-.t_,A i_ . L 112 S!AA HE IN 10
� VCJMT r1
14
WORTH S"ORE ROAD TO SAND HILL ROAD TO FERN DRIVE TO THE EMU OF TINA ROAD .
PROJECT NOTFQ,
t Y PE ANGUNT BY PAFF RI , '
TO E ttl_ t J 9i 0.) OWNER Op A r,i_N L -... ,. ... ... .. ._. . ��tl i f,.�
}
CONCRETE MECHANICAL MOBILE HOME
Footings-Setl>l& date by Ribbons
date 1 4F by Gas Piping date b
Foundatior,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
fMASON COUNTY
` BUILDING III 426 W. CEDAR
'SHELTON, WASHINGTON 98584 ' ` .
(206) 427-9670
CORRECTION NOTICE
Job Location 1`3 93" t) 7 92�
�) L Do ::::L e--t ct i-r 9
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
L l � � > ra I e- �ran-\
z/ n
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department 1 .
Date �- �� — 5 y Inspector r , >✓.J G-
■ ioks NnT MOOV THI", T' ,* Ni
k �
Page No. 1 I CASE HISTORY FOR CASE NO.: MIS93-0798
TAMARA RICHLIN
NE100 TIMA RD BELFAIR
01/05/94
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
MISA010 Application received / / / / 12/27/93 12/27/93 KW
MISA500 (F) Issue permit / / / / 12/27/93 COMP NJP 12/27/93 KS
MISB110 Structural Plan Review 12/27/93 / / '12/27/93 DONE WLC 12/27/93 KW
MISB130 Planning Review 12/27/93 / / 12/27/93 DONE MMS 12/27/93 MMS
MISC199 Mobile Strip Footing 01/03/94 01/04/94 01/04/94 THIS PERMIT IS FOR STORAGE ONLY, NO FAIL LW 01/05/94 LAW
RUNNERS ARE TO BE POURED ON THIS PERMIT.
CORRECTIONS ON RUNNERS 1. THERE IS FILL
IN THE ENDS OF THE 4 LONGER RUNNERS
VARYING IN DEPTH FROM 6 TO 12 INCHES
LOCATED ON THE BACK SIDE EXTENDING
ANYWHERE FROM 2FT. TO 4FT. BACK. 2.
RUNNERS ARE REQUIRED TO BE 22 INCHES
WIDE NOT 20.
Permit No.
j MASON COUNTY b
O*'
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner T—O-A n 1-)7 Phone# c.
Site Address tip f- 400 —r 11v1/,q P_OAD Fire District#
City geIq-arr St Zip
Directions to Job Site RoclA Sh r- Koi 4-o 5byrrA ')--t4 RJ V7 FQTn lDr "'Q AM
4h erg 0-9 --T-11rma Rd.
Owner Mailing Address W **0 rF b,V, R8�0C� P�a
City 3*R nZTVN IA AA, St Zip `Las39/!
Lien/Title Holder 6i(1 ill
Address
Clty St Zip
#2 Contractor Name o, ��G �1=1(�1 f� 1 << Contractor Reg# 66 L/Z)/�
Address Expiration Date/—Q, �LZe�'
City St Zip Phone#
#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)
#4 Parcel No. 1,7 3 Z 9 -
Legal Description 01 S,p A Z��
#5 Building Square Footage: (existing/proposed)
1 st FIB / 2nd FIN/6 3rd FI. LA/&Loft�f
Basement (1 Deck / #bedrooms 5_/ #bathrooms ,2 /
Garage &14 Carport A (Circle:Attached or Detached?)
Other - sq.ft. /
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year lci,91 Makes Model , - oIN a R D y 7—
Length�Q& Width C1 ( Serial No. R— ' z
# Bedrooms 2�3 #Bathrooms ype of Heat -
Purchase Price $ �, /�
#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
VV
Show following on the site plan
Lot Aimensions 333�la')X-'0 Z_-7$. JFlood Zones N4PIR
Existing Structures. '.Mon-e- Fences
Struicture Setbacks Mgne, Driveways 'O -�
Water Lines W Shorelines ��
Drainage Plan ✓. Topography v'
Septic--Systems .( Wells V11
Proposed Improvements ✓/ Easements
Name of Flanking Street,'," Indicate Directionaby (N, S, E, W)
Name of Fronting Street i/ in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
9.0
33 Z� o d
tib
33PAZ
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
1 �
}
Plumbing Fixtures ($3 eacbj Fee Mechanical Fixtures ( 6 each)
No.9 Toilets CIRCLE FUEL TYPE: Gas(Electric
-6-- Bath Basins Heatpump, Other
,Bath Tubs ID No. Units Fees
,Showers _ Furn BTU
jHot Water Htr :3 _ Heatpumps
Laundry Washer _ Vent Systems
1 Sinks _ Spot Vent Fans
Floor Drains - No. Boilers/Compressors
Laundry Basins 3 _ HP
Dishwasher No. Air Handling Units
`8 Disposal - cfm#
'er Urinals No. Fire Protection Systems
$ Other Auto. Fire Alarm Sys 50.00
33 — Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ .S3er`} No.
Gas Outlets '1J 0)l
Wood, Gas, Pellet Stove 0-n
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 TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
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 RO AL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. . DEPARTMENT.
X OWNER X BY
DATE DATE
FbR OF) fCIAL tJSE ONLY Accepted by Date -�
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review={=NSTftLk- QC-� 11nP lr Sptt cS
110— Z-iq N C-N
t
Occupancy Group: =3 Type of Const: �
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE JU