HomeMy WebLinkAboutMIS93-0306 Cancelled Mobile Home Storage - MIS Permit / Conditions - 8/27/1993 LON
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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I S 3,—01 06 PA r G Iv. L -, 1 0,CZ 0 0. 11
3 Qr 0 c H I N D 0 K 113„ E 1.F
PERMIT
3 1 iq A E-S F,f E*L 1)O 6 EXPIRATION
f SM W 'U S
"i ORY'H 1 fl;1.14 ').464� 10" a 11?B NU OID By
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E 5 is ri'l 13 1 A 0 N, DATE —VL�By
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t.4•00 FR'0 M TftP Ufa 111 L L
r y F? 1.10 U N I I y Li ii i-L 1. L I P
p .
r v 1 04 e,J 92 CONFILTANCE. TO A YACHF-J)
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
FRAMING date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W 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
11.ri, !I''}Q Uii .k_ .u.. it II,..:h
Page . "I
L LJR UAN.I 1•i) 1991 UNl: I IlRM 1{1.! I1_ulwo (00F , nic I I.ow Ao ( i..•) AMI1 I: 1 I ii1I'•1 KI A Alt Si iE '9 MIJ`., i
HAVE APPROV1:1) 1,101 011; ps OR AbDRESKE& 101011V1111 D 1,N ",IPCH dl P" 1. i I "M A4 I11 HC 101 it i.lwky V LSIRi i-,
AND LEGIBLE FROM IHL STREET ON 140AD F RitN I I Nli 11i1 i-RI.!PLP 1 Y , Mis +sp I OitN CY I11i I i.D i.I'd6
DEPARTMENT REl l.lif,1:S TWA ! 1Hjs HP i:limnEiri) PPlot; ro CAI I INo rok A1•'iY Sift IN:,PFRI'lUws— f�
1iE INSPE(: I IOM PEL: 1.i;1 E=n "N RAFL4 K =Lh AM OF I "F 1 09 1. UNIFORM (:ii I E PI NU ( I_i;iL Wf I L i,•'.
r1SSE D 1 1= Ui.NLR/Ci)N i hAC OR PAILS 0 P031 ADiJ,:ES , ON S i ,l l: i'Ir "H in it1=_O1,)rs i l mr,
IN:Pkat I tows
IL
) This permit 3 1 -3 Cho .d to i-A Only of n IT obi i I1tZm" ! him un i I AR no v to he OC:C'1. pied
aL any L:a.me or have any lltili.7:7•es f:ri1il'If2f` igd . 1hin permit i al— id for n proL. iQd ot s: jxtV
(60 ) days L:L.om the issue <<I,° te . if the mobil e ill`me was maniilrl '.'I'.tll`f(1 prior to Anne Ih ,
19lA , 1.%:bor and dll{Iu6ti— ros ml.. ch iiel..`orm an f11. 1:yrnLio"It ire kalpty 1P1spe:i' I'.on , I1'ie ouriel-
has 60 day6 to comply l.J.i '1:h the JCrI' rec, 1.o it orilmrad by I rthor and IndmoUrten ilnd O('? s-.ain
t7f;i;'i.l(7i ncy I3i11aYo= 3 from the Mason L.t,?IIYi'["ji 13111. J [Iing liep ar i lHct" L . It Lho V rnc'.? "ro { ona 1" o F.
meet CC:IIlp li sinew Wi Lh Mason C-C)s. n I'..`y' Kf'r.IIi i o i. i onn or !I••'! a l..iflQn r or labor rtllci !.Iicf!.ly; f':. I !' •. .5
Requi dt:ions IjeI,. 1_.a.i.itI iItd E:O IIIObI J.Y 010100Y Wi L i.1.II I ii- 'r>O day:, 1 .! IIIw I"I'!'iIIle Cho owner 1 c_,
responsible for the removal of f,11,`; mobile 1'ir:ii m 0" 1 - 1 Nds. on 1..c:?iIi'S1:'y , In wd 1 [ Loll j F i:.ilta
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
pl'.-foold in Ft f(i,zirinor Vhal, i-;; 1,11 rftl)e Nw.--.on Ccmffi,y tit'
S . it w..' I.J. be the Iti
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LA�
Permit No.
KMON COUN7r
BUILDING PERMIT APPLICATION
PLEASE PRINT
1� L/
#1 Owner ^ �, 1 s I Phone## z
Site Address Fire District
City ��G:r - St r.��,�G, Zip 94Cc-2_R_
Directions to Job Site 42
��
O +1 �,In %�. �o n "` ��. 4'--n
Owner Mailing Address 0 f3f A/
Cit St Zip !2 Z.'
Lien/Title Holder ✓ f6i . d
Address_ _R+ 2, t'3 4�c 3 2. 3
City e St (0c'. Zip l T�
#2 Contractor Name y�es� I'� �� ��rif�`_ Contractor Reg#
Address �3, /S`� Expiration date
City p %r St k)- Zip c7hS ?-S Phone 2 ? S-6(� FX
#3 If septic is located on project site, include records .
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water is required)
#4 Parcel No. 12 3 - 30 - 3 Z- 0 o Z.If D
Legal Description -r,,r.7 on )4,-1-
#5 Building Square Footage:
1st F, 2nd F1 .3rd F1 Loft Basement
Deck #bedrooms #bathrooms Garage Carport
Garage/Carport: Attached or Detached
Other
#6 Use of building S746,-�y 0 ,z Describe work
#7 Type of Job: New Add Alt Repair Demolition
Re-Roof Bulkhead Other
#S MOBILE HOME INFORMATION
Model Year Make , '��- Model it
Length 5-0 Width-ZV Serial No.
#Bedrooms #Bathrooms Type of Heat
#9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other
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 Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELOW
I
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures Fee Mechanical Fixtures
No. Toilets Primary Heat Source (circle type)
Bath Basins Elect/heatpump/other
Bath Tubs
Showers NO. FEE
Hot Water Htr Furn
Laundry Washer Heat Pumps
Sinks Vent Sys (Central)
Floor Drains Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
Dishwasher HP
Disposal Air Handling Unit
Urinals cfm.
Other Fire Protection Systems
Permit Basic Fee
TOTAL PLUMBING $
Other
Gas Outlets.Hookups
Wood/Pellet/Gas Stove
Other
Permit Basic Fee
TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED.AND THAT ALL WORK DONE WILL BE IN- THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT. '
X OWNER X BY
DATE DATE
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
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iJ IML
DEPARTMENTAL REVIEW
FOR OFFICE USE ORLY
Approved Cond Hold
Approval
Planning:
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshal:
Other:
FEES
Ilspecial Conditions: II llsite Inspection I II
II II IlBuilding Permit I II
II II Ilviolation Fee I II
II 11 11 'I
11 11 11violation Investigation Fee 1 ii
II it 1' 'I
11 11 _ II Plan Check I II
11 11 1' 'I
11 11 II Plumbing Fee I II
11 11 1' �1
11 11 11Mechanical Fee I II
11 11 1 I
11 11 11Woodstove Fee I II
11 11 ii i H
11 11 IlBuilding State Fee 1 11
IlBuilding Valuation: 11 11 TOTAL I ii
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
June 30, 1993
Jim Jesfield
PO Box 11
Belfair, WA 98528
RE: Mobile Home Storage Permit
#MIS93-0306
Mr. Jesfield,
A storage only permit for a mobile home was issued to you from our
Belfair office. The enclosed packet is the computer printout which needs to be
signed in the highlighted areas and returned to this department for your file.
Once the package is received back signed, we will mail your copy of the
permit to you.
If you should have any questions, please feel free to call (206)427-9670
ext 356.
7Gri
ou,ffey
O/-)
Building Inspector
cc: Property File