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HomeMy WebLinkAboutBLD93-1740 Mobile Home - BLD Permit / Conditions - 11/23/1993 MASON COUNTY 3 Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 �, 11 it it 1.)f43 - 1r443 o" 100v:4;I 1 1`1 tk 1 fS1 t�► %� I€fht t?I,atts, } , , 011: 410 ! #1iiSON HtVD HUI t=AI:R "i't0i i, 10NY K IN(i 1 I t:ii';1 11I,ANN4 fNYF $IV fl Ott! loot, fit i5 04131 0 u N I I,f llI II'm A110:141 lit iiglf kIE ( 1f( 1'1V# Alltfi€W€ I � k ttt a-tlE' +ik �€'l ttt iat Ill ttti11 4,) 43I i- NHfif # I$t idA ifi llr,'St 'I`�rn ! fI-F" tip' f'+�;} I i l ;.f ) l ;gt.I ': �� �SIII ) � 6rt fkf tt �. t<k ��+,• � n€ f UI' . 1. Etit 4l t.t€>�€;, , l n'.:I • �•, I I I'tfN tkltf A 0 �1fIaI 11�4 `.� 11#IsL fit AileN °,I 11kr�t h '; — __ — i ff i i i 1 �, �r j t14 � I •� € i f;ff i i I t�: , r'€ fatskl� �tf}, I i 1 Ittt I P i'tN ( {qtI€ tj4 1 fitr� •� l Ikl f .' ? 61 `�'� �I f LIH I I r: 1Il tt l 1 i• �7 I f1#;1`t t k±, - R; i tt E? t-) !;?:�, 1;t` t.� •'li4jt. 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Am(, `,101N 11 PPR'l OF foWl1kokflog AVIH{)WfIf l5 N€EI fttyNfNflit I9 IRIP, Itik H€ �� 11s- it ft€p�,If;tt€ tftt{ �t1 tkil ItA'fy hi ANY IINf Amli NBRt I , !€fNNfN€:Elf fV A14 t of 01#11NIkAiIffN At 1111Rt I Pns{Pf IVI'ft11011 lit11IIN liil IItif It IfRl11if I1NAl IVI'fiftt, � AI't'RoViIf RlfffR# RUIIAIN4 -4N Ili III I;11,1ft1 f] f.tf�il t 1ANCU �1t1 AI IAt:Ulf:1) C:t7NDI I 1014{. x � 'rP l etl-gUlKl.tl CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date t>C c_ o� b Foundation Walls date by Set Up ` date by INSULATION date[ jq by L. BG/SLAB Insulation Floors Final ,��� b Lc� date by date by date C)7/ 1, y FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b s' Z 7-9 date b y D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by s --2z - e ire I ner � I MASON COUNTY Mason County Bldg. 111 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 I ot I ONY K I I N!-,P I r 1 1.0 N o )I s n(j i I I lit) I j m i 1) 1 to i ilia 1. 1 toil it i I ',• d V if I i-I I Lrh1 Toff 1 It*4 r e I y el t-, i I ill If i I hs n-po" I 1 011": . 1 i I I I i'(—fill I t-f o I a 1, It(- 11' 1"It I m 1.1 1)r "d i I i•,( l I j It r I I I llrl:; a rt d o it It fit I-, I j tl 0 1 1 1 1!11 1 t!k t I. .1 11 ,4 H o.1 d 4 1 i t.i o it t"o 411yF 1 l rj 11'1 0 1 ill I (r '— .1 of 111'v it I t f i EitI 1.11rti i tl Iritt'�. 0 ll r- to I •l of v if I f of it il 11 Its., I /f (IN f 1(11 i I it! i.fid I "'i f f- o ill 1 11 ) 1 rjtjct fit, ol 'Ll r-1 I a fittllIillItill tot 1, to toll. 'i i of) I jol-i f t f I i I yr 0 to I I It i o t t-, t 110 it i I - Jill) Ilia 1 f)r o I to rt . , o t tt i I t ifti IJI i 15.,c I oll r illi it H 1 1 it I to'.) I It It 11 V 4, 1 I llN 6 P I'I OVf It Nit hil I I-, IN' it 1111ki k 11 V 1 11 1 11 1 N Ilf 11 it 11 if I I I 1 1 it I of k 1 11 i i i j 0 1 ' A N D i I Ili. f� I 114 1 I'i I I I 1?1)A if 0 14 1 1 N(i I lit 1 1,t,1,1 k I to I! I if H".I I I I I I H D! P A R I M I N I r I ti fj I le N VI k, 1 1.11N I I I H to I it kit I I i's Ivi 111 At I I 4il'ftl If II I I It 1 1`4 it t 111ti Irl fit N t P ir, to'c�e . 11,%ofiff 1 i tj,� ill .11 Permit No. MASON COUNTY E;l BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner Krvj, 10OUV ?'CTSKx' cg- Phone# 0?Z--'6J- G 4 Site Address ;�C- '`/ 0 ���' �� �r✓d�. Fire District# City "e-W4-rx . St a).4 Directions to Job Site J eorAzg--70 6 'c f1! !v� S-r7`z e AJ Owner Mailing Address Al 4/LJ City -CArIL St Zip 9 �Y Lien/Title Holder Address City St Zip #2 Contractor a �'Cn-Sr kA Nz Q�'v��c� m Pam!` - Contractor Reg#�QS'7� �0 qc' Address Na�C�. 7 / Expiration Date t/, / 7 City St LyA Zip Phone#� #3 If septic is located on project site, include records. Connect to Septic?__)�I _Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. Legal Description #5 Building Square Footage: (existing/proposed) 1st FI 2nd FI / 3rd FI / Loft / Basement / Deck_ /__n2y #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 U of building P zeo -e- Describe work 1l w d F, t due- 141 GIs C (ife-� _ ,Ueu� cc%,l �y � JIZy�f( #7 Type of Job: New_ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year q.3 Make CuedcA)Model c2O0 Length 52 _Width aV Serial No. 66q`( # Bedrooms .�3 #Bathrooms Type of Heat Purchase Price$ yd'y1,S e #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 I 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 Fi• ^+r Indicate Directional by (N, S, E, W) Name +. in relat' APPLICAiti i 10 Ur kvv Si I E rLmN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW b& Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr _ Heatpumps _Laundry Washer Vent Systems Sinks _ 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 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 APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMEN -� X OWNER DATE E /O - Z z FOR OFFICIAL USE ONLY: Accepted by: Date: I DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: R 'c ( r ) Building Plan Review Occupancy Group: 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 SA Other. Other Building Valuation: TOTAL FEE 1 _ --�f� --2° I� Fj F r'LaK wp1KWA� V n r E.9� S E � L D OP�W�o 1 W E.90 E 90 ---I f `110 1A05&kj