HomeMy WebLinkAboutBLD97-0877 Mobile Home - BLD Permit / Conditions - 9/10/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
LJ 1 "l Ca I N 0 P E A M i `r FOR I NSPFCT 14')NS CALL 427---9670
BETWEEN 5pm AND Sam 427--7262
it.D97--0871 PARCEL : 123305000004 PL.AT :REPL.0 DIV : BLK : LOT :
-JOB ADDRESS : IwE 40 BIND BEi_FA I R
OWNER : TED 275--5767
CONTRACTOR Bt;Y tif)MFS 479- 079L)
LEGAL : BEA118 COVE 119 3 TA 4
L�!'L'@iL':"4ffiSp�AR'.Rr.-'�1"iWR•.—^.•••—•�..t➢R'ztf1T-09'?3':C4:'1fF1 •539Ff1'L'ii'6'i:iS.�G. HJ .-2 _...
CLASS OF WORK . , :NEW BEDR : ? t+' SAT" 2 tYP.f ANOUNT BY UATF RECEIPT TYPE AMOUNT BY PATE RECEIPT
TYPE OF 1jSE . . . . :MH STORIES : 1
OCC-.UP . GROUP . , - -? 8LDG . HE I ,OJT . . , 0 .Oft MNOf 1 155.0# IS 09110197 46410
-vi TYPE: OF CONST . . .7 F I RF Pt..A('1-C . . . : 0 STFF 1 4,50 KS 0911#197 45410
OCCUP . LOAD . . . : . 0 WOODSTOVE:I$: . . . . 0 FRCP ! 26.60 KS PS110191 45110
DWELL .UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHOREI_ INE7 . . . . :N 1 lOtAt: I85-511 YAtOtATION:
SETBACKS---_.•-. -------- TOI LE rS . . . . . . . . . . : 0 FUEL. TYPES- - - - - - BO i LERS/COMP---- MOBILE HOME ,
FRONT . . .S 10 .0ft BATH BASINS . . . . . . : 0 0..3 HP : : 0
REAR . . . .N 10 .0tt. BATH TUFFS . . . . . . . . 0 3- 15 HP . : 0 MODEL :MODEL. I NE
SIDE ( 1 ) .F 7 .Oft SHOWERS . ... . . . . . . . i 01 FURN { 100K BTU : 0 15-30 HP . ; C MAKE- --
SIDE (2) .W 7 .Oft WATER HEATERS . . . . 1 0 FURN >-100K BTU : 0 30-50 HP . : 0
SHRL I NE . 0 .Oft CLOTHES WASHERS f 0 FURN Ft.OOR . . . : 0 504, HP . ; E1AREA KITCHE"N .SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 82
LOT SIZE . : 'FLOOR DRAINS . . . . : . 0 VENT SYSTEIAS . . . s N EVAP COOLERS : H FFNGTHt66
BUILDING . . . : 1070gf DRINKING -FOUNT 0 VENT FANS 0 HOODS . < . . . . . : 0 WIDTH . : 14
BASEMENT .. . , r 0e;t LAUNDRY TRAYS . . . . : 0 DOME'; . I NC I N :O SERIAL DECKS OST D I SHWA SHFRS . . . . . . : Z AIR HANDL. I NG UNITS- - COMML_ . I NC I N :O 9624:5
GAR/CARP :? Osf GARB DISPOSALS . . . r 0 '*x 10000 c:fm , : 0 RE=L.00,'REPAIR : 0
AT/DT . :7 URINALS . . . . . x 0 > 10000 ctm . : 0 OTHER UNITS . : 0
MISC PLM IXTURES : 0 � ETAS OUTLETS . : 0
R•a "Dsl'dLOSitR�1bR.'iri1T.YfF R',t .ti.[%1e+2'p! A:L1ta_-'A�ifL/1flL'k�Li'01S.Z':'91TSi� i'fOC.",t°R17C: Y�6f'.'Tn".`�fiS:' _.`.'!."CC-'K STi:.^.'::.LCG
�ClIFTION:10811E MOMS ( "
PQOJ�O'L1 10N:N09111 SRORE RD TO SAND .011L MP SAND RILL 10 LA 'v' RIGFT ON -IANSON Y0.3RD HOME ON NICR1.
THIS PC" �8FCOMES NULL AND VOID It 10RK' ON `CONSYROCTTON AU.TNOR HEN -18 #Of COMMFICFO THIN i10 OATS, ON if CONSTIUCI`iON OR MORE. 16 SUSPENOEB FOR A PERIOD
OF 100 D YS,ANf TINE AHFR #0RK 10 COMirfNCfO. fV10ENCE Of CONTINUATION OF WORK IS A PRO6RESS IISPECTlON 111RIN T4f 180 DAY PFRI09. FINAL-4"PECT10N NUS1 BE
APPp�9Yr ItFF ; F B0lL0116 CAN 6E OCCi+P1E0,
01NEk OR A&FNT; .j;
BLO_PRNI , rev. 03.,3119t COMPLIANCE TO ATTACHED CONDITIONS IS REPUIRF:I)
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 date byT
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
z7?
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF, F"tM i T- t": C) N0 1 ..1.. 1 CAN
Case No . : BL D97-0977
For r TED POUNDS
Page ► 1
1 ) This application Is sub Jett to Barr rer and L andso:ap i ng requirements as e';4tabl I shed under
Mason County Ordinance 1 ,03 .0. 36 .
X' - '
2 ) The use, handling and storagge of hazardous materials or flammable and combustible
liquids In excess of 10 qa 1 lon Is not allowed without the approval of the Msaron County
1" 11 re Marshal .
3 ) Structure must be seethdok 15 ' from all uti i ity and drFairlage eeasemants , a total of 10 '
fr. (9ach property 1 I ne, or a variance must be obtained f 4�om the Bta i i d i nth Department .
X
4 ) Proposed strtac►turre or any portion thereof greater than 30" in height from grades ilne- ,
must
,��ppmaintain a minimum of S ' setback from all property lines , easements and 10 ' from
a kf-) _untV�and State Road right of ways .
x �5
" ) PURSUANT TO 1994 UNIFORM BUILDING GOOF SECTION .305(C ) AND SECTION 513 ALL S I TEAS MUST
HAVE APPROVED NUMBERS OR ADDRESSES P_§bVlbED 1N SUCH A POSITION AS 10 St PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAM FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REGUiRES THAT THIS BE COMPLETED PRIOR TO CALL- ING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FF.1 l3ASFD ON RATES IN TABL F 3A OF THE: 1994 UNIFORM Btt I L.D 1 N(7 CODE WILL BF
ASSESSED IF OWNEF�ICONTRAr'TOR FAII-S TO POST ADDRESS ON SITE PRIOR To, REOUESTING
INSPECTIONS .
X
6) REQU I RFD INSPECTIONS ( Footing Inspection-prior to dour , Set-up Inspection-,prior to
skirting Final Inspection--prior- t ocrupranoy) i have race i v►sd a copy of the tjenera I
Informs ian anti Go Ideal ine-s- Mobs Ie/Manufactured HousInca In-0a, I Iations Handout for,
dest►a I 1 ed descr i pt i ohs' cif a1 I required I nspedt i ones on my rnob i 1 e/manuf aactured hoaxes
Instal i at ion . I heerf-by a.sst►mey a l l reawpons i b i I.i ty. for- the saheedu 1. 1 rig of theses requ I red
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 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
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Inspections . i f ,re ;tf i
off ( approved) by the I nspectot in the prescribed order 1 ttnderstand that re I tisjo ?ct Ion
fees and an hourly I nvest f gat f on fee pursuant to the ig9t UBC , Tat:1 e 3A wi 1 I be assessed
In addition 'to my or I q i na l permit fee&, to resolve any quest i ortab i e pracrt l oe�; or
problems that have beats discovered . i further understand that t:hit, investigation will
be scheduled as time �i I i caws . Unt i i reso I ut i on of any/ a I 1 prob 1 em,- no onotipancy ( Final
i nspeot-1 on) yr I 1 i be granted for the res I dence., �
OWNER/CONTRACTOR ( IndI cut o whIoh ) SI gnat ure
7 ) A41 mobile/manufactured home landings or decks must be freestanding ( self supporting) .
The l rargest landing or cteck permitted without drawing.. or a bu i I d i nq permit Is 36" x
36'0 Any landing or deok that Is 30" or wore In height from walking surface to finish
grade requires a guardrail . Any landing or deck that tins 4 or more risers requires a
handrail . Any landing or deck larger than 36'" x 36" must be permitted wto i oh requires
struot ura l drawings anti a bu i l d i n(i permit application . This l n�,ta l l at i on Permit does
N(?,I:� include any landing or deck larger than the 36" x 36" sire .
9) Placement of structure must oomply with standards .ts-e.tfor h UB •ec . 2907
regard i r►g descending and/ or ascending slopes . X ;,�
ti
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date -Z,",--`/7 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 date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Building Permit MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location clo -.- z3e—py
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
Gi41w 4 r 3 1 /2 X 1-2 ex =/ .oifYO �✓/r�'J�,g<
- 1-1 n-G� �e' a'�7 T� To
/ 7'!16 /of-rn7T Qet-45"
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 B�
Date Z Inspector = I YE
01040 NOT MOOV
Building Permit #9 >> MASON C0,66NT'Y
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location yo /lsd� 1��Uo
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
0
3 ,S T
of G�+AOJIAi� 3 y"� .✓
�S ��'" =S b✓ ,,!7 cS /, .✓� 07� �- cS%i9//T.s %/�E/�.o S /�//�' �G
171se dL 311? T�i�y� - ,o/7o�ioF fl�9yo
e 1-2- 19Z76- Ta h`o�4 Z� �3 �p Un�AL {poi
/11afl- /YEFO 7, ,C3E Lee c Aek5;y TO C�—e' e--
�i� Tff iu- i
4&117 7
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 ,Z5 6-Z:2
Date Inspector
"K 0 NnT ► IMO *V T141 , T A ,�
I
wilding Perr;iit MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670 LU
CORRECTION NOTICE
Job Location Vt�2 &JI49
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
00,
t/%C C oe0 Chi r�-c>
4G�7C.E /9G� GOG�S� lriELYri=S
ere
?G Aye 77�ilO OOW"' ffSl�/I' /✓�'ST�9G/�T/� ry �//�`/�yE!
/ W- G
7" /��T�i?6i�//�'T/�� f�/�/S/r' -�/�G1=i7 ✓F,��T —ft�4i /�E'L/�.� G/yE To �X/�/�.��
d� GA��/rG 4 c�Ti9/i/�S d� GAUIi'O�i'�'/IGS�p d'�9�'.pT7'.Q/G FiG� of T/f'EitT�.O l.,CCY, d�
/�a% //'E S/Sl/�iYCE SJo%�f� g/ / GyS`T �•o�/�E�.5.
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
#�z3�K F/Gi �?!X/yG� l?1-v ✓ ��c-TS�,C?% c�r� �//�T/ram .
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to S1
Department
Date /e!�' -/G -e?7- Inspectorf-
0000 No OT M* AV THII TAL
Page No. 1 CASE HISTORY FOR CASE NO.: BLD97-0877
TED POUNDS
NE40 LARSON BLVD BELFAIR
10/14/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BLDA010 Application received 07/24/97 / / 07/25/97 DONE KW 07/25/97 KW
BLDA011 WARNING!! SEE PARCEL FLAG / / / / / / 07/25/97 KW
BLDA015 Waiver in File / / / / 07/25/97 SENT KW 07/25/97 KW
BLDA100 Approved For Issuance / / / / 09/09/97 DONE KS 09/09/97 KS
BLDA200 (H) Hold / / 08/04/97 09/09/97 Needs Setback From Easement Variance, DONE MMS 09/09/97 KS
called Mr. Pounds today, 8/4/97. MMS
VARIANCE APPROVED.
BLDA500 (F) Issue building permit / / / / 09/10/97 DONE KS 09/10/97 KS
BLDA600 File Possession 08/12/97 / / 09/09/97 DONE MMS 09/09/97 KS
BLDB110 Structural Plan Review 08/06/97 / / 08/07/97 my approval is conditional upon the DONE TLG O8/07/97 PMS
variance for both sides being applied
for and approved
BLDB130 Planning Review 08/04/97 / / 08/06/97 For Allan DONE PBC 08/06/97 PBC
BLDB135 Addressing 07/31/97 / / 08/01/97 DONE GMM O8/01/97 GMM
BLDB138 Planning Pre-Review 08/01/97 / / 09/09/97 DONE MMS 09/09/97 MMS
BLDB200 Environmental Health Review 07/25/97 / / 07/31/97 This is a non-shoreline replacement. HOLD PSD 07/31/97 PSD
There are complete septic records and
the plot plans match. Need to
pump/inspect tank. Buy-Rite Homes has
been notified.psd
BLDB200 Environmental Health Review 08/07/97 / / 08/12/97 still waiting for pumper's inspection HOLD CAJ 09/08/97 CAJ
report
pumper's report is in the TIN BIN
BLDB200 Environmental Health Review 09/09/97 / / 09/09/97 The pumpers report is adequate.psd DONE PSD 09/09/97 PSD
BLDB210 Water Adequacy 07/25/97 / / 07/31/97 This is a replacment. psd DONE PSD 07/31/97 PSD
BLDC110 Footing inspection 09/26/97 09/26/97 09/26/97 PASS R 09/29/97 KW
Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD97-0877
TED POUNDS
NE40 LARSON BLVD BELFAIR
10/14/97
1) Buffer & Landscaping Requirements -- This application is subject to Buffer and Landscaping
requirements as established under Mason County Ordinance 1.03.036.
X
2) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or
flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal.
X
3) Multiple Setbacks -- Structure must be setback 5' from all utility and drainage easements, a total
of 10' from each property line, or a variance must be obtained from the Building Department.
X
4) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade
line, must maintain a minimum of 5' setback from all property lines, easements and 10, from all
County and State Road right of ways.
X
5) POST ADDRESS -- PURSUANT TO 1994 UNIFORM BUILDING CODE, SECTION 305(C) AND SECTION 513, ALL SITES
MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND
LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES
THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON
RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO
POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
6) MOBILE/MANUFACTURED SPECS. -- REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up
Inspection-prior to skirting, Final Inspection-prior to occupancy) . I have received a copy of the
General Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed
descriptions of all required inspections on my mobile/manufactured home installation. I hereby
assume all responsibility for the scheduling of these required inspections. If these required
inspections are not requested, inspected and signed off(approved) by the inspector in the
prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to
the 1991 UBC, Table 3A will be assessed in addition to my original permit fees to resolve any
questionable practices or problems that have been discovered. I further understand that this
investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy
(Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
7) Mobile/Manufactured Landings/Deck -- All mobile/manufactured home landings or decks must be
freestanding (self supporting) . The largest landing or deck permitted without drawings or a
building permit is 36" x 36". Any landing or deck that is 30" or more in height from walking
surface to finish grade requires a guardrail. Any landing or deck that has 4 or more risers
requires a handrail. Any landing or deck larger than 36" x 3611 must be permitted which requires
structural drawings and a building permit application. This Installation Permit does NOT include
any landing or deck larger than the 36" x 36" size.
X
10 Page No. 2 CONDITIONS/CORRECTIONS FOR CASE NO., C3LD97-0877
TED POUNDS
NE40 LARSON BLVD BELFAIR
10/14/97
8) Slope Setback -- Placement of structure must comply with standards setforth per UBC sec. 2907
regarding descending and/or ascending slopes. X
I
07/24/1997 09:34 3604791050 BUY RITE HOMES PAGE 02
MASON COUNTY q°
BUILDING PERMIT APPLICATION D
JULI.
426 W. Cedar/P.O, Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 U 2 41997
(Calling From: Seattle 464-6968, Betfair 275-4467, Elma 482-5269)
'LEASE PRINT V- c
�1 Owner.. D S TL F_ D _ Phone# 3 Io D - Z ?,5
-Address m_ t, 410 A AJLS6,eJ 0 ILJ p Fire District#
C St _zip M z?
Directions to Job Site N o K J 1+l!AE 40, f1,,�,_ jr s/1�-+D ",cc To
1.34/hSo,J n I G t1 o,.l LA�> o..r g Jo 3 K-sC_'Nt:
Owner Mailing Address :5A y%-, F AS A d L
City St-Zip
Lien/Title Holder
Address
Clty St Zip
2 Contractor Name 19 r E H o/lam t 5 Contractor Reg#B v,1 R t rj o t3 44�6
Address 3 S 44 3 L.- 5—AT-t Expiration Dated 3 t / 9 &
City po1Cr 0 K-C 1-1 ARO St Le , Zip $3(r(. Phone # 3(po-Li1q - o t `is
3 It septic Is located on project site, Include records.
Conned to Septic?�C Public Water Supply X_WON
Conned to Sewer System? Name of System
(if residential, proof of potable water is required)
'4 r"I No.l 3 d- S b - 0 0 0 o Y
I Description L p 3 "0 A a c:: ,Q.3 Q E42u r co u
2G.rGt L/ CDV E -g-) La+-4-
5 Building Square Foote //
1st FI ( O 't O 2nd FI 3rd Fl Loft Basement
# Bedrooms Z * bathrooms /Z Deck Other
Garage Carport (Circle: Attached or Detached?)
6 Use of building $ r P EnJ'r"J AL Describe work
Type of Job: New )C Add Alt Repair Other
8 MOBILE/MANUFACTURED H M NFORMATION
Model Year J!&Z..� Mak 0 1
Length tL�Width / la
#Bedrooms Y # Bathrooms Type of Heat
Purchase Price $ �, Z-Q, gr
3 Indicate by circling the applicable source if any water Is on or adjacent to subject property:
River Pond Creek Stream Wetland hake Marsh Saltwater Seasonal Runoff Other
07/24/1997 09:34 3604791050 BUY RITE HOPQES
Show following on the oft plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
water Lines Topogimphy
Drainage Plan Wells
Septic Systems Eesemwft
Proposed Improvements Indicate Directional by IN, S, E, W)
Name of Side Street in relation to plot plan
Name of Fronting Street
rAPPLICANT TO DRAW SITE PLAN BELOW
°_7
1i/ xGl; I
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
0IV
,
a
� o o°
07/24/1997 09: 34 3604791050 buy Kllt HUPIt'_, ra;ut U4
Plurnt?inq Futures ($3,�eagh) F&B Mechanical Fixtures (S6.75—yQ0W
No. Z l oilets CIRCLE FUEL TYPE Ge , Ele t i
Bath Basins Heatpump, Other____
-,_Bath Tubs Q.II1-1 Fees
Showers
! Furn S 3, a BTU
1 Hot Water Htr Heatpumps
1 Laundry Washer _ Vent Systems
Sinks Spot Vent Fans
Floor Drains Ng, Boilers/Compressors
Laundry Basins _ I-IP
I dishwasher Ng, Air Handling Units
Disposal cfm#
Urinals RQ, Fire Protection Svstema
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp, Sys 50.00
Permit Basic Fee 1615 _ Auto Fire Sprink Sys 3S.00
TOTAL PLUMBING $ Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN in DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75
WORK IS SUSPENDED OR ABANDONED FORA PERIOD
OF 100 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED, PROOF OF CONTINUATION OF WORK 18 ISY
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 AWAKE OF THE MASON COUNTY AM AWARE OFTHE 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 SHALLSE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY 6 ) 'ice!`-�S S �-I� Z u..�..�Q.►.�-�
DATE DATE ! S 17
FOR OFFICIAL USJ + 'A
07/24/1997 09:34 3604791050 BUY RITE HOMES PAGE 05
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
[Approved Cond. Hold
Approval
Planning: 4 1111'
Envl o nt I a
g-�-�
Lv=
UiTdtfig-Plan Review � �V�-�`' � o _..
Occupancy Group: Type of Const:
Fire Marshal:
l -
Other:
Special Conditions: -FEES— -
BUDding Permit
Plan Check
PWbing Fee —Mechanical Fee
Wood/Qaa/Pellet Stove
Violation Fee _--
Sfte Inspection
&Mdtng State Fee
Other
Other D
Other
Building Valuation: TAL FEE �J • �-