HomeMy WebLinkAboutBLD2016-00550 MFG Home - BLD Inspections - 10/21/2024 INSPECTION CARD
Mason County
615 W. Alder St.
Building 8, Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
PERMIT# BLD2016-00550 PROJECT ADDRESS 41 E CLAY RD SHELTON, WA 98584
PARCEL# 220055200011 PROJECT DESCRIPTION NEW MFG HOME (FINAL ONLY)
OWNER ADDRESS PHONE
CONTRACTOR ADDRESS PHONE
CONTRACTOR LICENSE LENDER
INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments
Mobile Strip Footing �, 13-16 Lef c E e Final Inspection/Expired Permit t1EC. /Q►z(—
Mobile Home Set Up r4- ( (p-�j_Z�{ D CC- uE .4 W
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INSPECTION RESULTS Page
MASON COUNTY INSPECTION
of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584
Peimrt Assistance centei,Building,Planning (360) 427-9670 ext. 352
Application# BLD2016-00550 Application Type NEW SINGLE FAMILY Owner
RESIDENCE
Parcel # 220055200011 Site Address 41 E CLAY RD SHELTON, WA 98584
Ins actor.... ., s action T DatQ_ Statu Comments
10-09-24 DEC
FINAL INSPECTION/ EXPIRED INSULATE ALL EXPOSED WATERLINES UNDER STRUCTURE
Drew Carlson PERMIT 10/09/2024 FAIL EMAIL PICTURE AND INCLUDE PERMIT# NAME ON PERMIT ADDRESS
DREWC@MASONCOUNTYWA.GOV
PROJECT WILL FINAL WHEN I CONFIRM RECEIPT OF EMAIL
14 s c�`"r%'"';, MASON COUNTY PERMIT NO.
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext-352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
BUILDING PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:11>4,K Wv o 11 i C row NAME: 9-L'.Ka Cow4ru 4i d].t Lie-
MAILING ADDRESS:-2-1 1I C- ph.IIrp Uakc Ld-P MAILING ADDRESS: 1 E f k;111ps L.a'Cr-Lawp
CITY: Sh e-1 Iv-m STATE: CA ZIP: QBS$4- CITY: j!->M e JJ-y-A STATE:W_ZIP: 9B SL4
PHONE-36o-426-42'Z.1 CELL-360- So?-l4gZ PHONE:31oo 42-(e-4271 CELL:3Lo-SJ1-149Z
EMAIL: EMAIL : F>-I:vi Gc o N S+-a Nit s H•c o-H"
L&I REG#B Ll t4EC, o3 o w7 EXP.-3-4-8/Aa
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 2 Z O Qj,$- G Z -OfO 25 1l FIRE DISTRICT S
LEGAL DESCRIPTION(AR$RF V+*WQ)
SITE ADDRESS G - -- —- . CITY 5 6><c 1-t-a x
DIRECTIONS TO SIT' AD'DRESS -F c k�✓i N - P L o`tjC� Loo
-tom :( La Ise Loo
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO
TYPE OF JOB: NEW X ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) ►^t 6 CJ eG L-
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS 7
DESCRIBE WORK____?(ac ewe .H OE u Se AM o f zlS I4 0W e
SQUARE FOOTAGE:
I ST FLOOR IS" sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. ATTACHED ❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED ❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN
MAKE S u H M v 6:IL U am es MODEL YEAR 1981. LENGTH -4-9-
WIDTH 2S BEDROOMS 3 BATHS 2 SERIAL NUMBER
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative,or contractor. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary
parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for
review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WIyL INVALIDATE THE APPLICATION.
X Lo- I L�
Signature of Applicant Date
x OWNER/ REPRESENTATIVE/CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED. DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL