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HomeMy WebLinkAboutMIS93-00169 Cancelled Mobile Home Storage Only - MIS Permit / Conditions - 11/8/1993 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I C E L t_ ^ N U C) u : ; #-1 i-. "� M I i 14IS93-0169 ;'rtK+ i t I ,' s ; t .' td i t'I r[ I i AI'i-'i I.",AN t PENNY NANkE 1 0 H H 4 01401 k PENNY HANKF 27S 0089 1 t 6 A I 1k 16 1F f<YY( lttt 11 1 1t St 111l1 tS 44143-S ht�tl.lt + 1 I�i `,I.t; 11' 's ► 1�h4 MOBILE: HOME 5 1 ORAGE ONLY !'ia11.11 1 1 1 i1+ A i 1 1)[4 3 MILE WEST FROM HLt VA)k ON HY14 300 . I t-'K t R I-6111 UN f i1 ( 1 NSON 1 Akt-. R11 1 11R a MI I t I III?N R I i I I I N UNIE) MONNAZA RO €IR 1 HE ltt_ . t.4i't r[1q+jifly I ic`r t+111 I' 1:f + f 1 f' 1 ' i [+ Il�i i +:x b14i i�i�lr•1t t: nr rtiri rd i 1+f) 1 t Ml5 PFRI . rev, C11MPI I ANCE 111 A I 1 ACtit 1) CIINI) I I I oNs I REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by Foundiltion 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 I I `I I ---------------------------- - MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 tku 14 Mis petmit is ! or lh- qLoraqP 00 , " f a Mobil " hoMo lhio "nj I. i i -d at, any time or hdvp ony ulkl [ vie4 C""nPrEpd lhin P-Vmir is -alid 1 "I a P"11 "d " I hi4ty ( 601 days from Lho twome dato . It Lhv movilp home 60k Mart" Ispirried Priol I " J""P 14 - 1.91A , labor and lurd"sLire m"sL pwitorm an " I I PrAt I o"! I its 40 1 " I y I "qppc 1- ; on the "w"Or has 60 days to comply wiLh the torrentio"4 wd-tvd by labor ""0 ind ob, a i n ocu"Pniricy appr "Val Irom the moson County tiff ildi "ci 11-voilmy"I it We wil Sig' k"Is dou- ""i meet complin"Co with lvla-ort Uounly Ryti" lavi "ttv or oppmilm-" ' - j l "bot n"d wd"-mw; 0,uqjolaLjonq pwLailtinq Lo mobile howow wiLhin 1ho oo dayn Limo I rAw- lh- n"""l In, rewponsibly for AP vortio"ai ni thp mobolp horn" out of may"" 10"" iv In "dwilvion it, vh' q1ruct"le iG PlAced in 0 MAnnOr Wal. I " in -iWAVinif 01 any 10""fy kvq" lmiloun "I Ordinances . it uill by ihv opplironbs linhility I " -"rj �pl q"vh &" J "Cl Vo IN, "mristotlion ol Ma"o" to"nVy Permit No. ' MASON } l.wY BUILDINCwPERMITAMWICATION 426 W. Cedar/P.O. Box 186, Shelton, W A 9858 427-9670/1-800-562-5628 PLEASE PRINT Y\ l--� 0�-' _ Phone #1 Owner .� � �� . �0 ,/��Zig � Fire District# Z-- Site Address St—W11-1- Zip 9 9-S Z City —� � It yn.-;� l��' ��i,�`/�`' �_ , �.i .�`.•�'1`� .:��©L Directions to Job Site 7 Z,��''�� fit' �/ T C 7-0 Owner Mailing Address En � f \ t 1 , St Ind Z City iP Lien/Title Holder G c Address � w� C� � `v ,� �� �' {. St t' l�l ley—Zip City (� `'` r � C,+C1 UJ �'1 e ,/� (� Oi c-t Contractor Reg# #2 Contractor Name Address Expiration Date / / St Zip Phone # City #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well —� Connect to Sewer Sy tem? .44 Name of Syste (If residential, proof of potable water is required) #4 Parcel No.JZ3.?—/- �' Od / Legal Description D # S / #5 Building Square Footage: (existing/proposed) Loft / 1 st FI / 2nd FI / 3rd FI / #bedrooms / #bathrooms / Basement / Deck / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / Describe work #6 Use of building #7 Type of Job: New Add_Alt Repair Other- 9 rC4 #8 MOBILE/MAN FACTURED HOME INFr)P^"^T''�P � �� J i i ✓1 V'^O Model Year Maki Length_Width_Serial No — r # Bedrooms L # Bathrooms Type of Heat-,J.P C,f r'L ( �I Purchase Price$_03,4q ' 1S #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 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 Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan FAPPLICANT TO DRAW SITE PLAN BELOW l 1 Vnj 'DPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Gf/ao /S •Plu_mbing Fixtures ($3 each) Fee Mechanical Fixture ( 6 achj No.A_ W �, 4LE FUEL TYPE: Gas, lecc! s > Hea pump, Other y ' urn BTUi;;' Htr _� _ Heat um s df� ' P P ,asher VAi Systems _Sinks \ — Spot Vent Fans —Floor Drains I '-*\NQ B it r m r —Laundry Basi Dishwasher �J No. Air H n lin' n' _D!SOosal j. cfm# ' Urinals jrNo. F Pr i m —O.....y Q Auto. Fire arm $ys 50.00 Fixed F' Supp. Sys 50.00 Permit Basic Fee •00 — Auto F' Sprink Sys; 25.00 TOTAL PLUMBING $ N2 h ' w G Outlets t. ood, Gas, Pellet Stove FNOTICE: IS PERMIT BECOMES NULL AND VOID IF ONSTRUCTION AUTHORIZED IS NOT COM-THIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 SPENDED OR ABANDONED FOR A PERIOD 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. IRCW WNERS AFFIDAVIT F,,CA NTRACTORS AFFIDAVIT CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- ERTIFY THAT I AM A CURRENTLY REGISTERED ENTS OF THE CONTRACTORS REGISTRATION LAW NTRACTOR IN THE STATE OF WASHINGTON AND I 18.27, AND AM AWARE OF THE MASON COUNTY AWAREOFTHEORDINANCEREQUIREMENTSREGU-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 FHE BUILDING—DEPARTMENT. DEPARTM!�- ( OWNER .sz�i�-� ' P, a X BY U1 a tn _C A tl a )ATE ( I j DATE 93 � R(:�FI"ICIAL USE ONLY Aecepteci by Date "'" 4 DEPARTMENTAL REVIEW FOR OFFICE USE ONLY "{ ApprovedCond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: FEES Special Conditions: 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