HomeMy WebLinkAboutBLD2003-01156 Final on Expired Permit - BLD Inspections - 8/15/2003 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
0014 Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2003-01156 �
OWNER: DOUGLAS RAY RECEIVED: 8/15/2003
CONTRACTOR: LICENSE: EXP: ISSUED: 8/15/2003
SITE ADDRESS: 100 NE LARSON BLVD BELFAIR
EXPIRES: 2/15/2004
PARCEL NUMBER. 954-®0009
LEGAL DESCRIPTION: BEARDS COVE DIV 8 LOT: 9 991 NE LARSON BLVD BELFAIR
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FINAL ON EXPIRED PERMIT TURN LEFT OFF OF SANDHILL RD ONTO LARSON BLVD APPROX 1 MILE
ON LEFT
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: MH Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Final Expired Permit KS 8/15/2003 $56.80 S12003
Total $56.80
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BLD2003-01156 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2003-01156
CONDITIONS FOR
BLD2003-01156
This permit becomes null and void if work orconstruction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at any time after work is
commenced. Evidence of oontinuatioaof work is a rogress insp tion within the 180 day period. Final inspection must be approved before building can be occupied.
OWNERORAGENT: 4' DATE:
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BLD2003-01156 Please refer to the following pages for conditions of this permit. 2 of 2
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o CONCRETE MECHANICAL MANUFACTUREF HOME
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1^1 Footings I Setbacks Date By Ribbons
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Date By Gas Piping Date By
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rn Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / 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 By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By ttr �a.m N Date By
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RE r ^ T-) MASON COUNTY MIS
AUG i 20UPRE-INSPECTION APPLICATION
W. CEDeR '16 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
426 "$5I.go 30 Fee Required prior to inspection
PLEASE PRINT
#1 Owner Q .+ Sir. Phone#
Site Address Q V 51 City -R:rI�:_(J
Mail Address
City e St uO(Q . Zip
Applicant Ste. Phone# ,31_0-2
Applicant Address IJ C t of ( Q 1�
City l�,P ll(_7 a�V St L,, cZ Zip <')9 S L2::
#2 Parcel No. - - On
Legal Description -C ' Y' v e— "v � �7`�l `
#3 Purpose of Pre-Inspection ®Y Y l'y�o► t Yt S(2f,-- yl
#4 Use of building �t Y `^�'re \\ e sl C �'Y-c C..
#5 Indicate by circling the applicable source if any water is on or adjacent to subject property:
saltwater lake creek stream marsh river pond wetland seasonal runoff other
Directions to Site: ,v o D � _10' aly, VN M sa
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
Applicant Signature Date___ "�I��
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FOR OFFICIAL USE ONLY: Accepted by: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal•
Special Conditions