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HomeMy WebLinkAboutBLD94-01192 Final Mobile Home - BLD Permit / Conditions - 9/23/1994 1 MASON COUNTY : R Mason County Bldg. III 426 W, Cedar ' P.O. Box 186 Shelton, Washington 98584 1 7 A 1 N M 1 ./ A 1111II It .} If :1 r 0.4 M 7 t Rt094--1. 19? 1" r0,1 t I. - i,' I .• ! 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H I41000 im i4 }i1fiFl IIN11 4A MI ' t I,I M 1 1 x I IIk 0 6 A 11{I 11 F { 49 � •_��a+�.•�=�:z� .�-max.-.������:�-..T-z-:�.��4,� _n•�-•--��:_•,��-.�r:�-��:-.-:�• ��.��-�. _-,:,�,- �.�<:��-�-���-�<�- VROJFri OFS011,Ili1N NOBiI.F NON} VRO.}FCI LOCATION, 11►RN 91641 ON DARINONR DRIVI AT tAtt I.IMFRttt 51oNf fAtlNtl DARINORR lu + I+l 1•'4 ,ti,d {N t1111u IRIS fERN11 $110111' 411111 AMPVtllt 11 U{}Rl 0 iOOS1611C11ON 11101RORI?lD IS NG1 1:O01111`111011 WIININ I1�4 UA'i'�. Oli 11 + nNSI£Ilill°II! OFIlg �1 Bi 1'. `.11' + dll+tlt [flyi,y t'IPI++II Of I84 DAYS At ANY HIf AFifR WARY, IS rONNkNtkR tVIDENCE NF tf}NICNUAIIRN Al' WART 1 • A I0.':fJCii1lN UfININ fill 140 t'Al Hl 1(111 liNill I! Jtl'itab Nil .t k{ APPRAVEb BFfORt b+111D1Nb CAN BF OCt"Fil'o. OWNER 0R ttA I t \ , t Ot0 FIN1, rev: V'1011?1 COMPt LANCE. TU AI 1ACIltU CONt1I1ION% IS, R1FQ4JIltt-D v — — ------ CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date zj" Gas Piping date b Foundation Wall9V date by Set Up qt� date by INSULATION date — —— !7r by c (� 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 Q V_ q —2J�L�f P--(, Jdate by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 All f i ) ! it 1!'"G. IIAi1+I 1 i lira illi(t I i rfi4�j,�t.�•. i i! ,. . , fit ;i .> 1111 ii i iliI IIII l z , r 'il,';li�f:! 4 1 ! ,r`I t IIfJ { f !It'hi 1!111 1 I1 i P.I1, i fldlf .I i i flfd ?+�)'� i 1� ) +Ii�llr •,t r 1 I +Yk'1 I �� :, i i ! � 1�11! 1;i1•,!i r`tf1'I- rvi 1+ rdllhfltl Ii'� (11' fllllil:l '-,',i ��• 1'h !,�_l ; til 1, f N ,+Il ii !1 I',1'� I 1 i 'It�1 ��• I I' P;f ! 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Box 186 Shelton, Washington 98584 �, �� t ,�+�1 i ��,� � E. ;,. �t� t I ,i �., � � finis I •1, �� r �i�i• ; � i,;, t I ,i � rani � i ,rr i � �� � ... •;i j�� r�� � i � r, .���.,f ;!; i ��i+ { „�if i ���i „r ,l i I li.t � I�, 1 „ � ��;,� � -, , i f � ,. i�� i ' 1'f . �� yin a,��l i •�fi l l •l i ii i }�� I-ia r .�,�. � , . i �� ! i�t i �i . l ,t l l „ 1 .,ii i1t e E [ ! i� !i ',(I a �I�II ! �. i t 4 ! i;tt t i i t f�. �, j , 111 ;i f i'f`" t f + :is i,�i�i; ! i i, 1'i�i „i•.', if/ItiP''f { ! l !� i i11. . �� i Ei � � , Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT q #1 Owner 8 (,JS-< T e Phone#� 0 2 eq / Site Address Fire District# City St i Zip Directi nQ ys to Job Site orw L Owner Mailing Address City e,L- St� Zip Lien/Title Holder Address Clty /y St Zip #2 Contractor Name n >r' f Contractor Reg# Address Expiration Date City St zip Phone# #3 If septic is located on project site, include records. Connect to Septic? / Public Water SupplyzWell Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. 2 a2 -�' - D©» Legal Description #5 Building Square Footage: (existing/proposed) 1st FI/,,?44 / 2nd FI / 3rd FI / Loft / Basement / Deck Z '#bedrooms_3 #bathrooms_ / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / c #6 Use of building G` Describe work #7 Type of Job: New Add Alt Repair Other � ) #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Wel X15bAce Length Width_- Serial No.`:�r #Bedrooms _# Bathrooms Type of Heat gt f- A.Ce Purchase Price $p2 c>0 #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 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 APPLICANT TO DRAW SITE PLAN BELOW (APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW CU�rA I ���� Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each No.I,— Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees 2 Showers Furn BTU C Hot Water Htr Heatpumps Laundry Washer Vent Systems ,3 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. DEPARTMENT. X OWNER�� a-�''" "�— X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold 1 Approval Planning: U�+) Environmental Health: Building Plan Review M jD r(-S Oo,5T f Iz�p, Intl L 9 A/.Di Al6 S- (JJ Occupancy Group: !Z=3 Type of Const: 56) Fire Marshal: Other: Special Conditions: U Mf\/S 5,4&r7/vW FEES o /2 &-c1t iS geAm Building Permit i,5 &OaO r—oR- /19b[3i-E= A!61VE Plan Check ti Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE 1 I � f if !� ,