HomeMy WebLinkAboutBLD94-00112 Cancelled Mobile Home - BLD Permit / Conditions - 11/4/1997 MASON COUNTY PERMIT
Mason County Bldg. 111 426 W. Cedar NULL & VOID BY EXPf- Aflam
P.O. Box 186 Shelton, Washington 98584 DATE ff- L-f By _Z611
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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 �- r /L y
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork Attic
I date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
612
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670 —
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
Re: Permit No. .
Dear—mg .
As per your recent re uest, this office has noted the above
permit for extension to real-lest,
41 1995 . In order to
keep your permit valid, you must all for inspection prior to this
date. In the event that you do not call for inspection, the Uniform
Building Code allows for jurisdictions to require the renewal of
building permits . Depending on the length of time of expiration,
there are two methods used. If the permit is expired by less than
one year, renewal may be obtained by paying half of the original
building permit fee at the discretion of the building official and
if the permit is expired by more than one year, the jurisdiction
can require that the permit actually be processed as a new permit
with routing to all required departments .
If you should have any further questions regarding the
validity of permits, please contact the Building Department at
(206) 427-9670, Monday-Friday between the hours of 8 : 00am and
5 : 00pm.
Sincerely,
Mason Coun Buil g Dep tment
cc : Property File
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg.III 426 W.Cedar
P.O.Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
Re: Permit No. :
Dear
As per your recent re est, this office has noted the above
permit for extension to lv 1996 . In order to
keep your permit valid, you must call for nspection prior to this
date. In the event that you do not call for inspection, the Uniform
Building Code allows for jurisdictions to require the renewal of
building permits . Depending on the length of time of expiration,
there are two methods used. If the permit is expired by less than
one year, renewal may be obtained by paying half of the original
building permit fee at the discretion of the building official and
if the permit is expired by more than one year, the jurisdiction
can require that the 'permit actually be processed as a new permit
with routing to all required departments.
If you should have any further questions regarding the
validity of permits, please contact the Building Department at
(360) 427-9670, Monday-Friday between the hours of 8 : 00am and
5 : 00pm.
2Sincereln County uil ing Department
cc: Property File
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Page No. 1 CASE HISTORY FOR CASE NO.: BLD94-0112
DENNIS SHRIVER
E51 ANGUS CT SHELTON
05/28/96
Action Description Req/ Schd/ End/ Action Notes
Code Sent Done Done Disp By Update Upd
------- ------------------------------ -------- --------
Date By
----------------------------- ---- --- -------- ---
BLDA010 Application received / / / / 02/01/94
03/23/94 TMJ
BLDA100 Approved For Issuance / / / / 02/07/94
DONE CPH 02/07/94 CPH
BLDA500 (F) Issue building permit / / / / 02/14/94
DONE NJP 02/14/94 NJP
BLDA940 RLC Checklist Completed / / / / / /
02/01/94 KW
BLDB110 Structural Plan Review 02/03/94 / / 02/03/94
BLDB129 Sent to PlanningDONE RL 02/0 RDL
/ / / / 02/01/94 02/O1/94/94 KW
BLDB130 Planning Review 02/01/94 / / 02/03/94
DONE GBM 03/23/94 TMJ
BLDB135 Addressing / / 02/03/94
BLDB200 Environmental Health Review 02/03/94 DONE GMM 02/0 GM/ / 02/04/94 SEPTIC SYSTEM FOR LOT 159 (PRIMARY AND DONE CAJ 02/044/94/94 CAJ
RESERVE AREA) IS ON LOT 165
SEE CONDITIONS:
BLDB210 Water Adequacy 02/04/94 / / 02/04/94 Lake Limerick
DONE CAJ 02/04/94 CAJ
BLDC200 MH Setup inspection 08/08/94 / / 08/08/94
PASS RL O8/09/94 RDL
BLDC210 MH Final inspection 04/03/95 / / 04/05/95 1.Submit for permit in 2 decks that are FAIL DPB 04/05/95 DPB
going to be built.
2-Ensure temt steps at all exits.
SD OK--------Temp occupancy 90 days
(update insp) .
BLDC250 Permit Extension 11/04/94 05/04/95 / / permit extended from nov 4, 1994 to may EXTD CKR 11/07/94 TDH
4, 1995
BLDC250 Permit Extension 08/02/95 11/02/95 08/08/95 injury prevented finish work. Needs 90 EXTD TLG O8/08/95 TLG
days to complete stairs
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�V1TH FALL 1`1t)l Fa.r, �`.� QF THfG 3 t 1 owNERti It
r L 1 p0"O f�,1 P , HEREBY DEC
�Y THE ST(1 T l �F .�vr�g►tTryoTet-,,• �jRor� �tRE ! OF THE PurI
T -TO. OF?- r� L'.,'J \ \ ,PS!� l:F UN L '' * p,g - - �` 1. I 1 I t �' �� 1►�t0 EASEN
1F.A�Vt FL iNf ,t. :, iN FRONT / fi SHOWN Ot
ALL PU00C
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cv F?+ C.£Vk7"-ICD CO1 Y OF THE LOTS AMU 6, g>=CT10 )FEN PATC; C1N
:EY 'THEFZEOF 01v t't1.E 1N Tf{FAMGE 3WFST. 1Yv �.4• T-W.N:�N1F• ?_ 2NC>i�^c}I. F L1. UF'GI�
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FvC�lt�. , t �1_L F'UL�L1C �ON tG':�tDi. 'Ji.ACrt_
�G r° 1
BUILDING PERMIT #
- /DATE C47 v
,V D �\
Planner Area
�C/-/
CHECKLIST FOR PROPOSED CONSTRUCTION
s No
n
Within 200 FT of designated shoreline, wetland, or
associated wetland
Where? j CIA
[ [ 7 Proposed construction on/over/in wetland
l �[ 7 roposed construction within floodplain .�
agle nest
14 7� 7 State road access needed
[ 7 [ ] Commercial Development (parking standards, sign
ordinance, public works review, other applicable
agencies)
[ ] [ ] Mobile Home or RV Park
[ ] [ ] Exempt from building permit application
[ 7 [ ] Exempt from SEPA process (WAC 197-11-305, WAC 197-11-800)
[ l [ l Meets all requirements (which section (s) of SMP does
proposed construction pertain to?)
[ 7 I ] Variance or Conditional Use Permit required
[ ] [ ] Exempt from Shoreline Substantial Development Permit
process (Wac 173-14-040)
I ] [ ] Exempt from Substantial Development, but within Army
Corp_ jurisdiction (WAC 173 -14-115)
I J I ] - Address needed
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
C C
Re: Permit No. :
Dear,._m�( ���\3��
As per your recent request, this office has noted the above
permit for extension to -request,
4 , 1995 . In order to
keep your permit valid, you mustc�all for inspection prior to this
date. In the event that you do not call for inspection, the Uniform
Building Code allows for jurisdictions to require the renewal of
building permits . Depending on the length of time of expiration,
there are two methods used. If the permit is expired by less than
one year, renewal may be obtained by paying half of the original
building permit fee at the discretion of the building official and
if the permit is expired by more than one year, the jurisdiction
can require that the permit actually be processed as a new permit
with routing to all required departments .
If you should have any further questions regarding the
validity of permits, please contact the Building Department at
(206) 427-9670, Monday-Friday between the hours of 8 : 00am and
5 : 00pm.
Sincerely,
Mason Coun Buil i g Dep tment
cc: Property File
�'1
GARY YANDO,DIRECTOR
SON.STAyj O
sU �, DEPARTMENT OF COMMUNITY DEVELOPMENT
N = PLANNING -SOLID WASTE-UTILITIES
N Y y BLDG. I • 411 N. 5TH ST. • P.O. BOX 578
SHELTON,WA 98584 • (360) 427-9670
1864
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES,AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
Board's Order of
by the Growth Management Hearings September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action,or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting
actions'),which damages are attnbutable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
IXD/A
Da (Parcel No. or Legal Description)
Property owner's signature(Notarized) `sa�vq
(or the County may accept the signature of the owner's authorized agent upon props >�8ut > ation)
If
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) It N9; USLIC
4
STATE OF w �� S\••••••• /
���WAS1-11t �
COUNTY OF ( �
On this C)4 day of _, in the year_,before me A I n o Notary Public,
personally appeared 12.D r A So-n1, ,e t personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal. -For County use only-
Reviewed by applicant on
-T V�, , L. , I ate
Notary's signature Staff Initial:
My Commission Expires:
1 NIN
BATHTUB
LAKE
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JOINS PANEL 0200
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
#1 Owner 91 ,C41A11Si1gT1'1,f_ _5r/E Phone#_�6^//S 7360
Site Address Fire District#
City Tv Al St Gt/,¢ Zip
Directions to Job Site 17 - _3- 0/3,
Owner Mailing Address d X L�
City `l L k- 0 CA 54-- ZR-
Lien/Title HolderC S Kt
Address PO o X to /
#2 Contractor NameZMA.JL[`1/�&ES �LL�iI�:.N�^/y S/ Mi i hiC. � Contractor Reg 47z�OD` o
Address Ra, 13ax G/ Expiration Date V /_V/?6
City t. V1 vim St g/4 Zip 17'9'S9�P_ Phone#y169 rlir
N ;L
#3 If septic is located on project site, include records.
Connect to Septic?_YAq_S__Public Water Supply Well�t/�A
Connect to Sewer System?_Ae(L Name of System &1�
(If residential, proof of potable water is required) o �;EG�/Z p j,�,,c) t ir/VAf $o v Cc,clA.,,- '
#4 Parcel No. I -� 1 - 5 - /S �1 ►r
Legal Description ��,- AO-,(.:,, �c-7� /S� C!�.2/ -T;�� �3
#5 Building Square Footage: (existing/proposed)
1st FALPO / 2nd FI / 3rd FI / Loft g^7
Basement / Deck / #bedrooms / firQoms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq.ft.
#6 Use of building e1< 0_z ti= �&cribe r
3 9 >;
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATI '7a/,y_ (D
�Model Year MakeA �llodel -AO
Length L i?r Width /�Y ' Serial No. H006,59
# Bedrooms _#Bathrooms_Type of Heat AL�T/7/C.
Purchase Price $ , 7/
#9 Indicate by circ!l!'Dgthe applicable source if any water is on or adjacent to subject property:
River Pond ree ream Wetland Lake Marsh Sal ater 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 2
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
YCF
A r,461-10D
SKEtc y
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
yel
4f-7" -CH,C"U
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
r � s Heatpump, Other
( Bath Tubs No. Units Fees
_Showers f' Furn BTU
J—Hot Water Htr _ Heatpumps
Laundry Washer _ Vent Systems
Sinks ! Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins HP
Dishwasher No. Air Handling Units
cfm#
9�}rrrrats— . 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
x' •f A, 1-003
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 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 SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING LOVAL FROM THE BUILDING
THE BUI G PA EN DEPAR ENT.
X OWNE X BY S
DATE —� DATE I Inn ')
LFOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: Z
Environmental Health:xntz-
���, [?-�►-� irrr . ?Ubi� c�?—
\ (td
C22 210-r- /kS
Building Plan Review
1
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
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 o if,5