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HomeMy WebLinkAboutBLD94-01023 Cancelled Mobile Home Replacement - BLD Permit / Conditions - 1/24/1995 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 ------------- CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons\ i date by Gas Piping date b e-- 6 -( b p1_C-- Foundation Walls date by Set Up p date by INSULATION date L)K O` bys�� W L BG/SLAB Insulation Final _ date by doers by date 3— Z�7 by u �� 1 C 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 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I I I iq r (I � (Ifff 11� 1 ,11; t I I I'm -,IIItlt hill tit ,!I 1 " (III,ifili 'l-i l fwv - 1 ,111,11 !141 +- 1, ifl.i � ijo . I t -i I I ;%11y )I t ;-il- illem :W, - itlw- 1 1- jwl fill t > -I lf�t , I wd -I tali I I 'l ) �I,j [-I mi .,pt. I -irif twi . '411v f,t !- I, 1 "t (I 'l p ) I fitj , I ! I 1 !I(j I11,11t 1 Pi I It 111 M4 1 MASON COUNTY DEPARTMENT of GENERAL SERVICES _ Nnson 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. . �9�—�QaJ f. Dear As per your recent r quest thi office has noted the above permit for extension to 1995 . In order to keep your permit valid, ou must 11 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 Count Building Department cc: Property File �, ©f�eC P"QJ ----- lAob CA _ n7Frc�h 10 vi� �A; s Or had T:�- h � r,� o( 1 1 s c.4iDWI n D ( /'YOU Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-562 PLEASE PRINT '"y #1 3n D 7 Phone#�y(o- V�� 7J� e Address V Fire District# City 3A, i, St Cal a- Zip Directions to Job Site cz o A 4w Owner Mailing Address __S�a f cr s U City St Zip Lien/Title Holder Address City St zip #2 Contractor Name r Contractor Reg # Address Expiration Date City St Zip Phone # #3 If septic is located on project site, include records. Connect to Septic?_,�,-_ Public Water Supply X Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) �G V #4 No., �� i - J a - 00/9/ regaiDescriptionl w 1 o+ !c' sF #5 Building Square Footage: (existing/proposed) 1st FI 2:f6 //?-5-0 2nd FI / 3rd FI �t&ns Basement / Deck / /7� #bedrooms / # �_/ Garage / Carport / ZW (Circle: ache r Detached?) Other �ct< sq. #6 Use of building o� -� ��kk rlj�w Describe work,,time pnn l-!3rncrS #7 Type of Job- New Add Alt Repair Other r•.e < p �o/ i�l.... 14J, #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Mak%1 Model 'd Length Width Serial No. # Bedrooms - _ # Bathrooms Z Type of Heat Purchase Price $ ?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 S / ?N AdC S P'cc f 0 r0 n o I ` y 9 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW / Jl/ -CO. O G Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU 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 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 wv.�C-l��% -s`- ��� X BY DATE � - � t `l �� DATE [FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review jMrl LAr4prnlC—S _ AFC h-CS . OOOS -SS t" 1gop9t � w Occupancy Group: R-3 Type of Const: S N 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 �0 ,9-6