HomeMy WebLinkAboutBLD92-00628 Final Mobile Home - BLD Permit / Conditions - 7/20/1994 -A MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
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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 by
BG/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
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date,ot �. (2 date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
APPLICANT TO DRAW SITE PLAN 3ELOW
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NOTICE : THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COb24—ENCED WITHIN 180 DAYS , OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
D IS COMMENCE
OWNERS AFFIDAVIT CONTRACT ORS AF FIDAV-17
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. /� DEPARTMENT.
X OWNER y1�+/u« X BY
DATE rig.—%Z DATE'
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, DMA 98584 427-9670/1-800-562-5628
FOR OFFICIAL USE ONLY: Accepted by: - Date: ( C
DEPARTMT,NTAL REVIEW
FOR OFFICE USE ONLY
Approved Cad Hold
Approval
Planning:
Environmental. Health: < c
Building Plan Review:
Fire Marshall :
Other:
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E C F
July 11, 1994 JUL I 19b4 rY.
rENERAL SERVICES
Mr. Rob Lum
Mason County Bldg. III
426 West Cedar
Shelton, WA 98584
Dear Mr. Lum:
Last fall you gave me a temporary occupancy permit for E. 151
Sleaford Road, contingent upon correcting the violation of the code
in regards to the railing on the back porch.
I had planned to replace the porch with a larger deck, however,
circumstances have changed, so I removed the railing as directed by
you to meet code specifications.
I would appreciate a final inspection on the porch at your
convenience. I seem to have misplaced the "red permit" that you
signed. If this is a problem for final buyoff, please let me know.
Thank you for your consideration.
Sincerely,
A06� z,-,
-C
Andrew M. Firard
P.O. Box 1563
Shelton, WA 98584
(206) 426-9246
the
mason county
assessor
Darryl Cleo &nd
Dear
We have received a copy of' the tax certificate for movement of your
mobile home . In order that we may accurately value your mobile
home . please complete the questions below and return this form to
our office by
This information is imperative to prevent a possible double
assessment on your mobile home .
MOBILE HOME DATA LENGTH (G w WIDTH / -
MODEL
MAKE L'HRf" PtoN MODEL S6Q00 )A YEAR / 2
MOBILE HOME LOCATION INFORMATION SERIAL : 16693SsS60
A. My privately owned land yes no
OR
B . If rented or leased land who from? NAME
ADDRESS CITY STATE
C. Real Property Parcel ! --7 —0002-3 ( from tax
statement of new location )
0 . Mailing name and address for owner of mobile home
NAME _14 iJJNi n1 i- r�"-�
ADDRESS P0C> SHE/---r0&) CITY 3 STATE �C I} -CYIA'4 7'Vt
E . Location address of mobile home CityS�lcl,7y�
F . Date mobile home was placed on present site
G. Purchase Pricep130DD- 00 + - IC- 1U�6' L5
0ATE -- 12 — '12 SIGNATURE 4e1n4-,C,)
TYPE OR PRINT NAME AAJbQC 0 M - (Z j AJ A ieA
TELEPHONE NUMBER 1./-26 --92-
MASON Comm
BUILDING PERMIT APPLICATION
PLEASE PRINT
#1 Owner-}_�1-' �; rv' A - Phone# _)4-Z 6 -- 92 h4 6
Site Address 0/5 1S<<.yi=a s;1> Ci ty S�tT��✓ StZip �'
Owner Address Pot-, L 3 Ci ty S ric o iJ St& r Zip qq
Lien/Title Holder gr,nV�,,4 /4: M, Wt c N
Address P c 6 4 3 7 Ci T��ti `" St w',+Zip _Sz
Describe Work 1 s;A�-� icig6 ('illjmp 00' 4V-,b6 I .ILTOf3/ZZ L/6'7
#2 Contractor Name Contractor Reg#
Address Expiration date / /
City St Zip Phone
#3 If septic is located on project site, include recor
Connect to Septic? Public Water Supply Well
#4 Parcel No.-3- 12_7 OOc)z"3
Legal Description k c - -2-z /-t}h .0 lly cip\ r c l<
#5 Building Square Footage: (exis tiag ro osed)
1st Fl R.Z4--/ 2nd Fl 1 3rd F1 / Loft /
Basement / Deck/C x /#.Z Garage / Carport /
#bedrooms 3 / #bathrooms '2- /
Other sq ft /
#6 Use of building j�(F s )Dt r i A 1_
#7 T�me of Job: New v"' Add Alt Repair Demolition
Plumbing Only Mechanical Only Woodstove Re-Roof
Bulkhead Other
#8 Plumbing Fixtures Mechanical Fixtures
No. ---Toilets No. Fuel Types No. Air Handling Units
Bathtubs Furs < 100K BTU <- 10000 cfm.
iShowers Furs >- 200K BTU > 10000 cfm.
Bath basins Furs - Floor Other
Sinks Heat Pumps Evap Coolers
Dishwasher Vent Systems iHoods
l Hot Water
Htr Vent Fans —Domes. Incin.
I Laundry Washer Boilers/Compressors Comml . Incin.
Floor Drains 0-3 HP Reloc/Repair
Other 3-15 1HP Gas Outlets
15-30 HP Woodstove
30-50 HP Other
50 + HP
#9 MOBILE HOME INFORMATION
Model Years Make f rn ;7,c N Model S U o i fl
Length_ Width I H- Serial No. 16(0 9 3 S 5 6 Q
#Bedrooms #Bathrooms
#10 Any crater on or adjacen ,b p oFr y: saltwater lake
river pond et ate- seasonal runoff
other
Show following on the site plan Directions to job site
Lot Dimensions Flood Zones
Existing Structures Fences NdA7-/-/ ON Rou y
Structure Setbacks Driveways
Water Lines Shorelines M_ rtscIV 1•#,Oq— R IS F-0460 ' TZ- i,'
Drainage Plan Topography
Septic Sy-stems Wells TPES'%LL" P.�4NTDN7'Q �onrA K�L�y
Proposed Improvements Easements
Name of Flanking Street 6A,rnp Q A, 115 To 4e
Name of Fronting Street
1447' oIV 4-tRGjOk �oc�oc�
i
1-Ei'T Al o _D2 I V to AY,
Scale: l - s20 �
Date: -z.-Z --9
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO
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