HomeMy WebLinkAboutBLD4539 Final Mobile Home and Carport - BLD Permit / Conditions - 4/20/1992 3�) q
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final:_ 6,A �
Mobile Home:
-
Smoke Detector:
Footing:
Remarks
Q�e.,�l /�1� s' 3/�3�<I z
Setback:
Foundation
Walls:
Framing: i
Fireplace:
Woodstove:
AREA: #2 - KRAUSE TYPE: MOBILE HOME/CARPORT
Owner: STAHLMAN, MIKE Tel: 922-0400 Date: 02-07-92
Address: 4539 S ALDER, TACOMA
Permit #: 29913 Floors: 1 Sq Ft: 1188
Contractor: TAYLOR CONSTRUCTION
Phone: 426-9211
Legal Description: LAKE LIMERICK DIV 5 LOT 45
Direction to job site: HWY 3 TO MASON LAKE DRIVE TO
CLONAKITY DRIVE E 60 CLONAKITY DRIVE
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport X Basement Loft
Conditions:
�a a
Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Y fFa�i� F Final:
Mobile Home:
Smoke Detector:
Footing: Remarks: v6ax
Setback: M.
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: #1 -DON FAW VER TYPE: MOBILE HOME/CARPORT
Owner: STAHI.MAN, MIKE Tel: 922-0400 Date: 02-07-92
Address: 4539 S ALDER, T'ACOMA
Permit #: 29913 Floors: I Sq Ft: 1188
Contractor: TAYLOR CONSTRUCTION
Phone: 426-9211
Legal Description: LAKE LIMERICK DIV 5 LOT 45
Direction to job site: HWY 3 TO MASON LAKE DRIVE TO
CLONAKITY DRIVE E 60 CLONAKITY DRIVE
Plumbing Mechanical
Fireplace Deck Woodstove
X Garage
Carport p Basement Loft
Conditions:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED --)
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER � .Lc' 1d9 VW-q U'
DIRECTIONS
TO JOB SITE ,
o6og5PARCEL LEGALI
NUMBER 'a✓J DESCR.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR f -
USE OF
BUILDING
CLASSF WORK ✓ NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE f?yt A
WORK11//
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE 115`� Sq Ft STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS 1 PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S SgFt BATHROOMS j SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED❑DETACHED❑
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH, NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM TH BUILDING DEP TMENT. Q
X OWNER DATE X BY_ DATE v2
FOR OFFICE USE ONLY� ,�� ;,,,�;
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING 1 PLAN CHECK L�
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
t SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE L
APPLICATION ACCEPTED BY PLAN I
V'jKBY APPRO gFOVJ%ISSUANCE PERMIT VALIDATION
a ` BY f/ CASH CK MO TOTAL
PLUMBING & MECHANICAL PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUE `
43
PERMIT NOt�q
NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
OWNER c� w ssk, �� 2-0
7:�
DIRECTIONS
TO JOB SITE
LEGAL ,f r—
DESCR. / �� Q
NA MAIL A REESS CITY 8 ST LICENSE NO. ZIP PHONE
CONTRACTOR r—�'E S Z
USE OF
BUILDING 1eS C�
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE NO. TYPE_OF FIXTURE FEE
WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6.00
BASINS r FLOOR I SUSPENDED FURNACE 6.00
BATH TUBS BOILER I COMPRESSOR 6.00
SHOWERS REPAIR I ALTERATION 6.00
WATER HEATERS REFRIGERATION COMPRESSOR SYSTEM 6.00
AUTO.WASHER AIR HANDLING UNITS 7.50
SINKS HEAT-PUMPS 6.00
r
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISHWASHER
DISPOSAL
URINALS
PERMIT BASIC FEE r3.00 PERMIT BASIC FEE 10.00
TOTAL TOTAL
SPECIAL CONDITIONS: _- NOTICE. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED.
OWNERS AFFIDAVIT: I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASH GTON AND I AM AWARE OF THE ORDINANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS RE LATING T W FOR WHICH THIS PERMIT IS ISSUED AND ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WORK DONE L E I C FO JCE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. WITHOUT FIR AI G PPR F THE BUILDING DEPARTMENT. �f
X OWNER DATE X BY DATE 2— ZY r `
FOR OFFICE USE ONLY
APPLICATION ACCEPTED BY PLANS CHECK BY BUILDING GROUP APPROVED FOR ISSUANCE PERMIT VALIDATION
IBY CASH CK MO
the
mason county
assessor
Darryl Cleveland
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
If.
our office by
This information is imperative to prevent a possible double
assessment on your mobile home .
MOBILE HOME DATA LENGTH "' %y WIDTH v�
MODEL
MAKE MODEL YEAR ✓
MOBILE HOME LOCATION INFORMATION SERIAL #
I�
A . My privately owned land yes r' no
OR
B . If rented or leased land who from? NAME
i� ADDRESS CITY & STATE
C . Real Property Parcel /�= UL)c)L-1 � ( from tax
III dl
statement of new location )T�>iU� ( j:> Li
D . Mailing name and address for owner of mobile home
NAME / �1 �� ��� _ � y1
ADDRESS �� fl S� A CITY S STATE
E . Location address of mobi le home-6
C i t
F . Date mobile home was placed on present site U. J
�2
G . Purchase Price
DATE �� j l SIGNATURE Zz r
TYPE OR PRINT NAME //`�41 '�
TELEPHONE NUMBER
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0 0,
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APPROVED
MASON BUILDING ISSPECTOR
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