HomeMy WebLinkAboutBLD94-00584 Final Mobile Home - BLD Permit / Conditions - 9/8/2004 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Op Awn
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 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
Ili
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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
Mason County Building Department
Date: /a-/1-95/
Walter Albedyll
E. 740 Olde Lyme Rd.
Shelton, Wa. 98584 .
RE: Permit No. BLD94-0584 .
A review of our records show you have not called for an inspection
on the above referenced permit for the last 180 days. The Uniform
Building Code, Section 303 (d) states:
Every permit issued by the Building Official under the
provisions of this code shall expire by limitation and become
null and void if the building or work authorized by such
permit is not commenced and / or inspected within 180 days
from the date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any
time after the work is commenced or for a period of 180 days.
Before such work can be recommenced, a new permit shall be
first obtained to do so, and the fee therefore shall be one
half the amount required for a new permit for such work,
provided no changes have been made or will be made in the
original plans and specifications for such work: and provided
further that such suspension or abandonment has not
exceeded one year. In order to renew action on a permit
after expiration, the permittee shall pay a new full
permittee.
Please contact our office within 15 days of the date of this letter
to renew your expired permit. Failure to renew your permit is in
violation of the building code. in order to complete the work, a
new building permit application shall be made. If you have any
questions please contact our office. (360) 427-9670
Sincerely,
, &L
Ge rg . Rhodes III
Building Inspector III
180DAY
cc: Case File
Correspondence
George D. Rhodes III
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �L• �
PLEASE PRINT
#1 Owner (,u&J,TiCP_ a,/o2 AA, of ALRE> y LL Phone# Aok -Site Address L oT&s- D iv-Q �C,,Kd: L , isle i c K Fire District#
City S A3 E /_7'n.v St (� Zip��P,�s�/
Directions to Job Site tt v 3 r,s.s� A%&A. o u L4Krf ad ti DACEAO TO 0 4.8,T Lu MAE 2oa/�
CT�s7-f3r,Fo A N iz 12 U"b(r(? PAS.i) 0? ► wr a rs R oS-D ,6-peRV X
,Sv s't 5 LETS S/to�tT � l�niy o /" G2.o�D Q�r1 v L d.�s �l
Owner Mailing Address 6,55 r&S C A-D'6
City S ,(Fri -St U,*- Zip I8�S]r y
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name C—,4qF c,,r 131.Dia Ol,cJ" /L 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_Well 4 X KF_ /tot i ex co Pm�. ry
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. /-,,T (�_- P, i/jZ d. itrs /., rn R n K -c.3004<7S
Legal Description 4-% Rr,_eoxoci.) Vokv "YK W bF l�M&Fs I'"-+s /6- Yr\-%,-,S o'Q Cd7
#5 Building Square Footage: (existin /proposed o Q L r, �40
1st FI .2-01 �� , 2nd FI 3rd FI i
Basement Deck / #bedrooms_/ #bathrooms i— /
Garage Carport / (Circle: Attached or etached.
Other sq. ft. /
#6 Use of building Rr-s, 1)r, 1ve-a L4 s rz Jl�l'C�e - Describe work
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year F—Make!,& L Modeler o o v
Length_%_Width ZG,,, Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
#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
I
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences 5
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
1010
AF,c�•
aYf✓ �S�T
%
to
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
� —�� G-R►o rs �9
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each
No. Toilets CIRCLE FUEL TYPE. Gas Electric,
Z Bath Basins Heatpump, Other
Bath Tubs No. Unk Fees
I Showers Furn BTU
I Hot Water Htr _ Heatpumps
I Laundry Washer Vent Systems
I 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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 f' aj_e� rc • L��,C�c�.!r�,Crfi X BY
DATE �6 7Z DATE
FOR OFFICIAL USE ONLY: Accepted by: Date
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 5Ayo kbe IV1 AA )22 S2A�x.'Y. s ��ayvt G (A i ► 1
Environmental Health:
Building Plan Review
Occupancy Group:9:3 11' ype of Const: gAJ
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