HomeMy WebLinkAboutBLD92-00778 Final Mobile Home - BLD Permit / Conditions - 4/1/1993 MASON COUNTY
�\ Mason County Bldg. III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
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010_PRNT. rr o I t 1 CONPt_I ANCf fit R I ! Al HE It CONO t ONS 1 S RE QU tHt.0
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 WALLBOARD NAILING
D.W.V. date by MI'l�
i ' date by
Water Line FINAL I SPE TION
II�
date by d `Cy � date by
.L- APiC l 2/V L/
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
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MASON ccm=
BUILDING PERMIT APPLICATION
PRINT : n W 'W OLD% ?8
."�/ 4
#1 Owner Phone#
Site fAddr�ess �D 0 D U
CityH !> St LA/A _ `Zip p8S` ?
Dire /toots to Job SiiteJ ' K
' OU
Owner Mailing Address SA7
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name_ O W /J C l Contractor Reg#
Address .SA Iv {` F}S fq 130 V 4': Expiration date_
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic?�_ Public Water Supply_ Well
(If residential, roof of Datable water may be required)
06
#4 Parcel No. L dr J q 0 �/l
Legal Description on/ O/= SC7'�/a�( �7' 7"�!/Y. /���
/V,l4 s o/V Co U Aj-r t-afie
#5 Building Square Footage: (existing/proposed)
1st FI 2nd Fl / 3rd Fl / Loft /
Basement / Deck / #bedrooms-_ #bathrooms_L_
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft /
#6 Use of building 0 Describe work
#7 Type of Job: New Add Alt_ Repair Demolition
Woodstove Re-Roof Bulkhead_ Other
#s MOBILE HOPE INFORMATTON o'o J .A-R-- 'Oic y x
Model Year:4�Mak Model
Length 3
44Y—Widt.h :Z��erJ-ial .69�I / �' �" 6
#Bedrooms "Bathrooms Type of eieacL�L � C
p9 Any water on or adjacent to proper v: saltwater_____ lake
r4-ver pond weciand seasonal nirc;
ot:ier --
Show iollowiag on the site plan
Lot Dimenss.va3 Flood Zones
Existing iFE=sctures Fences
St=scturs Setbacks Driveways
Wacer Lines Shorelizes
Drainage Plan Topography
Septic Systems Wells
ProposedTT rovements Easements
Name o-f' T-E atj- Street Scale:
Name or-f-f�t:L=g Street Date:
APPLICANT TO DRAW S= PLAN BELL
�s61
,tea '
APPLICANT' TO DRAW TOPOGRAPHY PROFILc BELO
I
i
I
Na Toilets ` __ vent J ystams X 3 . 00 =oo
Bath Basins Vent Fans X 3 . 30
Bath Tubs
Showers
No. Boilers/Compressors
0-3 E[P 5 _
Sot Watsr Htr 3 -15 HP
5 . 00
Laundry Washer 15-30 HP
Sinks 30-50_ap
Floor Drains 50 + gp
—Laundry Basins �-
No. Air Handling Unit
Dishwasher <= 10000 cfrl. 7. 5�
Disposal 10000 cfm. -
Urinals Other
Other Evap Coolers
Hoods
Permit Basic Fee 3 . 00 Fire Suppression _
TOTAL PLUMBING $ ]Domes . Incin.
Comml. Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2 . 00
No. Fuel Types Woodstove separate
Fury < 100K BTU 6 . 00 Other
Furs >_ 100K BTU 6. 00
Furs - Floor 6. 00 PerMit Basic Fee 10 . 00
Heat Pumps 6 . 00 TOTAL MECEANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMEN=- WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTLMr_ AFTER WORK
IS COMMENCED
CWWMZS AFF'ZDnvZ-1 CONTRACTORS AFFIDAV ,
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AN A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 AND AM AWARE IN THE STATE OF WASHINGTON ANO I AM AWARE OF THE
OF THE MASON CCtUNTY ORO(NANCE REQUIREMENTS FOR WHICH 0101HANCE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AMC THAT ALL WORK OONE WILL BE IN THE PERMIT IS ISSUED ANO ALL WORK GONE WILL SE IN
CONFOWUNCE THEREWITH. NO CHANGES SHALL SE MADE CONFORMANCE THEREWITH. 90 CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FRCM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER X BY
OATc DATE
Return permit to: Depart=ent of General Services
426 W. Cedar/P .O. Box 186, Shelton, WA 98584 427 -9670/1-800 - 562 -5628
FOR OFPICM;LL USZ ONLY: Accepted by: L.. Dace :
FOR OFFICE WE ONLY
APprwad Coed bld
Approval
Planning:
Enviro "` geal th: .v i
Building Plan Reef ew:
Occupancy Group:
Fire Marshal
Other: El
11 IlSpecial conditions; FM
II II Ilsite Inspection I II
II II I - I
II II IlHuilding Permit
II II I 1
II II Violation Fee I II
II II I 1
II 11 Ilviolation Investigation Fee I II
it II i 1
II II II Plan check I II
II it I 1
11 11 11Plumbing Fee I II
I( 11 I i
11 11 11Mec:ianical Fee I II
II II I 1
II II 11 Wands t ove Fee I
II II I I
I I IlHuilding State Fee
I I
II9u�ld:::s valuacian: II II
TOTAL.I II