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HomeMy WebLinkAboutBLD93-00437 Cancelled Mobile Home - BLD Permit / Conditions - 10/23/1993f MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I ,kfa l is m i 11f. ttr;t IAKt tIIt III Q 1A III fS 114M 1t 13IN tII i.ltltr r.ii 1 i tii 1,1. .. I 1', !� i. +`• f_ !t!. i flit l t l,7 L,. -... . _..._ .. __ _ .-,. -, i - .. ... ,. li.• 1 fi' ' - - ,. . 4tI tliz St{ ( IIIV i 4) C$ i 1 �N�(il��k Idtla`!t_I � N��:�+.:'. It 1, M•. I .;1 6t i',f!t R h� F1 19a + 'n t.{ t + I _ i!' tf i iJi'°41 - - 4'S t i11-, ''i�. � �•,t tk t I 1 +�= i ! 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I`* 11Ai 1'IIt140 1-(NA I IN lip' t i�t'I'kAS�'• I�t +�IFl: Ai+,It�i1lh ihN �f uii:utt" c�2 %,..�` 01lt fiRNs COMPI iAirlt:t- 10 Al IACH( 0 C0MDtIION',i I H 11.1."R1t,1) �e 1 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 - ;3 by ..q BG/SLAB Insulation Floors Final date by date by date ( 7- y 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 date by Water Line FINAL INSPECTION date by date by date by II II II I II II 1 I i MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I'r lop I i I l'UItSHANI In 194 L UN I i-1110M 6111 1 0 W" 1 1i111 , ni [ 1 i 11N i4'ii• 1 1 ) t•+Nt •1 t i 1 "m n 1 t , nil 1 I ! hill: H11VC APPhOVEU NilMM IR4 01 11" ORI 414 PROVi DI' ii IN `-sllt H A k"41- 1 I'ul'''r An 1 " HI VI A I NI V V 1 4 I tat AN" 1 1 " I I L 1:_ i F<i H 1111 `, 1 V1 •1 i +t1? Boot 1 tt11N'I i N" lHU Pborl r i `f hlr 4"m room 1 '' hol i i11 mo III PAIT IML_Nl RFOtlIPIP `, IHAI tHl % BSI ' UNI'i l II h rkI "W I " f Al 1 it• m 1 " (' m • ! 11 LI 4pl i. i ION . k[- 1 N VFU I I CIN PF E: , HAKI P "N VAlin I N 1 fail L iN "F 1 HI ' -V I "M I I " N iitt 1 1 ii t "n I liifl 111 1 1 Hr A551 ;(:-D I. F OWNI N r l IN I lull- i "N I A l i .., 10 Pon L m""lif Kn ON 4 1 11 l'It i tila t i1 141 'a111 f !`1V1, ; "O l v l {i .i iV I'.= v 1 1_;ih.I' I i;+, I i ill 1 ti .l,: +- i. r ,eii .1 s „1- 11, I,n111 i It1, ! ti..,l,m•: 1 i ,rti 1 1 r ,+1 I n j i i i r owl . C i rt01 11i .1 i •.11. t , i t,i +-.n ri, 1f I. 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'rti;9i)S t� ljl rir' 1 1t:i,. 1 r,l'r,1, i '--m" that hav wr -" 7i ,,, — j l lttr ! � I.�•t t{Sr? 111+�+ 1, ilrl' *� 11i�.!t 11 !1<'+I �i <,tf iti I t•k' ?1+'t11.1 :. ,-'!� on l i m- U i i r.0 !Ir, i 1 -,r I +' � ,1� i .ill y` *� `= I 1. i •lir I ' ifl Il r_,. i)r . t111.-tfi•: ! l I ti l t !i'. i•-.,.C. % Irl i�t ) W '= 1 1'•<= q riiill.-!1 li;i 'IN I kAf I i+I t + ri+.! I 1 _ I pit l tt i nt"A I fit 1 � GAP ` 2 IL PS �0 4) M � �~�� P ST •sr�13 �, / *r © PJ 0 r W ' cQ N ( (CQri ✓Pam I � [ i � i - S;+ as v �r I i i [ € [ I i I � ; I I I I TOPOGRAPHY PROFILE: Direction: Scale: Approval: for office use Building Permit number: Building: Owner/Applicant: Date of Planning: application: Env. Health: Parcel Number: • r • or � n c O � j Permit No. MASON COUNTY BUILDING PERMIT APPLICATION ©�3� PRINT a � ff�lo(_o� Owner E i Phone# 513 / l 7P 3 Site Addres . Fire District #_d City 5/7C,/7"n./% St zip 9IY5:9/z Directions to Job Site %o 76 L A/f� 1_ f/L7e/4!'c�4� C'c�T40A L �' l O R�PJ Owner Mailing Address PQ, .'go 0' _f& City /,74C iAiC L�'9, St zip Zko Lien/Title Holder AddreSL/} City _f?1�2 _ St zip #2 Contractor Name 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 (If residential, proof of potable water is required) #4 Parcel No. 3-2 12 7 - J - Legal Description 1 ` #5 Building Square Footage: 1st F11 2nd F1 / 3rd F1_ Loft Basement Deck #bedrooms #bathrooms_ Garage Carport Garage/Carport: Attached or Detached Other i #6 Use of building X/0 A4 Z;* Describe work ( lL)0 i l #7 Type of Job: New Add Alt Repair Demolition ,— Re-Roof Bulkhead Other #8 MOBILE HOME INFORMATION Model Year Z Make//veT rev c� Mode le.4,41ZOV Lr¢ff� Length Widths Serial #Bedrooms_3 #Bathrooms -7 Type of Heat L C tom:C #9 Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other It %� r � 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 Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW , 1 ing .Fixt,.Ires �j, Fee Mechanical Fixtures _Toilets PrApary Heat Source (circle type) Bath Basins Elect/heatpump/other ' Bath Tubs Showers fl ' NO. FEE Hot Water Htr Furn Laundry Washer Heat Pumps Sinks Vent Sys (Central) Floor Drains _? Vent Fans (Spot/Whole) Laundry Basins Boilers/Compressors Dishwasher _61 HP Disposal 612 Air Handling Unit Urinals O cfm. Other Fire Protection Systems Permit Basic Fee TOTAL PLUMBING $ Other Gas Outlets .Hookups Wood/Pellet/Gas Stove Other Permit Basic Fee TOTAL MECHANICAL $ 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 ANYTIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 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 f �� t ��L�( ��tL �/_ X BY DATE7— 'j.3 DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 FOR OFFICIAL USE ONLY: Accepted ks1r, r riate 1 1 DEPARTMENTAL REVIEW FOR OFFICE USE 02MY Approved Cond Mold Approval Planning: Environmental Health: Pig s<n L f Tro : s D.1/M _ 5� M vL �i�i, Building Plan Review: Occupancy Group: Fire Marahal: Other: FEES IlSpecial Conditions : II IlSite Inspection 1 II II II I � II 11 IlBuilding Permit II 11 11Violation Fee I II II 11 1 11 11 11Violation Investigation Fee 1 II II Il I I 11 11 IlPlan Check I II 11 11 I 11 11 II Plumbing Fee I II 11 11 1 11 11 11Mechanical Fee I II 11 11 I 11 11 Ilwoodstove Fee I II it 11 1 iI 11 11 IlBuilding State Fee 11 11 I 1 1 11 IlBuilding Valuation: 11 11 TOTAL I 11 I� 11 It I it