HomeMy WebLinkAboutMIS92-0011 Storage - BLD Permit / Conditions - 2/9/2009 MASON COUNTY
NiMason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 11 S C E L t_ A N E 01J S P E R M IT FOR INSPECTIONS CALL 427-9670
MIS92-0011 PARCEL : 321344100000 PLAT : DIV: BLK : LOT :
JOB ADDRESS : . . . . . . . . . . . . . . .
APPLICANT: EDWARD BUSSELL 206-876-7946
OWNER : EDWARD BUSSELL 206-876-7946
L E G A L : E112 NE NE SE FS 19117
PROJECT DESCRIPTION :
storage only of 1980 24 x 56 bendix mobile home
PROJECT LOCATION :
mason lk rd to Mikkelson aprox 1/4 mi R on gravel Rd approx 1/4 mi R on
PROJECT NOTES : (7, Rd
I`�p
TYPE AMOUNT BY DATE RECEIPT
None
TOTAL : 0 . 00 OWNER OR AGENT DPAE
MIS_PR(T, rev: #4111/92
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
in 'I C. I 1 1'. 0% N 91--- 0 u ts F-"* C RM I I
HISS.' 00) 1 1 APIA 1 ;4141,0010100 1 111
.!tali -,H)IO . . . . . . .
fAN I U DWARB HUS.;U t 1 206-076---74946
%IAN I. tDWAR0 HUSS'EtA ?06-41.76 -1946
st Is 091411
t,V0 I t I i- I" I 10 N
4 storaqv! only of 198* v 456 bondix mobile home
PROM I' I I fit Al lt)N �
mallon 11% rd I-10 mikkpl&orl 6prax-. 1 /4 mi R ort c1rave1 Rd approx 1 /4 aii ofi Rvt
I ypt i'.m0iIN1 t;Y 0A11 IIA i I I I, I
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 FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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 MAILADDRESS CITY BSTATE ZIP PHONE
OWNER 7 ' l✓ � ' Ci6. 7�
DIRECTIONS /�j
TO JOB SITE• Cw /{/� /`.J O `2 / 11 ou-1
PARCEL LEGAL ,�
NUMBER _y 7 DESC - � %) �U JL� / S
NAME MAILADDRES9 CITY 6 STATE ZIP ` PHONE �NIE
CONTRACTOR ISE IX UiC -4 ley rrt "
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION FAIR MOVE REMOVE
WORK r
DESCRIBE r A
WORK
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE !S CARPORT/GARAGE
GARAGE SgFt ATTACHED 0 DETACHED O
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 THE BUILDING DEPARTMENT.
DATE J X BY _ DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENo BUILDING VALUATION
HEALTH PUBLIC WORKS FE
PLANNING FIRE MARSHAL BUILDING PERMIT
D. BUILDING PLAN CHECK
PEC AL CONDITIONS BUILDING GROUP PRE-INSPECTION
LL i Z SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
--�� STATE BUILDING FEE
'V t 1ti 0L��% L� tyl�
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
IBY CASH CK MO