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Home My WebLink AboutBLD2000-01434 Final MFG Home - BLD Inspections - 3/16/2001 CONCRE:Emw MECHANICAL MOBILE HOME Footirn•s-Set;,ack date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation fir„ Final date by date by date by FRAMING Walks FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WA'-LBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Z-B- ZooD M N RLAA4AJ 2s rra�Ck,D -3 r- nn /VD /�7lO�MA �l Ni erA) • �2,--2 0 i ANk w STo� V�021� (.c��1 FE� 3! u�i -=n I .. �I COBBLESTONE PLAN 410 1540 SO. FT. d' X 4° J,k J, --------------------------------------------------- -------------------------- t I tJiM L—J K — 60' l fELE o ' � DINING ou: UTIL. �-- I I v� FAMILY ROOM -, `* t 17•-1' X 12, A' 1 0 x j BEDROOM 2 C►PPLI i W� l00' ) to 1' l Ld ~ I F - N I I I I -- I � N z LIVING ROOM BEDROOM l BEDROOM 3 BEDROOM 4 12•-4' I l0•-1'k 12•-1' f0•-6' ) 1?•-1' CARPET CARP CT CAPPCr C44PET ——-- I 60' 1 PIECE I E17P1• I V1rr.L t 1U6 SMQwER 1 PT L------ -- 4• ------------------ -------------- — ---------------------—5.--------- 4 i I FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION l bl7a� Case No. Name Fr o-d 1yt:k Sc// PARCEL NUMBER 3 -2 / 3 /7 " Datte SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions 3 3�.-9 X 3 S0,S i Fences Existing Structures -9mm Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 I ir- A I Fadjacent property line I r36 g, prA' 6h� i`y.t�.J Gic 417 �-- ^, I (O/ 01 6 0 I I I 35 I T I I adjacent property lined I I Fadjacent property line SAMPLE SITE PLAN adja�nt property lined 32- 3O"0� Fadjacent property line D rR�SCRvE SEACGU AL.. I ^1 ,L HOM 6 I GadtN I HOusa 1 j PMOPaxD sapt: I 1 , I 1�• 6 c' —/30'—�1 I I VAGw,T I CrAMA&4 3 j TA&RLCLLLrWJXAL So I I o' I � I � I I 1 1 /00" 1 \ I I I � c_.eLL I I I I /00' I I L—I L.L.. I I i R I adjacent property lined ; c \; Fadjacent pro pert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dls+a"am. to ruttl.�Yt D 6i oPi tat o Signature bate 51-11751 SHORT PLAT N0: �/� �Z PARCEL NO: �Z 3� 7S �` i7o DATE APPROVED: 'AL Vs GENER%LvS,*4CES =CTOR A SHORT PLAT OF A PORTION OF or gel /17 SCALE: 1'°=Z00' 7 o� 4Da M u 0 4-) O o �� ti N \D r 4-4 clf- Cl -r-i N 4-) 4-1 'b 00 � v - toc 4r�, °- ti, ae h ro lu R3 Jib �a �wd ton" ' o 'o ro w ° i< OWNER: IA �02/�la � ler N` "'' d J) � VD WARNING: MASON COUNTY HAS NO`.:TESPONSIBILITY TO BUILD, IMPROVE, MAINTAIN, OR OTHERWISE SERVICE PRIVATE ROADS CONTAINED WITHIN OR PROVIDING SERVICE TO THE k` PROPERTY DESCRIBED HEREIN. 9, n 7 �2Q2�ti 5 ,�is><Ati'«s Aee C:4/uc 1 Tep f-rq 79, n Jai ea e f R2coe��Eo i v � fa t,114'eys %o'er .lod, OF F MASON COUNTY M. 215 W.RAILROAD AVE.•P.O.BOX 2•SHELTON,WA 98584 swajstS Opdag a Jou Jsap pa !"go M `ZLto� i 1 I ul 1 , r t I i j i I I i I ti3v14 W i udt rT 11`y 14) rQS"k I ' I + 1 1 � I ; � i • FO REST PRACTICE BASE MAP TOWNSHIP 21 NORTH , RANGE 03 WEST ( W . M . ) SECTION 30 APPLICATION # bd J 23 IM I 22 39 EB EB �l i 21 38 SCALE 0 2000 3000 4000 5000 6000 FEET 1 Mile (52M n) MAP DATE: Februvy 23, 1997 CONTOUR INTERVAL : 40 Feet LEGEND : See Instructions NAD 27 DISCLAIMER : See Legend Water/Wetlands including their location and class may be incorrectly displayed or not shown on the Base Map. Applicants are responsible for verification and correction. FORM MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair(360)2754467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATI N Owner �r�c� / �%LL Contractor Name � Gi1 S Mailing Address 16,02 Mailing Address/949a0 f/cw1, /D/ city State4,),4 Zip Code City State 6- !W Zip Code 9,FSF�l Phone( b6 ) �/zd V67 f Other Ph. 3( 6a )�ZC y�`3� Ph.( 927 53!/ Other Ph.0 Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. ^ / _ / Fire District Legal Description-/V 51 .TNSe^, S 4 c 171b-t (,.J 9 r Site Address(Please include street name, street number and city) Directions to site Go di""y S,4,4 le e.✓Sc4 e14 oar 9a .3.4,. 1_I Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond _Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New_ Add Alt—_Repair Other Use of Building Location of Fixtures/Units 1st Floor. _2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane Tank _ Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee a TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY PAEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes hall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date-_15-- / X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by _Date Submittal Amount Due Receipt No. fJ A TAE #t �It RP Ft 1t p lyEN1 D> CONDITION C.O.De i Building Departure Occ Groupe Co C/ Planning Department Other Other )r�ES " ::::::: ..... ........ . ... Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION -a) 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner I r Contractor Name L4,,h Mailing Address " Mailing Address 4 �— City h Y ; , State Zip Code �( City State Zip Code Chi Phone( r', ) they Ph.( Ph.( 5/ ) Other Ph.( Lien/Title Holder Contractor Reg. # ji (LG 15 2 4 Address Expiration / / 4,1 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic�_Connect to Sewer System Name of Sewer System Well Water System Name of Water System oi7a PARCEL INFORMATION-12 igit Tax Parcel No. 3-2 1 3 A ( 7 / Fire District 5 iZ T D s�n Legal Description � � 1 IlP �Site Address(Please include street,n7ame, street number and city) - Directions to site /;_ /�r 5 �-� ,� �,, � �� _sue' Will timber be cut and sold in parcel preparation? (Yes/ Is your property within 200' of the following: Body of Water (Name) n/, Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCEtl SEASONAL RESIDENCE❑ TYPE OF JOB New Y Add Alt Repair Other Use of Building Describe Work ,1 „�).y// It,1-41, .4 —/_ , ./ f, I„ No. of BedroomQ_4L_No. of Bathrooms SQUARE FOOTAGE- st Floor /'� 2nd Floor 3rd Floor Loft Basement Deck '""'i r er sq. ft. Garage _ Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make t= i t Model y"/;` Model Year -� Length�_Wid ,� if th Serial No. No. of Bedrooms i !/ No. of Bathrooms_ Type of Heat Purchase Price $ K2- r Replacement Unit ?(Yes Installer Name j3101402 r e Certification No. 74 NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X �FOR OF IC)AL USE BEYOND THIS POINT 1.0dr ) Accepted by--XD Submittal Amount Due _Receipt 6 j DEPARTMENTAL REVI A PRovEp DENIED C NRITI�J( C aI� Building Depart In v ap rfr F,•c.c, /dT •4�f /h.H. et Occ GroupType Con tr. //�3 f 4� T oe , 46C., • ,e, 41W Planning Department Environmental Health Department Public Works Department � I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES