HomeMy WebLinkAboutMIS93-00796 Cancelled Conditional Storage Only - MIS Permit / Conditions - 12/23/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
A 1`1 E 0 U S P E F2 M 3E T FOR INSPECTIONS CALL 427-9670
MIS93-0796 PARCEL : 32134139OO4O PLAT : DIV: BLK : LOT:
JOB ADDRESS : E 563 MIKKELSON RD SHELTON
APPLICANT : STEVE BARNES 427-0999
OWNER : STEVE E BARNES 427-0999
L E G A L : TR 9 OF SW NE TN 3 OF SP #183 SEE SURVEY 8132 FS 19129:4 UK 116A
PROJECT DESCRIPTION :
CONDITIONAL STORAGE ONLY PERMIT
PROJECT LOCATION :
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
STFE $ 4 . 50 KS 12 /23/93 34714
MHSG $ 15 . 00 KS 12/23/93 34714
TOTAL : 19 . 50 OWNER OR AGENT DATE
MIS_PRMT, rev: @4/@1/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : MIS93-0796
For : STEVE E BARNES
Page : 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 ( C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X s
2 ) This permit is being issued to the applicant to allow the temporary storage of this
manufactured home (assembled after June 15 , 1976 ) on his/her private property while an
application for permanent installation is being processed by the Mason County Building
Department. This unit is not to be occupied . No utilites are to be connected . No
permanent set up is to begin . This permit is valid for sixty (60 ) days only . No
extensions will be granted . Any violation of the conditions of this permit or the
denial of a permanent installation permit will result in the determination that the unit
must be removed from the property at the expense of the owner .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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1-or : STEVL f HARr'
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X___
3 ) This permit is being issued to the applicant to allow the moving of this mobile home
onto his /her private property to perform the necessary corrections to this unit to
bring it into compliance with HUD Standards , and get the unit recertified by the State
of Washington Department of Labor and Industries . This unit is not to be occupied . No
utilities are to be connected to the unit. No permanent set up is to begin . This
permit is valid for sixty (60 ) days only . No extensions will be granted . Any violation
of the conditions of this permit or the denial of a permanent installation permit will
result in the determination that the unit must be removed from the property at the
expense of the owner .
X _ �
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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Department of Labor&Industries ALTERATION PERMIT
Factory Assembled Structures Section `_♦'/'' Do not complete shaded areas
INSTRUCTIONS: ermit# 8349
1. Con-ftplete all spaces to and including the box with the signature X in it.
2. Then draw map on reverse side of WHITE copy only. Invoice#
3. Submit completed permit and fee to the nearest office listed on the back.
4. Contact and schedule the inspection with the office in which you submitted the permit Insignia#
within 15 days.
ate
Owner...........last name...... - ..._� first name:.............. Day time phone....... _!...... l D��..'. ��. �1 .......
Address City State ZIP
4<'
Installer/Contractor/Dealer Phone FConiractor.s..registration number
( ) I
...................................................................................................................................................................................................................... . . .. ...... ...... .
Address City State ZIP+4
Check the appropriate boxes in section A and section B. FEES
A B ❑ Alteration Inspection(check appropriate boxes below) $75.00
Commercial Coach Air Conditioning/Heat Pump
Serial No. Electrical
Electrical Appliances
Mobile Home -1 Fire Safety
Serial No. Gas Furnace 12.2S��W iC�c3S31
+: -j' Gas Piping "°.EKt
HUD No. Plumbing
Structural
Wood/Pellet Stove — — Serial No.
Recreational Se al No. Vehicle or ❑ Park Trailer Plan Review — — — — — — — — — — — — —— —— —. $70.00
RV Inspection — — — — — — — —— — — — $75.00
Model No.or Plan Approval No. Re-Inspection ngmaermit— — — —— No. $50.00
Technical Inspection — — — — — — — —— — — —— $50.00/hr
Signature of applicant or authorized representative Make check payable to: Dept.of Labor&Industries
X -� FEES DUE $
e artment use only
Request APPROVED or ❑ Request DENIED because of Specific Violations Of Washington Rules And Regulations.
Violations Must Be Corrected And Reinspection Requested Within 10 Days For Recreational Vehicles And 20 Days For Mobile
Homes and Commercial Coaches of the notice of violation date. (This does not apply to technical inspections). It Is Unlawful To
Offer For Sale,Rent,or Lease Any Non-complying Mobile Home,Commercial Coach or Recreational Vehicle.
i
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- - - - - - - - - -- . _ - • --
-• - - - - - • - - - - - - - - - - - - - - - - - -- • - - --- - - - . • -- - - - -- - - • - -- - - - -- - • - • - .. . . . .-- - - ---- - - - - - - - - - ..
. . . . . . .. . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . ... . . . .. . . . .. .. . . . ..- - - - -- - - - - - - - - . . - - - - - - - -- - - - .. . . . . . . . . . . . .. . .
_ . .... . . . ... . . ..
IjIncluded are forms required which must be completed and fees submitted before reinspection.
Date Area office nspector Total pages
F622-012-000 alteration permit 12/91 White-Olympia Green-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser
Draw mat)givinja directions to location on the WHITE COPY ONLY.
Address
City State Lip
N
W E
S
Dept.of Labor&Industries Offices
ABERDEEN EVERETT OKANOGAN TUKWILA
415 W Wishkah Evergreen Way Business Center 1234 2nd Ave S 12806 Gateway Dr
PO Box 66 8625 Evergreen Way Ste 250 PO Box 632 Seattle WA 98168-3311
Aberdeen WA 98520.0013 Everett WA 98208-2620 Okanogan WA 98840-0632 (206)248-8240
(206)533-9300 (206)290-1346/1347 (509)826-7345 *Effective Feb. 15,1992
BELLEVUE KELSO OLYMPIA VANCOUVER
616 120th Ave NE Ste C201 711 Vine St 805 Plum St SE 10401 NE Fourth Plain Rd
Bellevue WA 98005-3037 Kelso WA 98626-2621 PO Box 44430 Vancouver WA 98662-6302
(206)455-7048f7074 (206)577-2200 Olympia WA 98504-4430 (206)696-6295
(206)586-6085
BELLINGIIAM KENNEWICK WALLA WALLA
2500 Elm St Ste F 500 N Morain Ste 1 I 10A PORT ANGEL 1815 Portland Ave Ste 2
Bellingham WA 98225-2732 Kennewick WA 99336-2607 1026E 1st s Ste 1 Walla Walla WA 99362-2246
(206)676-2083 (509)735-0100 Port Angeles WA 98362-4020 (509)527-4437
1-800-544-1509 (206)457-2572
KENT SPOKANE WENATCI IEE
BREMERTON 19435 W Valley Ilwy E 3901 Main Ave 123 Ohme Gardens Rd Ste 203
4841 Auto Center Way Ste 201 Bldg S Ste 108 TAF C33 Wenatchee WA 98801-9634
Bremerton WA 98312-4379 Kent WA 98032-2114 Spokane WA 99220-4033 (509)663-9713
(206)478-4926 (206)277-7272 (509)456-2793
*Until Feb. 15,1992 YAKIMA
EPHRATA TACOMA 1716 S 16th Ave
21 C Street SW MOUNT VERNON Yakima WA 98902-5789
Ephrata WA 98823-1895 1220 Memorial Ilwy 1305'Tacoma Ave S Ste 305 (509)454-3760
(509)754-4608 Mt Vernon WA 98273-3262 'Tacoma WA 98402-1988
(509)766-2291 (206)428-1350 (206)596-3814 The following offices will be moving
in the near future. Locations not known
�.� at this time.
Kelso
Mount Vemon