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Home My WebLink AboutMIS94-00191 Cancelled Conditional Installation - MIS Permit / Conditions - 2/2/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 3E S C E L L A NR E 0 U S P E� 0:1 M 1E T FOR INSPECTIONS CALL 427-9670 MIS94-0191 PARCEL : 321341390030 PLAT : DIV: BLK : LOT : APPL�eR�`�SAOFLfFlBP66NE[tEN2§4-2§V§LTON OWNER : HOLLIE J BROWNELL 264-2676 L E G A L : TR 3 OF SU NE IR 4 OF SP #783 SEE SURVEY 8/32 FS #9129:3 8K 116A PROJECT DESCRIPTION - CONDITIONAL INSTALLATION PERMIT PROJECT LOCATION - SHELTON BREMERTON EXIT OR HWY 3 . STAY ON HWY 3 TO MASON LAKE ROAD , TURN LEFT. MIKKELSEN IS ABOUT 1 112 MILE OR SECOND ST ON RIGHT. E 701 IS THE LAST PLACE ON COUNTY ROAD AT ADDRESS . PROJECT NOTES : I TYPE AMOUNT BY DATE RECEIPT III MHSG $ 15 . 00 KS 04 /15/94 35568 'f STFE $ 4 . 50 KS 04 /15/94 35568 TOTAL : 19 . 50 OWNER OR AGENT —DATE MIS_PRMT« rev: 04J01192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED r MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 m 11" *�; C' U: L V A U It.) tj Vv k- on X I'1 1 1 11 rl' 1 1 4.'1 q6 10 A141 >114 I f F 1 14060f 0 NAN -2hYh' U 40N I if lilt 11011 If. 11 111ROWNIF It t 264—Z106 is t 19. 1 IF 59 of to 4 *1 S? 1103 Sit S111VIT It)? Is #q171-') PERMIT 11i , I ION , NULL & VOID BY EXP171ATION CON011IONAli (At I.Af ION P1<RHT I DATE BY �itlf I ]ON V'Rf 10 RTON t-. X ( I ON HWY SIAY AN 14WY 3 TO MASON I AKF- ROAO , 111RH I F-J I , NIKKEI !;Fm J'`; AIF,',0UI I I f 4y #A) I F OR SPCONO 1,11 ON R161111 F 701 IS I ft I.A%I P1 A(-I- ON COUNlY ROAD At AODRIF-S!; . 1w0 I, I?, It! Alit I COMPI (ANCIF '10 All 1-AC11fD C'ONO1 I IONS IS OFQU I RF!) CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date by 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : MIS94-0191 For : HOLLIE J BROWNELL 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 � 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 . I I MASON COUNTY Mason County Bldg. III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 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-- n MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 1 hi - t I I --i t I t.i I If {{1.)11 (I I V.V,c-r fill (,it Ilopar f in(1 11 it t t 11 L I, t i 11 to he, 011Wt ( { ??(I Io t If,-- fill I I, I ..... ....... i d i ( 1i0 ) o'lliv tit filly f110 I i I I n I t I t-!j- fill oill 1- 1 L V MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton.Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION i- C J Il -) Oc i RE: Permit Number #f'1.i To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the.work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send.a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please contact this office for a final inspection, update inspection or extension prior to (_1 / /9�--to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, Building Department cc: Pronerty Pilo i Permit No. b •ot p i I MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner : b _� �'c�� tom, p �o � Phone# Site Address J)� ( ►�l1 IC KC �Sz�1 Fire District# City 'k kcV-\ SSJ �tf St Zip Directions to Job Site _ —+ L e' < )r Ow eO ailing ddress F- 701 City 5l St Zip f ' Lien/Title Holder nU 2 i--n(1 )Y"e Address '3 /< < Clty `j 1 I Yl St (-64 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 Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No.y k7s l Legal Description #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms $ /-#bathrooms Po- Garage / Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building -5-k)KC-f q Describe work #7 Type of Job: New Add Alt Repair Other #8 FACTURED HOME INFORMATION Model Year)y9 Make_ o el ()� 3'� Length Width,90 Serial No.6Cr )2� � `�3 7SIG�' S.r _64u� \ # Bedrooms _ # Bathrooms_Tye f at �+` --- �per- Purchase Price $ on i tx" #9 Indicate by circling the applicable source if any water is on or adjacent to subject pro River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other 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 Indicate Directional by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW c APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Ga , Electric, Bath Basins Heatpump, Other ( Bath Tubs No. UaL Fees Showers _ Furn ;AIL}�,„��BTU Hot Water Htr _ Heatpumps Laundry Washer Vent Systems Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher No.. Air Handling Units Disposal cfm# Urinals No.. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50�00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING rr DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE