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Home My WebLink AboutMIS93-00041 Cancelled Mobile Home for Storage Only - MIS Permit / Conditions - 5/9/1994 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 3E S G E L L A N E O U S R> E R Owl T FOR INSPECTIONS CALL 427-9670 HIS93-0041 PARCEL : 321341390030 PLAT : DIV: BLK : LOT : JOB ADDRESS : E 701 MIKKELSEN . . . . . . RD SHELTON APPLICANT : JERRY GLAVIN 427-8619 OWNER : JERRY GLAVIN 427-8619 L E G A L : TR 3 OF SW RE TR 4 OF SP #183 SEE SURVEY 8/32 FS O9129:3 8K 116A PROJECT DESCRIPTION : MOBILE HOME FOR STORAGE ONLY PROJECT LOCATION : HWY 3 TO MASON LAKE RD LEFT APPROX 1 MILE TO MIKKELSEN RD TAKE RT DOWN 7 /10 MILE TAKE LEFT AND IMMEDIATE RT PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT MHSG $ 15 . 00 TW 02/26 /93 32164 qZ TOTAL : 15 . 00 N OR A NT D TE AIS_PRMT, rev: 0 4/I I/9 2 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg, III 426 W. Cedar a P.O. Box 186 Shelton, Washington 98584 "I`°Wl--004t PAkt.I I ,,' i :,l1 t-t0 11JI" Mlili'! E 1Nt MIKKE I_SEN. . . . . . �I Ni ,IFRRY (;IAVIN 4:I fib 14 t!1'104f R JE;RRY GIAVIN 421 -fib 114 i t t,f11. : Tit 3 �E 5M NE I6 AI it �t63 StE SVIVI1 6132 t5 11114 { 6t Ii6A MQBI Lf_ HOME FOR `.i I DRAW ONt Y HWY 1 10 NViOh I AKU RII LL I- I APP14OX ! "1 1,U 10 M I KKI i '0 N kit I AKI- It I IJOWN I / 1 H M I 1 1- ! A)(t 1 1- 1 1 ANI! IMMI-01AIf- RI till ! 171 4 i ! i i I t tr 1 ttil i ', , 00 I rlt..It.;1( COMPI IANCI- 1-Il AI IACIR t! CONDI I JOH% 1 , REQU.1RE0 I J 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 Attic OTHER Groundwork 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 | r U��U��K �U ^� � -K �K � U »� U 1y " " "^ "~~ ~~~ " ~ ,�~ ,�~ =~ " ~ " " � K� County P|r� |U ��r\ \�/ Cedar w ...�8�� ^��U. .. ' =��. ". ��" W. ~^��a[ P.O. nv lA� Shelton, Washington� . ~^ ^^^^° .`^° Ytj584 V:1 UE Fz M ][ lF C� 0 P4 LJ ][ U 1� vL."It P4 Case No . : MIS93-0041 For : JERRY GLAVIN Page ; 1 1 ) This permit is for the storage only of a mobile home This unit is not to be occupied at any time or have any utilities connected . This permit is valid for a period of sixty (60 ) days from the issue date . If the mobile home was manufactured prior to June 15 , 1976 , Labor and Zndustirey must perform an Alteration/ Fire Safety Inspection . The owner has 60 days to comply with the corrections ordered by Labor and Induatiriee and obtain occupancy approval from the Mason County Building Department. If the structure duoe not meet compliance with Mason County Regulations or Department of Labor and Induetiroy Regulations pertaining to mobile homes within the 50 days time frame the owner is responsible for the removal of the mobile home out of Mason County , In addition if the structure is placed in a manner that is in violation of any Mason County Regulations or Ordinances , it will be the applicants liability to correct such detect to the satisfaction of Mason County , X MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I 'li—Ir md I— i i -im .-$It I 'l i3O fk� _ f Ito i�� Fl �1111 �,It i,W Permit No. HAS ON COUNTY r-1 IS BUILDING PERMIT APPLICATION PLEASE PRINT #1 Owner • ' 1 Phone# &CP- 7 81 1 Site Ad ress ' Fire District # _ City Q14eY4w iA64W St L4 /4- Zip Directions to Jc?b Site i a 0 , f Owner Mai ing Address ' C? City c-- e�IvIv 04 St IVX Zip Lien/Title Holder Address ' City-4:7h"p IZ N St I�l��, Zip`& #2 Contractor Name 0 ` ' r uk) 14mu Contractor Reg# Address Expiration date Cit St Zip Phone LEA f t) Q A #3 If septic is located on project site, include records. PO, oN i4 D0"o i n i n Connect to Septic? Public Water Supply Well d La�- (If residential, rdof of potab a water is required) 4 Parcel No. �.a 1 ✓ - - u U -0 Apfa # 13 q �. Legal Description r J Of rr 5' #5 Build qu F tage: 1st Fl 3rd Fl -J Loft Basement Deck — #bedrooms #bathrooms Garage Carport r- Garage/Carport: Attached or Detached Other#6 Use of building Live JA1 Describe work MoAIL #7 Type of Job: New Add Alt Repair Demolition Re-Roof Bulkhead Other #S MOBILE HO ORMATI Model Yea Make Model Length 0 Width eria1 No. #Bedrooms #Bathrooms' Type of Heat 2^� #9 Any water on or adjacent to property: saltwater lake river-� pond wetland 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 Name of Flanking Street Scale: Name of Fronting Street Date: APPLICANT TO DRAW SITE PLAN BELOW j8 XJ� t �a .r APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW S aw �ollowj�.g oa `fie si to ?1a= load Zczesi I Ser—tacks Or-;veways War=- ' =es Shorelines D�--a; nage ??a.n Topog—,aphy Septic Systems Wells P=nn cs ed '=r'-1Vements Basements Name of ? ma ;g Street Le:al Name of F=ntiag Street te: PLICZNT TO DRAW s= FLAN B 40 (So PLIG'�NT TO DRAW TOPOGRAPHY PROFILE B I Plvmbing Fixtures Fee Mechanical Fixtures No.__. - Toilets Primary Heat Source (circle type) Bath Basins Elect/heatpump/other Bath Tubs Showers 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 HP Disposal Air Handling Unit Urinals 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 �'' ip. ��Lfitlr•�t x BY DATE 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 z .Accepted by: Date:'. DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond Hold Approval Planning: Environmental Health: 12 rracc�slau� Building Plan Review: Occupancy Group:_ZE::j 1,1,,L%/;Z Fire Marshal: Other: FEES IlSpecial Conditions: II IlSite Inspection I II II II IlBuilding Permit II II H 0 I II II IlViolation Fee I II II II Ii II II IlViolation Investigation Fee I II II II H 11 II II Plan Check I II II II H �I II II II Plumbing Fee I II II II H �l II II IlMechanical Fee I li II II I I II II IlWoodstove Fee I II II II ii iI II II IlBuilding State Fee I�"�I• SQ II I I I ,II IlBuilding Valuation: 11 11 TOTAL I t O q 5(-�I