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Home My WebLink AboutBLD92-0004 Mobile Home - BLD Permit / Conditions - 4/24/1992 MASON COUNTY Mason County Bldg. 111 426 W. Cedar PERMIT P.O. Box 186 Shelton, Washington 98584 NULL & VOID BY EvDIRATION DATEeC"- BY I I 11W, 4, t 1 42 96 10 81.09? 0004 k i I 41 o v i 0 1 ANA OFF %112 #V It f #f Is 4 of St 1*'eN 117 101 IS #8114-4 3) H f 14 U.,t)JR - , Ii A I H I llypt Itlilts"Of BY VAIF PRIM I'M A440111 9i F I Yfli Is F 0 R 11-. t At. V 1)A 1) WO 0 1) 1 OVE,S 0 mt il:Fj# is 14124142 41s IMI PARK I N6 SPAI 1i I H I)k.1'. 1 JNF N f: 1 0 t IJ V; I y I V. I I I I I i m U c't'0 t t- H A I It k A I N', 0 fiv 341,1, HA H I I I H 0 111, t 46 U f 10 W 1,k S 0 U It 1:4 N 1 00K H'T 1.1 0 t 1. 0 I'll, 0 IN t I 14 if t. WA I F 11' 14f A I I F< 41 V,I I R N I 00K 1i I Ij 0 0 0 Fill 0 o f t (A'04Wli WA'sNEW; 0 f"UP N I L(Ml( III' 0 1 1i I K I V C H 1, N 1-;1 N 0 H 1'A') I IMP F1 00H LIRA IN'-:x 0 Vf.N I :'Y 1, 11 M' 0 i k/1111-1 I 00I I k, 1441 1 It 61135, DR INK I N 6 F OUN I . . .. . 0 VFNf f A N%i -1 1 11 0x t LAIMMY IkAY'i 0 (11,11 , I I'll I " 6" 1 A I U I S HWA '14 t-R -, - , 0 A I R HANDI tNI, 11N I I kimpli I N 4, 1 141 'P, , 01 Hof 6AH13 0 1 `;PWti%1 4") c 1 1.$0 0 0 1-m 0 IJ I tit r I-.,t PA 1 6 0 lik INA 1 10000 tin, - 0 1 Ht I; 1114 1 1 0 0 11 1 1 Root PRO If I I I fic A I 104 t' 111cs ONE OF JoUlom 00 Awl 3 IUKA Ifff 00.10 bElp cgifl. 94 jv"'T of I kiRf pli 1 04c, 4ii 10 pill iiipi! topti ItiIiiiii At i ?.'i istill" P,0 111 1. 4"1. 10 #III WA Mt 110ISt ON R1 111911 0 0160ft Allfiff 10 f4ill (M OF Hill AND V4#0 Akf "N fkf fill IF%' lift All 4111HORA"tll IS No] C0110,11(to 1411110 Ifio OAYS, 40 if (40mof I toll hy 118RI Ili 101111!1101'" top A PfR10" 0 t## OAYS A A01 IN F f 400 1 (00 11119, fVl#r.#(f of f01111#04HOV OF 11M IS A PR901-SS 1111PIC11011 1411111114 Ifif litil W M110 FINAt INSPHIIIIN AIIS# ef APPROV 8 OHM 8111t.1111' (AN Of OCCIIIIIA61 0 8lINfit Abi #I Atilem�t COMPL I ANCL tO Al IAILHFIJ UJINU I I f oNS tti RV QkI I Rf-1) 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by )7-� L t.n Irt�,P T6r- 2 ►n S p t.► 1Yks 1v� �Q�( ��101 1prJu ea 5s�PG no'F MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 N:::i& N,...H :::N:: N.... C:M ::N::: N"41 diiii N : N::::: D4: Hrll ::H:: H FOR INSPECTIONS CALL 427-9670 BLD92-0004 PARCEL : 321361290000 PLA1 . DIV: BLK : l_Ul : JOB ADDRESS : . . . . . . . . . . . . . . . OWNER : DIANA DEE CONTRACTOR : L E G A L : S112 NY NE E OF CREEK* TN 4 OF SP 1665 112 INT. FS 18883:A CLASS OF WORK NEW BEOR : 2 . BATH : 1 ITYPE AMOUNT BY GATE RECEIPT I T Y P E AMOUNT BY DATE RECEIPTI TYPE OF USE . . . . : SF STORIES . . . . . . . : 1 OCCUP . GROUP . . . : ? B L 0 G . HEIGHT . . : Ott PRMT t 61.25 KS B4/24/92 31325 i TYPE OF CONST . . : ? FIREPLACES . . . . : 0 P L C K t 25.11 KS 04/24/92 31325 OCCUP . LOAD . . . . : 0 WOODSIOVES . . . . : 0 S T F E t 4.51 KS 14/24/92 3i325 DWELL . UNITS . . . . : 1 PARKING SPACES : 0 INSPECTION AREA : 1 SHORELINE?. . . . : N TOTAL: 9B.75 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOME-- FRONT . . . N 660tt BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0 REAR . . . . S 234ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : GUERDON SIDE ( 1 ) . E 146ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE (2) .W 146ft WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 FIRW00D SHRLINE . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 92 LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 32 BUILDING . . . : 853sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 28 BASEMENT. . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : 272sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O UNK GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 (= 10000 cfm. : 0 RELOC/REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 ctm. : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTION:MOBILE HOME PROJECT LOCATION:6 MILES OUT OF SHELTON ON HWY 3 TURN LEFT ONTO DEER CREEK RD JUST BEFORE BRIDGE. 60 2/11 MILE AND TURN RIGHT AT E222 FOLLOW RD UP 4/11 MILE PASS BLUE HOUSE ON RT TURN 9/ DEGREE ANGLE TO YOUR LEFT UP HILL AND YOUR ARE ON THE LOT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 181 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 180 DAYS AT ANY TINE AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 18# DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUILDIN CAN BE OCCUPIED. OWNER OR AGENT: DATE: BLD_PRMT, rev: #3131/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED BUILDING PERoMITo UNTY APPLICATION pa _ 7MAS � DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED �L PERMIT NO. OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE ii(u, _ iDIRECTIONS CnA105 q tT-LTO JOB SITEj . ,o 1 QL avN, NUMBER -ki (a - IOU4 ESCR.1 I y s p -4 s a a-m • '[ NAME a MAIL ADDRESS ITY&ST TE ZIP PHONE LICENSE NO. USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK rn au ld- 1 Cl CM AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE S53 SgFt STORIES ^� SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS 1 C PRIMARY RES. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 JAYS, 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 IS CARPORT/GARAGE GARAGE SgFt ATTACHED 0 DETACHED❑ 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. Q q APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE Uf�j-2 r 1� X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT YES NoDEPARTMENT YES No BUILDING VALUATION 5 ZZo HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT r D.O.T. BUILDING PLAN CHECK s SPECIAL CONDITIONS 1 BUILDING GROUP PRE-INSPECTION t/ 1114%C' � ^ S4- ,tip tc(c S- SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE �( APPLICATION ACCEPTED BY I PLANS CHECK BY AMEDISSVNgt PERMIT VALIDATION -3-�i BY Zt� CASH CK MO TOTAL • • . ..- DIRECTIONS 1 i . • Ij a • TO JOB SITE IMAM.NIS imp. • -• • • - • - •. • - • • •. • ME,11��r ��■ . 'Elm ,SEES ■III!�1��11��11� ��!��l�Jhl ■/��!!!fir/I�1�1/�IRI�� , . �i 1/��111��1�I/1/mil/��■ MEN MEMOS EMMORM iRNMEMSEENE■ TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE i. C rrt-� 1L ��•� pR �iC�'� ALL�;piIJ�%<�• { p° � Ri [' 1 G L 014 rItlr` ., . i tlL�t t� pR s IA �r ti -ivy S ��I' �X�rr + .,� Fes•» c� �� __ -,-- -- - •--- --- 6' site �/e:uJ 20T I ie �owns XgXIlo Co�� • err . . � . 2l�'� the mason county assessor Darryl Cleveland Dear We have received a copy of' the tax certificate for movement of your mobile home . In order that we may accurately value your mobile home , please complete the questions below and return this form to our office by This information is imperative to prevent a possible double assessment on your mobile home . MOBILE HOME DATA LENGTH o WIDTH MODEL r MAKE (Ak 9'Y) MODEL OO YEAR q MOBILE HOME LOCATION INFORMATION SERIAL # A. My privately owned land yes no OR B . If rented or leased land who from? NAME ADDRESS CITY & STATE C . Real Property Parcel # 000 ( from tax statement of new location ) D. Mailing name and address for owne-rt of mobile home NAME DE'� ADDRESS Ede.$ NeerCr,e,,_k ,CITY A STATE 7Ae-1h)1l E . Location address of mobile home_ ,�CLivAp City F . Date mobile home was placed on present site !� n w'« Cal G . Purchase Price DATE O SIGNATURE 14lei TYPE OR PRINT NAME �L,,� 1;�C 4- e TELEPHONE NUMBER