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BLD93-01059 Cancelled Mobile - BLD Permit / Conditions - 3/7/1994
-� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 N:::iC N...,N :::N::: N..... N:.N :N::. N'.N d;:iiii F O R INSPECTIONS CALL 4 2 7—9 6 7 0 BETWEEN 5pm AND 8am 427-7262 BLD93-1059 PARCEL : 321352200010 PLAT : DIV: BLK : JOB ADDRESS : E 1054 MIKKLESEN RD SHELTON OWNER : DARREN HARDIE 426-7110 CONTRACTOR : OWNER IS CONTRACTOR LEGAL : 1112 NE IN IN FS 18971 I I CLASS OF WORK NEW BEDR : 2 BATH : 2 ITYPE AMOUNT BY GATE RECEIPT I TYPE AMOUNT BY DATE RECEIPTI TYPE OF USE . . . . : MH STORIES . . . . . . . : 1 I I OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0ft MHOF $ Ill.10 CPH 08/16/93 33519 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 S T F E 4.50 CPH 08106/93 33509 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 EHFE $ 6.06 CPH 08/06/93 33509 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : 3 SHORELINE? . . . . : ? TOTAL: 104.51 VALULATI0N: 1 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOME-- FRONT . . . S O . Oft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0 REAR . . . . N @ . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ? SIDE ( 1 ) . O . Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE ( 2 ) . 0 . 0ft WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 BROADMORE SHRLINE . ? O . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 69 LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 60 BUILDING . . . : 720sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIOTH . : 12 BASEMENT . . . : @sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ? GAR/CARP : ? Osf GARB DISPOSALS . . . . 0 <= 10000 cfm . : 0 RELOC /REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm. : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT BESCRIPTI0N:M0BILE PROJECT L0CATION:TURN OFF 8 A Y S H 0 R E 60 TO TOP OF HILL 2 N 0 ROAD ON RIGHT, MIKKLESEN R0, 60 TO END OF COUNTY ROAD OVER BRIDGE 2 N 0 POWER LINE METAL YOU WILL SEE JOB SITE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 186 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN BE OCCUPIED. OWNER OR AGENT: a.n��l �rC i� n DATE: BLD_PRMT, rev: 03/31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON� ����� COUNTY ���U U ����� U��U������ �U �� K -� �K � U »� U `� Mason County Bldg. ill 426 W. Cedar � P.O. �� l�� ���|�� U�S�'��� ��� . �^ ^' ."" ^'. .Shelton, Washington��.^^. . ^^/^^"_- � Case No ; �LO93 l059 | ` — | For ; OARREN HARDI[ | Pago ; 1 | | 1 ) Tho g�e , handling aQd ator�Qo of hazardous materials or flammable and combustible | ��quius in oxoas, o/ 10 ga��one is not allowed without the approval of the Mason County Fire Marahal | ` | | X | | 2 ) This permit is being issued with the condition that egress windows be installed in the | front and rear bedrooms as per Labor and Industries note on Alteration permit #7944 ' These windows must be inspected and approved by LQI before occupancy is granted , X � R_:r t:7 f.;i;' pell FOR INSPECTIONS CALL 427-9670 BLD93-1059 PARCEL : 32135220001O PLAT : BETWEEN 5Pm AND Bam 427-7262ULV: t: LiC : Luigi i0b ADDRESS : E 1054 MIKKLESEN RD SHELTON OWNER : DARREN HARDIE 426-7110 CONTRACTOR : OWNER IS CONTRACTOR LEGAL : N1/2 NE NW NW FS #8911 CLASS OF WORK . . : NEW 8EDR : [ . BAIH : TYPE ANOUKT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPTI © 1YPE OF USE . . . . : MH STORIES . . . . : 1 OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . oft MH0F 1b0.20 C P H 08/06/93 33519 'l YNE OF CONSI . . : "c' FIREPLACES . . . . . 0 STFE f 4.5a CPH bd/b6/93 335@9 ® OCCUP . LOAD . . . . : 0 WOODST OVE _ . . . . : 0 E H F E t b.bb CPH 68/b6/93 335b9 DWELL . UNIIS . . . . : 0 PARKING SPACL S : 0 INSPECTION AREA : 3 SHORELINE ? . . TOTAL: 104.50 VALULATION: SETBACKS--------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME— FRONT . . . S 0 . 0 f t BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0 © REAR . . . . N ' 0 . Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ? SIDE ( 1 ) . 0 . 0ft SHOWERS . . . . . . . : 0 FUkN < 1O0K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE ( 2) . O . Oft WATER HEATERS . . . . : 0 FURN j=iOOK BTU : 0 ® SHRLINE . ? 0 . Oft CLOTHES WASHERS . . . 0 FURN — FLOOR . . . : N 0+ HP . . 0 YEAR 1MUFiL AREA 50+ HP . : A —YEAR------ AREA KITCHEN SINKS 0 HEAT PUMP . . . . . . : 0 LOT SIZE . . : ? FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . 0 69 • • = E:VAP COOLER : 0 LENGTH : 6O BUILDING . . . : 720sf DRINKING FOUN1 . . . : 0 VEN1 FANS . . . . . . : 0 HOODS . . . . . . . : BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 © —SERI #— DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ? GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC/REPAIR : 0 AT/DT . : ? URINALS . . . . . . 0 ) 10000 cfm. : 0 01-HER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTION:MOBIIE PROJECT L0CATION:TURN OFF BAYSHORE 60 TO TOP Of HILL 2NO ROAD ON RIGHT, MIKKLESEM RD, 60 TO END OF COUNTY ROAD OVER BRIDGE 2NO POWER LINE METAL YOU WILL r� JOB SITE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 18b DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIO OF 18@ DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PR06RESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL,INSPECTION MUS 13 APPROVED BEFORE BUILDING CAN BE OCCUPIED. OWNER OR AGENT: i)aa� DATE: l�_El_ 1 BlD_PRMT, rev: 63;31/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 1 use No . : BLD93-1059 For : DARREN HARDIE ," Page : 1 1 ) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fre l . Z ) This permit is being issued with the condition that egress windows be installed in the front and rear bedrooms as per Labor and Industries note on Alteration permit #7944 . Ink These windows must be inspected and approved by L&I before Occupancy is granted . X ID J� MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 t- 1 OS 4 MIKKEI Sf N R D �-Mt- I 10t, DAHREN HARD I F 4,lb---I I I* OWNER IS CONIRAt*, tOR Im 14 is ##III till; 1 HN it 1 lisll fi 1 11 0 of 14 H 1 tf 0 0 1.0 fli- "lik I t N 1, a9 0 t 1 u I lit 141 lit, 0 I i 1 III N I Ili. 1 1, lloill)i lHil 'till 11, Ill-IMI 1 14! 1 11 0 Of I I I I Hk; i d(Al ION!101IN Off 111111 111110 Of 10 fill, 0 1- It I I I N Is R 0 A 11 11 A Ii I It H I N I I i I I f N ii if iI'I I it 1 $It ,it I IIN4j'i PlIAll jjvfy mi 11141 .101) j-ljwtR I lof #t 141 ;nit ittil tiff B I f fill'I 111koll liff 0 A f S N it 1.1 A N b v it 10 IF UURt ttk 10101 4011491flif 11 11. lisil j 011141,Nijil tit IRIH 111110 llllly%� op it f flk';Ipui I Ill# top WORt h %ii�ptlillltb {fill 4 H11110 Ill 11:14 01110 Al ANY [lot AfM UORI P oll) folill 111 1 lilfitill I ill (601 111"Alffill ill 1,1443 IN A 140blit'Ni 14,41 l Hill W111110 M jill IIA7 FIFIIiiiii. fjNAl jVPI( 1100 ot"il Ill 4PPRImb ofl"RE bultolsh CAN of occupffit, ."101i 1tk w4l; oto .10411, revs 03 1110 1 011111111 1 ANUJ 10 A I I A il:11 It- 1) 11 0 H 1) 1 1 1 0 14'w 1 S RIF Of I RC Il 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 FRAMING by date by date by 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 �¢ ���✓ .�r/i� �- �/�1>C�C [JQ.� 511� , �lJ`' /Ii'o ��c-'J'Ge���Z �'7 �cx� f Dykr '�l�[ y✓1A�-i l� S ��J li -T�,-AF-&L&N.I If L- / r .fC� ,fft9✓r� s1Grn !�< <� m� �1'0.� 'ids ��'n-• i�uYw. I MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I A k 1 1 14 H n Ix b I i q i.) t I o YY I i i I I ;I I f to rl I I I I I I pf v Met It, i P�fl fl 1 1. f. 1 4? 1 1 c)11 1. a(I d a befit 1--t :11i'l I IIt11lr, P r i tit, 1 t>F) u 1,j n(10 W�:v f(III t' v fool ljjtiltl' v f T Department of Labor Industries a ALTERATION PERMIT Factory Assembled Structures Section Tiy� Do not complete shaded areas INSTRUCTIONS: Permit# 7944 1. Complete 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. Owner last name first name Day time phone Date Address City State ZIP Installer/Contractor/Dealer Phone Contractor's registration number ................... . ........... State ZIP+4...................-........ Check the appropriate boxes in section A and section B. FEES A Commercial Coach B ❑ Alteration Inspection(c{�eck goFr�e boxes below) $75.00 Air Con itionin t P p j Serial No. ' Electrical Mobile Home pliances ` Fire Safety Serial No, Gas Furnace r, = Gas Piping 'tf' HUDNo, Plumbing Structural Recreational Vehicle or ❑ Park Trailer Wood/Pellet Stove — — Serial No. Serial No. 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 $ tment 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. jr - - - - - - - - - - - - - --- -i . .LA �r� .` .:�. . ��; ........ ... .... . _ - - _ _ - - _ . . _ - - - --- - - - --- - - - - - - - - :.. .. . . . .. . . . . . . . . . . - - - - -- . . . - - - - - .-. . . . . . . . . . . _ . . . . .- . . . .. . ... . .. . . . .. . . . . . . . . . . . . . . . . . . .. . . ..... . . 4 Included are forms required which must be completed and fees submitted Before Tdinspection. Date Area office n cto,r,( /_ �" . C:.? ^• /�L Y�tr !J; " � �` F622-012-000 alteration permit 12/91 White-Olympia Gron-Contractor anary�lnspector Pink-Purchaser Goldenrod-Purchaser Draw map aivingdirections to location on the WHTTF,COPY ONLY. EAddress State Zip 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,FIUM!St gel 10401 NE Fourth Plain Rd Bellevue WA 98005-3037 Kelso WA 98626-2621 PO Box 44430 Vancouver WA 98662-6302 (206)455-704817074 (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 1110A PORT ANGELUS 1026E 1st St Ste 1 1815 Portland Ave Ste 2 Bellingham WA 98225-2732 Kennewick WA 99336-2607 Walla Walla WA 99362-2246 (206)676-2083 (509)735-0100 Port Angeles 98362-4020 (509)527-4437 1-800-544-1509 (206)457-2572 KENT SPOKANE WENATCI EE BREMERTON 19435 W Valley IIwy 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 EPI IRATA 1716 S 16th Ave 21 C Street SW MOUNT VERNON TACOMA Yakima WA 98902-5789 Fphrata WA 98823-1895 1220 Memorial IIwy 1305 Tacoma Ave S Ste 305 (509)454-3760 (509)754-4608 Mt Vernon WA 98273-3262 Tacoma WA 98402-1988 (599)766-2291 (206)428-1350 (206)596-3814 in in t following offices will moving the near future. Locations not known at this time. Kelso Mount Vernon