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Home My WebLink AboutMIS93-00200 Cancelled Mobile Home Storage - MIS Permit / Conditions - 5/25/1993 MASON COUNTY Mason County Bldg. III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 MISCE L LANEOIJS PE1;ZM1E -1 OR. fN,PFC1 rON C•Al_l.. 427-9670 MIS93-0200 PARCEL e ::t 135'220001.0 P L A f : t) 1.01 JOB AODRESS : . . . . . . . . . . . . . . . APPII.CAN'1 �. DARREN HARDIE 427-1976 OWNER : DARREN HARDIE 427-1976 LEGAL - N112 NE NW NW FS 18911 PROJECT DESCRIPTION : MOBILE HOME STORAGE ONLY PROJECT L0CA11.0 OFF BAYSHORE MASON LAKE RD ONE MILE , TURN RIGHT ON MIKKELSON RD , DOWN ONE MILE OVER BRIDGE , NEW MODULAR ON CORNER GO RIGHT UNDER POWER LINES , LOT 2 PROJECT NOltS : TYPE AMOUNT BY DATE RECEIPT MHSG $ 15 . 00 EVC 05/25/93 32775 TOTAL : 15 . 00 Ul-Ji'dL ft NI MIS PRMT, rev; 04/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F: : Will ::IL. ...�... iC:;. d;;1 P4 [3 ' :: ...IL... ..:If.: Case No . : MIS93-0200 For : DARREN HARDIE 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 . Thi., permit: is, "al. id for a period of sixty ( 60 ) days from the issue date . If the mobile home was manufactured prior to June 15 , 1976 , Labor and Industi.res must perform an Alteration /Fire Safety Inspection . The owner has 60 days to comply with the corrections ordered by Labor and Industiri.es and obtain occupancy approval from the Mason County Building Department . If the structure does not meet compliance with Mason County Regulations or Department of Labor and Industires Regulations pertaining to mobile homes within the 60 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 defect to the i nn of Mason County . Permit No. 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 G-y r-cn H rrd I E. Phone WessQAe, Site A dress i o5y m er Fire District# city -S h e itor, St \.A,)A zip Directions to Job Site "'b,17�('� �\S�OC� O 4 b E e ccu c Q `�- Ipo w er me w` U O L) CAW 's Owner Mailing Address Rl USy t'Y�, �{�(I� S'eY� City �O l(� St W Zip q� Lien/Title Holder Address City h St WO zip q%S-j� #2 Contractor Name Q��C �� 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.3 2i 3 S _ -2 - 0 001 U Legal Description t'o�' 2-- O �C o\f c�' #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms Z / #bathrooms Z / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building Describe work "de Jame- — 7 I-L4_s /"e!c-e,1,-/:e,I u., #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year (oc( Make Model 3�dAdrn«�f2 Length_Width Serial No. # Bedrooms � #Bathrooms 2 Type of Heat Purchase Price $ 3 Oc)C) #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: 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 Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW yr7� C \ trob;1-e. APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. 2 Toilets CIRCLE FUEL TYPE: Gas,6ctp �- ;2W99fffffffarsins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr _ Heatpumps _Laundry Washer Vent Systems Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP Dishwasher Air Handling Units _Disposal _ cfm# 2 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 (1'�DEPARTMENT. n DEPARTMENT. X OWNER cI MJ'� D( " X BY DATE 7-- 1O— q5 DATE ---- ___.---- i FOR OFFICIAL USE ONLY: Accepted by: �/^ Date: �r DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review j 71�r3 Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit .►�v 11 �� J1.�� J Plan Check Or( .-- c.. V Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE MISR� ay MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT #1 Owner Phone # �21 — G -7 Fire District# Site Address city 3�)e\Ao ✓1 Mail Address t L11` 20 0 W � U City 5ke-I +0 a St Zip Applicant Phone # Applicant Address City \\ St Zip Directions to Site: l'tot' (7lct a Yl l a�� G �U C D rMR Kt 1 onn w th 0e�- r "O\se ()fUJ mo d( sYA Corin�.1C ao r Qr\I 0 �nd�-c gowei \:'OQ.S �0-� #2 Parcel No. 3 a 13 '5 - ate- dbbl Legal Description #3 Indicate by circling the applicable source if any water is on or adjacent to the property site: n saltwater lake river creek stream pond wetland seasonal runoff marsh other #4 Project Start Date Project Completion Date #5 Use of Buildiing Describe proposed construction to C)h) k, hrw , SAzy-� �A "Depending upon the type of permit,a floor plan and plot plan may be required. "This permit is valid for 180 days from the date of issuance. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON- MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT- ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE- FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST WITHOUT FIRSTOBTAINING APPROVAL FROMTHEBUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMENT. MENT. X OWNER �IYV� JC, X BY DATE 5 ZS _C0 DATE Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Wells Water Lines Shorelines Drainage Plan Easements Septic Systems . Name of Fronting Street Indicate directional by Proposed Improvements Name of Flanking Street N, S, E, W etc. PLOT PLAN AREA FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD c 'r Building Fire Marshal Other Special Conditions Fees Permit Fee $ Plan Check Other Other State Building Fee TOTAL DUE $