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HomeMy WebLinkAboutBLD92-01199 Cancelled Mobile Home - BLD Permit / Conditions - 10/22/1997 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 N::K N,..,N ::J::: N..... N:M :::1. N"�N 4 a N N ::: FZ WAN I:: '1 FOR INSPECTIONS CALL 427-9670 BLD92-1199 PARCEL : 321354300030 PLAT : DIV: BLK : LOT -. JOB ADDRESS : E 120 ECLER RD SHELTON OWNER : STEVEN SHINEMAN 858-8021 CONTRACTOR : OWNER IS CONTRACTOR LEGAL : SE SY SE FS 18961 I I I CLASS OF WORK NEW BEOR : 2 BATH 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . : MH STORIES . . . . . . . : 1 OCCUP . GROUP . . . : ? BLDG . HEIGHT. . : Oft STFE $ 4.51 PIB 16/36/92 31621 TYPE OF CONST. . : ? FIREPLACES . . . . : 0 MH0F $ 123.51 PIB 11/31/92 31621 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : 1 SHORELINE ?. . . . : Y ITOTAL: 128.11 VALULATIOM: 41440 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS /COMP---- MOBILE HOME-- FRONT . . . E 140ft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0 REAR . . . .W oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : FL.EETWOOD SIDE ( 1 ) . N 140ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE (2) . S 140ft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 4662K SHRLINE . S 140ft 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 : 66 BUILDING . . . : 1675sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 28 BASEMENT. . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : 0 —SERIAL#---- DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O FACTO GAR/CARP : ? 0sf 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 DESCRIPTION:MOBILE HOME PROJECT LOCATIONS MILES NORTH OF SHELTON ON HWY 3 RT ON ECLER RD PROPERTY BEGINS AT END OF RD AT CHAIN GATE. APPROX III YOS ALONG ASPHALT TAKE RT UP CINDER DRIVEWAY. BUI SITE IS 61 FEET SW OF PRESENT GARAGE AND IS STAKED OUT. THIS PERMIT BECOMES KUL A COI WO STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 181 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 18/ DAYS AT ANY TIME K S C NCED. VIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUIL N BE OC PI OWNER OR AGENT: DATE: /O — ��; BLO_PRMT, rev: 13/31/91 MASON COUNTY jiE'RM*1f Mason County Bldg, 111 426 W, Cedar NULL A Y01D BY "IRAirtioN 114df7 P.O. Box 186 Shelton, Washington 98584 DATE 0 By v 120 U C I U R RD '-,W t (ON S -N F-IliNLMAN 1-1 S 13 H 0;1_1 I OWNER IS CON'tRACIOR I it sv SF Its #111111111 NL IA t Dig PH 1 if I I tCi -fit f''.kllnj� k! Oil it 4 so to w 1 Y It I qll 1 1 N 1 it 0 i 1 t t I I, f I i 0 0 f 4 fit I I-. It? t N I t I I Ni, 11 1 IG' I I it I j P f, T I i,L I i I'll N u H j 117 It 0 1 PRO ff f.I t .4 1 N Aft.t .) A4Iifl1 it I sHfkfl±N oil W lil 09 tt iii; Rh WIPWY ythlm A; tilft (it kft Ai ( N.4riN t+AI* Ai'i,Rna too if" At amft 4,4RAI 1 1411 0 1 op S I,I f f 1 1 A K F 6 0 11 T PEW1 W NI)i A 'i!l f GU t t4itl'I1NN A it I H 4 0 1 1 P 1,- N 0 1 1 it A N f of V I 10 1 144 PAYt-' fig 11 f(1V I Rvi I top 40 uopl It 'JI.M01110 flip A prplap f 19# 11 A'11 A" Agi !lot i RI S ( 0 i I P -,fkt It it f 0 110 q A I 16 0 4 f W 6 1 1 i A P030! 'v,' Wpil, I log ul mo, Imi 140 bAf PFRI(tv f1w wilti-1100 N1,31 HI1142.7 0A t I. Ito PRNT, rpv. 0 A t 1 Vol 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 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 I I, NAME ON PERMIT`` Ue, DATE OF PERMIT A-09—q.,-2 PERMIT NUMBER j,/�C)�— / �Clq TYPE OF HEAT eLk Washington State Energy Code 1 Ventilation and Indoor Air Quality Code SET-UP INSPECTION CHECKLIST FOR MODULAR HOUSING I dq8 4 1'?-3.7 4tiTt� Note: IRga 7-u)061/) Ll1��� k1 This checklist is not comprehensive: other code requirements may apply. This checklist can be used by local by building departments for modular homes built to the 1991 Washington State Energy Code (WSEC) and inspected in the factory by the Washington State Department of Labor and Industries (L&I). Ground Cover: 6 mil, black Ventilation: Ventilation in crawlspace must be a minimum of one square foot of free ventilation area (without louvers) per three hundred square feet of crawlspace area, or a passive radon vent pipe must be installed. Note: UBC regulations may require more ventilation. Pipe Insulation: Cold and hot pipes insulated to R-3 in unconditioned areas. Floor Insulation: No damaged or missing insulation; if floor insulation is done on-site, R-value installed is consistent with NLEA form. Ducts: Where appropriate, cross over ducts are properly joined, sealed, and supported- Duct insulation is in place and in good condition. If duct insulation is installed on site, insulation value shall be R-8,or according to NLEA form. Marriage Line: Sections are properly aligned, and sealed or gasketed with appropriate materials (a non-porous material, such as a foam sill seal) to limit infiltration. Attic: Check for batts moved and not replaced during set-up. Loose fill insulation is of uniform depth. Baffles displaced during set-up or transit are properly reinstalled. Doors: Check doors to ensure that they close and latch properly. Notice to Local Enforcement Agency Form (NLEA): The NLEA has been reviewed and the items listed have been inspected. 12/17/91 Washington State Energy Code - Ventilation and Indoor Air Quality Code MODULAR HOUSING SET-UP INSPECTION PROCEDURES Background The Washington State Department of Labor and Industries (L&I) performs Washington State Energy Code (WSEC) plan reviews and inspections in the factory for modular homes subject to the Uniform Building Code (UBC). Although many of the WSEC and Ventilation & Indoor Air Quality Code (VIAQ) requirements are inspected by L&I, some items can only be inspected on site, and therefore, may fall within the jurisdiction of the local building official. The Notice To Local Enforcement agency (NLEA) Attached to each modular home inspected by L&I is the NLEA, which provides the local enforcement agency with information pertinent to the site inspection. Often, a modular home is shipped to the site before some items normally inspected by L&I are completed. In these cases, the L&I inspector fills out the NLEA form and lists items not inspected at the factory. For instance, when a manufacturer ships a modular home before floor insulation is installed, the NLEA form will indicate the R-value of the required floor insulation. The local building officials' careful review of the NLEA form is an extremely important part of the modular housing set-up inspection. Damage Incurred During Transit Sometimes a modular home may be damaged during transit. Although L&I is the building code authority for the home until it arrives at the building site, often no L&I inspector will see the home after it is delivered. If the local inspector discovers any damage incurred in transit, L&I should be notified as soon as possible. (Contact Dan Sevcik at 206-664-0548.) Authority of the Local Building Official The local inspector has the authority and responsibility to inspect any work done by the set-up crew. Some of the work to be inspected will be listed on the NLEA form Frequently, however, the set up crew may damage or alter work previously inspected by L&I. The local authority does not have the authority to inspect work already approved by L&I, except those specific items altered by the set-up crew. For example, if attic insulation is moved out of place by the set-up crew, the building inspector may require that the insulation be properly replaced, but may not require that the attic be insulated with batts of a higher R-value than approved by L&I. The WSEC Set-up Inspection Checklist RCW 19.27A.035 requires that utilities provide an "owner at the time of construction payment" for WSEC homes (only electric resistance heated homes 2000 square feet and under qualify for the payment). Some utilities may ask for verification of a local jurisdiction set-up inspection prior to making a payment for modular homes. On the reverse side of this page is a sample of a WSEC Set-up Inspection Checklist for Modular Housing that may be accepted as adequate verification by the local utility. 12117/91 1 MAR 231`2 March 19, 1992 � 'ter STEVEN L. SHINEMAN � vim: ��. . 6813 80th Avenue N.W. Gig Harbor, WA 98335 Don Fawver Mason County Department of General Services P.O. Box 186 Shelton, WA 98584 Mr. Fawver: This is a response to your letter of March 18 and a telephone conversation I had today with a "Tammy Griffey" who said she spoke for you. I tried to reach Ms. Griffey again later in the day only to be put on "perpetual hold" by your office. Please allow me to repeat the facts I know: [ 1 . ] On October 20, 1991 , I received notification from your office that the building permit for my Ecler Road garage was ready. Town & Country Permabilt paid for it and picked it up. [2 . ] Town & Country contacted me about inspections once, on March 2 or 3 , and I agreed to wait on-site for the final inspection during the day of Friday, March 6. [3 . ] I was on-site and ready for inspection from 7 : 35 a.m. until exactly 5: 30 p.m on Friday, March 6, when two neighbors saw me leave. My pick-up truck was parked in an open bay of the garage the entire time, and NEVER--NOT FOR ONE SECOND--was I farther than seventy-five feet from the garage. [4 . ] I did not see a building inspector, chalked it up to yet another Town & Country screw-up, and waited to see how long it would take before they called with their next lame excuse. [ 5. ] Eleven days later, on March 17, Jeff Walters of Town & Country called and said that I was a liar, I had never been on-site on March 6, there was big trouble because now the building inspector refused to go out again (conveniently failing to mention previous appointments where you say you were stood up) , and suggested I accept the building from them as completed even though it had not passed final inspection. [ 6. ] Later on March 17, I sent a certified letter to Town & Country saying "your failure to have the garage pass final county inspection is intolerable. . " [7 . 1 On March 19, I learned that the inspection situation is worse yet: You folks are blaming me for this mess and expect me to shell out hard cash because I 've inconvenienced you! Needless to say, Mr. Fawver, I am really pissed off. First and foremost, I will not pay any additional fees or penalties to the County. You cannot engage in activities with a third party behind my back, not notify me, and expect me to pick up the tab when things I know nothing about turn sour. Don' t get me wrong; I have every reason to believe your story that Town & Country made promises they didn't keep (they have done this to me more than a dozen times) . Withholding permit approvals until they pay this penalty should ensure prompt payment. Although you folks have a right to be upset, please take it out on the guilty party. When I spoke with Ms. Griffey, there was much bureaucratic flatulence about "access. " At first, she implied that since the entry chain to the property was locked I might not have been present for the March 6 inspection; when I insisted I was on-site so the inspector could not have been, she said he never actually approached the garage because "our inspectors drive to their buildings, they don' t walk" for vague safety and trespassing reasons. But then again, she said, "the inspector did get out of his car and walk up the road some" and didn ' t see anyone. For good legal reasons that are not your concern, the gate to my property stays locked at all times whether I 'm gone or there. Whoever makes the final inspection is going to have to rough it over forty yards of two-lane asphalt to me and the garage. It wasn' t a problem for the initial building inspection, the septic inspection, the PUD, or two contractors. So let ' s get real here. Instead, everyone should be worried about their liability. My garage is uninsurable as long as the final inspection is withheld. If coverable damage occurs to it before then, I can promise you that anyone holding up this process will have a hard time explaining himself to a judge. I am begging you to get this all behind us . Contact me at 858-8021 and let ' s do it now. Hoping for reason, l MASON COUNTY f DEPARTMENT of GENERAL SERVICES , Mason County Bldg. III 426 W.Cedar P.O. Box 186 Shelton, Washington 98584 (206) 427-9670 building parks& recreation fair/convention center planning fire marshal March 18 , 1992 Steve Shineman 6813 80th Ave NW Gig Harbor, WA 98335 RE: Final Inspection Dear Mr. Shineman, Our office has attempted on 3 different occasions to do a final inspection of your pole building located on Ecler Rd. , Mason County. Access to the property has not been provided. According to the Uniform Building Code, Chapter 3 -Section 305-G: Reinspection fees may be assessed when the inspection record card is not posted or otherwise available on the work site, the approved plans are not readily available to the inspector, for failure to orovide access on the date for which inspection is requested, or for deviating from plans requiring the approval of the building official . Until this inspection is completed, you are not authorized to use the structure in any way, you may also find that the structure will not be covered by most insurance companies without the final inspection being granted. Table 3-A of the UBC grants Mason County the authority to charge for reinspections where access has not been provided. The fee is $30 . 00 per hour or the total hourly cost to the jurisdiction, whichever is the greatest. This cost shall include supervision, overhead, equipment, hourly wages and fringe benefits of the employees involved. Contact this office immediately to schedule the final inspection on this structure and arrange for access to the site. Don 4Fe r Building Inspector DF/t g CC: Property file Permabilt Part 1: EARNEST MONEY PURCHASE AGREEMENT A.PARTIES. DATE 9 First Choice Homes Inc;d/b/a - • • Purchaser: t­s L--Ly i„ L +�.u c a_ w Bayvie i Address: �' 1 �•tv� r .��•� !�. (� HOMES I 9601 So. Tacoma Way a Tacoma, WA 98499 city: .!. _State:is��Zip Cody 13S (206)588-6688 Res,Phone: S5,-`.t 1 Bus. Phone • e. BUYER AGREES TO PURCHASE FROM SELLER UNDER THE TERMS AND CONDITIONS j SPECIFIED BELOW THE FOLLOWING DESCRIBED MOBILE HOME M ODEL BEDROOMS APPROXIMATE SIZE C.PROPERTY DESCRWTIO� , MAKE L x W SERIAL NUMBER STOCK_NUMBER NEW I USED COLOR j 0.RECORD OF TRANSACTION 1 Cash Base Price � ADDITIONS OR DELETIONS j4c51(o u ' ` I 2. Additions or Deletions—Shown®Leff I 1 _ - - -4- r - 3. Sub-Total 3,,1 5 L J 1 �o U 4. Local Sales Tax R L c- s ;� _ 5. License Transfer,Title Registration Fee H 17-5 6. Insurance I _ 1 7. Total Cash Sales Price �57 1�S i PAYMENT j ADD[T ONA4 SPE FIC TT/�CH D❑ ITEMIZATION I - I B.DOWN PAYMENT i OTAL A TMENTS CONSISTING OF T ES PTIO a. CASH EARNEST C MONEY PAID ca 'V b. BALANCE CASH I { i MOBILE AOME❑ AUTO❑ OTHER❑ DOWN PMT.DUE YEAR MAKE MODEL SERIAL NO. c. GROSS TRADE I ALLOWANCE TRA I CLDUDIES ALL FIXTURE APPLIANCES C DRAPES d. LESS BALANCE OWING ( CA S❑ AWNING SKIRTING- ! e. NET TRADE EQUITY I ! PORCHE STEPS❑ WOOD STOVE C I � I BALANCE ON -IN.OWED: LOANNUMBER If TOTAL DOWN PAYMENT { E.TO BE DELIVERED ON OR ABOUT: g. CASH DUE BEFORE DELIVERY SUBJECT TO PART 11.3 a 12 i S., 71B (]MINUS 8f) PLACE OF DELIVERY: CITY- I COUNTY- ' ' 1 IF. DELIVER TO HOMESITE a sETUP-eUeI TO PART II,PARA.6,AND PART IV SETUP a SITE REQUIREMENTS AGREEMENT. 11 NOTE:The buyer cow take possession of the home until the safe is closed and all funds are released to the Seller. G.The instrument consbft the entire agreement bMwm the Buyer and the Seller and no representations,promisee,or warranties,express or implied,have been made to the Buyer with reference to the properly unless end full herein.No oral modification hereof shall be Valid.The agreement shall not be subject to amendment,modification,or termination,except in writing signed by both parties. THE CUSTOMER AC101OWLEDGE8 THAT HE HAS READ THIS AGREEMENT,UNDERSTANDS IT,AND AGREES TO BE BOUND BY ITS TERMS AND FURTHER AGREES THAT IT I IS THE COMPLETE AND EXCLUSIVE STATEMENT OF THE AGREEMENT BETWEEN THE PARTIES,WHICH SUPERSEDES ALL PROPOSALS ORAL OR WRITTEN AND ALL OTHER COMMUNICATIONS BETWEEN THE PARTIES RELATING TO THE SUBJECT MATTER OF THIS AGREEMENT. H.ENTIRE AGREEMENT,CONTRACT PARTS:This Agreement includes Part 11,Terms K.TRADE-IN.:If on receiving possession of the tradsin property by the Seller there has and Conditions on the reverse side of this sheet and all other written terms,conditions been a material change!n its furnishings,accessories or physical condition from initial and understandings accepted by the parties as part of this transaction which are deemed appraisal,normal wear and tear excepted,then the Seller may make a reappraisal.Said to comprise a single contract document and constitute the entire agreement of the parties. reappraisal then determines the trade-in allowance.THE BUYER WARRANTS SUCH Each paragraph and provision of this contract and all parts hereof is severable;If one PROPERTY TO BE HIS PROPERTY, FREE AND CLEAR OF ALL LIENS AND portion thereof is Invalid the remaining portion shall,nevertheless,remain in full force ENCUMBRANCES,INCLUDING ALL ASSESSED PROPERTY TAXES,LICENSE FEES and effect.The Seller shall have the right to enforce one or more remedies hereunder, AND ACCOUNT SHORTAGES,EXCEPT AS OTHERWISE NOTED HERE,AND THE successively or concurrently,and such action shall not operate to stop or prevent the BUYER WARRANTS THE TOTAL AMOUNT THEREOF TO BE NO GREATER THAN Seller from pursuing any other remedy which the Seller may have,and no indulgence STATED IN THIS AGREEMENT,Necessary corrections,and adjustments concerning e granted to the Buyer by the Seller shall be considered as waiver of any rights of the Seller changes in net payoff on trade-in shall be made at the time of settlement.The values L PRIOR AGREEMENTS, MODIFICATIONS. This Agreement supersedes all prior allowed herein for trade-in may be arbitrary and may differ from actual fair market value negotiations,orders,otters,agreements and representations,either oral or written.In by mutual agreement for the purpose of this transaction.Therefore in the event of rescis- particular,this Agreement totally supersedes and replaces the similar agreement of the skn or cancellation of the sale the parties are not bound by such allowance.If the hatle-in parties dated 1911.This consists of real estate.then details of the trade-in transaction and an itemization and Agreement may be modified or pertly superseded by later written agreement of the parties calculation of allowances for same are set forth on the attached Real Estate Trade-in attached hereto and incorporated herein. Agreement and Closing Statement,which is made a part of this Agreement.The Buyer agrees to deliver the original bill of sale or the title to any property traded in as partial pay- J.FINALITY OF SALE,CONDITIONS:The sale agreed upon herein Is unconditional,final ment along with the delivery of said property and the keys for same to Seller's premises. and binding on the parties according to the terms stated in the various parts hereof, L.Tires and axles are the property of the serer and are not included in the sales price EXCEPT FOR THE FOLLOWING CONDITIONS ONLY:If(1)contemplated financing, if any,is not obtainable by any means,or if(2)the Seller is unable to deliver the property unless otherwise specified In writing. substantially as specified,or if(3) M In the event the Buyer has not paid In full by the mutually spread upon date,to buyer will pry Its,Seser Interest at the NOW wWI raw per mash on the unpaid Bslance until psyment i i Is mods In full.The mlroralyaPNd Won law wN lea tefae dollvery r aided In-E"and'So." j then In such case only,Buyer may sleet to cancel the sob and shall then be entitled above or at ere dole of mwmb*s d the Isms If the home is ham ordered,wbkhever comes to a refund of payments made andlor the not true value of the trade-in received by the Ilrat.The howeef will sca is on Sr fus unpaid balrree and the sedw Is paid In full. Seller lees any direct casts incurred by Seller in processing this order or in applying for financing.A credit 8 handling fee of$35.00 will be deducted. X X II N.ASSENT: 2.Offer to purchase by Buyer;I/We agree to this sale including We 1. Bayview Homes i. terms and conditions on the reverse side hereof and all other parts of this `\ document and acknowledge receipt of a copy thereof. Salesman _....-e.�.,.�..-,_L. i1— I Accepted By \ T Buyer ITLE Not binding on Seller until signed by an officer or the management of Date Signed Seller. ' REV.sez M.Ns - _ —--_ -— - ---_Page 1 of 5 r 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 WIDTH MODEL 92 MAKE MODEL ,7 62 K YEAR MOBILE HOME LOCATION INFORMATION SERIAL # RY or2A72 A. My privately owned land yes no OR B . If rented or leased land who from? NAME ADDRESS CITY & STATE C . Real Property Parcel # ( from tax statement of new location ) D . Mailing name and address for owner of mobile home NAME ADDRESS CITY S STATE E . Location address of mobile home City F . Date mobile home was placed on present site G . Purchase Price DATE SIGNATURE TYPE OR PRINT NAME TELEPHONE NUMBER 411 N. 5th P.O. Box J Shelton, Washington 98584 Phone 427-9670 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. kk►M41 NAME MAIL ADDRESS CITY d STATE P PHONE OWNER S7-"49V. . SH1A1,-- t1lAi✓, ��'/3 80�f�v��I/!/£� IV.l� DIRECTIONS ,S /Lt`5 /Y6,,e77,- Of SE Z�r O/✓ 6odlL y .3i Fzl��/�' o�v &z/fie TO JOB SITE P O /l10 ri!}�DS 41_D/✓G /t•,,404ZT Bv/ i!✓!- .5r7;F" /S S. l�. OF PARCEL 2/35- LEGAL 5t V i4 OF SW V O St V 1; OS-' /-',3 O NUMBER DESCR. ✓OL . G DF ASS P. 2 NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE LICENSE NO. CONTRACTOR Fir✓tc?✓ �^oF�� �� S'�/ s, coley' USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE _ X (o WORK /YC 77 4 / 77z- Z ZZ .r vFSTc R1 7-70N : AV4,�qiL — sc� - 2 AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILA OR AIR RESIDENCE SgFt STORIES I SHORELINE CONDITIONING. BASEMENT eSgFt BEDROOMS _ 2 PRIMARY RES. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS $ Ft BATHROOMS 2 SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT qFt FIREPLACE_ 0' IS CARPORT/ ARAG GARAGE SgFt ATTACHED O DETACHED LT ?�lli OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT 1 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 CONFOR E THEREWI H. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING PP 7_nBUllNG DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. 7 XOWNDATE 9?—.2 S—Gl Z- X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION HEALTH PUBLICWORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION `1 SHORELINE WOODSTOVE SEP 2 8 1999 PLUMBING MECHANICAL VICES STATE BUILDING FEE -0 n-p C APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION C7 TOTAL le)-f [2 BY CASH CK MO I J • J 11VAll I I • ••• :/ • Z t BILT PE MA BILT PERM4 • • • •• • •• • • •. • •. • • •• • / ifi it _ .:il� iii/_ / i ./ ��r / / i! � i � � ■■■■■■■■■■■■ ■■■\ iE■■ NOM■■■■■ ON Noonan arm momm"Em"Re No mmmmmom No■■■■■■■■■■■m■■■■■E■■UMEM MEMO■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • . • • . •- • . • - • 1// • • • . • • 0 BUILDING PERMIT PLOT PLAN MASON COUNTY ' DEPARTMENT of GENERAL SERVICES P.O. Ecx 1 coo SHEi i ON, WASHING TON 98-5a4 c77-Z Z7n O W N E:� I X7iv t . sN�iVF�I'1AiV R c `8,�3 p�7'J ,�✓"Vz G�6 N•�R6A�, �p 9�335 �s��021� C 1;; C v 5 .S'�7ic r"� NORTN,Bo�/N„A f,Qq�Y! -5jV5EZ7a/V ON II&V Y .3 . ,1e14*7- G�V t GGt� 12e) ,4D l C -IcS s �- ;�DROPE�7f BF61,Vs 7-- EyYD OF Ro,#D Ar BA�R�c tDF I Nuns` I32/35�f3Gi�.30 I Q`_;.� I St' VO SW Al -SF 35--2/ —.3 I Indicate e! rc;.e�-, O Easements and reads. O Septic, dralnfleld and reserve area, or s2wer. O Septic tank and dralmrield set;zc,( ,is;znces fron fcur.dc�cons. O Location of proposed construction on property. O Euilding & septic sys'em. setbzc'{ distances frcr,-1 all prc,pery fines 3 easem„ents. Indicate North O Well and water line. - In Circle O Saltivater, lakes, rivers, stre2ms, wetlands, drainage. O A,-:ach caoy of static system as boil~ or septic permit'apprcvaL O Indicate topography proFrle of property and structure_ cn rove se ide ►� I I I I I I I I I 779 is` I I ' l l I I I I I I f i •I wl��. 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