The URL can be used to link to this page

Home My WebLink AboutBLD92-00497 Cancelled Mobile Home - BLD Permit / Conditions - 9/23/1996 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 oil �Xa N-V%o W-Dq? 049 7 P6 k'i I I i i�0 � i 0 J� I 'PIE (jtItj;, j U. 143 K11.114 I-N SHUtTON & ro')%low MINI I CIJIIARIE"� WAII(FIR 421--94,.,!fi I. I IN # $f St $1 11 1 Sf Sp 1311 Sift Sflyty 110 41 fS #11111061111-7-S D) NJ: I'l 1-41 TIP I It : t IYPE hNI)IIIIIII BY DAlf RECEIPT TYPE ANIIIJ01 Hi OAT[ Rffflpfi r4li I M 1 011 1 Of I fpH 44110.� 04 I Al O)II'llfil I I I ;Ito w1l A 1 I I W if 1 Y P f fill I I 1 11, m01i I I f-- MIMI ;tA 111 1,I1 4; 1 (,1`. h f It f IM', IW MOfff I = iti/l A I I 41 1 IlkM 01, IS 1 11 0 fit, I IA I I- 12 W I 111'rl I oif,ir fS I II - 0 111, f (I I III ,- fled I'l 1 1, f 11111m f I fmk ti I? - I I t tit N I NI, 11 41 tit A 1 1,1 j M 1, \4 N I I I Mt, 1, 1 1—, 0 1 t 1`41fil 1-1 - 111, 'Ili 1 1 if i Nij N 1 59 11/1 JA I I iq4,, 0 0 i'l fij)L,j_ MJ I'll ( 'I I fq v -'',I I-, I tit 0 - hI t k 0 f 11 1 I,M 'A"lif Ij A I P 11M 1101 1 P41I 1114 1 1 1, 1 Ni I N I,) '10i1Il" 0 t (JAPH i!I 1 0 t 0000 if, 0 1-' 1,it I I< 0000 v I fit f,9 tiIIII'I, HN I 1 0 1111 f I Mjf(T j1(k�jFjP1I0N!008JIF NONE F Ito-IF 1,1 1 0A I 100,APPRO X 7 N I[FIV, Will (If 3111110111 00 HUY t I WE PA,i III[Fit I Pi f t III!, 'if pill lopm Ifff q NAII gofl, (!m IFFT I')I Opfvf 00 Ifff H I% Pf R111 I OFL 1191� 110t t AND VOID If W(41 OR I Apil fllj( I I ON All THOR I'JD I r 11011 r fillpf Of 11) 011 H 11 1 AN IIA M, Iti; If 'Rot 11 oN (to wovy iI;I mmlitito roR A pmon OF 180 GAYS AT ANY T(111( AFTER WORK fS (011011tfb, EVIDfill(f OF f-ANT I 011A I I Itil Of U1111i I') A P904RE �S, lwf i 1100 ME IN I A 1111f IRO PAY PE R 100 F TWAI I#')Pf I I go Itthf BE APM,09 8171`01if RoltolKh CAN BE firi'llpifil. DAlt ifto FRIIII , III I ;j 1 4 1 C 0 M I L 11 A N C L 10 AI VA C 14 f D L 0 N 0 1 1 0 N i I R U:Q U I R F I I 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 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 r L►4 vl efL X /-f y L-Iq vMd,m- LOA � M I � 0 0 0 I - .o Iy I S�Iq FRFS.v A/.S Vt v-( ram. � aV41 nr' I I ^ /NSdc, I /D 3 71 o x µ WALL rcy I rcA1F` Sh�►a� �..-:.I ee— ,0U�,FAj t 1 y rued fcoo4 4 REAM 2K9) /6 rBKr e-d-C, A3tocK5 -Y x o,v c e e re, pA0 I yXy aEA}, �I 4x4af/IM -� 0 Ku N - - Sox - CRgwLSpAcE AccEss I � SCAL 6 %y MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION /0-2 T0: amruj U-bj Ver Oz,k)-� C3 1U 0 q 8 v�Q RE: Permit Number # 01 �G��-��o�-� To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please contact this office for a final inspection, update inspection or extension prior to '' /�/96 to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, Building Department cc: Property File Y the mason county assessor Darryl Cetyland 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 `f WIOTH /C MODEL MAKE e5RE-AT LAeft S MODEL I r' t Iy YEAR /9S MOBILE HOME LOCATION INFORMATION SERIAL # /O0 -304SA932 A . My privately owned land yes_ no OR B . If rented or leased land who from? NAME AOORESS CITY & STATE C . Real Property Parcel t 3a /36 ( from tax statement of new location ) 0 . Mailing name and address for owner of mobile home NAME LNR RLC s F. U-1ALKC R AOORESS F E603 `l/w``y 3 CITY & STATE S/se/fOh u/4 YFs�s� E . Location address of mobile home -3 City SGC/z`aH F . Oate mobile home was placed on present site G . Purchase Price DATE 6 SIGNATURE TYPE OR PRINT NAME C,94,ZLE-5 E. ✓�4U«!� TELEPHONE NUMBER 4"27 _ 9142Z MASON COU= BUILDING PERMIT APPLICATION 4 PLEASE PRINT ft Owner V2 C/fi4RLES F, 1444KF/Z Phone# Si to Address �F E,6 0 3 //,`14.le City.�iS�L c TC'ti' - ;' Y S t Zip 4+9-58 Owner Address s'4" -& Ci ty St Zip_ Lien/Title Holder A4,67 Address C hl p Describe Work Sc T t' :Bc- r7, t c L tY St Zi #2 Contractor Name Contractor Reg# Address Expiration date / / �, Ci ty St Zip Phone #3 ;' If septic is located on project site, include records. y Connect to Septic? Public ,Water Supply '�� We11 r ,- 4 Parcel No. % /S Legal Description < #5 Building Square Footage: (existing/proposed) 1st Fl / 2nd Fl / 3rd F1 / Loft / Basement / Deck / Garage / Carport / #bedrooms / #bathrooms / Other sq ft / C#6 Use of building, -i v�'n�� r'c� c,�. R Qr;.1,4 C. ) #7 Type of Job: New Add Alt Repair Demolition Plumbing Only Mechanical Only Woodstove Re-Roof Bulkhead Other #8 Plumbing Fixtures Mechanical Fixtures NO. Toilets No. Fuel Types No. Air Handling Units Bathtubs Furn < 100K BTU <= 10000 cfm. Showers Furn >= 100K BTU > 10000 cfm. Bath basins Furn - Floor Other Sinks Heat Pumps Evap Coolers Dishwasher Vent Systems Hoods Hot Water Htr Vent Fans Domes. Incin. Laundry Washer Boilers/Compressors Comml . Incin. Floor Drains 0-3 HP Reloc/Repair Other 3-15 HP Gas Outlets 15-30 HP Woodstove 30-50 HP Other 50 + HP (4_9j MOBILE HOME INFORMATION Model Year -_7 Make G Model / 17 L R Length 4>- Width io Serial No. 1n,Z :7o 45 :-9 3;4 9#i rPo #Bedrooms ! #Bathrooms l Co-, Any water on or adjacent to property: saltwater -111: lake-io river tiro and ?= we �� seasonal r P runoff other L ■ ■■■■f►11■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■S►1■■!■■■■■■■■■■■EME ■■■■■1!■■■■■■■■■■■■■■■■■■■■■■■■■11■■■■■It■■■■■■ ■■■■■■■(1■!■■■ ■■■IlI�R:!!�!■�ii�i3i■�i��i�iiii■■iiiiii■■■■■■■■■■■It■■■■■■■■■■■■■■ i 1!! !!■■�� MIM ■■■i�i��■■ir■■■■■■■■■si1■■■■■■■■■��■■■■■It■■■■■■■■■■■■■■■%■■■ WHIS1111111111111011 ®'�■■■■■�!�■■lilJ.,l�J■it■■■■■■■■n 0 ■■■■■■`■■►1■ ■■■■■■��■■■■■■■■■■■■ ■■■■■■■■■■■► 1!■■■■I�■ IPA In 12F ■■■■■■■■■■■■■■■■�s■ IMMOMMONOMMOMMOOMMOMMOMMOM ■■■■�■■ MOONEMO ■■■■■■■■ ■ ■ ■■■■■ ■■■ !■■■■■■■■�1■■■■■■■■■■■■■■■It\!�■■03i■■■■■■■■■■■■■■�i►■■ ■■■0■■■■■■■■■■■■■III■■!■■■■■■■■■■■f1■It■\■■■■■■■■■■■■■■■■■■■i■■ �iiii�:■■■►'!!■iGi'u■mom ■■■■■ ■■■■■■■■■■L'!!�!!�1■C■L,1■aJi■■■■■■■■■■■■r■■ ■■■■■■■■■■■■fii■■i�■■■■■■■ ■■NONE ■■■■■■��■■■■■■■■■■■■■■■■■■■/%/■■ 0 oil Hin ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ i i ■■■■■ ■■■■■■■■■■■■■■ Show following on the site plan Directions to job site Lot Dimensions ••• Zones Existing Str-uctures Fences ,• Structure Setbacks Driveways Water Lines Shorelines i Drainage Plan Topography Septic Systems -'Proposed Improvements Easements i ,'Name of Flanking Street • • • •• Street NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS , OR IF CONSTRUCTION OR WQR- K 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 X BY DATE e 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: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cord Hold r Approval Planning: Environmental Health: Building Plan Review: Fire Marshall: Other: