HomeMy WebLinkAboutBLD9661 Final Mobile Home - BLD Permit / Conditions - 4/24/1978 Castle, Norman W. #9661
3-27-78
Tr. 3 S 1/2 NW 1/4 36-21-3
Cranberry Creek next door to store
Mobile Home 1 '
�-
fy.9L a,Y ����� ��'
BUILDING PERMIT APPLICATION budl&
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED '3 (&
If
PERMIT NO.
OWNER NAME MAIL ADDRESS STAT ZIP PHONE
dig '0'ox 3'
DIRECTf6NS /
TO JOB SITE is �� y
LEGAL r1 f (❑ SEE ATTACHE HEET)
DESCR.
NAME MAIL ADDRESS CITY&STATE LICENSE NO. PHONE
CONTRACTOR '
USE OF
BUILDING
Class of work: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ O eq PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. /9 74 Group
(Toze t Bldg No of al) F1414 7� Stories Max
otal) L r
Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By
ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conformance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
p- IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
Date. `�� A WORK IS COMMENCE DOSUSPENDED OR NED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
ATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
!J4TE440. PARCEL NO.
RECEIPT
THURSTON-MASON HEALTH DISTRICT DATE BASIS FOR FEE AMOUNT NUMBER
DIVISION OF ENVIRONMENTAL HEALTH
529 WEST FOURTH 110 W.K ST P.O.BOX 746
PHONE 753-8073 PHONE 426-4407
OLYMPIA, WA 98501 SHELTON, WA 98584
APPLICANT
\,, L,
AD REESS PHONE DATE APPLICANT MUST CALL FOR INSPECTIONS LISTED BELOW
NOT
SITE: ] APPROVED ❑ APPROVED
SEWAGE
CONTRACTOR E(t' pGV R , f� (ovt�G BY:
NAME OF PLAT _ LOT NOT
NO. SEWAGE: ❑ APPROVED ❑ APPROVED
SEC. > TOWNSHIP RANGE r�
BY:
DESIGNER:
TYPE OF NO.OF LOT Z /.l�Rc`� SOIL TYPE 1 1 `ate 7.Z 4
�Cc_ 2.
BUILDING /Y1�R BEDROOMS SIZE ' X
WATER i GARBAGE DEPTH TO WATER TABLE FT.
SYSTEM P/Z( V -r / L DISPOSAL ����
PERC TESTS INCHES PER HOUR
LIQUID WASTE G.P.D.
BY DATE
PRIMARY
NORTH • SITE PLAN AND SPECIAL STIPULATIONS: SEPTIC TANKISI ���`� GAL. PUMP REQ.
(INDICATE DIRECTION OF DRAINAGE)
DISTRIBUTION TILE TOTAL J FEE'
z U FILTRATION AREA `��� SQ. FEA
QUANTITY OF
APPROVED STONE CU. YD. SAND CU. YD
w
1) m FILL REQUIRED CU. YDS.
`•� �" , SPECIAL SYSTEM REQUIRED
Ij THE ELEVATION OF THE BUILDING SEWER SHALL BE SUCH THAT
J t l`� THE MAXIMUM DEPTH OF THE DISTRIBUTION TILE SHALL BE BE-
Pr TWEEN 12 INCHES AND 36 INCHES FROM FINISHED GRADE TO
,0 TOP OF TILE UNLESS OTHERWISE STIPULATED BY THE HEALTH
OFFICER. IF THE ELEVATION OF THE BUILDING SEWER IS TOO
LOW TO MEET THESE ELEVATIONS, A SEWAGE EJECTOR MAY BE
REQUIRED.
ISOLATION STANDARDS FOR PRIVATE WATER SUPPLIES:
BETWEEN WELL AND TANK OR ANY PART OF THE TILE FIELD,
�C u OS 100 FEET FOR SINGLE RESIDENCE, MOBILE HOMES, DUPLEXES
AND MULTIPLE DWELLINGS. NO DRAINFIELD WITHIN 100 FEET
MAR 1 �97H OF ANY WELL, FRESH WATER LAKE OR STREAM; 100 FEET FROM
ANY SALT WATER BODY.
NOTE: "FOOTING DRAINAGE, DOWNSPOUTS, WATER SOFTENER AND ANY
OTHER WASTE WATER NOT DEFINED AS SEWAGE SHALL NOT BE CONNECTED
ii TO OR DISCHARGED INTO THE SEPTIC TANK SYSTEM OR THE SEWAGE DISPOSAL
REGIONAL PLANNING AREA". ALL SEWAGE, INCLUDING SINK AND LAUNDRY WASTE, MUST BE
DIRECTIONS TO SITE: CONNECTED TO THE SEPTIC TANK.
1 c- o FINAL INSPECTION REQUIRED BEFORE BACKFILLIN
7 0 S~ 6L I E U Iiiir
24��(Z C K 5 AWC 1Q -k C STONE
QC�� � ���_b _ ILE!YSTONE
TILE
THIS SITE PERMIT EXPIRES E 0 ---� I
CROSS SECTION OF TRENCH