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Home My WebLink AboutBLD96-0658 Mobile Home, Deck - BLD Permit / Conditions - 6/21/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B LJ I L_ E) i N G F> V' R 10 1 T FOk INSPECTIONS CALL. 427-9670 BETWEEN 5pm AND Siam 427-7262 OLD96-9658 PARCEL :32f0105102001 PLAT sCE:PLO 2 D I V t BLK : 2 LOT : 1 JOB ADDRF S S : F 970 DANIELS RD SHELTON OWNER : PICK LENOLF 427--837? CONTRACTORS JJ CONCRETE' AND CONSTRUCTION 491-520P LEGAL : CF8.14 GROVE 11 6191 2 LOT# I E 410 PANIFI-5 10 CLASS OF WORK . . :NkW BFDR t 3 BATH : 2 TYPE AN08NT SY BATE BfCfIPT TYPE A181111 SY $ATE RfCfi1T TYPE OF (ISE . . . . .MI-I STORIES . . . . . . . 1 OCCUP . GROUP . . . t? BLDG . HE I GHT . . : 0 .Of 1' FR1T 1 37.15 TN 06121106 42222 TYPE OF CON.,T . . :7 F I REPL.ACE'S . . . . : 0 PICK 1 IN.18 T6 #6121196 42222 OCCUP . L.OAD . . . . .. 0 WOODSTOVE?S . . . . t O #Not 1 i'.t`J.fo T1 #6121196 42222 DWELL .UNITS . . . . . 0 PARKING SPACES : 0 STfE 1 4.SO TN 66121196 42222 INSPECTION AREAS A SHORELINE? . . . . tN 1HCP 1 26.011 11 06121/99 42222 TOTAL: 233.25 VALVIATION; 1300 SETBACKS-- - ----------- TOILETS . . . . . . . 0 FUEL. TYPES____..______. BOILFRSICOMP---- MOBILE HOME- FRONT . . _!= 10 .Df t BA I'd BASINS . . . . , 1 0 t 0-3 HP . .. 0 REAR . . .W 8 .0f t BATH TUBS . . . . . . .. . , 0 3-15 HP . s 0 MODEL s FLEE:TWOOE SIDE: ( 1 ) .N 55 .0f t SHOWERS . . . I — _ ; 0 TURN < 1 A0K BTU : 0 15-30 11P . t 0 --MAKE--._,. -- S I DE(2 ` .S 8 .Oft WATER HEATERS.— : 0 FURN >-100K BTUs 0 30-50 HIP . : 0 SHRL INE . O .Bfy: CLOTHES WA"FRS . . : 0 FURN -- FIOOR . .. . s 0 5011 HP , s 0 -YEAR-._----. AREA _-- --- --- -- KITCHEN SINKS — . : 0 HEAT PUMP . . . . . . : 0 96 1.OT S I,ZE . . s FLOOR DRAINS . . . . .. t Sit VENT SYSTEMS . r 0 EVAP COOLERS t 0 LENGTH r6,6 BU I LD I NC . . .. t 1 025f DRINKING FOUNT . . . - 0 VENT FANS . . . . . . t 0 HOODS — . . . . . t 0 WIDTH . :2_7 BASFMFNT . . ., s Dst LAUNDRY Tn-AYS . . . . 0 DOMES . F NC i N :0 -SE:R I AL. #-----. DECKS . . . . . . : 08f DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCiN =O CHAR/CARP t? Osf GARB DISPOSALS . . . . 0 <, 10000 ofm . : 0 RFLOC/RFPA I R : 0 AT/DT . t? URINALS . . . . . . . . . . . 0 > 10000 ofm . : 0 OTHER UNITS . : 0 MiSC PLM FIXTURESt 0 GAS OUTLETS . : 0 ...-z-rr•:.-a-,._r:. rt�fiA�tn�anoctm sexy-.=+�cs_�Ira�t�: .a.pewloraa.-�aemc.we2..xamauaw�xxRm 118JECT OESC11IPTIO111411'CE 0041E 1110 0Fcw PROJECT LOCATIONtNNT 3 TO AGAIE RD IURR NIGHT AO TO AGATE LOOP (09s Rlri#T 60 TO I)ANIELu RO TURN 11116111 GD A6081 2 NILES O1 1161T. TNIS PERMIT SECOAFS NYLL AAA I;'O10 IF IIOAk; OR CONSTIUCTION AJTNQRI?EU IS NOT COINE101 WITHIN 180 DAYS Of IF COIFSTIOCFIBM 81 1011 18 81SPEN9EQ FOR A PE1101 OF 180 DAYS AT ANY TINE AITER WORK IS C410001). tiII)ENCE OF CONTINUAII0q DF 101N IS A 91hRESI 11ORTION IIIIIIN T0E 168 DAY Pf1108. i1NAi INSPECTION 00ST I APP1AVf1 IFFOIF 6411.8116 CAN 6F OCCOPIEI. 41Nff OR AGENT: 9ATEt ItA st1tr a'11R11G1 rnuos I Marc Tn AT7'ArUCn r*nun s T t nssc IC ncntt s nswn 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 ,n date by date by date 8-% `7 b KA FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by f .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 � J ON APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW � d j4) ' "1 s - MASON COUNTY DEPARTMENT OF HEALTH SERVICES Environmental Health Water Quality Personal Health PO BOX 1666 SHELTON, WA 98584 LOCAL, (360)427-9670 BELFAIR(360)275-4467&4468 Application for Determination of Adequacy TOLL FREE 1-800-562-5628 FAX (360)427-7798 Instructions 1. Complete Part 1. No determination can be made until fart I is &co>rinpleted; 2. Complete only the portion of Part 2 applying to the type of water system utilized. 3. Submit completed application,with attachments to the health department for review. PART 1: Applicant/Parcel Identification Name of Applicant a Date Mailing Address C 9 7 Telephone Assessor's Parcel Number�3,,2 l p .2=0 0 1 Type of Water System Check One): Reason fior Application Check One): ❑ Public/Community Water System(2 or more Building permit connections) ❑ Land use application,if so.. ❑ dividual water Source(one connection),if so.. ❑ Division of land Well #of Parcels? ❑ Spring/surface water SPH9 - ❑ Other(explain) ❑ Boundary line adjustment ❑ Other(explain) PART 2: Water System Information Complete the section appropriate for the type of water system being evaluated for adequacy: Public Water System Name of Water System Water Facility Inventory (WFI)Number: ❑ The water purveyor has filed a letter granting blanket hookups to this water system. ❑ I am the manager of this water system. The water system has been approved for services. There are presently connections to use. This will be the connection. s water system is able and willing to provxTe water to this(these)connections without ex�the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date W_7 H.-WDATICARCHIVEWATERAD3.WP Update:October 20,1995 WuJraual�i�Jl+ul4 SHIELYOIN PUNT 7th 6 Park, Shelton, Washington 98584, Phone 426.3344 ••wwlw.,roM EXCQVAT-16N 7C 9 Ib� CoN,rr, vFAIL� 11 ETcl 64 i.. I I Cxcq VA7/ ,N era BE g �LoN<r ;`rcJ.rDt=-~• AEPT N VAAII-;r s pcA spec. ZNLIFT 14 :f/ t -7 f z.i rx AVAT10n1 TO az 1011ONG � Ol:10fW ✓AK)CS :;, T 5 YL r- (1rd �.►; 1 IABEAOiiN CiNYRALIA 'OLYMPIA 86A77LE SHELYON �''I ' •� Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427 96 0 5628 8 PLEASE PRINT \, #1 r Phone# �- 4i-Vty e Address OCcG� Fide District# St (�C Zip 11858 Directions to Job Site Owner Mailin""g``Ydress ,AzcC/ City 1 � St Zip Lien/Title Holder Address City St Zip #2 Contractor Name Contractor Reg#J5 co ry c060 Address Expiration Date -7 l 2 e l City GO St (�AJ ge Zip Q'Cam—Phone# o z� #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) C CSUlZ of PAL►C a LC�- 1 #4 arcel No. yZ d /-Q ,5�� c7 y c� Legal Description #5 Building Square Footage: (e*letirtg/proposed)��(0 1st FI / 2nd FI / T 3rd FI / Loft / Basement / Deck C� L�#bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. #6 Use of building 3ijescribe w &2,� ED #7 Type of Job: New V Add Alt OTer z YpRepair— w RAI #8 MOBILE/MANUFACTURED HOME INFORMAYON rn C� Model Year�9 Make - del Cto Length_2Z Width s,Serial No. — # Bedrooms _# Bathrooms Type of Heat Purchase Price $ n #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 min FE a .� CvCA Z/ w APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW J l� vV � ' Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 eachl No. Toilets CIRCLE FU YPE: Gas, Electric, Bath Basins Heat p, Other Bath Tubs o. Units Fees Showers Fu rn BTU Hot Water Htr _ Heatpumps Laun Washer _ Vent Systems Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins _ HP Dishwasher No. Air Handling Units _Dispos cfm# U ' als No. Fire Protection Systems Other _ Auto. ire Alarm Sys 50.00 Fixed Fire . Sys 50.00 Permit Basic Fee 16.25 _ Auto Fire Sprink Sys 35.00 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 16.25 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- 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 OFTHE 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 OBTAI G APPROVA FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTME X OWNER X BY DATE DAT FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: `'/eA, S,04)qr--CA , m 617 Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Qtel,c. fir, 1300 Building Permit 3-1,-7 SS Plan Check I S 00 Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee •S'7 Other W Other �(Q Building Valuation: \300 TOTAL FEE 3a�