HomeMy WebLinkAboutBLD93-00079 Final Mobile Home and Deck - BLD Permit / Conditions - 7/22/1993 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.0, Box 186 Shelton, Washington 98584
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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 7_�Z ,�� by j �.,j date by
MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
8 P.O. Box 186 Shelton, Washington 98584
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——————---———————————————-- -——————————--———
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
data by Gas Piping date b
Foundation Walls date by Set Up
dse 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 Aff' OTHER
Groundwork date b
date b Y
D.W.V. WALLBOARD NAILING QY, 7- Za—`j ���CK
date by date by
Water Line FINAL INSPECTION
date by date by date by
p j G( `� `� �' � C '� C..>c I-) S f Ci c_Csrn
F Permit No-BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT 001 q
#1 OwnerA /-r? �`'T-ri` %',r+ n 1�,f Phone# y - try
Site Address 4- ,�/as;,,, ,,ip_��r ,',z�
City St
Directions J/.to Jo Site/ Hie 4 3y �v /flu s on " It f//.,3.,ts�., /u,� Al
pr�/ A, (!:' �L- !'�C �&' / /-ih..2 �7i �JJ� ��� YlK j-�', �� /�)'1 ZWr! L�
i
f
Owner Mai ing Address d/C
City St Zip !Fkl%G
Lien/Title Holder '
Address
City St Zip
a's Per MT US u►w�Ulw1��
#2 Contractor Name6 cin er Jn w-4-cam rhaS,l� Contractor Reg# /,w}✓�cidd�I,f
J
Address Expiration date
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? YeS Public Water Supply Well
(If residential, proof of potable water may be required)
#4 Parcel No. C) C1 c v.z
Legal Description (=F l � a�fih�s � `#
'-Tra Xb 7� Lc?� 0
#5 Building Square Footage: (existing/proposed)
\<- 1st Fl a 2nd Fl / 3rd Fl / LoftVPC
/
Basement 1 Deck y-20 /-Sge- #bedrooms _ #bathrooms__
Garage / Carport / (Circle: Attached or Detached?)
Other sq f t /
#6 Use of built�J
nq /)Describe work
#7 Type of Job: Newt_ Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
#S MOBILE H TION
Model Yea . r " Make 1'.° t, � n./ Model
=r
Length_ idth Serial No. 1'7 k 'a c,0 R a X k r o o g 7 s t
#Bedrooms I #Bathrooms 1 Type of Heat r;-C;,„ ,-LA.
#9 Any water on or adjacent to property: saltwater lake_
river pond wetland 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 Scale:
Name of Fronting Street Date:
APPLICANT TO DRAW SITE PLAN BELO
1 �-130
k �
p"
S42p11c �e�k ,� @ lco
'Tray IQ,f
f lye
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELO
1) r
0
Plumbincr Fixtures ($2 each) Fee Fee
No. Toilets Vent Systems X 3 . 00 _
Bath Basins Vent Fans X 3 . 00 _
Bath Tubs No. Boilers/Compressors
Showers 0-3 HP 6 . 00
Hot Water Htr 3-15 HP 6 . 00
Laundry Washer 15-30 HP 6 . 00
Sinks 30-50 HP 6 . 00
Floor Drains 50 + HP 6 . 00
Laundry Basins No. Air Handling Unit
Dishwasher 10000 cfm. 7. 50
Disposal > 10000 cfm. 7. 50
Urinals Other
Other Evap Coolers
Hoods
Permit Basic Fee 3 . 00 Fire Suppression
TOTAL PLUMBING $ Domes. Incin.
Comml . Incin.
Reloc/Repair 6 . 00
Mechanical Fixtures Gas Outlets X 2.00
No. Fuel Types Wocdstove separate
Furn < 100K BTU 6. 00 Other
Furn >= 100K BTU 6. 00
Furn - Floor 6 . 00 Permit Basic Fee 10 . 00
Heat Pumps 6.00 TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
I CERTIFY THAT I AN EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCN 18.27 , AND AN 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 t - T G c l� X BY
DATE V 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: r0
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond Hold
Approval
Planning: g,t,
Environmental Health:
Building Plan Review:
Occupancy Group:
Fire Marshall:
Other:
FEES
IlSpecial Conditions: II IlSite Inspection
II II I 4
II IlBuilding Permit tl '
II II I• ' no
II II Ilviolation Fee I 11
II II I I
II a Il ((violation Investigation Fee I it
II II I
II II II Plan Check
II II I U I G II
II II Il Plumbing Fee I II
II II I I
II II IlMechanical Fee I II
II II I I
II II IlWaodstove Fee I II
II II I I
II IlBuilding State Fee I II
I
IlBuilding Valuation: r' II II TOTAL I