HomeMy WebLinkAboutBLD93-01428 Final Mobile Home - BLD Permit / Conditions - 3/3/1994 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. 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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL I SP CTI N
date by date L by' date by
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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
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
MASON COUNTY
BUILDING 1-II 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location f-- 2I 4a :tju�
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
U- IMULi4 -�j
rbv IcIA afA r,Dnlx6+' o on pY)
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You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
Make corrections, items will be checked on next inspection
❑ OK to
Department U b(7-
Date J ^� � Inspector �>colrA-
so
■ * No *T Mo *V THI T ' ,ow
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
--------------------- ------------------- - - - - - - -- -
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
I MASON COUNTY Permit No.
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 n
PLEASE PRINT
#1 Owner (` .�\Q �prn�' Phone# ,37 )-Cy6o6
Site Address N9_ 'K/ tyd d uh AND. Fire District# 2-
City 7rt\,,,v a Sty Zip !I X_S 5e
Directions to Job Site
12D
' iJ 0
Owner Mailing Address l0 3� l��cx .•c�cx C �
City ILK e-cy p��-s,n � — St l Zip
Lien/Title Holder Walk; `M u �nF1
Address
Clty St � ct zip fV If 95
#2 Contractor Name Ai DW e- ,Se r U,'l!e- Contractor Reg# 31y7W,6 an No99oP
Address 63 3 D /9 SY 7A d VER s. LV. Expiration Date_/�0 /
City�nr_ �; P r l St W Zip Phone# S
#3 If septic is located on project site, include records.
Connect to Septic?&-Public Water Supply Well
Connect to Sewer System?_LLC> Name of System
(If residential, proof of potable water is required)
#4 Parcel No.J r')d - !1`7 " 4 Z
Legal Description q -vj-, = r _b
tcow
#5 Building Square Footage: (existing/proposed)
1st FI -it_/72 2nd FI / 3rd FI - / Loft /
Basement --- / Deck -#bedrooms / _#bathrooms /
Garage / — Carport — / — (Circle:Attached or Detached?)
Other sq.ft._ \I/
#6 Use of building 4, ,.ti�i p �, .\� 1Z P .. KO'B)LJC� dItf� Describe work
#7 Type of Job: New �&__Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year l73 Make Doj 6�Model_tLZ MMe, n \
Length Width_Serial No. ,d f su CX%ssue dco�� P,p4,,
#Bedrooms #Bathrooms 2 Type of Heat ;�ce e, O ,►2. 11
Purchase Price$ S S y b .
#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 fbther
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
VV
be,c�
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I
i
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers _ Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No.. Air Handling Units
_Disposal cfm#
_Urinals No.. Fire Protection Systems
_Other Auto. Fire Alarm Sys %00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 OF THE 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. N C ANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAIN APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER/ X BY
DATE -3a - 3 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: !
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: s 1'Yl i1/1�V►n►n1M SIC)(Q '\1 oycC Se } ks� n,
Environmental Health: n
1v\`
Building Plan Review--:Z�NJ-5T4 - eea rAPCT SP��
Occupancy Group: l� -ype of Const:
Fire Marshal:
Other:
Special Conditions: 4ZO l4-INNS S�+Qn+ TJ� FEES
r2 &L+ Aye S _ /Li�S7`— Building Permit
)b 19- Plan Check
�Or►zyHrj- /S 36 3k er-(.vfL
Plumbing Fee
r
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE /d
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