HomeMy WebLinkAboutBLD93-00448 Cancelled Mobile Home Replacement - BLD Permit / Conditions - 9/24/1999 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
j P.O. Box 186 Shelton, Washington 98584
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NULL & VOID `-;Y EXPIRATION
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CONCRETE MECHANICAL MOBILE HOMEc
Footings-Setback date by Ribbons n Sq 3-orr
date by Gas Piping date 6
Foundation Walls date by Set Up
date by INSULATION date -7 C- 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 by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT q
#1 Owner ! - -* 2 Phone# v)D& 37a.-,270
Site Address E ; ,e .
City 8�/Tg,,�' St 1,4JA . Zip 9Ls.1 S
Directions to Job Site _Tue n n n B EA O .Eck / n�ckA7T0 e-h OFF a�=
o)d r` 4, - ES o,r Vna Lvi'l) /lt V,l/t:7
- _ / s ,<�
On A 1 eEr - t�c�bl2 7740 l� '2� �RI ✓� b n' r- -+ ,C, 6 p+ T'
Owner Mailing Address P n AC'4
City_ St LA-'A • Zip
Lien/Title Holder re'--) T-itee P
Address , 0 4 -3 3 Vo
City )Ce-' Im-Pi91- St ZL2,4- Zip
4?r&2 Contractor Name 41 r i% 1` '"t Contractor Reg#
Address 3 Sy 3 ,,J. rA �L) to Expiration date
City aQT nC l4h4Q p St� Zip Phone /-ROG /6 9-S
v
iqq
43 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
(If residential, proof of potable water may be required)
#4 Parcel No. A2,2-�i v -75- ()o/3o
Legal Description ►SAP T 13 o r 5 L),cve`-J ;mil J3 7'
#5 Building Square Footage: (existin roposed)
ft,Basement-uo-.k,F/
1st Fl 2nd Fl LXti9 3rd FlLoft Deck it) - -40 #bedrooms_ #bathrooms_[_
Garage "n tiSe Carport L.)o tigt (Circle: Attached or
Other no'D9,15 sq ft i 2no /
#6 Use of building O Lb Ll(9A14.6 _ Describe work--LLL
#7 Type of Job: Newp Add Alt Repair Demolition
Wocdstove Re-Roof Bulkhead Other
.48 MOBILE HOME INFORMATION _
Model Year)993 Make K Model L1\-rJq EmiT- F—
Length_ Width_= Serial No.Alf �►
#Bedrooms_ #Bathrooms_ Type of Heat� 1,ZCTT�,f
9 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other ►lie- P— C F 7 W- A Love- CU ATE '
.s
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 A%k'e Scale:
Name of Fronting Street V Date:
APPLICANT TO DRAW SITE PLAN LO 1 '
W�
�Q t kO A0 $_:ASe me Z
C
APPLICANT To DRAW TOPOGR P_q ROFILE BELO
V
?';-,,;fling Fixtut es ($ each) f-e& 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 3 0-5 01 111 6 . 00
Floor Drains 5G. + 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 Fire Suppression fu
TOTAL PLIIMEING Domes . Incin.
Co Incin.
Reloc/R pair 6 . 00
Mechanical Fixtur?s Gas Outlets., X 2 .00 C
No. Fuel Types Woodstove sevarate
Furn < 100K BTU 6 . 00 Other ;
Furn >- 100K BTU 6 . 00
Furt Floor 6 . 00 Permit Basic Fee 100
at s 0 Pump 6 . 0 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
OWNERS AFFZDAVrr CONTRAcrORS AFF==
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
i CONTRACTORS REGISTRATION LAW RCW 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.
I
X OWNER < X BY
DATE /- 7-9 Z DATE
Zeturn permit to: Department of General Services
26 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 coed Hold
Approval
Planning: C
Environmental Health: S . < i j� ti
Building Plan Review: ^16
Occupancy Group:
Fire Marshall :
Other:
FEES
((Special Conditions : 11 11site Inspection I I1
II II 1' it
11 11 IlBuilding Permit I �p0 11
II II I f
11 11 IlViolation Fee i Il
II Il 1! '1
II 11 11Violation Investigation Fee ( II
II 11 1 !
II 11 11Plan Check I II
II 11 II Plumbing Fee I II
II II 11 -;I
I1 11 11Mechanical Fee ( 11
II 11 I I
II 11 IlWoodstove Fee I II
II 11 1 I
II 11 IlBuilding State Fee I S 11
1
IlBuilding Valuation: II II TOTALI / q 11