HomeMy WebLinkAboutBLD93-01792 Cancelled Mobile Home - BLD Permit / Conditions - 2/10/1999 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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THIS PfAIIII MOW 111011. AND VOID IF WORt 01 CONSTRUCTION AbrHOOTIED 13% 001 (611111,0LED vilkIll 180 DAY~ OR If (ON51111)(1111111 99 WORT IS SUSPF110fil FOR A PERIOD
Of 180-PAYS Al ANY I'llif AMP 1100k IS (ONNE0.1.18, M#Mf Of (ONIINVAI)OO OF WORK IS A MlllfsS WIPM1011 4111111111 Illf 184 DAY PERIOD. FINAL I#SP[(IlQN W1 Of
APPROVED WORIF 09110106 CAN 81 OCCOM8.
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C—(1 14 P IL 1ANCI—i-ft-jkl I Af-1411) 11 ONI)I 1 I (IN" I ELF 01
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 ,3— 1Y by t
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 rjK� r �� n� 4-
date W.V. by WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
1
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Page No. 1 CASE HISTORY FOR CASE NO.: BLD93-1792
ROBERT WEBB
NE71 SIDES WY BELFAIR
02/09/94
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
BLDA010 Application received / / / / 11/23/93 11/23/93 KW
BLDA100 Approved For Issuance / / / / 01/11/94 DONE KS 01/11/94 KS
BLDA500 (F) Issue building permit / / / / 01/14/94 DONE CPH 01/12/94 KS
BLDA940 RLC Checklist Completed / / / / 11/23/93 DONE AHB 11/29/93 MMS
BLDB110 Structural Plan Review 11/29/93 / / 11/30/93 DONE WLC 11/30/93 WLC
BLDB129 Sent to Planning / / / / 11/23/93 11/23/93 KW
BLDB130 Planning Review 11/29/93 / / 11/29/93 DONE MMS 11/29/93 MMS
BLDB135 Addressing / / / / 12/09/93 Scheduled for field work Thursday Dec 2. DONE GMM 12/09/93 GMM
GMM
BLDB200 Environmental Health Review 11/30/93 / / 12/06/93 Per septic records DONE MMT 12/06/93 MMT
BLDB210 Water Adequacy 12/06/93 / / 12/06/93 Need well log and bacti. sample HOLD MMT 12/06/93 MMT
BLD8210 Water Adequacy 01/11/94 / / 01/11/94 DONE CAJ 01/11/94 CAJ
BLDC200 MH Setup inspection 02/02/94 02/03/94 02/03/94 SKIRTING AND SMOKE DETECTORS OK LW PASS LW 02/04/94 LAW
BLDC210 MH Final inspection 02/07/94 02/08/94 02/08/94 CORRECTIONS 1. PROVIDE 36X36 INCH FAIL LW 02/09/94 LAW
LANDINGS OUT SIDE ALL EXITS, WITH A 36
INCH GUARDRAIL AND A HAND RAIL 34 TO 38
INCHES IN HEIGHT. TEMP. STEPS WERE IN
PLACE,TEMP. OCCUPANCY OK FOR 90 DAYS
I
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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tntormairio" ond Goid61ino%-MnhiIe/MonuWlLlLnd Ho"ninci inqIajlviLjo"4 Hand"" i ' I "I
dolAilQd doncription, of all iPq"jrPc1 invispclions on my hom-
1 "Whallation . l' her -by aAn"Me all ,;Op onoibilily Inr 1-hp vcheol" liocl of th—o iv,futi -d
innpwtiortv it khobe required p4cvio"n at " not rPq"vqlPd 7Y-V-, Ipd "no niqn-d
oil ( approvad ) by Lhp inspocint in Me prPwcribod ord"r , 1 "00011 a",-1 that
Won m"d " ho"rJy j "vosliqation, fee p"r,uaml io The 14q1 IfHk , ! akin 3A will b-
in addition 1,0 MY Oriql"Of permit Won to rv4" J -c any qutionabi - praclit -y ,it
pr"blems that hA"P been I WI WI n"doiviand that Uhl -
he n, hecluled An lime AI 1 ,1010 On t i A roqu Ini Ion /a 1 1 PI ob I -m- "Paw y "a
I "npan U on I wi 11 be rivantod I or tho i o ', i dont
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MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
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Permit No.
MASON COUNTY
t BUILDING PERMIT APPLICATION
q
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �
PLEASE PRINT 11
#1 Owner &be - bip-lob Phone# 7 -()� -
Site Address Effend,"1 -Fzs.5 -q,j SiclPs c._)Lz� Fire District#
City St 6,rJ�g Zip 9c�sa
Directions to Job Site 4:-:14�'4AQ 06i a
Owner Mailing Address 17S60 r—ada► f L
City F�� St Zip �7
Lien/Title Ho l er
Address f L) . L' z� :4 t(642
Clty ��-Hh Go(U� St l�Z��Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date /
City St Zip Phone#
#3 If septic is located on project site, include records. >
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System r� LU
(If residential, proof of potable water is required) fuuN
UJ
#4 Parcel Nolva
Legal Description �:1.1-a"'i- Z>t�n .'lk L2 5 I J 1Si o
ID
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year�Make�l[��.V Model Lj (
Length(Width -5`�Serial No.L4 PA
# Bedrooms �3 #Bathro�olms_Type of Heater(�C1
Purchase Price $
#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 z
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
p Off. 23
f I
> �D- &<D
rAPPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
I
Pijmbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Ga ,=Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
—Showers — Furn BTU
Hot Water Htr Heatpumps
—Laundry Washe — 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 A6rm Sys 50.00
Fixed 1716 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 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 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. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING EPARTMENT. DEPARTMENT.
X OWNER X BY
DATE L" DATE
.
FOR OFFICIAL USE ONLY:Accepted by Date:
DEPARTMENTAL REVIEW .
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: -k, j"-jo 14 1
Environmental Health:
Building Plan Review =V1J S-t-irk t_l_._ M F�,— &-C—S r
w
Occupancy Group: f -3/"° Type of Const:
Fire Marshal:
Other:
Special Conditions: /V,-,) Din^I S FO 2 FEES
.be L 94 S . Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE (