HomeMy WebLinkAboutBLD95-01613 Cancelled Mobile Storage - BLD Permit / Conditions - 1/19/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar .
P.O. Box 186 Shelton, Washington 98584
R M 1 T FOR INSPECTIONS CALL. 427-9670
BETWEEN 5pm AND Sam 427-7262
BLD95-1613 PARCE:L :223117500120 PLAT : DIV - BLK : LOT :
JOB ADDRESS : NE 6680 EL FENIDAHI_. PASS RD BELFA I R PERMIT
OWNER : TIMOTHY GERMAINE 372.--2866
CONTRACTOR : NULL & VOID BY EXPIRATION
LEGAL : T1 12 OF SURVFY VOL 4119-22 DATE 1-t(R � BY (wv
CLASS OF WORK , . :OTH BEDR : 0 .BATH : 0 TYPE ANOUNT BY OATE RECE IP? TYPE AMOUNT BY QATE RFCE IPT l
'T•YPE OF USE . . . . .MH STORIES . . . . . . . :0 .- s, i
OCCUP . GROUP . . . :? BLDG . HF I GHT . . : 0 .0 F t CHOU 1 25.0� KS 12111/95 40901 I -
TYPE OF CONST . . c? FIREPLACES . . . . : 0 STFE 1 4.50 KS 12f11195 40907
OCCUP . LOAD . . . : 0 WOODSTOVFS . . . . : 0 IF"cp 1 11.01 KS 12/11195 40907 ► ii
DWELL .UN I I S . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE? . . . . :N L TOTAL: 39.51 VAIUtAT ION: 11
xr:..^emMesx_
SFTBACKS------____.___._ _ TOILETS . . . . ; . . . . . O FUEL i'YPES-..-- .--------- BOILERS/COMP---•-. MOBILE HOME---
FRONT . . . 0 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR _ . O .Oft BATH TUBS . . . . . . . . : 0 3 - 15 HP . - 0 MODEL :
SIDE ( 1 ) . 0 .Ott SHOWERS _ _ . . . . . . . 0 FUPN < 100K BTU : 0 15-30 F4P . : O -MAKE---.- _..__.
SIDE (2) . 0 .Oft WATER HEATERS . . . . . O FURN »100K BTU : 0 30- 50 HP . : 0
SHRL I NE . O .Oft CI OTHES WASHERS . . ; O FURN -- FLOOR . . . : O 50+ HP . ,- 0 - YFAR-
AREA -_._..___._ .________ KITCHEN SINKS . . . . : 0 HEAT PIJMP > . . . . . : 0
LOT SIZE . , a FLOOR DRAINS . . . . . . 0 VENT SYSTEMS_ . : O EVAP COOt.FRS : 0 t_FNGTH : 0
BUILDING , , 500st DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BA`aEMENT . . , c O,f LAUNDRY TRAYS . . . . : 0 DOMES . I NC I N :O -SERIAL#------
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : O AIR HANDLING tJNITS-- COMML . INCIN :O
GAR/CARP :? Osf GARB DISPOSE;L.S . . . . 0 c— 10000 cl'm . : O RELOO/REPAIR : 0
AT/DT . :? URINALS . . . . . : . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PIM FIXTURES : 0 GAS OUTt.ETS . : O
PROJECT 1ESC11PI10N;ST01A&FIO9BlLE
PROJECT tOCATION%BEtFAIR TAHUYA RD TO FLFENDANL 4 MILES ON RIGHT
THic PFROIT BFCONES NULL AND VOID IF WORK OR CONS1160 10N A01 HOR170 IS NOT CONVENCED WITHIN 181 DAY4 OR If CONSTRUCTION OR WORK IS SUSPENDED FOR A PFRIOD
OF 181 1AYS AT ANY TINE AFIE1 1019 IS CONNENCEO. FVIOFNCE OF CONTINUATION OF WORK IS A P1O61ESS INSPECTION WITHIN THE 181 DAY PERIOD, FINAL INSPECTION OUST BE
APPROVED BEFORE BUILDING CAN BE OCC PIED. t
I
OWNER OR AGENT: -2A
OATE c
61.0_11011T, rev; 13131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PFRM I T CON13 1 1 I CAN
Case No . I BLD95--1613
For : TIMOTHY GEPMAINE
Page : i
1 ) The use, handling and storage of hazardous materials or flammaUle and oombr,tstible
liquids in excess of 10 gallons is not allowed without the Approval of the Mason County
Fire Marshal .
X '
2 ) Proposed structure or any portion thereof greater than 30" in height from grade line,
must maintain a minimum of 5 ' setback from all property lines , ea ements and right of
ways . /
X r -
3 ) Approved per site-plan . X ~i �
4 ) Proposed structure or pportions thereof witt► an projection over 30" in height from grade
line must maintain a 5 ' separat-ion distance be
adjacent struetureG and that
furthest projection . X� � _
5) This permit allows for the mobile unit to be converted to storage use only . All
plumbing fixtures must be removsd from this unit and NO OCCUPANCY is Hallowed ,
6) Owner/builder assumes all responsibility if drainfleld area is
encumbered .
X f , r)
TE MECHANICAL MOBILE HOME
Setback date by Ribbons
by Gas Piping date b
,roundation 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 by date by
Permit No.
MASON COUNTY \
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. BOx 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT /
#1 er V
�( Phone
ofe Address 6 E/F r p ( Fire District#
f n St q2a zipctions to Job Site (n �ccL6 F,- L M I Q
Owner Mailing Address P0 6
City f a i St (& Zip 5�
Lien/Title Holder
Address (? 13
City 5 i I 1 L\' St t4.) Zip 3
#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
(If residential, proof of potable water is required)
/ p0 1 vl0
#4 #rael No. a 3 �( _ -7iDescription :2*c-T (02 OFS�c^L)>°� Vole lci-cza�
#5 Building Square Footage: (existing/proposed)
list FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building �J To Describe work
#7 Type of Job: New Add Alt Repair Other (/
#82 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 7 Make&jMc"Model
Length_Width-Serial No.
# Bedrooms #Bathrooms Type of Heat
• Purchase Price $ L400*00
#9 Indicate by circling the applicable source if any water is on or adjace5LW subject erty:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff ther
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
c�
vJ 100
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
�� 00
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
aundry Washer Vent Systems
Si s _\ Spot Vent Fans
Floo rains No. \Boilers/Compressors
Laund Basins _ HP
Dishwash r No. AirT dlinq_Units
_Disposal _ cfm#
_Urinals No. Fire P\tecT tion Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixed Fir&Supp. Sys 50.00
Permit Basic Fee VJ5. _ Auto Fire Sp�ink 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 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 OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER ' X BY
DATE DATE
FOR OFFICIAL USE ONLY: b Accepted : 1 Date: t G
P Y
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: D
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
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