HomeMy WebLinkAboutMIS92-00034 Cancelled Mobile Home for Storage - MIS Permit / Conditions - 12/9/1992 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 31 S C E L L R P4 E Q U S P E R M I T FOR INSPECTIONS CALL 427-9670
HIS92-0034 PARCEL : 223117600290 PLAT : DIV: BLK : LOT :
JOB ADDRESS : . . . . . . . . . . . . . . .
APPLICANT : TOM PEZZI 542-5993
OWNER : TOM PEZZI 542-5993
L E G A L : TR 29 IF SURVEY VOL 4119-22 FS #5386:29 R[ 1661
PROJECT DESCRIPTION :
MOBILE HOME FOR STORAGE ONLY
PROJECT LOCATION :
FROM NORTH END OF EFENDOLF RD MAKE FIRST LOFT ON NE SIDEWAYS LEFT ON PINE CAMP RD ITS THE LAST
LOT ON THE LEFT
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
None
TOTAL : 0 . 00 OWNER OR AGEN`f DATE
NIS_PRNT, rev: 14/11/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
' -�_-�__------__ __-----_----_'_------_-____--------_-
`
MASON� � � ����� COUNTY
���U U �����
K 'K �K � U�� U `�
" " "" ^~= .~~ " ~ .�° ,-� ~= " ~ " " "
MaSC}O [`oU[lfx A|dC]. U| 426 W. y`edC][
P.O. �vl �� Shelton, Washington�
. �^ `,^^" . ^^`^ 98584
�� E: Uk. r"I ][ l N �' ][ lr ][ 0 r4
Case No . : MIS92-0034
For ; TOM PEZZI
Page ; 1
1 ) MOBILE HOME FOR STORAGE ONLY . DO NOT OCCUPY AT ANY TIME , DO NOT HOOK UP POWER , WATER ,
SEPTIC TO MOBILE . OWNER RESPONSIBLE FOR MOBILE HOME MEETING ALL COUNTY CODES AND
REQUIREMENTS . THIS PERMIT EXPIRES AUGUST 12 , 1992 ,
X
� �
MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
R0, Box 186 Shelton, Washington 98584
14 11 '--ip C; U. L- 0% P41 L--, tJ U L�- R 94 1. 1 N Ce I—9 h 10
MIS92-0034 P A P C F-1 2�4 I 1 0 029 0 0 IV H I
A0 R . . . . . . . . . . . . . .
P"1�1 I A N tom PEZZI 542-5993
1,ill.lt I I-OM PfZZI S 4 2-S 9 9'.1
111 29 if SWIVET V4L 4114-27 fS 0386.29 11 166A
f-'Rillf I I lit '.I*lv Wi I ON
MORIIJ* HOW FOR ';TORAGE ONLY
I'F,1) 1!,! 1 1 !�i A i I "IN -
FROM NORTH ENO OF EFENDOLF RD MAKE FIRST 1OF1 ON ME SIOUWAYS LFf- r ON PINE C A N P R D I I�i I tf F I A�0* I
LOT ON IHI IFFI
FIR(&JI- C f Nil i t
I YII( .�MWJNI Hy HA I I- k L C f I f-1 I
N
_7
ro 1 00 01,41`4k� R OR AGUN fie)f I
10,; pp*� , fev: COMPI-JANCE TO AITACHUD COMOITIONS [It
HI-QU f RFf)
CONCRETE MECHANICAL MOBILE HOME
Feitings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
dAte by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
i FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by 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
J
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MASON COL'=--
, '�►.. B=DING PERMIT APPLICATION
PLEASE PRINT
�I Owner ZZ Phony#
Site Add-ess i ty. :Zip
St
Owner Address .16W,. Ci ty S ip /�7
Lien/Ti tl e Holder �—�---
Address Cs,t)r S `zip
Des ibe Work
I
T`2 Contractor Name Contractor Rego
Address bcpi_-ation date_
ty, St—Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply well_
#4 Parcel No. . 76 -L- Cc -1
Legal 7-vwnshj' 2
P3
Zz►^�2-
#5 Building Square Footage: (edst�q/proposed)
1st F1 / tad F1 L_ 3rd FZ / Loft_ /
Basement 1_ Deck / Garage / Ca pc_t /
#bedrooms /' / #bathrooms /
0t1tez sq ft /
#6
Use of building
r r Tmme of Job: New Add Alt Repair Demolition
Plumbing Only MecbaIIiCal Only woodstove Re-Roof
Bulkhead Other
#8 PZ umbinQ Fixtures MPS cal r^fixtures
No- Toilets No. Fuel Types No. Air Hand? T ng Units
Bathtubs Fu, < 100K BTU <= 10000 cfm.
Showers Furs >= 100K BTU > 10000 cfm.
Bath basins Fuzz - Floor Other
Sinks Heat Pumps E`crap Coole=s
Dishwasher Vent Systems Hoods
Hot Wate_T H= Vent Fans Domes. Incin.
Laundry Washer Boilers/Compressors Cnamil . Snc+n.
Floor Drains 0-3 HP Reloc/Repa r
Omer 3-15 HP Gas Outlets
15-30 HID Woodstove
30-50 HP Omer
5 0 + HP
�9 QB LE HOYE, r P"'.ATION
Model Year Make Model
Lergtt Widt-h Ser a: No .
�Bed_�ooms �Ba C�-oolns
`10 Any water ter on or adjacent cc procer=y: sal n..,ra cer lake
ri ver pond we c!a;:d seasonal :--In 0fx
0t.2e-
Show fol-owing on the site plan Directions to job site
Lot Dimensions Flood Zones
ZxIst_n' Q� Structures Fences �`/"�` 'h 6►�a4
St^scture Setbacks Driveways
Water Li p—s Shorelines
Drainage Plan Topography _—
�� -
Septic . Wells
Proposed Improvements Easements Name of Flank-,ng Street c.<4
Name of Fronting Street
i
Scale:
Date:
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW"
I
1
I
APPL:CANT TO DRAW Ste'=':; PLAN n:.LO
1
NO?'10E_ THIS PERM- - BECOMES NULL AND VCID 77 WORK OR CONSTRUCTION
AL: OR=ZED IS NCT CON�'NC'D WI-71 IN 180 DAYS , OR 77 CONSTRUC_'I0N OR WORK
IS Z) P DED.MM�:-J
C
IS O OR ABANDONLD FOR A PERIOD OF 180 DAYS AT ANYTIME AriER-.rnRR
OWN-E RS AF F=:.V r T - CONTMAL ORS ;LF'r':OAL:7
1 CERTIFY THAT_I_AM UEMPT FROM THE REQUIREMENTS OF THE I CERTjy THAT I AM A CURRENTLT REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCN 18.27 , AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON CL7JMT� 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 AMO ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH_ NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE WE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE. BUILDING
DEPARTMENT. DEPARTMENT.
I OWNZR X Bx
MAC= nay
Return permit to: Department of General Services
426 W. Cedar/P.O. Box 186, Shelton, wA 98584 427-9670/1-800-562-5628
._ FOR..O. FFICT II SE ONLY Accepted by: � Da
te:
_ .:�.:.: M
DEPMR AL REVIEW
FOR OFFICE U5E ONLY
Approved Cord mold
Appr o"t
Planning: '
Enviro=ental Health:
Buildfag Plan :Review:
Fire *Marshall:
Other