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HomeMy WebLinkAboutBLD94-00535 Final Mobile Home - BLD Permit / Conditions - 7/22/1994 MASON COUNTY Mason County Bldg. III 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 01; 01 1 I tia: 1 if',i I i fifl' et; 421 9610 =I I I•.if 1 N 1,n1 ilftifl s=•;fn 4?7- 7216R' H1-044 051 I fif f f i o0,'l".0 4'1 A l m I I,1 s? 4 11i1; £ziffflr4 NE 140 RAINBOW 1N RE I A I R HARI.AN HAM1MRiC11 ?7h--%10? s'ta f f`,'41 ! Ili. 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I-, b-EL 10,, by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date (J/— by �✓ BG/SLAB Insulation Floors Final date by date by date 'Z b FRAMING Walls FIRED T. date by date by date by PLUMBING Attic OTHER Groundwork date by �, 0 date by WALLBOARD NAILING D.W.V. date by date by Water Line FINAL INSPECTION date by date by date by . c ��(.0 c c� c 'tom h o, Q I � II J MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 ­'ttuclm-a' ol olly por-liotl lll{'rrfot 111vill i0" it) h" i 'llil Itmil qlad 111,11 (lir"lill ply 0 1 1 It i c4() t IIN i I Ilklif till I I. 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(.1 /m,11111 '.1c t.tirfAd How% i I I -I t i ,,II lrltI Hm I I i I o I) r of 1-, 1) 1 81 r-'111 I r ll-'poc oll., ('11 m-v mo 1) i 1. lit a I I I 1 4,- I Ill a-t liftirit., o y 11 Q(I I t I i rift I 1?tjt' o f i I, c' t Vvl I, eitid fill I 4 v Kt ,,,;'.t ;I I I i I ci I I I(!I 1 1, 1 11 il n 1. t r1 t V,- 1110 l a[, it iiV em o (if y q 11 a F,or,in I I I vi o hit, i I 1 1, 1 lif,i illifi-k 11 iitill i I I"i I I It I V i fit I, I t <-V I j lit) I 1 I t- it I 1 (ill fi t "i I I v / A I I Ii 1-t,I, I V MASON COUNTY Mason County Bldg, 111 426 W, Cedar R0, Box 186 Shelton, Washington 98584 Ally londifill dor:1- that i " jftol �, ilt it: f :Si, : ® Permit No. MASON COUNTY APR 2 0 1994BUILDING PERMIT APPLICATION aAz 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEAS P T v //// #1 Owner llii 2 Leo At � T4 N r /`�i9/yfm2/(? Phone# ,?06 - 7-5' / Site Address N.C- /'yO R/lIA160IJ ,Z Fire District# � City 41 C291k St 6u-'4Zip Directions to Job Site Q d N N- 5//or E 1Z D 7'C M (SS o JJ � R EE k 2 D ONb Sick E OF 5-7'/,'E FT, Owner Mailing Address /V F / 0 T A1919660 .0 N City , 1 H A/P, St 4/'4 Zip Lien/Title Holder 6iX46-N f'IZEE -ZN�i�V N�4L CoK Address City FEOee 4L 441, y St 6611117't Zip #2 Contractor Name �� �/tF /�dot s Contractor Reg# 5�(0 Address 5'�113 Cc/ S t f/y cd Expiration Date J 9 city for ©12e#,9&7 St Cv1- Zip d?9310& Phone#.2Z-4'79-0'79s- #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) #4 Parcel No.,2;?.:Fa 5- - 50 - 0 a(0>05' Legal Description A)'71S.510N e ee K �9Z K: a 4 O f #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / 3 #bathrooms / 2- Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. S f #6 Use of building —Describe work #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year/994 Make 'f r Model S 12'if Length 6 O Width a V Serial No. cvp, r(e+�e— �e4— #Bedrooms 3 # Bathrooms a2 Type of Heat Purchase Price $ 9 0, 35�• 0" #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 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW cc- i' Plumbing Fixtures ($3 each) Fe& Mechanical Fixtures ($6 each) No. T ilets CIRCLE FUEL TYPE: Gas, Electric, Ba Basins Heatpump, Other Bat Tubs No. ni Fees Sho rs _ Furn BTU Hot W ter Htr _ H atpumps Laund Washer _ Ve t Systems Sinks _ Sp Vent Fans Floor Drai No. r / m r r _Laundry Bas s _ HP Dishwasher No.. Air H dling UnLta _Disposal _ cfm# Urinals No.. Fir P j tionSystems Other _ Auto. Fire larm Sys 50.00 Fixed Fire upp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sp ink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pell t 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 BUILDPL EPARTMENT. DEPARTMENT. X OWNER X BY DATE D i� l�� DATE FQR QFI*tCEAL L1SE ONLY Accptee by. " Date I � DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold , -� ^nl& !�- Approval �Q ,Planning: Sly Mwt !� SE�'� .K S" (Y✓om c, I r Environmental Health: Building Plan Review Jy)= sl CC S , Mrf l�4Nt�{nf�ST POST Occupancy Group: �'3 OIL Type of Const: 5N 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 LEBuilding Valuation: TOTAL FEE