HomeMy WebLinkAboutBLD94-00965 Cancelled Mobile Home - BLD Permit / Conditions - 2/10/1999 MASON COUNTY
Mason County Bldg, III 426 W. Cedar ,
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P.O. Box 186 Shelton, Washington 98584
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R`E.G_PRI�T, rev! 130101 COMPLIANCE EC) AFfAI:I- CO CONDIItON�i is REQUIRko
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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 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
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MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(206) 427-9670
CORRECTION NOTICE
Job Location L_, `2'd �v'-cj' �-
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items
/listed below must be corrected to^gain
//J code compliance
`g -,LA, A 1 1 Qell A
L
(SCA^&Uji
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You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
Make corrections, items will be checked on next inspection
)K to
Department `
/L O Y L Inspector
vo-s Co rk Mo sV T 11 Ta ,*-mi
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
II
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION ,
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 `d
PLEASE PRINT
#1 Owner r�A(��r1;1 �E k t-51 (,l) i Phone#Q0(o-
fAddress KC- 1o29blo 7)r Fire District#
ity 7 rk N y\P st L�% 1t-S iiip
Directions to Job Site ) 1 i r rT u etr\C k , '� T-
v-- A rkuz-u3 Ors YiUtA-
40n,w:ne.r�MW.,,r,ng.Address -
city • St Zip
Lien/Title Holder
Add s 9-*—" - Sz-:
C y�� StZip�C
#2 Contractor Name . �1 '"C ' .zti 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)
#4(4ajrceI No. �-� - �J� D O �� 4
egal Description
T�, 9 5w-VtAJ 8/cso
#5 Building Square Footage: (existing/proposed)
1 st FI lkf� ' 2nd FI / 3r1d FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building t���1 cA a r-6-17- Describe work _.
#7 Type of Job: New Add Alt Repair -Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year lq`7 q Make Model �g2
Length Width o? � Serial No.
# Bedrooms 4 #Bathrooms Type of Heat A-r 2
Purchase Price$ 011 `] 0
#9 Indicate by ci ' e applicable source if any water is on or adjacent to subject property:
River Po Cree 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
S
6
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
C1...�
6"
f��
Plumbing Fixtures h Fee Mechanical Fixtures ($6 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
. Bath Basins Heatpump, Other
ath Tubs No. Units Fees
owers Furn BTU
/ Hot Water Htr _ Heatpumps
Laundry)q(asher Vent Systems
_Sinks ''+.� _ Spdt Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins 1� _ HP
Dishwasher No. Air Handling:,Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other _ Auto. Fire Alarm Sy"s 50.00
Fixed Fire Su S s_,,
PP Y 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys '. 25.00
zV
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove i
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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 DEPARTMENT. DEPARTMENT.
XOWNER e%�C� - � � P� X BY
DATE DATE
ram..... A
FOR OFFICIAL USE ONLY: Accepted by:- r? Date:
I s
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
FEES
Special Conditions:
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 lcl ,.5