HomeMy WebLinkAboutBLD94-0822 Cancelled Mobile Home - BLD Permit / Conditions - 10/8/1997f
MASON COUNTY PERMIT
Mason County Bldg, III 426 W. Cedar NULL VOID BY EXPIRATION
P.O. Box 186 Shelton, Washington 98584 pATE Jo t7 BY
91.094--0822 F'ARC t.l f'I it
NL 90 RANCH OR f AMIYA
CtIARLES CRAI6 275--Ht)93
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IHIi Pf1+NTi RECONES Mlitt. AND V1110 If WORK OR CONSTRICTION AUTHORIZED IS NOT COMMENCED WITHIN t9f DAYS, OR If CONSIRUCT1011 fill WORt h SUSPENDED FOR A PERIOD
0f 181 GAYS Ai ANY TINF AFIft UM is 1.0111ENCtD. FYIDFN(f OF (ANTINUA)ION Of WORK IS A FROMII IN`PFrfIrN WITHIN ?tlt Ili* DAY M1110. fl#AI IN',PECTION MUST OF
APPR(t`1I0 DtfOHf AUILDINe CAN RE OttliPIED.
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OtD PANT, rev COMPt LANCE: 1-0 Al (ACHF0 Gi1NI)i l Ti;rr`. T :, HF UtIIRf tD
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 Z fS byt---f
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
date by
PLUMBING Attic OTHER
Groundwork date bydate
D.W.V. b WALLBOARD NAILING 5, dy
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 ! cL.D17y 082-2—
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 code compliance
a � ✓
e->-A�
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
/aOK to .SV i r-
Department
Date Inspector L,
■ �� NnT Mo *V THU- T
� ,�
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
F,O, Box 186 Shelton, Washington 98584
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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.
JUN f W4 MASON COUNTY
BUILDING PERMIT APPLICATION 'CA/ti
HEAL�� � ar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628L1. h�
PLEASE PRINT '�C`—
RAI i q
#1 er gle s D a ! C.? Phone# 5 Z(0 7
riteAddress ti - Ra n�� I , Fire District#
City '7,g - St Zip5'8'�'
Directions to Job Site G'� bpt(t O F Q- l r e poi �J� Sh,-�,a R , Agn ,fie I�.s;A st pAP
7 !N � Ti 1�.�„�►. /erl Fn flnu.) &5 ?r RA L,C: � Qp, Apx, % Apt`
LK
Owner Mailing Address_f� SAE55EI
City 49e- St a;,a Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name et'S A?�n,6 i E' XhfA 16C 4 S Contractor Reg# S
Address Expiration Date
City AR e t4 ea M ys) St IA-)A zip Phone# :7-3
#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 wat r is required)
#4 Parcel No. D - e YA AVPW4 q�e?4 TRA C-5�
Legal Description C r /a
#5 Building Square Footage: (existing/proposed)
1st FI 23 AI 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building G Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME IN ORMATION
Model Year�MakeL=odel 'Y!J a
Length 6,4 *' Width/�Serial No. 1p i Q
#Bedrooms_:# Bathrooms 2 Type of HeatT
Purchase Price$ 5 (0 D n , ?)a
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
eerPond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences 1
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements J
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
L,Jc1
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
A
Plumbing Fixtures ($3 each) 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
_Laundry Washer 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 Alarm Sys 50�00
Fixed Fire 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
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 DEPARTIM DEPARTMENT.
X OWNER X BY
DATE W f n DATE
LFOROFFICIAL USE ONLY: Accepted by:
DEPARTMENTAL REWEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review Vl/t(4 C-t4/J A/A/ 6S ; loO'cr ADDa-t,.5- ,
Occupancy Group: IZ 3 Type of Const:S!J
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 '
Department of Labor&Industries _ V? ALTERATION PERMIT
Factory Assembled Structures Section Do not complete shaded areas
INSTRUCTIONS: OXl) 2 9�j7 12
1. Complete all spaces to and including the box with the signature X in it. p ' Invoice#
2. Draw map on reverse side of WHITE copy only. l
3. Submit completed permit and fee to the nearest office listed on the back.
4. Contact and schedule the inspection with the office in which you submitted the permit Insignia#
within 15 days.
Owner last name first name Day time phone Date
BRA ............
....... CIA..RL., .S.. �Df "••-.�.7..,5 8' .5..3. ..... .sq .
Address City St
5
Installer/Contractor/Dealer Phone Contractors registration number
Address City State ZIP+4
Check the appropriate boxes in section A and section B. FEES
A Commercial Coach B ❑ Alteration Inspection(check appropriate boxes below) $�75.00
❑ - - Air Conditioning/Heat Pump
Serial No. Electrical
FIZA Electrical Appliances
Mobile Home Fire Safety
Serial No. Gas Furnace
Gas Piping 1`a''o'S.,'14 CO.20 9+Y?-r`5e ,
MUD No. Plumbing 75'00
Structural
❑ Recreational Vehicle or ❑ Park Trailer
Wood/Pellet Stove — — Serial Nq
Serial No. Plan Review — — — — — — — — — — — — — — — — — —
$70.00
RV Inspection — — - - — — — — — — — — — — — — $70.00
Model No.or Plan Approval No. Re-Inspection— Original Permit $50
No. .00
Technical Inspection — — — — — — — — — — — — — — — $50.00/hr
Signature• pplic zed / entative Make check payable to: Dept.of Labor&Industries
X FEES DUE $ 76
15 artment use only
Request approved or LiReques. enied because of specific violations of Washington rules and regulations. Violations
must be corrected and reinspection ;aquested within 10 days for recreational vehicles and 20 days for mobile homes and
commercial coaches of the notice of violation date. (This does not apply to technical inspections). It is unlawful to offer for sale,
rent,or lease any non-complying mobile home,commercial coach or recreational vehicle.
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. . .. . . • . .. . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . - -- - - - - - . . . . . .
Included are forms required which must be completed and fees submitted before reinspection.
Date Ark office Inspector Total pages
A +✓,..�..i't,'" t"'£.., ter
F622-012-000 alteration permit 12-92 White-Olympia Green-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser
Draw map eivingdirections to location on the WHITE COPY ONLY.
('—Address
City State ZIP
N
W E
S
Department of Labor.&Industries OtlPices
ABERDEEN EVERETT OKANOGAN TACOMA
415 W Wishkah Evergreen Way Business Center 1234 2nd Ave S 1305 Tacoma Ave S Ste 305
PO Box 66 8625 Evergreen Way Ste 250 PO Box 632 Tacoma WA 98402-1988
Aberdeen WA 98520-0013 Everett WA 98208-2620 Okanogan WA 98840-0632 (206)596-3814
(206)533-9300 (206)290-1346/1347 (509)826-7345
TUKWILA
BELLEVUE KELSO OLYMPIA 12806 Gateway Dr
616 120th Ave NE Ste C201 711 Vine St PO Box 44430 Seattle WA 98168-3346
Bellevue WA 98005-3037 Kelso WA 98626-2621 Olympia WA 98504-4430 (206)248-8240
(206)453-7048/1074 (206)577-2200 (206)956-5799
BELLINGHAM Effective Feb 1,1993 PORT ANGELES Vancouver
Fo VA1 NE Fo Rurth Plain Rd
1040
2500 Elm St Ste F 900 Ocean Beach Hwy 1026 E 1st St Ste 1 r WA 98662-636302
Bellingham WA 98225-2732 Longview WA 98632-4013 Port Angeles WA 98362-4020 (206)696-6295
(206)676-2083 (206)577-2200 (206)457-2572
1-800-544-1509 WALLA WALLA
SEATTLE BREMERTON KENNEWICK 300 W Harrison St 1815 Portland Ave Ste 2
4841 Auto Center Way Ste 201 500 N Morain Ste 1110A Seattle WA 98119-4081 Walla Walla 99362 2246
Bremerton WA 98312-4379 Kennewick WA 99336-2607 (509)527-4437
(206)478-4926 (509)735-0100 (206)281-5400
WENATCHEE
SPOKANE 123 Ohme Gardens Rd Ste 203
EPHRATA MOUNT VERNON 901 N Monroe St Ste 100 Wenatchee WA 98801-9634
21 C Street SW 525 E College Way Spokane WA 99201-2111
(509)663-1713
Ephrata WA 98823-1895 Mt Vernon WA 98273-5500 (509)324-2568
(509)574-4608 (206)428-1350 YAKIMA
(509)574-2291
1716 S 16th Ave
Yakima WA 98902-5789
(509)454-3769
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