HomeMy WebLinkAboutBLD93-0971 Cancelled Mobile Home - BLD Permit / Conditions - 10/23/1997 MASON COUNTY PERMIt
Mason County Bldg. III 426 W. Cedar NULL V DID BY E PI ATION
P.O. Box 186 Shelton, Washington 98584 DATE Y
,tv . + ti1 1 4.'1- 9t►10
Iwt 1 14 f+lttto i•fA t I?h
f11It at1�11f,1 '� Ni LbbO HAVEN WY IAll WYA
;fl:ttlr !< JOHN SKF t 1't1N
ttll € !,. F;I IttA, ' rlWNI-R I C011111pALI (IR
! i 1` I NAitt' 1Atk 1111. 361 li 0484 61 #Aft
PdF, W kzt If4, b Itfli11 fi YMI ANNIINt ktY BAIT Wilt ANGO0 NY IfAI,_
I +: I i u� ...:xr�+^- -'.—^--,aa:.:_ r�,-- _-..:..,r-�-I..aaxa.-__arsr.zs•�F-•.ai— a<a,c —r -x
t,� Its,. 1:t1lif� It1 Itt. 11f If+"€ ! _ y, 01 tNIIItf IAA At 1': ustrsliut i-t ;
1 +t t`, Alt
I + !, N
si{fit , (9 l•kttal±:', 1 rl1;I Iyt 6It ! u !V f'. N{1l tf /'' t <r°rot
tt1.11 i ( Ili:
i Y htA1 AM4 vAINIAIf+�i :41Ai
w,..,.. ...�-�:_. .7,... -,._...n.—�..,: .-..x-�-.�.-+•,sue �..F__.:.�,� -._x.,..�.,,_. ,,...»�.:�, .,.�=�.
01 1 ii:h f If fife wi I 1 .5 flftlll i i 1<i
IA f-1 f, !
t It! i f M1 4b I l (J!i 1 f !t fIt G1 1 ! ff I QI F!i I if i ys t.t? ,!s° 4: f 1 �e+fi3N
t I
N 1 Li;s .i11 I t i I It f IIt ! 4if1t-—
rlf,
t 11 1 Iltt 1 It Io
it 1 1'[t. 1 + 1W ! flit 3 1v;. I t;i11:f i iy f`. t
I t41`f': 1; Illlilli'. III
It t it i ri
Ia ,l M N I s9 . ; I hlltdttl `r f i,'R'i '. a9 Aisii+Il 1 �Ii i {;1 t'+ i I• 1 ,F! it
`=i41.Ira'•1fI l'.'. 49 t I ( ltfiflti I I`++, 1114 ! I i i:hlhtl 1 14 t 't id A
(1thl't1 tIt ',}�rt�,r'hl
i l l l i' I it i ;• 4i
fl f l I I llli 1 HAI i•> ! +�ti,4totit ui 4l Ii I III iitI I 1 �i
f4 f •t i�i ht f I A I tt!-;1 ;q
I+N+i.AI1f Df�tFtF11+iN�Nt3H3it NNNk
1'011fI tOf.At140iflION 1Nf1ION IAf.t Hllf :i NOR IN 10WAAfri IftIIAIP 101 11f1 .nil; ;Aq Of%1 111191 9fiN19 `401 k11411 IufI k1601 At $111! 1If IAltiliA PhAl1 INI N NAVIN
� 1IA1 At tNf. Wfli tAtf a1614 IAII A11.I55 ROAD ptXF!S� HAVIN WAY
tH.11i FIRNII Rtiflof'+ #"t.t AND v11111 II' Nnlif Att ii1NSfRt±EWIN AdIHn#;IifIi I 4it1 f11001it(14 NIININ 1H11 NAY';, fIR II.1A ill"IRUIIION wG 1.110t 1'i ti01'4!Viff# Iby A PIf,InA
if 1Ki CIAY5 Af ANY 119f AMP WAR) 17 1,0#01'0Q 0 1 V I Ni;f of (1101iA11AIIolll Qf U01 is A I0`4(i1149 WHRIN tot I4t NAY Vtlillou. IINAf IWIt-IIli$ NNSt f.I
A1'fRilM offolif. HNIADINh CAN AE Octtfff€fa. _ r
A _
f�
it'o tool, rov., 0,1(:41)41 t'OMPI I ANC 1. 141 At I All.11011 4.i NO111 1t1E1% I'a RE,QiliRE 1)
i
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 Final
Floors
date by date by date by
FRAMING FIRE DEPT.
date by Walls by date by
PLUMBING OTHER
Groundwork Attic
date b date by
WALLBOARD NAILING
D.W.V.date date by
Water Line by FINAL INSPECTION
date by date by date by
►��
t-:) b.Q f2)l%e�s0Y,,e -1!�,n,�,,J GAh, P-fl-q---o t>16
I
I
I
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% (,-(- - 2() by [�J
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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
2 I
Permit No.g093.0
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner Z-o 61 Skid vim-/ Phone# ;Z h
Site Address 'kJ-C / ucG f/ w•/ Fire District# o?
City `Mba -y !.v A St Zip 9'8 S73T
Directions to Job Site Fvwi Shc n
*"/rx la{f tY,v. Soo Ajrs-�- ,GArXA ore APO a!<t &, -41L A� ';r
)4 L/:! rYQtJR
Owner Mailing Address
City _ St Zip
J Lien/Title Holder o110 tf,' /-c
Address
Clty St Zip
#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? r/ Public Water.Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.*2-33 o - ,So - o cc> 3 S$_�
Legal Description tl Ay ) l OC S S
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building No-7 a. Describe work
#7 Type of Job: New Add Alt Repair Other
#81 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Vi-/ Maket-ib.Ay Model
Length L/U Width Serial No. 0°/4.
#Bedrooms _# Bathrooms _Type of Heat
Purchase Price$ �//G�'� L%
#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
i
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 Indicate Directional by (N, S, E, W)
Name of Flanking Street Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
�dvc/J
Pr
iJc C?v I
1
c
A
G�
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
f"
41, /
i
F c/U f
L4 e
Aof 3 S$
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 eatpumps
Laundry Washer Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins HP
Dishwasher No. Air Handling Units
_Disposal cfm#
Urinal No. Fir Protection Systems
ther _ Au Fire Alarm Sys 50.00
Fixed Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Spr *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 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 PPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING RT ENT. DEPARTMENT.
X OWNER X BY
DATE DATE
I
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
M m5
Environmental Health:
�1
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 1�
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