HomeMy WebLinkAboutBLD2005-00487 Verify Compliance for Dangerous Dilapidated Mobile Home - BLD Permit / Conditions - 7/13/2005 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
4 Shelton,WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2005-00487
OWNER: WILLIAM LOONEY RECEIVED: 3/24/2005
CONTRACTOR: LICENSE: EXP: ISSUED: 3/25/2005
SITE ADDRESS: 920 NE COLLINS LAKE DR TAHUYA EXPIRES: 9/25/2005
PARCEL NUMBER: 223315000058
LEGAL DESCRIPTION: COLLINS LAKE#1 TR 58
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
VERIFY COMPLIANCE WITH ENF 98-00005 COLLINS LAKE
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: OT No.of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: PRE Fire Dist.: 2 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: 11 Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building Pre-Site Inspection NJP 3/24/2005 $58.00 S22005
Total $58.00
BLD2005-00487 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2005-00487
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CONDITIONS FOR
BLD2005-00487
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described propertAand structure for review and inspection.
OWN ER OR AGENT: L DATE:
BLD2005-00487 Please referto the following pages for conditions of this permit. 2 of 2
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o CONCRETE MECHANICAL MANUFACTURED HOME
0
T Footings /Setbacks Date By Ribbons
0
C) Date By Gas Piping Date By
co
4 Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / 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 By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date •Z��
Date By . ,. 1 ... Date By
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03 10/2005 15:05 FAX 360 427 7798 MASON CO PERMIT CTR Z 002/002
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MASON COUNTY
PRE-INSPECTION APPLICAT
426 W. Cedar/P.O. Box 186, Shelton, WA 9858A 0-427-9670 � d
$58.00 Fee Required prior to Inspecti n .* -]S 3(�(0(05
PLEASE PRINT
#1. owner Daytime Phone SSS
Site Address -- City
Mail Address 420
City A_CD St tA/ _Zip-
Zip 5 �-+01
Applicant ( L IM Az tL QX)
Applicant Address S q L(t"
City St J Zip
#2. Parcel No. o _ O
Legal Description
#3. Pu vse of Pre-Inspection 1 h
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#4. Use of Building
#5. Indicate by checking the applicable source if any water is on or adjacent to subject property:
❑ Saltwater 0 Lake 0 Stream ❑ Marsh ❑ River ❑ Pond ❑ Wetland D Seasonal Runoff Other ""OW �i
Directions to Site:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines,
Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking &Frontage Streets. Indicate
directional by N, S, E W. etc.
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Applicant Signiture Date
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