HomeMy WebLinkAboutBLD94-0154 Cancelled Mobile Home - BLD Permit / Conditions - 11/5/1997 MASON COUNTY PERMIT
Mason County Bide. 111 426 W. Cedar NULL VOID BY EXPIRATION
P.O. Box 186 Shelton, Washington 98584
DATE S BY -
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.0, Box 186 Shelton, Washington 98584
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- - by l�
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 by date by
D.W.V. WALLBOARD NAILING 02=
date by date by
Water Line FINAL INSPECTION s -
date by date by date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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• Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 C
�L
PLEASE PRINT
#1 Owner z r-� __ ,Jo,ynt son! Phone#
Site Address M o diu r R I n/ Vl F. W < S 9 Fire District# -
City E:L f f7 St 6/,' • Zip
Directions to Job Site 2
Owner Mailing Address Sh�2 3 ul i Na N q S T,
City Pa A2-r Jie e H Q ie y St Wit? Zip
Lien/Title Holder -t-e�ly��Q
Address
City St Zip
#2 Contractor Name / : L'I- b 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 Parcel Nod433L 2� - q
-
Legal Description , ' Q aE2
#5 Building Square Footage: (existing/proposed)
1st FI 10fo / 2nd FI / 3rd FI / Loft /
Basement / Deck / # bedrooms / # bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building ".4 e, M t Describe work
#7 Type of Job: New Add Alt Repair Othet �(
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year `` ' Make/ 6e4ry Model /-/,s R To C-
Length 14 Width Z Serial No.
# Bedrooms � # Bathrooms - Type of Heat LEC
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subjectproperty:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
1
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
&.zzt �k
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
12-
i
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6-each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showe-.,q Furn BTU
Hot Water Htr Heatpumps
—Laundry Washer — Vent Systems
Sinks ~ _ Spot Vent Fans
Floor Drains No. Boilers/Coml2ressors
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 \A o Fire Sprink Sys 25.00
TOTAL PLUMBING $ Otner �
_ Gas Outlets
Wood, Gas, Pell�Se
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 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.
J
X OWNER X BY
DATE — DATE
f� 1
FOR OFFICIAL USE ONLY: Accepted by: �'� f Date: ,-, _--
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY t
Approved Cond. Hold
Approval
Planning: i1nms
y lw
Environmental Health:
Building Plan Review C, S 41 K IjlyNoiL9 . PGS?
Lv
Occupancy Group: 2 3 Type of Const: �
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 Q l S