HomeMy WebLinkAboutBLD0025 Final Mobile Home - BLD Permit / Conditions - 8/2/1983 Oroutt, Kirk & Dianna L. #0025
692-5289, Poulsbo 5/17/83
Lot 4 of Collins Lake #4 .
See Attached
Mobile Home Contractor:
Setright Mobile Homes
$19,888.00
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls:
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:'
Interior :
Final: � 8"3
Stop Work:
Mobile Home:
Smoke Detector
Remarks:
i
14
BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 s— *� / --3
DATE ISSUED
a;
PERMIT NO. d d
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
Q ,T— P o . 7 GcJ 9�-
DIRECTIONS
TO JOB SITE
LEGAL Lot 4 of Collins Lake No. 4, as per plat thereof recorded In([I SEE ATTACHED SHEET)
DESCR. Vol. 8 of Plats, Page 19, Records of Mason County, Washington
NAME SET2/c�/tT �j G�R/�-qtrnt� St2�U�C E CITY&STATE LICENSE NO. NE �X
CONTRACTOR _ 14comQ , I _Cvscr�I (/ k3
USE OF IN S 2 — 5777
BUILDING �L
Class of work: g NEW ❑ ADQI ON ` ALTERATION C REPAIR ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ iy —� PLAN CHECK FEE PERMIT FEE ZS
`01 /
SPECIAL CONDITIONS:
BEDROOMS {DECKS CARPORT NOTICE
BATHROOMS (TOTAL SO. FT. GARAGE
ATTACHED SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE DETACHED :
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
I certify that I am a currently registered contractor in WORK IS COMMENCED.
the State of Washington and I the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES (�
SEASONAL FLOODPLAIN ❑
Firm E.D. NO. S.E.P.A. ❑
By Special Approvals IN OUT YES APPROVED NO
Lic. No. .__ Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware _
of the Mason County ordinance requirements for BUILDING DEPT. j
which this permit is issued and that all work done will ROAD ACCESS
be in conformance therewith. MOTOR VEHICLE PERMIT
APPLICATION ACCEPTED BY PLANSCVECK BY APPROVED F,OP'1SSUANCE
Owner �� Date ' ,- i, B ���
PV CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
PLOT PLAN
ADDRESS PERMIT NO. i o
i o
n >
o
LEGAL
n
DESCRIPTION LOT BLK ADDITION u
SITE AREA Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"=20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"'D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
{� INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without
first obtaining approval.
NAMES) OF OWNER(S) OF SITE 6 STRUCTURE(S) (PRINT) SIGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
SHELTON VRINTING
I .ill-C
A U
S N
N T q� FIRE MARSHAL
Y
1 P.O.BOX 184 4th & CEDAR SHELTON, WASHINGTON 98584 TELEPHONE 426-5593
April 13, 1984
REF: Residence of Kirk and Dianna Orcutt
Lot 4, Division 4, Collins Lake
Called to Orcutt residence at 1430 hours on April 12, 1984, in regard to
electrical defect in mobile home. Determined the smoke detector did not
work due to lack of electricity in circuit. Several other outlets were
not working in the home.
I advised Mrs. Orcutt that should she choose to sleep in this residence
she would do so at her own risk. I also advised her to contact HUD and
Manufactured Housing Authority in Olympia.
Many other defects were observed in this unit.
Ed Piland, Deputy Fire Marshal
DEPT OF GENERAL SERVICES
EP/jw
I