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Home My WebLink AboutBLD92-0275 Mobile Home - BLD Permit / Conditions - 4/6/1993 MASON COUNTY 6 Mason County Bldg. III 426 W. Cedar 1 P.O. Box 186 Shelton, Washington 98584 11-4 A A'. a N " A M e 8-Y i ' (ih ) {1`,{'t o f t►N ►;t1,1)92-0276 PARLLI i pEaMiT . . . . . . . . . . . volt) pT10�' volt) B Y EXp1Ft O14N1.t• HARItY i T.t tf,ItkTT 4:' --77:?7 NVL By 1:I)N I'RA1` IIIR - Lt (iAI : Ti 11 +41F 59 It It ( AT SP'1184 eft ;SONVIFY 813Z Fi 4111?l:Kt $1 11164 Qp►T� CI A151 0I- W+lt,:K Of.li 1ii 1)t' Fly1 A1101N1 BY DAit RIMI'i 1 ill"1 ° 1111001111 NY #Alf Rf[,fi1'� Y . ' If . 1 t[1+ 1 I �., , u ( �:� F��: ��,��.� -�P� A �--•_�_:�::,�,�-� ,m ,�s:-< Oft 1,01} �iktltll' , HI-I)C1 .. tit Itildl 4.S# PIN 04/4041 3,641 l � iaf OF (,[1M`:; l _ . FT HI— I'V.11t:l ' � 4? NNtiI 1 0.25 Pill 4410 f'1 3;`k41 nwr.-L.1, 11"N'l ! c:7 i.,ARK f Nis 1;t11 1"`, z 0 4NSPF: 1, I ION Akt.11 110R1.I. 1I4f : N �tn1AI t r�, '/Aili1h1f4N 3614 . 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(4AR/CAHf> (iARH 1)1, 1,10'1ik 0 x ' 1 616l00 c:"I'Ili 0 Ir1 1 [))' �,:1I'!1 i t•' ti A 1 /0 t . III' I N A 1 ':; . , .. , r} t iiI69N4! Pn) f3 1.1 1 111 PP01!(l PfsC1(IPII0N:N08It1 HUNI 5 I' #-Jfff 19C>s11NN:AIIft111IN RN Pff NA 9N 1.0i hb tNIS PERAIT Motifs NN1.1. AND PAIN if WAR► flR (011MUMAN AUTNPR11th IS 001 (ANAfN(TN 14110111 IRb #AY-. HP It t+tWillilTNN of 141111t 1•; +NSGfAUEN 111A A PIRIAA 01 tsR OW AT ANY TINT. AM$ WCtlrt IS 0111011ffD IVII11W OF (AN11N1IA1f11N' Af 41091. IS A P941r;RfSS INSI'fM0111 U111119 101 180 NAY €INl1)ts. IINAI INSPICIIAN NNS) of (PRDVCD MORE 60I1.11#6 CAN BE WOMB, It ' la iti).PIiNi. CRY- 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 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 N::G F O R INSPECTIONS CALL 4 2 7—9 6 7 0 BETWEEN 5pm AND Sam 427-7262 BLD92-0275 PARCEL : 321341390120 PLAT : DIV: BLK : LCIT JOB ADDRESS : . . . . . . . . . . . . . . . OWNER : HARRY FLETCHER 426-7727 CONTRACTOR : L E G A L : TR 12 OF SW ME TO C OF SP 1184 SEE SURVEY 8132 FS 19129:12 BC 116A CLASS OF WORK NEW BE0R : 2 . BATH : 2. TYPE AMOUNT BY GATE RECEIPT TYPE AMOUNT 8Y DATE RECEIPT TYPE OF USE . . . . : MH STORIES . . . . . . . : 1 OCCUP . GROUP . . . : ? B L 0 G . HEIGHT . . : 0 . Ott S T F E = 4.56 PIB 141O6/93 32047 TYPE OF CONST. . : ? FIREPLACES . . . . : 0 M H 0 F Z 19.25 PIB 14/16/93 32047 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 DWELL . UNITS . . . . : 0 PARKING SPACES : 0 / INSPECTION AREA : 2 SHORELINE?. . . . : N TOTAL: 23.15 VAL0LATI0N: 3006 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--- FRONT . . .W 120 . 0ft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0 REAR . . . . E 5 . 0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : PARAMOUNT SIDE ( 1 ) . N 5 . 0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE (2) . S 5 . 0ft WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 ? SHRLINE . 0 . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 60 LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 60 BUILDING . . . : 600sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . . 0 HOODS . . . . . . . : 0 WIDTH . : 10 BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O UNK GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTION:MOBILE HOME PROJECT L0CATI0N:MIKKELSEN RD OFF MASON LAKE RD THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 180 DAYS AT ANY TIME 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. OWNER OR A6ENT: DATE: — � BLD_PROT, rev: 1 �31/91 the mason county assessor Darryl Cleveland Dear We have received a copy of' the tax certificate for movement of your mobile home . In order that we may accurately value your mobile home , please complete the questions below and return this form to our office by This information is imperative to prevent a possible double assessment on your mobile home . MOBILE HOME DATA ' LENGTH WIDTH -� -MODEL MAKE�/1!1 RA ~MODEL YEAR C% MOBILE HOME LOCATION INFORMATION SERIAL # A . My privately owned land yes no OR B . If rented or leased land who from? NAME ADDRESS CITY & STATE ;� . Real Property Parcel #.�� /.�'� h.20j _2 O ( from tax statement of new location ) D . Mailing name- and address for owner of mobile home 'NAME/ r7 i- ADDRESS 7(� �(� W �� CITY & STATEA&J'k-w E . Location address of mobile home City F . Date mobile home was placed on present site G . Purchase Price ' DATE ,SIGNATURE TYPE OR PRINT AME��ir�<, TELEPHONE NUMBER �/�lT_-=? 7Z Al I AI C.L. 0 n 0...1 1 MAR 1 6 1994 � �l P b Vf-,s GIA A y lie rojt,� AjLc dz-e9 ell MAR 16 1994 U6 % ` NAME ON PERMIT DATE OF PERMIT 6JQ PERMIT NUMBER TYPE OF HEAT Washington State Energy Code 1 Ventilation and Indoor Air Quality Code SET-UP INSPECTION CHECKLIST FOR MODULAR HOUSING Note: (.06 0 1p 4.0 �1 Pa-_� Aei_-A pCeA'M ouk oT, (g1 (Ob CC c x ( L) This checklist is not comprehensive: other code requirements may apply. This checklist can be used by local by building departments for modular homes built to the 1991 Washington State Energy Code (WSEC) and inspected in the factory by the Washington State Department of Labor and Industries (L&I). Ground Cover: 6 mil, black Ventilation: Ventilation in crawlspace must be a minimum of one square foot of free ventilation area (without louvers) per three hundred square feet of crawlspace area, or a passive radon vent pipe must be installed. Note: UBC regulations may require more ventilation. Pipe Insulation: Cold and hot pipes insulated to R-3 in unconditioned areas. Floor Insulation:No damaged or missing insulation; if floor insulation is done on-site, R-value installed is consistent with NLEA form Ducts: Where appropriate, cross over ducts are properly joined, sealed, and supported. Duct insulation is in place and in good condition. If duct insulation is installed on site, insulation value shall be R-8, or according to NLEA form. Marriage Line: Sections are properly aligned, and sealed or gasketed with appropriate materials (a non-porous material; such as a foam-sill seal) to limit - = infiltration. _Attie: Check for batts moved and not replaced during set-up.Loose fill insulation is of uniform depth. Baffles displaced during set-up or transit are properly reinstalled. Doors: Check doors to ensure that they close and latch properly. Notice to Local Enforcement Agency Form (NLEA): The NLEA has been reviewed and the items listed have been inspected. Washington Stat Energy Code - Ventilation and Indoor Air Quality Code MODULAR HOUSING SET-UP INSPECTION PROCEDURES Background The Washington State Department of Labor and Industries (L&I) performs Washington State Energy Code (WSEC) plan reviews and inspections in the factory for modular homes subject to the Uniform Building Code (UBC). Although many of the WSEC and Ventilation & Indoor Air Quality Code (VIAQ) requirements are inspected by L&I, some items can only be inspected on site, and therefore, may fall within the jurisdiction of the local building official. The Notice To Local Enforcement Agency (NLEA) Attached to each modular home inspected by L&I is the NLEA, which provides the local enforcement agency with information pertinent to the site inspection. Often, a modular home is shipped to the site before some items normally inspected by L&I are completed- In these cases, the L&I inspector fills out the NLEA form and lists items not inspected at the factory. For instance, when a manufacturer ships a modular home before floor insulation is installed,the NLEA form will indicate the R-value of the required floor insulation. The local building officials' careful review of the NLEA form is an extremely important part of the modular housing set-up inspection. Damage Incurred During Transit Sometimes a modular home may be damaged during transit. Although L&I is the building code authority for the home until it arrives at the building site, often no L&I inspector will see the home after it is delivered. If the local inspector discovers any damage incurred in transit, L&I should be notified as soon as possible. (Contact Dan Sevcik at 206-664-0548.) Authority of the Local Building Official The local inspector has the authority and responsibility to inspect any work done by the set-up crew. Some of the work to be inspected will be listed on the NLEA form Frequently, however, the set up crew may damage or alter work previously inspected by L&I. The local authority does not have the authority to inspect work already approved by L&I,except those spec items altered by the set-up crew. For example, if attic insulation is moved out of place by the set-up crew, the building inspector may require that the insulation be properly replaced, but may not require that the attic be insulated with baits of a higher R-value than approved by L&I. The WSEC Set-up Inspection Checklist RCW 19.27A.035 requires that utilities provide an "owner at the time of construction payment" for WSEC homes (only electric resistance heated homes 2000 square feet and under qualify for the payment). Some utilities may ask for verification of a local jurisdiction set-up inspection prior to making a payment for modular homes. On the reverse side of this page is a sample of a WSEC Set-up Inspection Checklist for Modular Housing that may be accepted as adequate verification by the local utility. 12J1791 MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason county Bldg.III 426 W.Cedar P.O.Box 186 Shelton.Washington 98584 (360)427-9670 BUILDING PARKS&RECREATION FAIR/CONVENTION CENTER ADMINISTRATION QC /-ao/96 TO: t'u Tch� 1�e( - a y lkp� SVulfon, WA- RE: Permit Number # PW (?d 0-15 ~ To Whom It May Concern; During a recent review of our files, it was determined that your permit may meet one of the following criteria: 1 . Permit is expired and needs to be renewed or have a final inspection 2. Due to the type of your permit and scope of work it is possible that the work has been completed and it needs to be inspected to close the permit or 3. The permit is ready to expire and needs to be inspected or an extension needs to be requested. Permits are valid for 180 days from the date of issue to the inspection date and remain valid for 180 days between each required inspection. If our records are inaccurate and you have had a final inspection, please send a copy of the signed off permit to this office so that we can update our cards. If you have not had a final inspection and your permit is expired or will expire within 30 days, please_ contact this office for a final inspection, update inspection or extension prior to nq /j�: /gg to avoid renewal fees. All permits which are expired or due to expire within the next 30 days will become null and void if contact is not made with our office. If you should have any questions regarding permit validity or the purpose of this notification, please contact the building department for clarification. Sincerely, Building Departme STATE OF WASHINGTON DEPARTMENT OF LICENSING @ 2 3`>5 6 VEHICLE TITLE APPLICATION/REGISTRATION CERTIFICATE 03/11/94 LIC/PL.T ISSUE-DATE TAB-NO REG-EXP VALUE-CODE/YR DEPRE NO-REG NO-GWl'' @23 56 .' 00/00/00 1500 94 (MOWER USE NOD--YR MAKE SERIES/BODY VIN OR SERIAL_-NO RES-CO INC/UNINC MOB 68 BUDDY 64/12 B1609B 23 U -3CLWT SEATS GWT GWT--EXP FLEET EQUIP PREV-PLT PREV-TITLE-NO SI _ 00 / / @23556 9220622604 WA COMMENT 1S - USE TAX WAIVED ( H ) COLOR-CREAM 00 Nor MILEAGE E REGISTERED OWNER LEGAL OWNER FL.ETCHER 9 HARRY MAR 16 1994 E 470 NIKKELSEN RD SHELTON WA 98584 I CERTIFY THAT THE INFORMATION CONTAINED HEREON IS ACCURATE AND COMPLETE . A,,X. XSTTUR OF REGISTERED OWNERS ) SIGNATURE OF REGISTERED OWNER( S ) SUBSCRIBED AND SWORN TO BEFORE _ Q l ) THIS _ DAY OF 19 FILING $ 3 . 00 EXCISE TAX $ CHECK SUBAGENT OTHER 16 . 25_ CASH 19 . 25 LOCAL OPTION $ USE TAX TOTAL FEES $ 19 . 25 VALIDATION CODE 08230102940700311940002027302 TRANSFER STATE OF WASHINGTON VEHICLE TITLE APPLICATION/REGISTRATION CERTIFICATE ?FAT !DN ATITPR-1 THIS DOCUMENT IS NOT PROOF OF OWNEPSHIP BUILDING PERMIT APPLICATION '',L0, �-� �` MASON COUNTY r�_vDEPARTMENT of GENERAL SERVICES 426 W. CEDAR/P.O- BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER J-A ;n DIRECTIONS TO JOB PARCEL LEGAL NUMBER J21 13 10 12- 0 DESCR. 0f S L O # Ski dam " P NAME MAIL ADDRESS CITY&STATE ZIP PHONE LI ENSE NO. CONTRACTOR USE OF BUILDING ____j CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE WORK S 'c AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE 6 1' SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS _� PRIMARY RES.A! THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DECKS SgFt BATHROOMS 2 SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED❑DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE Ste" �' _ _ X BY _ DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT YES No BUILDING VALUATION YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT =, D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION ,�e SHORELINE r 5 6 YA 0 v rg i. WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY CASH CK MO