HomeMy WebLinkAboutBLD93-1266 Cancelled Mobile Home - BLD Permit / Conditions - 8/10/1993 _ 0
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date t7V /O--Z 2`—"by
Foundation Walls date by Set Up
date by INSULATION date by t-
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
uceeell /35 r � 1-1 �. �a5 '¢ de-i,-t t z
Building'Permit MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 4Z-9GT
CORRECT N NOTICE
Job Location - 2 13o A V
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
f und: Items Listed below must be corrected to gain code compliance
36
,.7 s-
�as��_
�Yc.�� GL. LAC, � •�� � /' `"i 2 Y '/
4
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date > / v Zc) -e-"c�' Inspector 7-12 -
EMVE THIS TAG
DO NOT RO
Permit No.
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 T/ In Cam+.^ EI 1 iq_)kc Phone# 49 3 c 7G
Site Address 1-9- s d�+ Fire District# Z
City St / ` Zip '
Directions to Job Site / PS 7` og=;�G/ Me-1
TO G/c— ed. ,`P— ZZ. AYI/
ev�7"Q l� �9
Owner Mailing-Address ��v� rU Y
City C� X 1 13 F, I w t St c� Zip `� �.
Lien/Title Holder E y i u g F 4 c r-i p,5 -!- l,.ic'
Address
City St Zip
#2 Contractor Name - v+y c,rn P_ ca T A)c Contractor Reg# 1 d Eu M H L 7 I eE
Address J3 1V) AoE K Expiration Date I / Z C. / � Lt
City - 5 St Zip `� 3 Phone# Lt 7 cl - q C--(3
#3 If septic is located on project site, include records.
Connect to Septic?V Public Water Supply Well
Connect to Sewer S tem?�Name of Syste !�!
(if residential, proof of potable water is required
900 `3
#4 Parcel No. - -
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FI 1.34 t / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building Describe work
#7 Type of Job: New ✓ Add Alt Repair Other _ra� '
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year N 1 3 Make L%bF.�Model ck �1
Length Width Serial No. cis c.
#Bedrooms #Bathrooms Z Type of Heat F 1 FC i
Purchase Price$ H
#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
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences I
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 =
�✓ _ 390I IN
r
r -
APPLIOANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. 110ita Fees
Showers Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer Vent Systems
_Sinks Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_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 _ ` Auto Fire Sprink 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 APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. �^ DEPARTMENT.
X OWNER .: ' �,� `"' -3" X BY
DATE f1 "` `� DATE
FOR t~}FI=tOIAL USE EdNLYp Date ' d 3
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: �d1A lyl �Y11 W M 5e+br Ch 61dL/K C,.11 QVQf--
Environmental Health: P f CL4 o oug"a-J 0^ 10110193
Building Plan Review Per- Ny'C-,-
Occupancy Group: V,OC>i LC Type of Const:_
Fire Marshal:
Other:
r
Special Conditions: No el.g iv S Sc,-jB a;-7r6 ® —_ FEES
F0(7- DQ-tkS Cos-A)�J07 &"tLfl ew Building Permit
®Cc I-AM-X; J:3 " 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
7r QUA 4e TdFAZ- o F
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Short Subdivision:-L7'dc7
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AUTHORIZED
)la � • AAGENT
� � � BEL�OSC /CFOR
OF�ASON COUNTY INC.
t t W CO'FA • PO BOX Z • SHF.LTON. WA 98584 h
SHORT PLAT NO. as y
APPROVED;
N 89 50'09" W DIRECTOR OF GIIVERAI, SERVICES
678.45
NW COR GOV LOT 2,
SEC 31, T23N, R1 W, W.M.
FD 1" IP
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NIN
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==zoo PPIVATE RDAt� /ga
`� UT/L/TIES �i4SE I
%6 k5 / ' E'S7A 71-E
�a'N 68 207.89
B. T'NEt.JER
® �_ S0 _4-9 N83'44'42" W 149.20
(� 110.00
1 5852 3 . NE CDR SW 114
-561 r0 �°� GOV LOT 2, SEC
p1 1 `L 31, 7-23N, R 1 W,
�0• W.M.
e W ' h 2 I FD IRON P1PE
�-W x N �V I 20 . PR IVA F
2 K rn :�`� ry' 20 -R0A0 4-
-_; h o 2 ,4- 1L I UTILITIES
o' rn
-P 2 I.
N 89 39'14" E I Z W
10-1.Wo Z a �
BUSN DAVICi i h
SCALE 1" = 100'
0 �5O �100��2 0
Legal Description ®FD MONUMENTS
Lot 4 of Mason County Short Plat No. 1700, O FD IRON PIPE
Auditor's File No. 469858. * SET 712" REBAR W/CAP
WARNING: Mason County has no responsibility OWNER.
to build, improve, maintain, or
otherwise service the private roads JOHN BYERLY
contained within or providing service to P.0. Box 733
11/17/00` 'Information Summary for Case #: BLD93-01266
3:2.0:44 PM I �/ 521 _ 23 100T 3
Activity L ✓
Hold Updated
Activity Description Date 1 Date 2 Date 3 Disp. Level By Updated
BLDA010 Application received 8/16/93 KW 8/16/93
BLDB135 Addressing 8/17/93 DONE GMP 8/17/93
BLDB110 Structural Plan Review 8/17/93 8/18/93 DONE WLC 8/18/93
BLDB129 Sent to Planning 8/16/93 KW 8/16/93
BLDB200 Environmental Health Review 8/18193 8/25/93 DONE MMT 8/26/93
BLDB210 Water Adequacy 8/26/93 8/26/93 HOLD MMT 8/26/93
Water system on Moratorium list;owner is aware.
BLDB130 Planning Review 8/17/93 8/17193 DONE MMS 8/17/93
BLDB210 Water Adequacy 10/20/93 10/20/93 DONE MMT 10/20/93
Per Board of Health appeal determination
BLDA500 (F)Issue building permit 10/21/93 DONE PIB 10/21/93
BLDC199 Mobile Strip Footing 10/26/93 10/28/93 10/28/93 PASS LAW 11/1/93
BLDC200 MH Setup inspection 11/16/93 11/16/93 11/16/93 PASS CKR 11/16/93
BLDA560 Permit cancelled 10/16/97 EXPffUpdated
9�
expired ConditionCond. Stat. ChangedCode Title Hold Status Changed BY T5001 Flammable+Combustible LiquidsNot Met i'
The use, handling and storage of hazardous materials or flammable and combustible liquids in a ess of 10 gallons is
not allowed without the approval of the Mason County Fire Marshal.Xj
5025 Sideyard Setback Not Met 8/1 93 MMS
Proposed structure or any portion thereof greater than 30"in height from grade line,must maintain a imum of 5'
setback from all property lines,easements and right of ways.X
1002 POST ADDRESS Not Met 8/18/93 WLC
PURSUANT TO 1991 UNIFORM BUILDING CODE,SECTION 305(C)AND SECTION 513,ALL SITES MUS VE
APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTION,"". A .
REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE 50
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING \ri�_i
INSPECTIONS.X
5007 MOBILE/MANUFACTURED SPECS. Not Met 8/18/93 WREQUIRED INSPECTIONS(Footing Inspection-prior to pour,Set-up Inspection-prior to skirting, Final Inspection- g 0
to occupancy). I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing
Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home +A
installation. I hereby assume all responsibility for the scheduling of these required inspections. If these required ,� (� �►
inspections are not requested, inspected and signed off(approved)by the inspector in the prescribed order, I
understand that reinspection fees and an hourly investigation fee pursuant to the 1991 UBC,Table 3A will be
assessed in addition to my original permit fees to resolve any questionable practices or problems that have been
discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of any/all .o
problems no occupancy(Final Inspection)will be granted for the residence.OWN ER/CONTRACTOR(ind icate which)
Signature X
1000 **CUSTOM CONDITION"` Not Met 8/18/93 WLC
no plans submitted for decks. cannot build any deck over 36"x36"without a permit. w