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BLD25074 Mobile Home BLD99-1100 MFG Home - BLD Permit / Conditions - 12/9/1999
MASON COUNTY Permit No. 6u0c19-i(ID BUILDING PERMIT APPLICATION PLEASE PRINT 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 ao nE- #1 er -. 11pu' q-J'� f�»� 4 r7 �'a/ Phone# 'S - JY7 Ite Ad -:asp`�.`oSC/ D y� — Fire District# oZ City �l�LI=M 2 St Zip Directions to Job Site -ro &ntAOL& �a5-- Owner Mailing Address y - City 'VIL PW /7 St ! I f} Zip Z Lien/TitleHolder ` nId v £, �� n,,,� , ,� 52 2i � Co�� Address„ 8&' •s�v� - �,�� 2n 5 City rTeg:6L 119kV St _Zip -2mg #2 ConZtracTo� T M 1v Cnrg r=o Suzy Contractor Reg# agml W2257 _ Address &f57� +1f r IG w Expiration Date 0', / o l� City 8PIM2� St W� Zip 9A'9/a Phone# 67�1 #3 If septic is located on project site, include records. n Connect to Septic?--%_Public Water Supply_Well 0 LinOWE Connect to Sewer System? Name of System llV"`JJ (If residential, proof of potable water is required) 7 ( f^,n #a cel N . urD PcRMIT ASSISTANCE CENTS al Description Gff'-flijex—Te.s 1-4 a U #5 Building Square Footage: (existing/proposed) 1st FI J357-1 l 2nd FI / 3rd F.I / Loft / Basement / Deck / #bedrooms _/ #bathrooms__/ Garage / Carport / (Circle:Attached or Detached?) Other pp sq. ft. / #6 Use of building y /2,'dytry / Describe work #7 Type of Job: New_-__?�__Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year III K Make Et Model pj i br/ Length 5-1 Width_ Serial No. cJSo # Bedrooms 4 # Bathrooms c Type of Heat__dE; b L Purchase Price $ 44md #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: ^+ /may River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other I I r � 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 Indicate Directional by IN, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW So 7r o -24 x7d APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW MASON COUNTY Permit No. T3C�)qq "I(V U BUILDING PERMIT APPLICATION PLEASE PRINT 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 #1 Owner I = C Phone# ZS3 - Site Address h Fire District# City St W& Zip 95Y.5 r Directions to Job Site �/0 2rw P �;€„�u g 3 -ro 1�'bjj ' I"n Tn g6QQwi.r �f%Li .�„ ,7t Appal_ rc SAfIPF IOt.S" Owner Mailing Address 5y s" - City I d'yRW St f 1* Zip Z Lien/TitleHolder �n,r�c Y � j_ 'n,gr',v 6 _$Eei) (!N� tro�Qn Address,'„ .-5. City id 7p y St_&16 zip 1m.; #2 Contractor Name Contractor Reg # /c+AiniS ro�g_ Address _a(S)) it 16 H< �Lk I(, w Expiration Date 697 /moo City ryinr�z ,l St (N Zip 9�3/a Phone #3 If septic is located on project site, include records. Connect to Septic?_--X_Public Water Supply_Well 0 Ire I1� M Connect to Sewer Systems Name of System (If residential, proof of potable water is required) #4 Parcel No. uTD lacxos� PERNTASSISTANCE CEPI7 Legal Description #5 Building Square Footage: (existing/proposed) 1st FI-J 3 S l / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms___,.�5_/ #bathrooms_ _/ Garage Carport (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building °�/�'„-�,zy 4-.6,n,,er Describe work #7 Type of Job: New_ 1�Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year III Jr Make TI&IL Model_C Length 6-1 Width_Serial No. cOro # Bedrooms rJ #Bathrooms eg Type of Heat._��CZif12iL Purchase PriicceTT$--��',U]Jj) #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 Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells 7 Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW 50 ' 7 �7 9-15 � 0All APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each F 2 & - Mechanical Fixture ( 6each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other R Bath Tubs NQ Units Showers FurnjL�'O_BTU Hot Water Htr Heatpumps Laundry Washer _ Vent Systems Sinks Spot Vent Fans i — Floor Drains �I Boilers/Compressors Laundry Basins HP I Dishwasher � Air Handling nit Disposal cfm# i _brinals � 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 $ � Other IGas Outlets I 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 OFTHE 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. DEPARTM T. X OWNER X BY / �� l//` DATE DATE FOR OFFICIAL USE ONLY:Accepted by: ___ Date..1 DEPARTMENTAL REVIEW FOR OFFICE USE` ONLY t roved Cond. Hold Approval i Planning: — Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal Other: FEES _ 7Conditions: 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 Plumbing Fixtures ($3 each) Fgg Mechanical Fixtures ( 6 each) No. Toilets CIRCLE FUEL TYPE: Gas Electric, Bath Basins Heatpump, Other R Bath Tubs No. Units Fees Showers Furnes)BTU Hot Water Htr Heatpumps Laundry Washer Vent Systems Sinks Spot Vent Fans Floor Drains No. -Boilers/Compressors Laundry Basins Hp I Dishwasher NO. Air Handlina Units Disposal cfm# rivals N 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 OFTHE 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. DEPARTM . X OWNER X BY DATE DATE Z 19 EFORFFICIAL USE ONLY:Accepted by,-4 Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: FEES Special Conditions: Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Elding Valuation: TOTAL FEE Plumbing Fixture (($$3 each) Feg Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas Electric, Bath Basins Heatpump, Other Bath Tubs No. jLak Fees Showers Furn _BTU Hot Water Htr Heatpumps Laundry Washer Vent Systems Sinks Spot Vent Fans Floor Drains No. Boilers/Compressors Laundry Basins HP I Dishwasher No. Air Handling Units Disposal cfm# rinals 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 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $ 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 OFTHE 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. DEPARTM I X OWNER X BY �� DATE DATE z1_1 /gq e^cepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: 1� 4 G fr5 Building Plan Review va Occupancy Group: 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 Irlyu S r^ Other Building Valuation: TOTAL FEE y (I'o 'den Belk' Mobile Home Pink Pf.<. 20th Raessei Rif. Belfair, WA 58528 F 360)275-4623 Mason County Building Departmew .0. Box 186 Shelton. Wa. 985E34 As required we are sending you notification of a new lease agreement with the following new tenant. Lease agrement will commence when their MOBILE HOME arrives on our pre existing lot. The new tenant will be serviced by the Beifair Water District #1. If you have any questions please call during normal business hours. Legal Description Tract # 20 Sang b. Theler's Home Garden Tracts Vol. 4 page, 20 Records of Mason County. Parcel # 12'1' 2-50 00080 NEW TENANT NA.f41E � ' �.1Pe4a��✓�G'� w- NEW TENANT-t 1-07 4 S Thank you Deede Schattenkerk Manager � O § -- � « � . . . |Aft %o f ` —� �z Go 8 � \ 04 m i � ■ �q k � 7 q e � PHONE NO. : 3772999 Mar. 07 2000 00:05RM Pl F4OM ` moo Cl 07 Jla++p MYML Msm .r •cr .rvo iomob JVue ♦ r:e—JGJV P • • Hunt domes /nc. )w Itwy 16 W,0 Bcamum%VA% 9w 11 Plu( 4�FM64rt F.: 106014?9a6t • a�3-e,co� 3��-B�rS�.? n 5 a• R �arwr.• �� �-�, o e Cl e rn h m tl ri s c flo a Tim PHONE NO. : 3772999 Mar. 07 2000 08:05RM P2 FROM h En GI OV L SAC INDUSTRIES ��RED FRpFFS DOWNS � ��� ��Ef so TIE1 ENGnMpVED TIE DOWN SYSTEM �L .�?, iG URE60W �ti Cc) w + F '(` GENERAv, NOTES !Y 14 BE�IC'N LOADS: �` $ WIND ------- 15Psf (70 MPH EXPOSRE"C") ----- 25psf (fly MPH EXPOSURE"C°) *wixv ----- _-- ----- - 35psf (100 MPH E%POSURE"C") t,,,+;. V• $ SEISMIC ZONE — --- 'SURE 0 NO MAXIMUM SOIL P * SOIL FEARING IS 1000 psf WITHOUT gyp, A 501E REPORT. -___._.._ 4750# MIN. TOTAL ,CAD CAPACITY * F.ARTH AUGERS --"'• 3150# WORKING LOAD CAPACITY I, '.�_>;� *' ••! 4750 MIN- TOTAL LOAD CAPACITY °yr' ` .,i•ti;"ec_' * STABIL—X DRIVE ANCHORS-- # 3150# WORKING LOAD CAPACITY MIN. TOTAL LOAD CAPACITY ezw.�zy s+t'a T'I CO^1CRETE SLAB ANCHORS-- 5150� WORKING I OAO CAPACITY STRAPS — ---__ 4750# MIN. TOTAL LOAD CAPACITY *TIE DOWN 3150# WORKING LOAD CAPACITY TYPE TIEEADOWN �T RAPPING MEETS BE AT l.EASTSPECIFICATION. 00-035 ZINCF PRLATED. 1' CLASS B, THE S 1. THE CHARTS SHOW THE REUUIREO NUMBER OF TIE DOWNS U.' IDES AND 1 9 ENDS OF THE MANUFACTURED HOME. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN A USE - _ ? FOR AI-1.. TIE GOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS% BEAMS. (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS CAN ALSO BE "C" SHAPED OR "RFC" SHAPED. •� 4. ci N TIE. GOWNS ARE REQUIRED .ALONG THE OUTSIDE CHASSIS SEAMS. END TIE j DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION CF THE MANUFACTURED HOME. ;* !Iv AXIS, AND BOLT•-ON TOP CAN BE ATTACHED WITHIN 18" TO 60" FROM � OF CHASSIS BEAM• u`� Es 5. END TIE DOWNS CAN BE LOCATED WITHIN 18" OF EITHER 5�E OF CHASSIS BE ��� c\'IHS, ECT. OF MATERIALS SHOWN HEREON ARE INC- UM II ' THE 517.E5. TYPES, L_.,VI �,,. . LARGER. LONGER, HEAVIER MATERIALS UFPLL_D BY SAC INCUSTRIE5, BE USEU AT THE SAME SPACING AND LOCATIONS SHOWN. 7. ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER• THIS TIC DOWN SYSTEM mt.ETS THE REQUIREMENYS OF SECTION 1336.3 SUB— SECTION (a)" SAC INOUSTRIf.S, STATE APPROVAL 324 EAST BEAMER ST. E �ROc WOODLAND, CA. S +7 4 ?H: (800) 7 TIEDOWN SYSTLM "APPROVEDRL'DJECT TO CORRECDONSNOTED y.f � Qyes not cstAodze or approve any omission ofom raq,irementz of apvliczblo Stato laws and regal&tiCa;. .,/ p, - State of Californian 9 [): DepaHmea[M Ha are C.mm--lRy Davetoltfnen: 'Z"` y c t• ISIOt pOQ5 D 9ioAR0ARDSCA , ,�ev u. Ci',.. .� N (6lgnoture - ' . Ts'— III Sp"NO ,• �� "' PACIFIC ENGINEERS TNS PI5�4pproaal Explrfb 2150 SELL ELI AVE.AVg. 3UI1C 145 PH•F(916") £64 A6026a iB `` �Of(�� f M Air jt r a � 1.7 � e N V. - T - . r ry FPOM PHONE N0. : 3772999 • Mar. 07 2000 08:06RM P3 S�C IND _ S'TaI3IL-x DRIVE TIE DOWN ANCIiURS X/ ll . #6013 #6005 #7000 #7001 #7002 #4002 #7000 or /}7002 fAO02 PIER Y, i'1117 7 STEEL STRAP- \ EGLT-ON i0P I gsoos SPL17 y`Do2 -: 904T k NUTS I 7 'TEFL 7 AP 7' IJCk STRAa $TRAP V!/p UL'KE y6013 Srn61LE"X"\, w/'r101E.. +gyp DRIVE ANCHOR — "a(/d )v3°' `\ #6005 SPL17 GROUND LINE-� BOL' & MIT e c DE .T AfL A" " VERTICAL OR ANGULAR WSi A'-LATION IS OPTIONAL 1TAH1L-)( DEM—T L DOWN -££-QETAJL"A" INSTALLATION• INST&UUCTIO1 t, CON?LASQJy_WgRNIN�; CHECK FIRST FOR UNDERGROUND UTILITIES, 2. ORIVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 5. IF ANGLE OF SIDE STRAP IS GREATER THEN 60', STRAP CONNECTiON CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 6. INSERT STRAP THROUGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN #6002 BOLT UNTIL STRAP IS SNUG- SEE NOTE #7 7. 06002 ANCHOR CAN BE USED WHERE HARD OR ROCKY SOIL OCCURS. IF THE AND NOTE #8i GROUND SURFACE IS OTHER THAN ROCKY SOIL OR MINIMUM 2" ASPHALT, USE STABIL-X ANCHOR OR ENCASE ANCHOR WITH 11"a12"Al2" CUBE OF CONCRETE. �� CY1� a- WHEN #6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR -- (2) ANCHORS MUST BE USED AT THAT LOCATION. WI = 70 MPH -� 85 MPH - 100 MPH EXP."C" - SEISMIC ZONE 4 '�� olj YZ ND REQUIRED NUMBER OF COMdINEu ANCHORS FOR EACH ZM ND ,.NNQ OF ED HOME WIDTH LENGTH WIND SPEED SEISMIC Na OF SID No.-OF END OTAL No OF I TIE DOWN TIE DOWNS IE DOWNS SINF GLEE 70 MPH EXP. C =15PSF ZONE 4 4 1P W!DE 86 MPH EXP. C =25PSF I ZONE 4 20 TO 16' - 100 MPH EXP- C"-35P5' F TiON�4 12 2 Z8 IQOUSLEf 70 MPH EXP. C =iSPS i ZONE 4 _4 WIDE 0'-78' 85 MPH EXP. C =25PSF ZONE 4 $ 4 2A TO 28' _ _ 100 MPH EXP. C ==3SPSF ZONE 4 1 p —4 — 32 TRIPLE 7OI kjPH EXP.�C' -15P F ZONE 4 4. 6 20 WIDE O'-J6' AS MPH EXP. C-25P,SF, Z NE 4 $ g 28 PTO A7.'. OOMPH EXp.TC=3 PSF ZONE 4 12 6 36 -. FP.OM PHONE NO. : 3772999 - n f Mar. 07 2880 08:07RM P4 SUPPLEMENTAL TIEDOWN STRAPS LDCriTI=o ALONG EXTERIOR SIDEWALL (IF PROVIDED) WIND ZONE I ONLY l �� l rxTeAioR,jj SIDING - SUPPLEMENTAL 6TRAP3 MAY SUPPLEMENTAL HAVE BEEN INSTALLED AT THE STRAP MANUFACTURING FACILITY MAIN BEAM B'MAX IN FRC7h EDGE OF FL OOq Swpplamernal straps may be fastened to same ground i MAIN BEAM anchor as the main beam tiedown straps V anchor Is T1Eoo"STRAP approved by rho manufacturer for such installwicn. nROUND- CAUTION ANCHOR SUPPLEMENTAL TIEDOWN STRAPS ARE NOT A stl" `` ,I REPLACEMENT FOR DIAGONAL MAIN 13EAM TIEDOWN STRAPS. THE DIAGONAL TIEDOWN STRAPS ARE THE MINIMUM ANCHORING SYSTEM FOR THE HOME TO MEET WIND ZONE I REQUIREMENTS. LONGITUDINAL TIEDOWN STRAPS AT FRONT AND REAR OF THE HOME ALL-SECTION WIDTHS SE CTION LENGTH 71EDOWNS T'IEDOWtIS AT FRONT AT REAR 1 wA NONE NONE II `_LESS THAN 36 _ 2_ _2 WAND OVER NONE NONE III LESS THAN 46' 4 2 46'AND OVER NCME ^NONE FRONT OR REAR CROSSMEMBER.(MAYBE OTHER OONFK74RATION THAN SHOWN), MAIN REAM — NOTE F•- ---a-^-- Thread strap through buckle,around 6enl and rear — cro ernember and tension strap to anchor heed MEASURE per details on page Co. GROUND - A TIEDMSTRAP LEVGL S ANCHOR NMEASUREO DISTANCE GROUND A MIN MJM LOCATE STRAP T40 MORE LOCATE STRAP NO MORE -' r CANE FOOT(t'-0')FROM- THAN ONE FOOT(I,Ir) ED'NER stoE of OUTSIDE FROM ERHER SIDE CP MAIN BEAMS, MnTW6 MAIN BEAM8. I LINE FRONTOR P.EAR ...-. MAIN BEAM MAIN BEAM CROSSWMSER DOUBLE WIDE (TYPICA.L) (TYPICAL) SINGLE WIDE LCROrWKWERAR STRAP SPACING 4$ STRAP SPACING 'x _ y v rt _ OQ OD r - a COZ CDcl x T r r Q A z p. Z) (D O 10 Q D� � Q 00 tp ; t zO rn _ m -4 v O i f• . . .. .. ......_.... .. ... .......... CNCRETE MECHANICAL MOBILE HOME =ootinas-Setback date by ,Ribbons ',ate by Gas Piping date b Foundation Walls date by Set Up ' aie by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by .FRAMING FIRE DEFT. 'halls I,date by date b date by "I PLUMBING Attic date OTHER (Groundwork date by date by WALLBOARD NAILING D.W.V. date by date by ' , FINAL INSPECTION Water Jne date by date by date by Z — 7-0o e9-7-7— 7--/1 3- 2z� 11'11V Sr'7��j ;.a.L.D� 3 Z SDnKE LOIAAC-46 11V IoO. I-2 7i0.✓ 20I)IVZ , SIZ Bawl- I`foA-2?� 5Ki✓2> �Ln� Z D C,?�z --- .. .... 0 0 D d7l 000 GL 0 ZZ cz Q (D 00 cC) ri z-z OD 7z :4 Y 7. =lP Ut x cl a cv T 12 C CL OCR 100- co C) - az- z co 77- -7 Page No. 1 CASE HISTORY FOR CASE NO. : BLD99-1100 DAVID GERALD NE20 ROESSEL RD Unit: SP 05 BELFAIR 01/24/00 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- ----------__ -------------------------- ---- ___ -------- --- BLDA010 Application received 12/09/99 / / 12/16/99 DONE KW 12/16/99 KW BLDA500 (F) Issue building permit / / / / 12/22/99 TO TAKE TO BELFAIR 12/23 TLG 12/22/99 NdP BLDA915 Existing Records-See Case Mgr. / / / / / / 12/16/99 KW BLDB110 Building Plan Review 12/16/99 / / 12/22/99 DONE PLO 12/22/99 TLC; BLDB130 Planning Review 12/21/99 / / 12/21/99 DONE MS 12/21/99 MS BLDB134 RLC Review / / / / / / n/a DONE 12/21/99 MS BLDB135 Addressing 12/16/99 / / 12/21/99 DONE GM 12/21/99 GM BLDB138 Planning Pre-Review 12/21/99 / / 12/21/99 DONE ME 12/21/99 MMS BLDB200 Environmental Health Review 12/16/99 / / 12/21/99 this space had a three bedroom and is DONE CEB 12/21/99 CEB being replaced by a three bedroom BLDB210 Water Adequacy 12/21/99 / / 12/21/99 replacement DONE CEB 12/21/99 CEB 74 a r � ttl y Z Building Permit # «`7`-/A� MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 21 /W s�"X' - This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance ✓i=i7rr��c�' /-�.-<T.s<< a✓/is" /��c-� ,+` JfTIt� �s-�vt .c�L�i� i are hereby notified that the above corrections shall be made 'ORE PROCEEDING WITH ANY FURTHER WORK or re-inspection when corrections are made before continuing corrections, items will be checked on next inspection Q2 :--,�5i _ nrIrr iot a complete inspection Department ^o52 e7"'� Inspector 17719 NOT REMOVE THIS TAG Building Permit # / / /40 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location W (9,xAa This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance j t&sF— RrV� /IIC' 9©�5 Dtt7 t7N LleYe— I.Jr -774 rg wtII Aln S K�e�l cL o&nc J � EA Wiwa COA40i iW4 0h4rieE, 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 Y-Z-ZaV Inspector s�C�S j .rex7 e--e5-6 DO NOT REMOVE THIS TAG Building Permit # � 1'��� MASON COUNTY, BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /r)/?960 2-(�:-) c This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance 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 ❑ This is not a complete inspection Department /?6-e!9 Date 7 Inspector %'R DO NOT REMOVE THIS TAG so - 000 50 . 427-9670 MASON COUNTY � 8 T' rf t6� BUILDING DEPARTMENT ie2o gt 'I I LL PERSONS ARE HEREBY ORDERED TO AT ONCE STOP WORK On these Premises at This order is issued because A.M. Posted P.M. 19 By WARNING The failure stop work. the resuming of work without permission from the Building Official, or the removal, mutilation, destruction or concealment of this Notice is punishable by fine and imprisonment. .r S— czri MASON COUNTY Permit No._jLV%, y Z$ BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670 (Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) PLEASE PRINT #1 Owner, ite Address C� Fire District# _ City St rwZiP S Dir ctions to Job Site { 9091 Owner M 'lingAddress City St Zip Lien/Title Holde Address j city St z'� — Zip #2 Contractor Name i- ` UBI # y Address T Contractor Reg#ck ` o _ City. St A7 Zip C-) -��* Phone#`42 - Expiration Date _-/ �07 `-4-IC) /`-7 7 �13 #3 If septic is located on p lect site, include records. Connect to Septic?Public Water Supply Well po 14, 0S CQ,57 C2 3� Connect to Sewer System? Name of System (If residential, proof of potable water is required) ---'U # arcel No.I egal D�e jription�= � ,—?" 'Sn„ri a�-7rhg��� C'V /YILL$Oy) #5 Building uare Footage: CJ 1st FI 2nd FI 3rd FI _ Loft Basement # Bedrooms # bathrooms Deck Other Garage----- rt (Circle:Attached or Detached?) �f1 c #6 Use of building / Describe wor C 1 l�en #7 ype of Job: ew Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year ZC` Make -del- -%F- 1111 T/Gel�11 CX Cr Length �� Width Serial No. ` 1 # Bedrooms_ �# Bathrooms_Type of Heat Purchase Price$ 'j1 �J• / �pP ! #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: �� r River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Plumbing Fixtures ($3.45 each) Fee Mechanical Fixtures ($7.00 each) No. Toilets CIRCLE FUEL TYPE: Ga Electric *Bath Basins Heatpump, Other Bath Tubs No. Units 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 17.25 _ Auto Fire Sprink Sys 35.00 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 17.25 WORKISSUSPENDED OR ABANDONED FORA 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 OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATINGTHE 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 BUIL IN G DEPART NT DEPARTMENT. X OWNE X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: Golden bell Mobile Home Park N.E. 20th Roessel Rd. Belfair, WA 98528 (360)275-4623 Mason County Building Department P.O_ Box 186 Shelton, Wa. 98584 As required we are sending you notification of a new lease agreement with the following new tenant. Lease agrernent will commence when their MOBILE HOME arrives on our pre-existing lot. The new tenant will be serviced by the Belfair Water District #1. If you have any questions please call during normal business hours. Legal Description Tract # 20 Sam B. Theler's Horne Garden Tracts Vol. 4 page 20 Records of Mason County. Parcel # 12332-50-00050 NEW TENANT NAM ��_ NEW TENANT LOT tt Thank you Deede Schattenkerk Manager olden ell 1- obile one Pz,rk .2C oessel '?d. 3elfair, :a. 38528 'el. 275-462> ,:'o "ho_7 this r;,cy concern; i `his is to a^rtif7j the t sr,ace is vacant nd ,.ill acco7odate either a sin le or bou-bl ride mobile home it'-,out inc easi _- ne : ensity of the park. -r-tis ;a_-k is s t t,p to acco .o.l, e 'crty (40) mobile horses, br,:lf sin-le ` nd r ,l_' double ),:icle• h.e se-tic sv' t^n <>s desimned to l ,n,lle ortz (4-0) units „ , r zt__ four r , ,,r bersons Per f- t'-ie present limo 'I- are belo*w th^,,t f1 i ^a.-r.e. if .ny further info on -tion it needed "le>.se feel _*ree .o call ,e au 'el. o. "rol den ''ell obile ome John ackus (owner) .h. '-anders MASON COUNTY PERMIT ASSISTANCE CENTER P.O. Box 186, Shelton, WA 98584 .NOTIFICATION OF Date: 01/22/99 PERMIT CANCELLATION DIANA LAVECCHIA 1316 GARRISON AVE PORT ORCHARD WA 98366 Permit Number: BLD98-0428 Parcel Number: 123325000050 Project Description: MOBILE HOME Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit was ready to issue on 05/11/98 . Permits are valid for 6 months once approved and at this time we are attempting to clear all unclaimed permits . If you intend to obtain this permit, you must make arrangements to do so within ten working days from the date of this letter. If we do not hear from you within ten days, we will cancel your permit and make arrangements for a building inspector to do a site visit . In the event that your project has been completed and a permit was never issued, you will be assessed penalties as allowed under Mason County Ordinance 37-96 . If your project has been cancelled or if you intend to withdraw the permit, a plan review fee will be due for work that the Permit Assistance Center has already performed during the processing of your permit application. This fee is assessed pursuant to Section 107 of the Uniform Building Code . In addition, a parcel flag will be attached to your property until the fee has been paid. Please be advised that this parcel flag could prohibit future development or improvement of your property. Please call (360) 427-9670, ext . 354 to resolve this matter or if you believe you have received this notice in error. Thank you for your cooperation. Sincerely, r c Fee AmourTt Due Kathy Soine, Clerical Assistant Mason County Permit Assistance Center PENDEXPR, rev: 01/15/99 Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Name of Side Street Indicate Directional by .(N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW C7 —� Dn Vol ----- -` D/ G<•e�*✓fir Op- CHANGES APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW MASON BUILDING INSPECTOR r4ANGES SUB1LCT TO APPROVAL .�n16A MlS5T B� ON THE JOB SI FOR INSPECTION. BUILDING PERMIT APPLICATION ^ �1 MASON COUNTY j, DEPARTMENT of GENERAL SERVICES L P.O. BOX 186 SHELTON, WASHINGTON 98584 -ate 9a 427-9670 DATE ISSUED r� PERMIT NO. c J� AM E MAILADDRESS CITY B STATE ZIP PHONE OWNER £/� &ccx) P.0• /3ox 3073 S,cV't cc ' A. ?; /2Z DIRECTIONS J TO JOB SITE w ( 3 A �L©� S �y°cm /�jRL.Fj¢7(� �L£s+�+ e-s.%T7£ SC ✓r-ese L_ s� // PARCEL /d ��O QDOSv LEGAL �, NUMBER DESC /tJ NAME MAILADDRESS CITY B STATE LICENSE NO. ZIP PHONE CONTRACTOR - � USE OF BUILDING gi z'E iJ-CiE- CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r DESCRIBE WORK (YLO IL MOvIN VN^t 9IL.0 I'JAZF +IA/ GccaF � lkr ,�C v2 CuVrl/l BEDROOMS -3 DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS Z TOTAL SO. FT. GARAGE CONDITIONING. NO.OF STORIES _ BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SO.FT. FIREPLACE DETACHED , ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK ISCOMMENCED. PERMANENT,—'k. SHORELINE SEASONAL.' OWNER AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIF THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTR- ION LAW RCW 1B.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REOUIR ENTS 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 CON ORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAIN G APPROVAL FROM THE BUILDING DEPARTMENT. � , � p APPROVAL FROM THE BUILDING DEPARTMENT. X ER �" '�j{UATE ` IIt-a&r-/ 0 X BY DATE FOR OFFICE USE ONLY DEPARTMENT YESPPROVE NO DEPARTMENT YES APPROVED o BUILDING VALUATION HEALTH • PUBLICWORKS FEE PLANNING FIRE BUILDING PERMIT 1,116, D.O.T. BUILDING tc E PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP �_ -- PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY rPRBYJ= RISSUANCE PERMIT VALIDATION 2q " 9 rJ BYY / CASH CK MO TOTAL Shorelines: Plumbing: Setback: Mechanics - Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No. 25074 No. Floors Sq Ftg 924 Owner GEDNALSKE Roger A Tel Datel -24-90 Address P 0 Box 2073 Silverdale Zip Contractor Self Address Zip Legal Description Sam TFO er Hare & Garden Trs. Tr 20 Direction to project site Golden Bell Mobile Home Park Space #5 Plumbing Mechanical ewerIbod Stove Fireplace_ Deck 7a age -_ sport Basement —.oft Other 1984 1466 3 bdrm BUILDING PERMIT APPLICATION MASON COUNTY P.O. Box 186 Shelton, Washington 98584 426-5593 6-1 3 DATE ISSUED - — PERMIT NO. C') �� CITY&STATE ZIP PHONE MM NAME u MA14 ADDRESS , f O 6�! ���,�� �.-• � � ,-� OWNER DIRECTIONS TO JOB SITE (J SEE ATTACHED SHEET) LEGAL f _ DESCR. JtiLt.L� o�0 -�Q LICENSE NO. PHONE NAME _ MAIL ADDRESS, CITY&STATE CONTRACTOR USE OF //��' BUILDING '`�-�J I Class of work: C NEW n ADDITION ❑ ALTERATION ❑ REPAIR MOVE C REMOVE Describe work: PLAN CHECK FEE PERMIT FEE ( Valuation of work: $ /, / aySO� �?S SPECIAL CONDITIONS:`/ BEDROOMS_ —.---- I DECKS_—- ----- CARPORT NOTICE BATHROOMS- -- TOTAL SO. FT. _ GARAGE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING. VENTILATING ATTACHED _. OR AIR CONDITIONING, NO. OF STORIES_— BASEMENT DETACHED TOTAL So. FT._ _ FIREPLACE 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 ANYTIME AFTER WORK IS COMMENCED. I certify that 1 am Washington a currently registered contractor in FOR OFFICE USE ONLY the State of Washington and I am aware of the ordinance requirements regulating the work for which the permit is issued and all work done will be in PERMANENT ✓ SHORELINES ni (ti conformance therewith. SEASONAL FLOODPLAIN ED. NO, _--- S.E.P.A. Firm YES APPROVED NO Special Approvals IN OUT By ZONING Lic. No.—.---- Date PLANNING DEPT. HEALTH DEPT. OWNERS AFFIDAVIT 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 BUILDING DEPT. of the Mason County ordinance requirements for ROAD ACCESS which this permit is issued and that all work done will be in c formance therewith. MOTOR VEHICLE PERMIT PROVED FOfj,iS�uANCE APPLICATION ACCEPTED By PLANS, K BY P T_ Owner _ -- ----- Date PERMIT VALIDATION CK M.O. CASH P AN HECK VALIDATION CK. M.O. CASH 4;; 5 A0