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HomeMy WebLinkAboutBLD2006-00584 Cancelled BLD98-01071 Mobile Home - BLD Permit / Conditions - 11/23/1998 2E PLC CEN«n< 1 Mu 1:t�t t� c -,2-, --- JRM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. (f:3 PLEASE PRESS HARD BUILDING PERMIT APPLICATION �y 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORM TION Owner d k ►^�� Company Name b��e o K.,� S� Mailing Address 4.1 RQ ,�'�s /O L Mailin Address I -t'L City Lki,- %" %,-- State�Zip Code City a State L,08 Zip Code`?k397 Phone C 6,-')kq P-.�-1(.3 Other Ph.(36C)' Phone 153-381- S-9 D Other Ph. Lien/Title Holder Contractor Reg. #KE4.5A,�RS'TV Exp. 771124b4 E mail address E Mail Address Drivers Lic.# 9 DOB 16 - - Drivers Lic.# DOB SEPTIC /WATERS STEM INFORMATION - Connect to New Septic Existing Septic X Connect to Water System �X Name of Water System oo / Well Sewer System Name of Sewer System— PARCEL INFORMATION - 12 Digit Parcel No. 3 -;k- _',Vo 9 3 oa Fire District Legal Description AL Site Address (Please include stt yeet name, str et nu ber nd city ? o C �- /o 6 iA i WFt S Directions to site � d o - - ; " Will timber be cut and sold in parcel preparation?Yes SR/- Is property within 200' of Saltwater Lake R�v\eC rl FPWetland SeasonalRunoff o Stream 1 Z Is this permit submittal the result of a Stop Work Notice,Correc n tice or oth, enforcement action?Yes TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE © SEASONAL ❑ Use of Building Describe Work No. of Bedrooms—No. of Bathroom S re to - 1st Flock's /O 2nd Floor 3rd Floor Basement Deck f Cove Deck Other Sq. ft. Garage Attached Detache rport Attached Detached MAN FACT ED HOME INFORMATION - e a>4Aodel `�`f°$- Year o Lengtidth �erial No. N '" f`Bedrooms�No. of Bathrooms Type of Heat Purchase Pr $ eplacement Unit? es No Q in 'a �/8 Installer Name K Certification No. OWNER/BUILDER Acknowledges submi on f in ur inf/APPLICATION m result in a stop work order or permit revocation. Acknowledgement of such is by signature b ow. I decla t I w owners legal representative,or the contractor. I further declare that I am entitled to receive this permit and do the work as proapplication. I declare that I have obtained the permission from all the necessary parties. If permission is requi from an easemeor any other party in interest regarding this application or the work proposed in the application, I have obtained missio rom they for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the in a- providedate and grants employees of Mason County access to the above described property and structure for review and in ction. This pplication becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspena period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PEPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: wn Hers Represe ativ /Contractor (indicate ich one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Buildina Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal V;;hmtinn % TOTAL FEES MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B- R-1 1 IN-_.. 0 1 N ClP F R M 1 7" FOR INSPECTIONS CALL. 427-9670 BE I-WEEN bpm AND Sam 477-.7262 131.098--1071 PARCEL. :322325093001 PLAT :IJNPLO D{ V : BLK pERMIT JOB ADDRE SE : 6180 1= STATE ROUTI~ 106 Un 1 t a 16 UN I ON f4ULL i VOID BY EXPIRATION OWNER : STEVEN JOHNSON 360--534--5455 Ol I0� BY ��� CONTRACTOR : DATE i---- LEGAL c UNlflll $000 CAWAI 1AND ;I I#P CO LOTS 1-31, 111K 93 A LOTS 1-30, 111k If# A VAC STS A1J FK E OF 11W A LOTS 19- 2t A 1 19.31' ?3 NIX 100 111 B �cen^_':s..'Yams:.^nx�:a•�:ssrx:.�.assraca:mu: ' C:L.ASS OF WORD. , -.NFW BFDRc 2 BAIHr 2 TYPE RMOPIT BY DATE RECFIPT TYPE AMOIINI BY DATE PECEIPI TYPEOF USE . . . :MH STORIES . . . . . . . 0 x�-•:-=�, :������'�.�-� �gm��r� ���s: �o:�1 YU'SSK.S i iL7 L;11'.II.1� �zS OCCUP . GROUP . . . :R3 BL D(i . HE 1 GHT . . : 0 .0f't MHSF E 175.00 91 11110/98 46182 TYPE OF CONtST . . 1? r I RF"PL.AC 0 1110 $ %0.00 kS 11123198 48924 OCCUP . I..OAD . . . . : 0 WOODSTOVES . . . . : 0 111161 = 175.00 KS H123i98 48924 DWE L L .UN i TS . . . . c 0 PARKING SPACES : 0 Sit ; 4.50 KS 11/23198 49924 INSPECTION ARF..:A : > SHORELINE? . . . . :N 1101AI: 404.50 `IAIWAT011t 0 SETBACKS-_._.___._._..,...._..._. .-. TOILETS . . . . . . . . . . : 0 FUEL TYPEWS__.__.___.__._ BOILERS/COMP----.- MOBILE:: HOME— FRONT . . .F 20 .Oft BATH BASINS . . . . . . : 0 : /E LE/ / / : 0.. 3 HP . t 0 REAR . . . .W 20 .Oft. BATH TUBS . . . . . . . . : 0 3--15 HP . 1 0 MODE L. :REDMAN SIDE ( 1 ) .N 1`,Oft SHOWERS . .. . . . . . . : , c 0 FORN 1 00K RTU : 0 15--30 HP . t 0 MAKE-- — •_—-- — S{DE (2 ) .S 5 .Oft WATER HEATERS . . . . : 0 TURN >-100K STU : 0 30--50 HP- : 0 REDMAN SHRL. I NE. .N 0 .0-{'t CL_O'THE 'S WASHERS - . : 0 FURN -- F[ OOR . . . c 0 iO+ HP . 0 0 YE AR— — AREA — —- — _ — —- K I TCIIEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 99 LOT S I LE. . . : FLOOR DRAINS - - : 0 VENT SYSTEMS— : tit F-VAP COOLERS : 0 LENGTH :4f0 BUILDING . . . - 0s f DRINKING FOUNT— : 0 VENT FANS — . . . : 0 HOODS . . . . . . . : 0 W 1 DTH . :28 BASEMENT . . . : Osf LAUNDRY TRAYS . . . , : 0 DOMF'S . INCIN :O . S1`R DECKS . . . . . . : Osf DISHWASHERS . . . . . . . 10 AIR HANDLING UNITS.-- COMML . I NC I N :O 111826 GAR/CARP :? OsT GARB DISPOSALS — : 0 10000 cfm . : 0 RELOC/RFPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . : 0 :¢ 101000 rfm . : 0 OTHER UNITS . : 0 MISC F'i M FIXTURES : 0 GAS OUTLETS . : 0 I.X4.Ym'.Y.'�V.'.ZS ""•'r3'arm^:»:d:._s:M-..u:c':•-�nu�:'tW.Csl.r:a:.'w�'�'..'r�-^s.4�^z:+a:u'-'^^^�^�^•--tdsl�FeSr.VfmaaJt9+.stic::5rd.YQC^•..�.�rs2>�-Cenctcrn43arsa::xas:x:�.xz�xabR'c'�YAS 3sr..at:.'�,:m^ACSanrraT.—•.^•�FCz:aCe^'�^'.-�:xa.�auuc:'�.'r'�J.:Y3:crmlLsa.ns�R;��-xx: PROJECT 0£SCRIPTIOM:1OiBI.E HOME PROJECT LOCAIIOM:Ary 1#6 to ROBIN HOOD V1iLAGE THIS PERMIT BECOMES NUL{ AND VOID if WORK. OR CONSTRUCTION AUTHORItED IS 001 COMMENCTD WIIHiN 180 DAYS, OR IF CONSiR11CT10N OR WORK IS SUSPENDED FOR A PERIOD Of 180 DAYS AT AMT TIME AFTER 1011K IS COMMENCEIT. EVIDENCE OF CONTINUATION OF 109K IS A PROGRESS INSPECTION WITHIM THE 180 DAY PF11OO, FINAL. INSPECTION MUST dE APPROVED BEFORE 1+611DIRR CAN E OCCUPIED.✓'? AfiENT: ,.1,�.-�-.. ' -��;.G"-c�.... DATEc M4 Y.- Y1 loll YY rIR• L [! [!vL , V ��f •Il V[[LV VV[!V\ [i[VYV •V ■[L VV•[[LV MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Pf�' flM I 'T- c niN0 1 -.1. 1 (:3Nt3 Case No . : BLD98--1071 For . STEVEN .-JOHNSON Page : 1 1 ) REOU I RED I NSPFCT 1 ONS ( Footing I nspeot: i on- prior to our , set.-up, I nspert i on• prior 'to skirting, Final Inspection-prior to occupancy ) . I have received a copy of the General Information anti Guidelines-Mobile/Manufactured Housing installations Handout for detailed descriptions of all required Inspections on my mobile/manufactured home instal lat ion . I hereby assume all responsibiIity for the scheduling of these required Inspections . If these required inspections are not requested, inspected and signed off ( approved) by the Inspector to the prescribed order , I understand that reinspertion fees and an hourly investigation fee pursuant to the 1994 UBC, Table 3A will be assessed In addition to mV original permit f of s to resolve any questionable pr act ices or problems that have been discovered . I further understand that this Investigation will be scheduled as time allows . Until resolution of any/ call problems no occupancy ( Final Ins ection ) will be granted for the residence . WNER CONTRACTOR( indicate which ) Signature X. 2 ) The use, handling and storage of haz.ardous materials or f l ramrwab 1 e and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal . X ---._.-. 3 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITES MUST HAVE APPFIOVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PL-AINLY VISI131.E AND LFGIBLr FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CA[L I NEI FOR ANY SITE INSPECTIONS . A RE I NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAIIS TO POST ADDRESS ON SITE PRIOR TO REOUFSTING INSPECTIONS . X 4 ) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOil.. X b) `The approved plot. plan Is required to be on--site -Pot~ i nsper,t i can �urfposes , It Inspection Is called fear and plot plan Is not on site, Approval �IL.L. NOT be granted . In 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 daF tteeMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic d date by ate 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 addition, a Re. I nspert i on fee in t rte amount of $4.? ,00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed nr Ist rovaI (hanted . X 6) All mobile/manufactured home lane{inps ar deckF� must be treestar►ding ( self s►.rpportinri) . The largest landing or deck eermitted without drawingc�s or a building permit Is 120 sq ft car less AND MUST be under 30 In be t qht from surround i ng grade . NO second story decks , or decks above 30" can be built without a permit . Any landing or deck that Is 30 or more In height from walking surface to finish grades rekqu i res a PfJrm i t . Anv landing or deck that h s 4 or more risers requires a handrail . X 7 ) Placement of structures must comply with standards setforth per 1994 UBC Chapter 18 regarding descending and/or ascending slopes . X_____ 8 ) Proposed structure or portions thereof with ari projection over 30" in height from gr-ade line, must maintain a 5 ' sepa ation distance between adjacent structures and that furthest projection . 9) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Vent i t at i ors and Indoor Air Qua 1 i t V Code, the Uniform Building Code and/or Mason County Regina ons must be approved by Matson Countytsrior to c:onstruotIonX_ 10) CONSTRUCTION PROCESS TO BE FIELD CORRECTED A ' REQUIRED PER MASON COUNTY BUILDING DI^I'ARTMENT AND UNIFORM BUILDING CODF . x 3U3Z -S-0-- 930c/ "000000,00,0,."Ooo,07 2c3 ' - wJ-. • PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION � (D 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 1 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INF�OB,MATION Owner f/]tC[JJ 'TDti itl-,D A Contractor Name � Mailing Address 0 7' Mailing Address City State 4�,!d Zip Cod City State Zip Code Phone1360 )53 '4e>-5-0ther Ph.( ) Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic—,&—Connect to Sewer ) System Name of Sewer System Well Water System X _Name of (J� Water System PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description - Site Address(Please include street name, street number and city) Directions to site L L Will timber be cut an sold Oh parcel preparation? (Yes/No) AJ 0 iN ,Uoo M P Spitd /7-/$ Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work &u ) Q i -f+ No. of Bedrooms � No. of Bathrooms SQUARE OOTAGE-1st Floor /C793 24,Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Q E V i"AN Model R,6 ,aftt AAJ Model Year Length J1 SWidth Serial No. /,69 b 3 '7 ;F No. of Bedrooms .11� No. of Bathrooms Type of Heater S Purchase Price .sue Replacement Unit ?(Yes/No) Installer Name —� Certification No. N NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT /� 60 Accepted by Date Submittal Amount Due Receipt No.� DEPARTMENTAL' EVIEW APPROVED DENIED CONDITION CODE$ Building Department /� D Occ Group Type Constr. l Planning Department Environmental Health Department Public Works Department i Fire Marshal Valuation $ FEES 1.11 . Building Permit Fee 0 Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( l ?500 ) i<> >€:<::><;:> >•»:r::>: :: ::>;;;sr;>;: :::;.:;::::.:::>:.:>:<.;:<<:;<::»>:<;;;;:><;::<.«; TOTAL FEES .,>.. PERMIT NO.: BLD 07/ MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone( Other Ph.( ) Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. ti: ° / % Fire DistF al 0l Description ��a1� 16 n Site Address(Please include street name, street number and city) — IL A;2 Directions to site x ti, AI 7 Will timber be cut and sold in parcel preparation? (Yes/No) '► JTe-4�) M ?4P 15 pA.-I ti Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathroors SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat _Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 1827 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. .. ... DEP RfiM tT k R 11 fW APPROVED �IEI CONR�`€I N GOAFs Building Department Occ Group Type Constr. Planning Department I / Jv Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES_ Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) �'fl :.. :%if!` . :.._F.ifff..,.{. ..1:..::: .......�..... 31ww. ,:. -:, «, TOTAL FEES Nf FFK ri:IUNY i.9:lii - I _ ��� ti "`• -y---ems:---v_,R-• _ <.,y� � � � � p '/� /� k STE IA& z - 'mac S 'Z� ZS W30_ T32 # 33 3`I RBIN HOOD V .IL-LAGE o . AL AREA =�--,.-..---,PERMANENT. R ESIDENTI _ � M__ __- _ _ _ �.___.