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HomeMy WebLinkAboutBLD94-00785 Final MFG Home Space 25 RLC94-1244 MIS96-00901 Replace Tank - BLD Permit / Conditions - 5/26/1994 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I 7V 1.1 1, a I F%4 It'N , III ILff I N calitlt ANII Ftaw 121-- 7262 8I.0194-0785 PAf;,is! : .1 13—l",09:i06iI I11_!`11 : 1-1i%arF1.0 111 ;. isI k: , 1 01 ,10H At)t)1,f '-.'a F F>/ ?t1 STATE. ROUTE .1.06 Uni t! 25 IINI'nN 10,Ml I #'JAY AN 40op 898 4816 1. oN It,,AC I Otf t' f,rll I #hill! IIII CAW IAII & IIp to 1-!Is 1••3I, If1 93 i leis i-a, Itt IIM A VA( S1S Ali tt f of Ijifli ii I.tfi'; it-n A f 19 w 71 Ito i11 III I %pit ...-. �_—, .s ,: >-_�..:- �- �. -.gym r l ;' 11I IAJt:)KY. NI IJ [it lit � 1sA 114 1 fYPf. � ANORNT 8Y TIM RFfI Ii, i`iPl AN0II01 PY IrAff Rft�fIP�T P f 0 1 I t':l l� mil 1 I+I< I t- .1 oCi.IIP 0R0tIP HI lit, . 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AND VOID If wM ON (ONS'TROtTIRN AUTHORIZER IS NOT f0110111)fit WIfoll 160 W0. AR If OP. "pit Is SRfiPtNGftf NIP A 11191"ll Of too DAYS Al ANY TINE AMR UM IS f.ONN1NiJil [VI01111 01 rONIINUATION Of UORt T5 A Mi+Of;6fl5 INSPfr11111 U11RiN INI M PAY PrI1140 1111F1 ta';l`MION OHIO Kt APPROVED off0NF BU1t0j CA OrXZ ` .. 1f0. �. -..,-- ..—owl flR AtiFNI ,��__ � OArk_-___.__ __�__._._.__.- ..,,.._ _.__ _W_�. w_ _ #10_PRNI, rev: wfl 91 COMPL.ZANCE TO Al IAtHLD C ONO IIIUNS Ut, REQUIk, li CONCRETE MECHANICAL MOBILE Footings-Setback date by Ribbons date by Gas Piping date by L Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final „_ date by date by dat. - 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. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 for . AAY 8NDL , Pmqe 1 1. "s" . a" n and sur of hazardous mm ad qi or flaablp n romhn its I rr h -dLig t aqu XuRcs of 10 clalIntrb is not o allwed without the apprvaldragonou o of flip dragon county rV L hill; 2 ) Propos-d otruct"Q or mny portion thetpol qr-atpr thmn Am" I " h"j "hI trom ctrad" line . must I a Minimum of 41 a-vhnch from all propyrry iineo , va.mmonvu And jjqht of 3 ) All ovpd plans aro rvquirpd to be o"- vjtw for ( ruspection P"t pow yk Lt j "%pociloti 1W d f0t And plAVIO ar" not on si to , Approval Will N"I b" qra"I -d In Addition . a ke inyperVion fee In the amount of $ 30 00 pet ho"t (minim"m I Crony ) Uill ho LhArclvrl mnd mu 4�17 66olloolvd 6y thiq cImpartmout p t e y c "q b m prior to Any further inpetiooirt fwrformed or to 4 ) PURS ! Nf TO tq9l ONIFOkM MU111111,16 C"01 . mullull 3OW (C ) ANO MCI = 013 . All 411US N"vI NAVI= APPNUVFD NUMBERS Ok A06141441` 4 PROVI DI- 0 IN ,"CH A POSITION A4 10 HF fat AVNIY VIA II'llf AND IF61BLF FROM fHE STREVI OR ROAD FRONIIN" T114 PROPERlY MASON ( O"NIY 101111-1111,16 DEPARIMEN1 RFOUIRES THAT 11-114 H1 COMP1. 1-1111 PRIOR 10 CA[CING F0k ANY VIE INNKCIIHNS . A RFTNSPFc1JON VI- I , IJAQV ON lit)ltq IN TARVE AA OF THU 1 09 1 "NrFORM H(IfInIM6 COUV Will HF ASS 11-IMERICONT RAC IUR VAILn 10 POV A00RI' SS ON Sill- PR is I " P10"I` n1VMG S ) At ' j'%'jN M(lqf MLFI "R EXCEED At I I OUAl fOVFK AND "HC 14 6 ) KF011110/ fNSPFCI1ONS ( Fuotinq Inopecrion-prior to ps"r , Not riff to qkirt in''yl . Final Inspociion-prior to orcupm"ry ) I ha", rocoi -val a vpy o of the 6ptroral Informakon and Ho"Ainn Installatio"n "ando"t tot dotailorl doacri.ptions of all ioquiiPul inbp"rtionv on my mobjIP/MA""fACt "1` 0d 110MVt i "Ntallation . I hareby assnTe all ronpo"fib itity for tho nch Wrist linq of thoso tecluitod inrpeGtions it Chnso required WpectionG arp not roclupolpd . i ",pnVod and qiqnp(i off( approved ) by the !"qp-clor in the prPseribod ordpr , I "ndet " tanrl that r" invpvcLinn MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 fees and an hu"rly i mr.jan in addition to my Q212112 EJULVMA k"ML "OVU Upon diochvery- %rhodulyd as time allows . Until "I" of' r ily" I prohipms no orr"pnncy ( Ff "al Inspechlo" ) will he qranLed for they residmi-tce OWNFRILONTRACTOW "dicate which ) Stqnat"re All mohile/manufactured home landt "qg of deed-ALt - 1,9 rreegtandin q ( spit "upporUinqj - Thp lnrqest landing or dock permitted withouP ' ''i "q4 "r a builditiq permit ig 36" Ah" Any landinq or dock that W 30" or mory in hniqhl from ualkinq R"rfaro to 11niGh orode rpquires a q"Ardrall . Any landi "q or deck that hao I or mote rivals rorlutry, .4 handrail . Any landing or deck largoi Vhmn A6" x vb" m"ni he permitt"d rivals rwqulrp , nt.r"vt"rAl drmwinqG aid a huildi "q permit appllrmEW . I h i V Inst allaVion Permit 00�5 NO E inc any landing or deck larger than th- 34" v 16" biop x. til chano-1- to approved building planq ! hat pf lei, t complia"ev I " thv lq9l "mqhJnqVon sLaLe Fnek Code , IQ91 Ventilation Aod Uprinor Air OLIAHLY Code . the Uniform Building Cndp And/or Masoy0onnty NO,I fit mu''-it be appryad by Mamon County prior to ronstri lin"X COMSUR"rflom PRO CFSS TO Hk FILLD CORRUL1111 A,.,i-- 1 01 V )m kl� 'I-.,m 1 01INTY H" I I li (Mo OUPARrMVNt AND UNIFORM BUILDING COD�>jy Permit No. MASON COUNTY _ BUILDING PERMIT APPLICATION �� a_ S 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 (1Q� PLEASE PRINT #1 ,caner �u �E ;�� Phone# Site Address f= 7 �7 a -Va t fC Fire District# City St //9 ZipC;'X5 EZ,4 Directions to Job Site ,6 • �✓ cz , Q r V, 25 e alk Owner Mailing Address City St Zip Lien/Title Holder ND,,e Address Clty St Zip #2 Contractor Name N UC(Q, &(o a Contractor Reg# Address Expiration Date City O(!A v. ,n I St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water SupplyJX I \\ Connect to Sewer System?_,)( Name of System v1 (If residential, proof of potable water is required) 4 Parcel Nd3 a4a - Qf 3Z2.32,J 60-613°O Legal Description ,� KS c 3 9� >0�1 �,� G c� � / o fa ) a. 9. v�l? �o� � � �/ Y?�f,c' i5 4P ` t�0a C.c= •%6 o U:? , i'l o . #5 Building Sure Foot e: (existing/propos 1 st FI_�/ 2nd FI / 3rd FI /J - Loft Basement Deck % - a #bedrooms / bathrooms_/ Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / 690 #6 Use of building escribe work #7 Type of Job: New_ Add Alt Repair Other' #8 MOBILE/MANUFACTURED WME FORMA ONModel Yeaarr MakeModel iale"yV Length 5 Width ate_Serial No.1— 1 3:76 # Bedrooms # Bathrooms Type of Heat Purchase Price$ --kN,, e,c-, #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 V) Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directiona4y (N, S, E, W) Name of Fronting Street in relation to plot plan AJPPLICANT TO DRAW SITE PLAN BELOW �=�l�s f,n y Dr l va ✓t 1� r p jo er' �lv�2dl- i e �owvr < a APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ( 6 each) No. Toilets CIRCLE FUEL TYPE: Gas, 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 \N . Fire Protection Systems _Other Auto. Fire Alarm Sys 50.00 ixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto ire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Sto 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 WITHO FIR __ O INING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDIN 7�ZV DEPARTMENT. X BY X OWNER � - DATE Jam' _ DATE 77_.— FOR OFFICIAL USE ONLY: Accepted by: �� _1 Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review M F�= SpcLS� 151100t Qosr A-ob&e sS , � Occupancy Group: tZ-3 Type of Const: S-tJ Fire Marshal: Other: Special Conditions: FEES o MOr3jL � I00. Building Permit Die coG /9. oc0 Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee `/ . S- c� Other Other ,s [Building Valuation: SE3� TOTAL FEE MASON COUNTY M1 ve-D DEPARTMENT OF COMMUNITY DEVELOPMENT RESOURCE LANDS AND CRITICAL AREAS CHECKLIST Permit Number K-6 ctq 0-7RLC# q¢ Owner 2 ,,,�� �,/ Parcel Number -32-2'j2 � ✓ Cf ✓ ,��`U "�� -Fra44t U / ` ,0 ❑ 1 . Saltwater shoreline or lake 20 acres or larger? Name of Water Body ❑ 2. Rivers, streams. or creeks with year round flow? Type of Other Water ❑ 3. Rivers, steams or creek with intermittent flow but are within a clearly defined channel? ❑ 4. Lakes or ponds less than 20 acres in size? ❑ 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps. ❑ 6. Slopes greater than 15% (8.5 degrees)? On Landslide Hazard Map? % of Slopes ❑ 7. Floodplains? ❑ 8. Seismic Hazard Areas? ❑ 9. Agricultural Open Space Taxation Program? ❑ 10. Open Space Timber Taxation Program, or Designated forest or Classified Forest? 11 . Site has no Resource Lands or Critical Areas. rv4yl Comments: Authorized Signature Date ` Robin Hood S JLy IFf ll$ InvICT U<«age May 25 , 1994 Mason County Building Department Re: Mr . & Mrs. Jay & Beva Anderson To Whom it May Concern: Mr . & Mrs. Jay Anderson are installing a new Moduline mobile home which is 28 ' x 32 ' in space # 25. The parcel number for Robin Hood Village is 312232 50 93001 . If there are any questions, please feel free to call either Bill or Maureen Woodcock at 898-2163, Cordially, Maureen Woodcock E. 6780 HIGHWAY 106 UNION, WA 98592 • (206) 898-2163 • FAX (206) 898-2164 ~ . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M Il '.4'_: UT t— 1_.R N E-- C>10 t3 P Ee= R M 1 -1- FOR INSPECTIONS CALL- 42 7._967i0 M i S96 -0901 PARCEL i 322325093001 PLAT a UNPI-0 DIVS BLK : LOT t .SOB ADDRE'SSi E 6780 STATE ROUTE 106 UNION Af PL I CANT i BILL. WOODCOCK OWNE: _ W&WAQCOK LEGA OTS 1-31, BIK 93 1 1018 1-30, 919 11i 1 `iAC $19 ABJ fl F Of 111 1 LOIS 19-22 1 1: 29,31- 23 61K M IT1 B PROJECT DESCRIPTION TANK REPLACEMENT PROJECT I-OCAT i ON t MCREAVY TO 106 TURN R IGFIT '10 ADDTIESS PERMIT NULL & VOID 5Y EXPIRATIM PROJECT NOTES , DATE:0 -92 BY 10W TYPE AMC+#.TNT BY DATE: RECE 1 P1 MCFE 1r 16 .25 TWW 12/ 18/96 43647 r3W TOTAI- t 16 .25 NCR U �[ 013�FRIT, rev; 04101/92 COMPLIANCE: 1-0 A,T CACMED CONDITIONS IS RE+ U I RE D MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F= FIA 1\4 I 'r- C." C3 N D I -r I r) N !�'; Case No . : MIS96-0901 For : BILL F. WOODCOCK Page : I PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SECIION 513 , ALL SITES', MOST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM T14E GTREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATFS IN TABLE 3A OF THE 1994 uNiFORM BUILDING CODE WILL, Br ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS , 2) The cowner sha I I have ava I I ab I e on s ite for 1: nspect 1 on by Mason Count-y , a t'eport indi cat ing the name and floonse number of the Installer, the amount of pressure at the time of test inq and the length of test time , Thic-, report shall be siqni-Nd by the per-on conducting the test . 3 ) If the tank size is between 125 and 500 (4allcans you must follow these guidelines ; 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 FRAMING by date by date by 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 I date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1 . Tank is to be 10 t�qet from anv buldl ing, public wary or property line . 2 . if the tank i exposeci to Probable vehiculgr damage, provide protective bollards , 3 . A I i weeds , grass , brush , trash and other cornbuat I ble mater i :a 1 sha I I be kept a m I n imum of 10 feet awav from l.P oonta I ners .