HomeMy WebLinkAboutBLD93-0558 MOBILE - BLD Permit / Conditions - 6/7/1993 -v
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date 11-11l9 q 77 b
Foundation Walls date by Set Up r
date by INSULATION date 6,01 by
BG/SLAB Insulation Floors Final 3 JleCirG1'� !y'G'�1i�hrz�' u
date by date by date by ,
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic _
date by date by r��n?p ' ✓ ��/ s,
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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Permit No. �"
- - MASON COUNTY
BUILDING PERMIT PLICATION
PLEASE PRINT I
} #1 Owner DLL- -Al-c 01-" Ph e#
Site Address WoW re,-r- W v, o-r-P— Fire District #
City J'AJ -CS r �k�j t-o a, St Zip
Directions to Job Site'TT-A 10 -Tt> -V-Q il- ilkD
"b 'v— t'' 0 1-0
or T . wC b++ �� � -4, it r
Owner Mailing Address -
�� city St-. ip
�D� 1 Lien/Title Holder
1 Address �. o
e-f " City r7 ;/ St LJ 0 Zip 'SC'
#2 Contractor Name lor.•e-c t' z Contractor Reg#�DLZSa3�aZ
Address ' Expiration date S / 31 / 93
City c.v-cc�J St( A Zip q 14- Phone q Z G -/ 84D 3
#3 If septic is located on project site, include records.
Connect to Septic? 7/�S Public Water Supply 4'� Well �A_
(If residential, proof of potable wa ' r is required)
#4 Parcel No. V—z ye) ;Y"l7 704 ll f
Legal Description ✓ le q L,,
#5 Building Square Footage:
1st F1 2nd Fl 3rd F1 Loft Basement
Deck #bedrooms #bathrooms Garage Carport
Garage/Carport Attached or Detached
Other `1/ o-•) '2_ t !'o
#6 Use of building /(,Cd ca,� � Describe work yant)t 1^'
#7 Type of Job: New -�: Add Alt Repair Demolition
Re-Roof Bulkhead Other
#8 MOBILE HOME INFORMATION
Model Year lq q 3 Make
Length [a o Width Serial No.
#Bedrooms 3 #Bathrooms -:X: Type of Heat -mac
#9N 4 Any water on or adjacent to property: saltwater lake
river pond wetland seasonal runoff
other
" Snow 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
Name of Flanking Street Sc e: cr• 6o y.
Name of Fronting Street Da z-1 l6 , 17->>
APPLICANT TO DRAW SITE PLAN BELO
, off
Lovett '6 to
i
U
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW--
Plumbing Fixtures Fee Mechanical Fixtures
No. Toilets Primary Heat Source (circle type)
Bath Basins Elect/heatpump/other
Bath Tubs
Showers NO. FEE
Hot Water Htr Furn
Laundry Washer Heat Pumps
Sinks Vent Sys (Central)
Floor Drains Vent Fans (Spot/Whole)
Laundry Basins Boilers/Compressors
Dishwasher HP
Disposal Air Handling Unit
Urinals cfm.
Other Fire Protection Systems
Permit Basic Fee
TOTAL PLUMBING $
Other
Gas Outlets.Hookups
Wood/Pellet/Gas Stove
Other
Permit Basic Fee
TOTAL MECHANICAL $
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAIrS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 3.80 DAYS AT ANYTIME AFTER WORK
IS COMMENCED
OWNERS AFFIDAVIT CON RS AFFIDAVIT
I CERTIFY THAT 1 AM EXEMPT FROM THE REQUIREMENTS OF THE I CEt IFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR
CONTRACTORS REGISTRATION LAW RCW 18.27 , AND AM AWARE IN E STATE OF WASHINGTON AND I AM AWARE OF THE
OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDI CE REQUIREMENTS REGULATING THE WORK FOR WHICH
THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE ERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONF CE THEREWITH. NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING
DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE z_ 44 44---een *'"�
Return permit to: Department of General rvices
426 W. Cedar/P.O. Box 186, Shelton, NA 985 427-9670/1-800-562-5628
Fti +LFB� IAL IISg. ONLY; Acdegter ; fir:
DEPARTIIIIENTAL VMW
A FOR OFFICE USE I Y
Approved Cond Hold
Approval
Planning:
Environmental Health: ` 110 5
�r
Building Plan Review " -
r/,/
Occupancy Group:
Fire Marshal:
Other:
FEES
liSpecial Conditions: II Ilsite Inspection I II
II II I
II 11 IIBuildi Permit I /� j
II II
II 11 Ilviolati n Fee I II
II 11 I I
II 11 IlViolat' n Investigation Fee 1 II
11 IF
II 11 Plan C ck11 I II
IF
II 11 Plumbing Fee I II
II II I` � 11
II 11 11mechanical Fee I II
11 IF
II 11 Ilwoodst a Fee I II
II II
II II IlBuildin State Fee I II
I' ,I
IlBuilding Valuation: I1 II TOTA,1�/'� � '� -
BUILDING PERMIT PLOT PLAN
MASON COUN
DEPARTMENT of GENERAL, SERVICES
P.O. Box 186 SHELTON, WASHI GTON 98584
427-9670
DATE ISSUED
PERMIT NO.
NAME MAILA I Y&.STATE ZIP PHONE'
OWNERc� CII�' �?�-
DIRECTIONS :;v1— w ,:`1 C:A e Wn°s1
TO JOB SITE °pow mA i Cc?ctc. /1 Q ►�S i CtLt i��. Tb-� T7z+g��5 ,4«{.
TO Tor a5 P+Z-kc � G r I' AYi k�>��s its �
•tt����r i2���}T, 7a ��c�, ��� IE'�x1f�' c,�Ta �,r� � Sri _
PARCEL LEGAL
NUMBER ''DES `1 OC)� DESCR r'I r
Indicate below: O Property lines and dimensions
O Easements and roads.
O Septic, drainfield and reserve area or sew
O Septic tank and drainfield setback distance from foundations.
0O Location of proposed construction on prop' rty.
O Building & septic system setback distance rom all property lines& easements.
Indicate North O Well and water line.
In Circle O Saltwater, lakes, rivers, streams,wetlands, drainage.
O Attach copy of septic system"as built" or se Dtic permit approval.
O Indicate topography profile of property and' tructure on reverse side.
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I/we Cer"that the proposed Constructlon wdl conform to tNe o,mens,ons dno uses mown aoove and t iat no Changes wdl Oe made w,Mout first pbtaintng=MvaL
SIGNATURE OF OWNER(S)OF AUTHORIZED REPRESENTATIVE
00 NOT WRITE BELOW THIS LINE
TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
570 W S z w YAJ 64
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1 Design Information TC(D+L)- 29.0 PSF 5 Plating Information UBC
BC(D+L)- 1.0 PSF
DWG 140. R79-29 1-UD6F- 763 TL(D+L)■ 30.0 PSF JT. MAX-SPANS(FT-IN) HYDRO-NAIL LOCATION(IN)
SHT NO. , 0 DATE 11/24/80 STRESS INC a 1 .15 NO. DF HF PLATE SIZE --X-- --Y--
9 8- 5 2 1/4 X 6 D
2 j Maximum Chord Spans (Ft.-In.) 13- 0 11- 3 3 1/6 X 6 D
13- 5 13- 5 4 1/8 X 6 D
LUMBER GRADE 70P CHORD BOTTOM CHORD 17- 5 15- 0 3 1/8 X 8 D
-DOUGLAS FIR- 2X4 2X6 2X4 2X6 21- 9 18- 9 3 1/8 X 10 D
NO 2 14- 0 20- 6 21- 2 26- 5* 23-' 7 22- 5 3 1/8 X 12 D
NO 1 15- 9 22- 9 25- 7 38- It 26-10 26-10 4 1/8 X 12 D (NEEDS 2X6 TC)
SEL STRU 17- 6 24- 9 'D-11t 44- 8# 30- 4 30- 4 4 1/6 X 14 D (NEEDS 2X6 TC)
=HEM FIR- J 2 13- 6 11- 7 1 X 4 D
NO 2 12- 3 17-11* 17- 3t 21- Bt 30- 4 26- 2 2 1/4 X 4 D
NO 1 13-11 20- 0* 20- 7t 31- 3# 30- 4 30- 4 3 1/8 X 4 D
SEL STRU 15- 3 21- 6* 24- Ot 36- 5# SJ 2 23- 3 22-10 5 1/8 X 6 D 6 1 7/8
=MSR-ALL SPECIES= 30- 4 30- 4 7 1/4 X 6 D + 6 1 7/8
1650E-1.5E MSR 15-10 24- it 24-10t 39- 0# J 3 13 ' 2 11- 4 4 1/8 X 4 D 4 2
1804F-1.6E MSR 16- 8t 25- 5* 28- 0# 44- Oi 17-11 15- 5 3 1/8 X 6 D 6 1 1/2
1950E-1.7E MSR 17- 5t 26- B# 31-11# AS- 04 23- 5 20- 1 4 1/8 X 6 D 6 2
210OF-1.BE MSR 18- 3* 28- 0# 35- 6# 48- 011 •29-10 25- 8 5 1/8 X 6 D 6 2 5/8
2400E-2.OE MSR 19- "* 30- 4# 41- 6# 48- 0# 30- 4 29-11 4 1/8 X 8 D 8 2
*REQUIRES 2X6 BEIARING #REQUIRES 2X8 BEARING 30- 4 30- 4 5 1/8 X 8 D 8 2 3/8
J 7 15- 6 13- 4 3 1/8 X 4 D 4
22- 2 19- 1 4 1/8 X 4 D 4
3 Web Requirements (Ft.-In.) 24- 19 21- 3 3 1/8 X 6 D 6
26-11 24- 6 5 1/8 X 4 D 4
UNBRACED BRACED 30-' 4 30- 4 4 1/8 X 6 D 6
2X4 WEBS W1 W2 W1 W2 . SJ 7 13-10 11-10 5 1/8 X 6 D 6 1 7/8
STD-DF 30- 4- 30- 4• 30- 4 30- 4 19- 1 16- 8 5 1/6 X 8 D 8 1 7/8
CON-DF 30- 4 30- 4 30- 4 30- 4 22-11 21- 5 6 1/8 X 10 D 10 2 7/8
STD-HF 30- 4 30- 4 30- 4 30- 4 24-11 21- 5 7 1/4 X 10 D 10 3 7/8
CON-HF 30- 4 30- 4 30- 4 30- 4 26- 9 26- 9 7 1/4 X 8 D + P 1 7/8
2X6 WEBS 28- 9 28- 9 7 1/4 X 10 1/2H+ 10 1/2 2
NO2-DF 30- 4 30-• 4 30- 4 30- 4
NO2-HF 30- 4 30- 4 30- 4 30- 4 CHORD SPLICE OPTIONS
C 2 18- 7 16- 1 3 1/8 X 4 D ,
25- 8 25- 8 3 1/8 X 6 D
Force Information L=Span (Ft.) 30- 4 30- 4 5 1/8 X 6 D +
C 6 12- 0 10- 4 3 1/8 X 4 D
CHORD FORCES WEB FORCES JOINT LOADS 16- 7 16- 7 3 1/8 X 6 D
11 C 1= -232.3L W I- -46.8L J 1= 25.01L 20- 0 17- 3 4 1/8 X 6 D
tt1; C 2= -198.9E W 2= 51.9L J 2= 43.5L 27- iB 27- 8 5 1/8 X 6 D +
C 6- 153.9L J 3- 39.3L 30- 4 30- 4 6 1/8 X 10 D +
C 7= 223,1E REACT= -90.OL J 7 2.OL 30- 4 30- 4 4 1/4 X 13 1/2H
DESIGNED IN ACCORDANCE WITH TPI-78 AND NUS-77
PL^.TES MARKED + REQUIRE 2X 6 CHORDS
NE, PLATE RATING(PSI) FOR D=179(DF)e 154(HF)
(� NET PLATE RATING(PSI) FOR H=120(11F)a 120(HF)
N01 F.S: 1.Cut o members to beer. 0 p.TA
2.Cen;or all plates on both tides of Joint `��Y�• f !^ �y
unless X or Y locellon.s are specified. IAUSS IS
3.The truss fabricator is responsible 10 Srnf IAlC4 CuA at rS G 4.1
SJ 2 X -- pnovrde pia Gnu toy handling ri fe Uu,red P2+('�'� ai,T71 4 .a j ( p MAX xl
See Usage Gwoe• �° T 4669 W z
'y 4.Site Table 3 for web lateral bracing,.. ... � `w
�Y =0ui'emanla. .�� W
X
Pt-Lin .S o±e
�J7 -X-- ------ C? G r+ fQ��P�jECCO
12 10.249� r
I� SLOPE � 1
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If C Fe C
- C7 X CAS PURLIN SPACING 24.0 IN.
r
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Ia lAstS 2 F7.1`3 YtS = {P 6s L- TYPE 7lJ_V-
SPAN• L UBC CODE 61- 0. O.C.
CM:gn rasa Only to Lae.nn HOC As cm•.ectors This tr ,is Ces"M as rr vd�ry0ual twr'crq comUann. r 3-5/12 SLOPE D PLATES
! u 11 to rKupua!aC No a tk+" p acs.;n At V4 SWil"IKA Of Ifs Cctrj U S!C W.&,q Bracrq
S;o_9-C d la'ainal sr.(.`,F of nC,";Ir_.s mtl cos Only AOCd4lUI Ua.r., -O.balr Slrlcue euy _
to'c raa Fa 0O.C.Al0,.:w'e sac Brubp vojw Tru1141, for SPOLOC uuss o,:;.l rtquetv,trns cLwaa 0 f�a DOUG F I R I HEM F I R
W11:.19 ik-W&For in-a:ron 10;4'09q farcurn,palrf Cadrd,slorice,otf.vy arrn&V bacrq a
vussn.CLft r1 the Owlay Control hunwP Ulf IN Racommaneaa Coen of sunaus rradice. E1VQlN EA/NQ,1NC. 25/ 4/0/ 1- 30 PSF 9 1.15
•Ara�aU.e Iran true Ptata hltadte.1111 R"Roaq Hyarsrdrt,Wrytactt,20M cox M9,137,LOUIS,YO.Qi rI
r OMydroAr Ergrnaennp,Inc t9/i
the
r 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 belo 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
A/ZAY►2aR �W. rf;-.c x< MODEL
MAKE 01L10 i� MODEL YEAR
MOBILE HOME LOCATION INFORMATION SERIAL #A. My privately owned land yes no
OR
B . If rented or leased land who from? NAME_
ADDRESS M
CITY S STATE
C . Real Property Parcel # ( from tax
statement of new location )
0 . Mailing name and address for owner of mobile home
NAME
ADDRESS t 101 C - CITY & STATE E . Location address of mobile home city..
F . Date mobile home was placed on present site
c
G . Purchase PriceQ
DATE '`a��'""'�( SIGNATURE7�_
rf
TYPE OR PR T NAM' ITot1tv
TELEPHONE NUMBER ya�U?
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