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HomeMy WebLinkAboutBLD94-0615 MOBILE - BLD Permit / Conditions - 6/8/1994 i O Q � V J " nOOD O 0- z '` ° Q- O � = C C) on 10 0- � � 00 CONCRETE MECHANICAL MOBILE HOME Footings-Setback,&,f IV cuw i¢ :�.ze 5i.9R date by Ribbons date Z —`� by ,� Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date b date by PLUMBING y OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date /t._ i ._ 9 by // � date by iogaL sir c� �a�uL,�z ���•,� iL,E� 4 l3 � i i i � o TI x 0o ol : z � = C Cf) � 0 � F OQ- On 00 f oQ � � o D o C!) OOD of z ° � OD � � = C z 100- O � OD 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 - r #1 Owner C`t Phone#(2-c"(c) Site Address `� " I - -Fire District# St --Zip City Directions to Job Site " � !?-. �=' OA �V - Owner Mailing Address ����� e��' Sty—Zips' Sl City Lien/Title Holder Address City St Zip #2 Contractor Name /CQ `! Contractor Reg# r �F,t��M�� Address � C) 27��� �< ' Expiration Date _/ City !l St Zip Phone #3 If septic is located on project site, include records. Connect to Septic?—><1--Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No.42- ' - ? � - oo ( / Legal Description -7-V (- <�\ '� )%�)') 3` #5 Building Square Footage: (existing/pr�oposed) 1st FI / 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 #8 MOBILE/MANUFACTURED HOME INFORMATION nn Model Year Make Model ® E E 0 \eye( Length Width Serial No. - # Bedrooms # Bathrooms Type of Heat 141AY 5 1994 Purchase Price$ f*-1ENERALSERVICES #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 < 3 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 b Name of Flanking Street yN, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 each) F� Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other —Bath Tubs No. ni s Fees i - _Showers — Furn BTU i Hot Water Htr — Heatpumps I —Laundry Washer — Vent Systems Sinks — Spot Vent Fans Floor Drains No.. Boilers/ComQressors —Laundry Basins — HP Dishwasher N. 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- 15.00 MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 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. DEPA TMENT. X OW� X B. DATE DAT FQR OFFICIAL USE bNLY:Accepted by. Date• DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: 12- Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check c Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE q EL a� 300� ge / �4 120� 3co/ ZL tool r dog In the event thai the Owncr-r c r`orm such work as plumbing,electrical,insulation,or interior improvements,the Owners shall not con-inience performance of such work until Town&Country Pest Frame Buildings has completed its work and the building has been finally inspected and passed by the applicable building department:provided, if the Owners desire to install plumbing or electrical work within the concrete slab,then it shall he the Owners'reponsibility to notify Town&Country Post Frame Buildings of its intention,and arrange for this work to be accomplished by the Owners in order not to delay or interfere with the constl -f Tmvn&Country Post Frame Buildings. E. Price. The price is as follows: Description Dollar Amount Additional Work Price of Building $ 7�j Dollar Amount $_ � E Lifetime Warranty $ Sales Tax $_ Weatherization Warranty $ Sub Total $_ - Sales Tax' Rate T.6 $ _��Al Codel3Q Dollar Amount $_ SUBTOTAL $ Sales Tax Less$600 Deposit' $ (600) Sub Total $ Unpaid Balance' $ 7` $r83 'Estimated upon current rate.Adjustment(increase or decrease),if any,will be made upon final payment. Total Unpaid Balance ' 'Payable at time Agreement is signed by Owners. 'To be paid 50%prior to commencement of the work,or upon completion and issuance of the completion certificate and 50%upon occupancy or issuance of the completion certificate,whichever occurs u,sr..-.. may increase or decrease if Owners request changes in the work after Agreement is signed. The price includes all work identified in paragraphs B or C above,and also includes:41ans,& permits,Fd sanitation clearance fees. Explained below as necesssary. Any amounts of money owing and unpaid under the terms of this Agreement shall bear interest at the rate of I1/2% per month. Any changes or additions to the work performed by Town&Country Post Frame Buildings at the Owners'request shall be paid for by the Owners to Town&Country Post Frame Buildings by cash,rather than additional financing or refinancing,payable upon occupancy or issuance of the completion certificate. F. Xcent ofPnce. The price will be paid by the Owners to Town&Country Post Frame Buildings as follows(check appropriate block): urchasers shall pay the price in cash cr from financing which they have or will arrange through their own lender. ❑Purchasers intend to pay the price from financing arranged by Town&Country Post Frame Buildings on the following basis: L16 � sIm T o �,�� :1 " —M 6 T u ate 4k�s- � W t� 1/2- SA64 Hr s l Ca-� U7potl RE-CC IXT 6 9:- AM? u� 'Rt�1L.bI r„ &WP t7lleiA1_t-7j'5Al-wst3, I,TbK eQMT L 5T(e&II C 0' J$&tiny If Town&Country Post Frame Buildings is not able to arrange financing as described above,then the Owner may elect to seek alternative financing or cancel this Agreement and be returned the$600 deposit. G. Deposit. Upon signing this Agreement,the Owners shall pay a$600 deposit to Town&Country Post Frame Buildings.The deposit shall be fully refunded in the events that(1)Town&Country Post Frame Buildings does not accept and sign the Agreement in the space provided in Section"K;'below,or(2)in the case of a credit sale, upon completion of the project,final inspection and approval,and final payment to Town&Country Post Frame Buildings,or(3)upon mutual Agreement of the parties. In the event of a cash sale,the deposit shall be credited,but not refunded,to the Owner upon completion of the project,final inspection and approval,and final payment to Town&Country Post Frame Buildings. The deposit will not be refunded in the events that(1)financing is arranged by Town&Country Post Frame Buildings as per Section"F"and the Owner is either unwilling or unable to sign the necessary loan documents within 10 days after such financing has been arranged,or(2)Owners decide not to proceed with the project before commencement of construction,through no fault of the Contractor,or(3)upon mutual Agreement of the parties. H. Contingencies. This Agreement is subject to the following contingencies: The Owner shall notify Town&Country Post Frame Buildings within_days of the date of this Agreement that all contingencies stated above have been satisfied or removed.Otherwise,Town&Country Post Frame Buildings,at its option,may cancel this Agreement and refund the$600 deposit to the Owners. I. In the event this contract has not been started(by no fault of contractor)within 3 months from date of signing,the contractor shall be able to renegotiate the purchase price to reflect any market increases or decreases. J. Time of Commencement.Town&Country Post Frame Buildings will promptly schedule the commencement and completion of the building upon receipt of the building permit(residential)or approved plans(commercial),receipt of the Owner's payment of 50%of the price,and completion of site work by the Owner,if any. K. Signing of Agreement.Owners acknowledge that they have read and understood the provisions of this Standard Form of Agreement,including the General Conditions of the Contract,and have been provided a copy of the same.This Agreement is not binding on Town&Country Post Frame Buildings until Town&Country Post Frame Buildings receives and approves this Agreement signed by the Owner,and a corporate officer of Town&Country Post Frame Buildings then signs this Agreement in the space provided below.When signed by a corporate officer of Town&Country Post Frame Buildings,this Agreement becomes a valid,binding,and enforceable contract. There is no right of rescission.Owners acknowledge that this Agreement contains the complete understanding of the parties.There are no prior or oral Agreements or understandings other than those which are stated in this Agreement.The Owner acknowledges that all blanks have been lied in,and this Agreement states the complete Agreement of the parties.YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE A HED NOTICE OF C CELLATION FORM FOR AN EXPLANATIOkOF THIS RIGHT. G /Vc, Sales Rep ` Daw,_T/M T- Purchaser Date ` /mil 7 Print Name 6tX= MR)'TT[91.1 Date7�t'"_ Purchaser Date—�/k* Corporate Acceptance Date Purchaser Date by - Date 4 _2 4 copies: I.office file copy—white 2.production copy—pink 3.accounting cop+—canary 4.customer copy--voldenrod D, o a Z Is O II I� II II I V1 �1 � II �ti 11 �i I � 1• 'I I Z=j TJ I II II I _ 0 II II I s N ao II I ir II I� I II I I _ II II I li II II I It I I I II II i It II I I II II It II I' Ili --=-� _ _ _-_- - - - - - - - - - - - - - - - - 0 CHANGES SUBMIT CHANGES FOR APPROVAL s is PRIOR TO PERFOr WO'FtK N!ASO N B U I LD I i'd G INSPECTOR', 'lk CFANGES SUBJECT TO A PROV L A F I MUST MEET ALL CURRENT DATE- V1:7- Y--� I WASHINGTON STATE CODES IF R %441 ever oehen -modular homes , inc. DECK CONSTRUCTION THESE PLAN` M',-J'-, , 131E THESE PLANS MUST BE ON THE J, w, Ii ON THE JOB SITE FOR INSir-L:.,- i i,-;A. FOR iNSPECTION. C.11 51-,44'--1Wl .4LL OUA--Z> 'Mit =,ff7V.&=-ZN .4LL Z:>,FGKa pvE'j%;e IN-1 r.4LL O al 4 r U44L.L N4NDR.4/L ON 4LL -5r,40QU.44YS C)YE•fQ V� Alma. A7' k4,4NDAZ4/.L.% A.-\,- 24 e 2 .4 1-tw. ox 4">C 141cw MASONRY 46," ALL rPZff.4rZO UAV<;>r-> .4AZZ.4LL .44=4=Ef--r,40V-13 I-z4mp;zj,4j_9 F-,O/Q USE IN ,P.ffC-< A5UA?1ff=> IN r,44M— 4=4*4r,4Gr WIT" OR /" OE ,&,V Department of Labor and Industries NOTIFICATION TO LOCAL ENFORCEMENT AGENCY CONSTRUCTION COMPLIANCE SECTION date » 805 Plum St SE PO Box 9689 = 'Mfg .m 1 Olympia WA 98504-9689 ,,;,y ' �i< # ' The Factory-Built Unit identified below requires completion work Submitted to Dept.of L&I by at the site as specified. Manufacturer in single copy Owner's name Mf is serial no. serial no. Dept se },. e of construction , Installation address T� (\ � � � YP City County State Zip TA at site Occupancy E .:. . . ,.,:...... .::.:..: ............ ........... ... Installation site is in City r�✓ County .,,, DESCRIBE ITEMS REQUIRING COMPLETION W RK AT THE SITE To ' TO / ...... . :. .: A ,.. .... .... ....... ,.;,... .o a .... ...........:.... ............................. ,f ::;,: ,..;------- ......::::.:.:.. w: . ....:.:....,.... r »:... :... ... .�, A7'91 SERVIG :... ...... :::::.:..,::. _, .v.. :n.n ,R :::.n n ..:...n ? .....n n ,,,:... :. i Inspector's name Phone: (8am to 5pm) _....... ...... ........ Office location Manufacturer's signature Date For Dept. recv cf ; file :feey '.,,White Olympia office Use ONLY / / ;Canary -Building official ���� Pink - Inspector F623-013-000 notification to local enforcement agency 3-88 Goldenrod-Mfg E l : I m g c � FLOOR PLAN LENGTH LA P- ,21f7- h -601 Imc,_ Vf�Tok 1NA I"-lj CzN i lht-.._t oQF-..©NLy_— fi}� . _ _ 4 tS_H UtITt! I IV S t P• EASE CHECK: BUI_LDINCaLc�FVAT�ON -- -- - - -- - 1 00�-pitch I - i ave$ Hei ht - -- --- i - r g Minirr urr� Clearances 7 -- - ' - - —' --1- -- i , Y ----�-r ' I I I I I i 1 i: ' - - - - - i l- I I I II _ _ I ©1991 Perma-gilt Industries FR-34 2/94 MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTIO14 NOTICE Job Location Ll - ?2 q fir-, �y7 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: . a . Items listed below must be corrected to gain code compliance 'D Z 4-Q �j (�p 41P6 . P You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK /32(6all for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OKto Department Date Inspector )-"'hn4AE) DO NOT REMOV THIS TAG MASON COUNTY BUILDING III 426 W. 'CEDAR SHELTON, WASHINGTON 98584 (206) 427-9670 CORRECTION� l NOTICE Job Location30 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 ,� L�r� /tdlsSSi� S���.� �+�7��>v� ,.c✓�.�tST.E�e 1?3�/7 a , mac` T ,C7rt C k !� 7� �3 ,�rz,� sT.�-y��"✓y N�=[� f✓y fi A 7 IKJ dos4s� ��r,�-r a�,�s o2 �fDD.�,EsS dam/ ST,�u�Tu,�� CIi3G pipe- OK '% 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 Department �✓�� G Date �` Inspector of CAST ;7p�' �S DO NOT REMOVS: T IS TAG 3 , P. / _rn JJRY 26 '94 14:47 EVERGREEN©MOL1aHOMES f J ` `1 �108,r CJC'C'!CE box XBBo SHEUMNt WA 96594 i (206) 427-VU,19 PAX 421-0425 FOR DMERMINA?YON hilt' AD . UACY x.,,t�+1 alias/af1 INSTRUCTION','; I 1. CompletA Part 4, M, 4r)tMrttrl,ndt),btl Cgn bat made until P#r! 11 1.9 tally 4M9� 6d. 2« ' Catapihtth oraly thw portion of PNrh 7 applyir►q to t.ha type oflwater sysatom atil.ived,+ 3. Submtt Complotecl t,ptlicat:lon, with AttAChmontr to tho hoAlbt dovartment: for r.DvLaw, PART 1: A11j9lt,ANTjVAkC L 11'j1-, TJP1CtAT10?Y HJ►lHtJttislltttlislhlatutiltort+ru;tE,r+a!!trli�rntrtlitilltutttiltlu,�/wurntrrpuglnrfltnttltfuttslf►tltthttflJ HJtIft11011ttltlAftVttNtttittlttittHfflJ# DAT MAILING ADDRESS _ Y�# ��y�� d��_�_ 1�� �1� T62. AHONYL � ..+w�C�- -"wL. 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Witr rnnhacEinra pta•ant:ly In 466. The app,14AAt has Ap ak to apgnaotl de th�a water' ayrtrn, Oarvlcs (jr rncet co [na applsraat f6V dorladlo P,uyosa► $0 ppaalapf t with twtlr tLr wtsr ayatea, plon ied khw w4opr right t}anp4t yaaBantly 1n offset. v.r." lisaa U4 Mvtti,I00, 0 the aye11uantrn•Iuapast7 lint, or the RpplicAnt Ia. 706. way •stork �r� it � e aor! 6 Lh4 }Snag. �+^1 6f011A1W,r or V-7