HomeMy WebLinkAboutBLD98-0442 Mobile Home #313 - BLD Permit / Conditions - 12/22/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
13 U I 1_ D 1 N 0 PERM I T FOR INSPECTIONS CALL. 427-9670
BETWEEN 5pm AND Sam 427-7262
BLD98-0442 PARCEL :420013300040 PLAT : DIV: BLK. : LOT :
JOB ADDRESS : 80 I: BLEV I NS RD N Unit : 313 SHELTON pI:.RMiT ION
OWNER : PETER PENNOCK 426-2015
CONTRACTOR :
Ul-L 0,..
1 �
BY
_EGAL. : S 513.85' OF E11� SW SW �A►�
CLASS OF WORK . . :NEW BEDR : 3 .BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYP1 ANOUNT BY DATE RECE IFT
TYPE OF USE . . . . :MH STOR I ES . . . . . . . .. 1 - " �._ _. :•� :_ .�_ �.. �. .-.._w -
OCCUP . GROUP . . . :? BLDG . HE IGHT . . : 0 .Oft ENCP 1 50.00 KS 12122199 52383
TYPE OF CONST . . :? FIREPLACES . . . . : 0 NNOf E 1u5.10 KS 12122159 52383
O CCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 SIFE 1 4,50 KS 12122199 52383
DWELL .UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 2 SHOREL_ I NE? . . . . :N TOTAL S 289:— VALDIA N� : 0�
SETBACKS-------_._----- TOILETS . . . . . . . . . . ; 0 FUEL_ TYPES- ----__-_- BOILERS/COMP----- MOBILE HOME--
FRONT . . .S 5 .Oft BATH BASINS . . . . . . : 0 : : 0-3 HP . : 0
REAR . . . .N 5 .Oft BATH TUBS . . . . . . . . 0 3-15 HP . : 0 MODEL :SIERRA
SIDE ( 1 ) .E 15 .0ft SHOWERS . . . . . . . . . . . 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE-.-•-•- --•
SIDE (2) .W 15 .Oft WATER HEATERS . . . . s 0 FURN >-1O0K BTU : 0 30--50 HP . : 0
SHRLINE .N 0 .Oft CLOTHES WASHERS . . e 0 FURN - FLOOR — : 0 50+ HP . : 0
AREA ------------------ KITCHEN SINKS . . . . ; 0 HEAT PUMP . . . . . . : 0 74
LOT SIZE . . . FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . . 0 EVAP COOLERS : 0 L.ENGTH :66
BUILDING . . . : 924st DRINKING FOkJNT , . . , 0 VENT FANS . . . . . . : 0 HOODS , . . . . . . : 0 WiDTH . : 14
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL#- .- --
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML , INCIN -0 51550
GAR/CARP :7 Osf GARB DISPOSAL.S . . . : 0 <- 10000 cfm . : 0 REL.00/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . . 0 > 10000 oft . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
A:TC.SS'Il:_':C":'�.'.T.'��.'Z-�.?'i^_.r"�':�Z�'C.?J:-.-3F'-..-1"BTC:LID"'S'1Si.'!'1@1�"_`.`•5.:1i�'.T.Yt�••2'�'+,•••••• ,w<-��;'S�a2-'.SS.i'S�3�:.K .CSS-Ci.:.GSSL�F^.T�.`�'=1��t.SSJd`T.::=L.�..+•T...:.^.:.:Jf.TSi'.+.L-8S^.'._'Sl:�::;_:
PROJECT DESCRIPTION:NOBILE NONE
PROJECT LOCATION:E 140 BLEVINS ROAD
THIS PERNIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CONNENCED WITHIN 181 DAYS, OP. If CONSTRUCTION OR 101K IS SUSPENDED FOR A PERIOD
OF 181 DAYS AT ANY TINE AFTER WORK IS CONNINCEB. EVIDENCE Of CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PE1108. FINAL 113PECTIO11 MUST BE
APPROVED BEFORE BLIIIDIII CAN BE OCCUPIED,
ll
OWNER OR AGENT: DATE:
BL.0 -PRNT, rev, 13/31121 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
— — —=------- --- -- --- — — -- ----- -------- -- -- ----- -- -- - ----._J
1
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
j date by Gas Piping date b
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 by date by
PLUMBING OTHER
Groundwork Attic
date by date by
p W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE FIM I T C: C7 ND I T I C)NS
Case No . : BLD98--0442
For : PETER PENNOCK
Page : 1
1 ) Maintain 15 f t setback bet een Mobile Homey and any and all
structures . /
X
2 ) I%4OB1 F HOME PARK SETBACKS SHALL BE 15 ' FROM OTHER STRUCTURES 10 ' FROM PROPERTY LINES
AND , FROM RIGHT-OF--WAY AS PER MASON COUNTY ORDIANCE #118-41 .
3 ) The use, handling and storage of hazardous materials or flammable and combustible
liquids In excess of 10 gallons Is not allowed without the approval of the Mason County
Fire Mar hat..,
4 ) PURSUANT TO 1997 UNIFORM BUILDING CODE , ALL SITES MUST HAVE APPROVED NUMBERS OR
ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET 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 RATS AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL AF
ASSES ED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPk TION)S .
X 1/ 1
5 ) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE
XOIL i'
6) The approved plot plan is required to be on-site for Inspection ppur ases . If
inspection Is called for and plot tan is not on site, Approval WIL NOT be granted . In
addition , a Re- inspection fee in he amount of $42 .00 per hour (minimum 1 hour ) will be
charged and must be collected by this department prior to any further inspections being
performed or approval granted .
j
0NCRETE 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 by date by date by
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
i
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) REOUiFLED iNSPECTIONS (Footing inspection-prior to pour , Set- up Inspection-prior to
skirting, Final inspeotion-prior to occupancy ) . I hereby assume all responsibility for
the scheduling of my required inspections . if the required inspections are not
requested inspected and signed off ( approved) by the inspector in the prescribed order ,
i understand that reinspection fees and an hourly investigation fee pursuant to the
1997 UBC, and will be assessed in addition to my original permit fees to resolve any
questionable practices or problems that have been discovered . I further understand
that this investigation will be scheduled as time allows . Until resolution of any/ail
problems no occupancy ( Final Inspection ) will bar granted for the residence .
OWNER/CONTRACTOR( indleate which ) Signature X/-- 4' 1/ J
S ) All mobile/manufactured home landings or decks must be freestanding ( self supporting ) .
The lamest landing or deck permitted without drawings or a building permit is 120 sq ft
or less AND MUST be under 30 . in height from surrounding grade . NO second story decks ,
or decks above 30" can be built without a permit . Any landing or deck that is 30 or
mor in height from walking surface to finish grade requires a Permit . Any landing or
de ghat /has 4 or more risers requires a handrail .
9 ) The installation permit shall be displayed in clear view of the site access road . The
approved site plan and other tapplicable instructions , including installation
instructions shall be available in this looation OR placed in the location specified
by WAC 296-16OW-655 . Support configuration shall be clearly marked in the installation
instructions . ( ,
Case No . , Bt.D96--0442 v
'ONCRETE 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 by date by date rj! b
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
S.s-y g
Permit No. 6 f-b -0 y Y a
MASON COUNTY
BUILDING PERMIT APPLICATION 006,•/t
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 pp4'r pArIce-0- k0et1Nack Phone#
Site Address c :3 Fire District#/V
city 3h St _zip
Directions to Job Site ��
Owner Mailing Address `/ SF� ��>S f /�
city- S/142 StJLIC'&-Zip
Lien/Title Holder
Address
city St Zip
#2 Contractor Name UBI #
Address Contractor Reg #
city St Zip Phone# Expiration Date / /
#3 If septic is located on project site, include records.
Connect to Septic?� Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) "feh 56jptfG
#4 Parcel No.g2,00 / - 33 - 000V0 l
r
Legal Description
#5 Building Square Footage:
1st FI 2nd FI U 3rd FI Loft Basement
# Bedrooms -13 # bathrooms MCI Deck Other
Garage Carport
// (Circle: Attached or Detached?)
#6 Use of building R,,-, .*--- Describe work
m6b,-"� -tee- sP-f- 4"0
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make_SL_&4AodeI
Length Width & Serial No. F
# Bedrooms # Bathrooms Type of Heat t
Purchase Price$
#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 E
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines ly
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements W
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
� I
2
i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
G_
Plumbing Fixtures ($3.45 each] Fee Mechanical Fixtures ($7.00 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 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
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 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 BUILDIN DEPARTMENT. DEPARTMENT.
I �
X OWNE X BY
DATE 41 Cie- /yGJ DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
F
oved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review eRcv i k-_W << 4-30-TS yvrve LeT. pfaA41r-
40a, jrpgmuS NOT /46L& 70 /SSu few twarrf aF /Wldovgp
i�a��oi�. 7
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other
Other
Other
Building Valuation: TOTAL FEE
• Peter and Darlene Pennock
• 80 E#201 Blevins Rd. N
Shelton,WA. 98584
360-426-2015 Fax 360-426-1568
E-mail dpennock@westsound com
EVERGREEN MOBILE ESTATES
April 30, 1998
Mason County
Building Department
Building III
426 W Cedar St
Shelton, WA. 98584
RE: Rental Mobile Home for Space #313
Dear Sirs:
We have purchased a(3) bedroom mobile home, which we will be using as a
rental for space #313 in Evergreen Mobile Estates. This is a three (3) bedroom
mobile home, which will replace a three (3)bedroom mobile, which was occupying
that space for aprox. 17 years. Existing septic and water systems serve this space.
This is an existing space and has been for many years.
Sincerely,
VZIAA Pz- tiXA"k)'
Peter and Darlene Pennock
Owner/Managers
Evergreen Mobile Estates
h6h" . . . . . . . . . . . . . . . . . . . . . . . . . . . .