HomeMy WebLinkAboutBLD98-0242 Mobile Home Conditional Install #313 - BLD Permit / Conditions - 5/20/1998 MASON COUNTY
�. Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 CE 1__ t._ ANEt)US F' E FifVf f i 1 Ok iN6PE( 1 i0Nu c,HLL 4�- i Uoik
MIS88-0242 PARCELa420013300040 PLAT : DIV : RLK : L.OT :
JOB ADDRESS : 80 E BI FV I NS PD N Unit : 313 SHELTON
APPLICANT : PETER PENNOCK 426-2015
OWNER : PETER PE_NNOCK. 426. 2015
LEGAL : S 543.45` 9f Eli?. S1 81
PROJECT DESCRIPTION :
MOBILE HOME CONDITIONAL INSTALLATION PERMIT PE kotl P%RAT,ON
` la( EX
PROJECT L.00AT i ON : �1V�' ow
F. 1140 BLEV I NS ROAD
pA
PROJECT NOTES ;
TYPE AMOUNT BY DATE RE"CFIP1
STF1 4 ,50 'iW 05110/98 47145
MI-ISG 34 ,00 TW 05/20/98 47145 1
� 1
CO'm r 3F1 '50 OWNER OR A(;FNT 1.
NIS_►INT. rev. 04111197 COMPI I ANCF TO ATTACHED CONDITIONS IS
REUfi i RFD
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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING Attic by OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
ram, Ex C* ( IS � y Ol Ay�? .► n�a. 1.
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE= FAM 1 T (7. C) NL i "1 1 C3N :�
Case No -- M I S98--0242
For• : PETER PENNOCK
Page : 1
1 PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITE MUST BE: MARKED WITH APPIIOVFD NUMBERS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
STREFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY 130 1 I.D I NG DEPARTMENT REQUIRES THAT
THIS BE COMPLFTED PP [OR TO CALLING FOR ANY SITE INSPECTIONS- . A REINSPECTiON FEE . BASED
ON RATES IN TAHt.E 3A or THE 1994 UNIFORM BU I i D 1 NC CODE W I L t BE IkSSE SISFI) IF
OWNER/CON"TRACTOR 'FAILS TO POST ADDRESS ON SITE PPIOR TO REQUESTING INSPECTIONS .
J
2 ) This permit i -. being Issued to the applicant to allow they ,movinrl of this mobile home
onto his(hrr private property to perform the necessary corrections to this unit to bring
It into r.owp 1 lance w i th HUD St aitdardn , and get the un i t reoert i f i ed by the State of
Washington Department of Labor and industries , This unit is not to be ooctapied . No
utilities are to by -connected to the unit , No permanent F-,nt up is to begin . This
permit Is valid for sixty (60) days only . No extensions will be chanted . Any violation
of the I;onditionq of 't puimit or the donial of a prsrmanent installation permit will
result In the determination that the urilt must b#s removod from the property at the
expense of the owne.T
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING — OTHER
Groundwork Attic
I date by date by
D.W.V. WALLBOARD NAILING
date by
date by FINAL INSPECTION
Water Line
dale by date by date by
I
`I
I
I
I
• MASON
SO COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 CONSTRUCTION PROCESS 'TO RF FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .
4 ) MaintaIn 15 fr_ of setback between Mobile Horse and any and a I I structures .
r
i
K.
1
- I
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 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
• s
5,5-9 �
MASON COUNTY MIS 22 yaY9'
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269 mks
PLEASE PRINT
#1 er � � Da{�Ic��En Pe-000CIC Phone# 360--ef26_ZO/rFire District#��
Site Address �qce 3�320e " 9kv1'izs &A6ty She/74o!ij
Mail Address
City St Zip '? yy
Applicant ( Phone#
Applicant Address
City St Zip
#2 Contractor Name UBI#
Address Contractor Reg #
City St Zip Phone# Expiration Date
Directions to Site: �(Je fc Jt�S�Y'�c S
# I No. q2_00 L(O
egal Description -S s—U) .S W
#4 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#5 Project Start Date Project Completion Date
#6 Use of Buildiing Re—sideaGQ Describe proposed construction
i 'f/o S :r- n
$Tp C
*Depending upon the type of permit,a floor plan and plot plan may be required.
*This permit is valid for 180 days from the date of issuance.
J
OWNERS AFFIDAVITT I
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFYTHAT I AM A CURRENTLY REGISX04D:E TOR N THE
CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM AWARE OF STATE OF WASHINGTON AND I AM AWA t ANCE RE-
THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS QUIREMENTS REGULATING THE WORK FOR WHICH THE PERMIT IS
PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN CONFORM- ISSUED AND ALLWORK DONE WILL BE IN CONFORMANCE THEREWITH.
ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL
OBTAINING APPR L FROM THE B ING DEPARTM NT. FROM THE BUILDING DEPARTMENT.
X OWNER X BY
nATF 44 —30 / 1( DATE
L
a
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements directional by
d d ir
Septic Systems Name of Fronting Street In S, it W etc y
Proposed Improvements, Name of Flanking Street
PLOT PLAN AREA
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
ems
S/b
BuildingPRr r4eyi&W WGC... 4130-919
Fire Marshal
Other
V
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements Indicate directional b
Septic Systems Name of Fronting Street y
Proposed Improvements, Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
�'yV1S
Building_par R evi ew WGC_ 4.36-9A
O I X W / S ht,�
tM n 11 t Lt t= enr17 t v I tL +fuvu a I S
� -114 G Romm T vD -M to s STA n117 A ti Ps
Fire Marshal
Other
Special Conditions Fees
Permit Fee $ 3 Y•
Plan Check
Other
Other
State Building Fee 4•s
TOTAL DUE $
5_5'5 Cd
MASON COUNTY MIS 98--08Lqa,._
MISCELLANEOUS -PERMIT APPLICATION mK5
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 * 427-9670
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269 AQt_AWIr Stt02�S
PLEASE PRINT
#1 Owner �V' DQf�I��lt� jIocK Phone# 560'►4(26_Z0/rFire District#—&—
Site Address 1:7 Qce _1d__ -3`3 4E77- S '9ihr S/7e z2�2 yi
Mail Address
City ����f?�y St Zip ��
Applicant Phone#
Applicant Address
City St Zip
#2 Contractor Name t`3GlpJl UBI#
Address Contractor Reg #
City St Zip Phone# Expiration Date
Directions to Site: '�2c� ��3
#3 Parcel No. CFZ00 e0o Lf O
Legal Description S 5��3e4.K ; �. S�,(� SW �11e(�y{'� ►-/D�/Ie Es�T�
#4 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#5 Project Start Date Project Completion Date
#6 Use of Buildiing peSIGtca G2 Describe proposed construction,
Co�uJrT►oN 1NS7Rti /6N
*Depending upon the type of permit,a floor plan and plot plan may be required.
*This permit is valid for 180 days from the date of issuance.
CONTRACTORS AFFIDAVIT I
OWNERS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFYTHAT I AMA CURRENTLY REGIS E TOR NTHE
CONTRACTORS REGISTRATION LAW RCW 18.27,AND AM AWARE OF STATE OF WASHINGTON AND I AM AWA TY ANCE RE-
THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS QUIREMENTS REGULATING THE WORK FOR WHICH THE PERMIT IS
PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN CONFORM- ISSUED AND ALLWORK DONE WILL BE IN CONFORMANCE THEREWITH.
ANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL
OBTAINING APPR L FROM THE B ING DEPARTM NT. FROM THE BUILDING DEPARTMENT.
X OWNER ` X BY
nATF 44 3D / J( DATE