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Home My WebLink AboutBLD98-00157 Mobile Home #316 - BLD Permit / Conditions - 6/23/2008 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 i� RESIDENTIAL BUILDING PERMIT BLD98-00157 OWNER: DARLENE PENNOCK RECEIVED: 3/3/1998 CONTRACTOR: WASHINGTON HOME CENTER LICENSE: WASHIHCO770A EXP: 3/19/2009 ISSUED: 6/23/2008 SITE ADDRESS: 80 E BLEVINS RD NORTH SP 316 SHELTON EXPIRES: 12/23/2008 PARCEL NUMBER: 420013300040 LEGAL DESCRIPTION: S 543.65' OF E1/2 SW SW PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME 80 E BLEVINS RD N. General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: 5N Type of Use: MH Insp. Area: 2 No. of Bathrooms: 2 Occ, Group: R3 Lot Size:O Deck: 0 Type of Work: NEW Fire Dist.: 11 No. of Stories: 1 Occ. Load: 0 Building:0 0 Valuation: Building Height: 0 Occ. Status: Basement:0 Manufactured Home Information Setback Information Shoreline & Planning Information Make:LIBERTY Length: 60 Ft. Front: S 15.0 Ft. Shoreline: 0.0 Ft. Water Body: Rear: N 15.0 Ft. Slope: Ft. SEPA?: No Model: Width: 24 Ft. Shoreline Desig.: Side 1: E 15.0 Ft. Year:74 Serial No.: P05865XU Side 2: W 15.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Final Expired Permit KS 6/16/2008 $68.00 S12008000 EH Plan Review KS $50.00 46672 Mobile home fee.... KS $160.00 46672 Building State Fee KS $4.50 46672 Total $282.50 BLD98-00157 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD98-00157 CONDITIONS FOR BLD98-00157 1) Maintain 15 foot setback between Mobile Home and any and all structures. X 2) 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 Marshal. X 3) All approved plot plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$34.00 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. X 4) PURSUANT TO 1994 UNIFORM BUILDING CODE, SECTION 305(C)AND SECTION 513, 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 RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 5) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation. I hereby assume all responsibility for the scheduling of these required inspections. If these 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 1991 UBC, Table 3A 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/all problems no occupancy (Final Inspection)will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 6) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck permitted without drawings or a building permit is 36" x 36". Any landing or deck that is 30" or more in height from walking surface to finish grade requires a guardrail. Any landing or deck that has 4 or more risers requires a handrail. Any landing or deck larger than 36"x 36" must be permitted which requires structural drawings and a building permit application. This Installation Permit does NOT include any landing or deck larger than the 36"x 36" size. X BLD98-00157 Please referto the following pages for conditions of this permit. 2 of 3 This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owneror the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: BLD98-00157 Please refer to the following pages for conditions of this permit. 3 of 3 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F3 t.J I L_ t_-� I PA ("I P U R M i Y OR f-N PEf-'"I I TINS tAl.1, 427- 9670 BE f ff-:N fipin AND Siam 427-. T262 131_D98--0157 PARrFL. :42001 3300040 PLAT : D tV : BLK : JOB ADDRESS : 90 F ttl F V t��,'",' R1) N 1+n It : 316 SHF LTON p@A� E�p�apT10�'1 OWN R :C7 ��2/7e- Y nW o k--,3683 01t. 8 CONTRACTOR : APH mo 1 r {'nNTFi�'i FOPS ��-�'�,I�6�"6'4 1.FGA1_ : $ 543.85 0f Et Il S1 81 CLASS OF WORK :NEW BEER : 4' MATH : TYPE AMOUNT BY DATE RECEIPT IYPE AMOUNT BY DATE RECEIPi1 TYPE OF USE . :MH STOR I F"3 . . . . . . : 1 OCCUP . GROUP . . z R3 RI DG . HF I GHT . . : 0 . Of t 1`110 1 50.00 KS 13126198 /6672 TYPE OF CONST :5N FIREPLACES . : 0 MHOF 1 160.1110 NS 03126198 46672 OCCUP . LOAD . . . . : 0 WOODSTOVF.S . . . . : 0 STFI 3 4.4 KS 03126l98 46672 1?WELL. .UN F TS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : " 'S,110RF l I NE=.? . . . . :N TOTAL: "1 F.50 VAI UI AT ION: 21973 �r�w:vxz-.cxrsrsraecta�svxa:�xcagmr+msa:sem-::-:.�z. xs�srzr,�.a.�.rrresc-zmn�c:sa:unrx��ra:a.^�_r.c:mx SETBACKS-__. _ .......a_._._... ... - _.... TOILETS -- a 0 F1.1FI. TYPES-----.---- - 601LFRSIC,OMP- MOBILE HOME-,. - FRONT . . S 1.") .Oft BATH BASINS , : �1 e 0 3 I1P . : 0 REAR . . ; .N 15 .0tt BATH TUBS . . . . 0 3-15 HP . : A MODE 1. :LIBERTY SiF1F( 1 ► . F 1r7 .Q►ft .,1I(1WFF'C . .. . , 0 FUPN <' 100K BTl.la 0 1b---30 H1' . : 0 MAKF SIDE (2. ) .W 1 5 .0f t WATER HEATERS . . . . : 0 FURN ?-100K BTUs 0 30--50 lip . : 0 SHRt_ INE .N 0 , Oft CLOTHE .' WASHERS . . : 0 FURN FI OOR . . . : 0 504 111' . - O YF=AR.___....._.._ APEA -_ .. -...._..__.__..__._..._... KITCHEN `,INKS . . , . : 0 HEAt PUMP . .. . . . . : 0 74 LOT S 1 7E . . : FLOOR DRAINS — 0 VFNT SYSTEMS . . . : 0 t:V A P C 0 0 1 EPS : 0 I.E NGT1-1 :60 BU I L.D I NG . . . : 08f DRINKING FOUNT-7 0 VENT FANS . . . . . . : 0 I100D,", . . . . . . . . 0 WIDTH . :24 BASEMENT , . . : Osf LAUNDRY TR%•YS . . . . ; 0 VOMES , INCIN :0 DECKS .. . . . . . . 0'it DISHWASHERS . . . . . . : 0 AIR HANDI. i NG UNITS— - COMM1_ . I NC I N ,O P0586 GAPICARP :? 4545E GARB DISPOSALS . . . : 0 <`= '10000 .:fm . : 0 kF1_OC/REPAIR ; 0 ATIDT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . = 0 M I SC PLM F I XTURF S : 0 GAS OU'l I I' TS . : 0 -t.-•aza:as..:--e�:.:r_^.t�:s-r.>-sr.-rrr.::.zrxs=+w:�z.: . :csr.W-,..,.7xarox��:Pe: :.v>.=�:.sx=rtcac. .�..,•.:eccs_•_-xaartrs:.daaavx:ierss:wx,:;.x::ss�,.>?s:��<-�.•r;�:.. - •• :�Y..ssxasF'r..:,u m-:,ssaa.:,,�-+.a.�er.:ausie:a�m's+ta-:`e+.i:x:::m:nrsa-v.. . P90Jf.GT DESCRIPTION,MOBILE HOME PROJECT 1.00AIIO0:140 F BIFVINS RD N. THIS PERMIT BECOMES 1101.1 ANP PAID If 1011�- OR CONSTRUCTION AO1#10R17ED IS 001 COMMENCED 'WITHIN 180 DAYS, 61 IF C01STRUC110N 011 1ORK IS SUSPENDED FOR A PERIOD OF 181 DAYS AT ANY TIME AFTER NARY IS CONMENCF8 FVIDfNff OF CONTINOATION OF 100K IS A PROBPE" 1NSPF01r19 WITHIN THE 1811 DAY PfRIOA: FINAL INSPECT1611 MUST 6E APPP.OVED BEFORE BUIIDI� C ,B,E 0£GtrPlfO.,... 011411 OR A&ENT: _._. - �' -- _~�.. ....._.. ... _. ...... DATE RIP pail{ p N1 L3l:c _rOUPI I AMCF__Tn �►rTAJl n aat�ln�,T LANC .1_ PFi11!I t�f , 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 b D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 5V- tiU ki SYtrzTifa t, 1„1T1�1U b wc•��5 G�O��-I-� ��l l Dtn �V � w.�ln D�� IL-13-�i�' SK-IR711J6 Dot.►c �cZe� � �tsL t. FIi4" L+ARAIL- 1�4i,4 P A L. i t Z• A d Ccy-0t t t 1, `t,� b l►C e,r,� hP, w l �/le� � �r� [•uard�rw.D ..,i1 ye,.P &r l h�nil (2,/ O IZ- ZZ- {C- nt c'c k ,�M c 1 � le Ntrl<rz lidi4o 3c` 64c `vimC4`►loC ---1- Tcuk ltzAim • -14,T MASON COUNTY ' Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : BLD98 -0157 For : KE_tl. Y FERRIER Page : 1 1 ) Maintain 1K foot setback betweer► Mobi le dome and any and all I 7truy i . ? ) The use , hand I I ng and �41or-ageb of hazardouru mater i a I �, or f I ammabi a and oombus t I hl e liquid,) In excess, of 10 gallons is not al lowed w1 thout the appr«4 a i of the Mason County Fir rs ' X . 3 ) A l l approved p I of p I Pant; are requ I rvd t o be on-s I to for i nspect I on purposes . i f Inspection is oalied for and plans, are not on site Approval WILL NOT be granted . III addition, a Re-- inspection fee in the eamootit of $34 .00 per hour (m I n Imum i hour ) w I I I tie charged and In List be collected by this department prior to any further Inspoetions being performed or approval granted. X_ �17, �- . 4 ) PynS1.1AN1 TO 1994 11N I rt)RM A1.1 I L.D t NG C,ODF , 5EC-1 I ON :305(C ) AND SUC-1 ION till 3 , AL l 13,1'TES Mlisl HAVE APPROVED IVI)MBERS OR ADDRESSES PROV 1 4,D IN SUCH A POSITION AS TO BE PL.A I NI Y VISIBLE AND L rG I BLE FROM THE. STREET OR ROAD FRONTING THE PROPE:R'l Y . MASON COUNTY RV 1 I ()I NG DEPARTMENT REQUIRES THAT THIS BE COMPt.ETED PRIOR 1'0 CALLING FOR ANY S I TF INSPECTIONS , A RE I NSPECT I ON FEE RASEn ON RATES IN 7 ABI F 3A OF THE 1994 UNIFORM BUILDING CODE: W I t L BE ASSESSED IF OWNFA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQI_IEST I NG I NSPF T ONS b 1 RFQ0I RFD 1 NSPFCT I ONS ( Foot i nq I nz,pect I on--pr I or to po►er ,, Set - ►►p Inspection- prior to skirtin , Final inspection -prior to occupancy) . I have recelved a copy of the General nform: I on rand G►.I i de l I ner Mobi I e/MFanufrac:ture d Hou> i ri l I r►st�a 1 I eat I vns copy for detailed descriptions of all requ i reed. l ospect i ons on my mobile/manufactured home instal l at i on . 1 hereby Hf;sume al i respons i b i I i ty for the schedu l i nq of the*tae• r eat.lu i r ed Inspections , If thiuse3 roqu i red i nspe,,t i ons are not requested,d, Inspected and signed of f ( approved ) by t he I nspec:tor In the preegor I bed order , I ur►desr-st and that re I nspect ion fees and an hourly Investigation fee purGs►►ant to they 1991 UBC , Tables 3A wi I i be assessed In addition to my or i(1 i nFa l permit flees to reso l vo any questionable prfact l oe s or 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 i I I MASON COUNTY Mason County Bldg, 111 426 W, Cedar P.O. Box 186 Shelton, Washington 98584 roblems that have been disooverod . I further undk-r,,tand that this investigation wil I e sobeduled atn time a I I ows . Unt I I re14nl ut inn of anV/n I I or cab lem� no occupancy fla Inspection ) will be qrantod for the resi demos . OWNEn/CONTRACTOR ( indi cal e which ) ',", itinattire A I I mob i I e/man tj f ac t u r ed home I and I n s or deck s must be freestandinq ( se ir support inq ) . The largest landing or deck ?permit ed without drawings vt a buildi6q permit Is x 6 11 Any landing or deck that is 30" or more In height f r om wa I k i rig surface to finish gra ,e reed lres a quardrail , Avv,( tandinq or dook 1hat has 4 ou more riserr, requirep, a at1dra I I Any landing or deck larger than 36" x 36" must be permittod which requires structural draw inL,1% and a building permit appllcevtion Th I I nctal I at I on Perm I t doef. NOT 1p(jlude *i)v landing or (Jeck- larger than the 36" x 36" size . X 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 bydate b y date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by r R.W.V. WALLBOARD NAILING I date by date by Water Line FINAL INSPECTION date by date by date by i I Permit No."94 01 s7 MASON COUNTY BUILDING 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) PLEASE PRINT _ #1 Own �f' rCR �j2 'i"e,P Phone# Site Address_ �OeY , ; ��5p�� Fire District#1� City a,-/�17 St4/4Zip Directions to Job Site erg 3�� ,r•,ti yc? 11��2�7 el�i�'- E%-7 7 S Owner Mailing Address City St Zip Lien/Title Holder Address City A St Zip ev`n #2 Contractor Name � V` 1� UBI �Yld Address V\ Contractor Reg# 00 5 City -4 St WA—Zip'T" Phone# 4Z1 6 Expiration Date #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer S stem? Name of System (If residential, proof of potable water is required) EUe-v'9 1ye"bIle- E� s (rlfater S SyS7�c�s' AeLe el No. Can - al Description S 5 -3,(S s Ctl #5 Building Square Footage: 1st FI 2nd FI 3rd FI Loft Basement # Bedrooms # bathrooms Deck Other Garage Carport (Circle: Attached or Detached?) #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION A—it Model Year Make r odel� Length (46 -Width S e r al No. PO # Bedrooms_ 2 # Bathrooms Type of Heat J (,epAe'L R Purchase Price$ 07 1, g73 tF� #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 1 V Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines VI/ Water Lines Topography Drainage Plan Wells Septic Systems Easements J 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 Po,�r Phvn�-- mark -� &� 41gt", -/ ero� Ccnr��ti�� Park _- -- Wf(C- �o►1N�-��'�t 2 x5b No6i(e- Y&ile— Dr�ve� �- Ta Btu/0s J , /IJ, Park Dvc`t uktv APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.45 eachl Fee Mechanical Fixtures ($7.00 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, B Basins Heatpump, Other Bath s 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 _ uto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Oth r 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 FIRS BTAI G APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING E DEPARTMENT. r r X OWNER X BY DATE �� DATE FOR OFFICIAL USE ONLY: Accepted by: Date: I __ DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold e Approval Planning: W 34 14 Environmental Health: Building Plan Review ' .`1 Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Q Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other 030, QP Other Other Building Valuation: TOTAL FEE �� PERMIT N .: BLD" /6 On MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner e Contractor Name Mail�p Addres Mailing Address City,> L State Zip Code i City State Zip Code Phone - r t,Other Ph.( ) Ph.( Other Ph.0 Lien/Title Holder k-ff ..- Contractor Reg. # Address A Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION- digit Tax Parcel No. / �/ Fire District Legal Description Site Address(Please include stree ame, street number and city) Directions to site Will timber be cut and sold in parcel prepay n? (Yes/No) Is your property within 200' of the following: Bo of Water (Name) Saltwater Lake River/Creek Pond Wetla Seaso unoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE TYPE OF JOB New Add Alt pair Other Use of Building Describe Work No. of Bedrooms No. of Ba oms SQUARE FOOTAGE-1st F 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Att Shed Detached Carport Attached Detac ed MOBILE FJ,09E INFORMATION-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work confor ance therewith. No Zdl—Date be made without first obtaining shall be done in conformance therewith. No changes shall be made without v appr I. first obtaining approval. LQ��S- X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ F)~ES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) >::<:>::::>::>:: :»::::>>:<.:::>:v :. :: :'K:::::<:::>'::» TOTAL FEES <.. MASON COUNTY PERMIT ASSISTANCE CENTER Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,WA 98584 (360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 October 7, 199,9 Kelly Ferrier 80 E Blevins Rd N #316 Shelton, WA 98584 RE : Building Permit Expiration BLD98-0157 Expired Occupancy Approval Dear Mr. Albro, On March 26, 1998 , you were issued a permit for the installation of a manufactured home . Building permits are valid for a period of 180 days in between required inspections . Your last inspection was on May 13 , 1998, at which time temporary occupancy approval for 90 days was given. The issue regarding the expired permit and occupancy approval needs to be addressed and resolved. Please make the necessary arrangements to submit $42 . 00 for a final inspection on an expired permit to this office prior to November 8, 1999 and schedule the final inspection. The inspection request line can be reached at (360) 427-9670 ext 262 . If you need further information, please contact me at (360) 427-9670 ext 356 . Sinc , i r ' e Building In pector/Code Enforcement CC : Property File Dana Herron, Building Official Darlene Pennock, Evergreen Mobile Estates t/A�/ • Peter and Darlene Pennock • E80 4201 Blevins Rd.N Shelton,WA. 98584 360-426-2015 Fax 360-426-1568 E-mail dpennock@westsound.com EVERGREP MOBILE ESTATES February 27, 1998 Mason County Building Department Building III 426 W Cedar St Shelton, WA. 98584 Dear Sirs: Kelly Ferrier has signed an agreement to rent space #316 in Evergreen Mobile Estates. He is buying a three- (3)bedroom mobile home, which will replace a three- (3)bedroom mobile, which was occupying that space. Existing septic and water systems serve this space. This is an existing space and has been for many years. Sincerely, /'&' Peter and Darlene Pennock Owner/Managers Evergreen Mobile Estates . . . . . . . . . . . . . . . . . . . . . . . . MASON COUNTY FIRE MARSHAL Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (360)427-9670 CODE ENFORCEMENT FIRE INSPECTIONS FIRE INVESTIGATION PUBLIC EDUCATION TO: Mason County Building Official FROM: Dave Salzer Fire Marshal SUBJ: FIRE DAMAGED PROPERTY DATE OF FIRE: LOCATION: PARCEL NUMBER: L I2- EST. LOSS: REPAIRABLE: YES NO UNSAFE: YES NO OWNER: LWG l' ADDRESS: PHONE: U)OZ44 (ai /OwKs ", OCCUPANCY TYPE: RESIIDENTIAL COMMERCIAL OTHER INVESTIGATION #: FIRE MARSHAL: �?�!^ DATE 4 mohiZc-- to G" c,4- �tx.ck t,,, eu j✓�e� IRAJ 12d- MASON COUNTY Department of Community Development RESIDENTIAL INSPECTION CARD and CERTIFICATE OF OCCUPANCY'S PO BOX 186, 426 W Cedar ST, Shelton WA 98584 Irflo General Questions: (360) 427-9670 ext 352 Inspection Requests.. (360) 427-7262 Permit Number BLD98-00157 Date 06/23/2008 Issued By Project MOBILE HOME Site Address 80 E BLEVINS RD NORTH SP 316 SHELTON Applicant DARLENE PENNOCK Contractor ADH MOBILE CONTRACTORS License Number Con. Phone Expiration Date pp Prim ASr 1 GENT-ER OCiL FFS'�N'_Rbar70Aivision Con. Py(is e Mghja/jc !WA tome Type of ConstPuX$i pi _ Occ. Load 0.00 Public Works Access /Driveway Other Health Dept Septic Well Planning Dept Site Inspection Fire Marshal Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Dept Building Official Barbara o inson Concrete Setbacks Slab Footing Perimeter Ret. Wall /Bulkhead Footing Interior Footing Decks/ Porches Foundation Stem Other Rough-In Groundwork Plumbing Plumbing Groundwork Mechanical Other Groundwork Gas Pipe Gas Piping Framing Mechanical Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Nailing Interior Wall Brace Panels Fire walls Other Final Building Manuf. Home Setbacks Setup Concrete Foot/ Runners Final Other APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS *THIS STRUCTURE MAY NOT BE USED FOR OCCUPANCY UNITL ALL APPLICABLE FINAL INSPECTIONS ARE COMPLETED DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVALS ARE GIVEN. POST THIS CARD IN A CONSPICUOUS PLACE ON THE FRONT OF THE PREMISES CONVENIENT FOR MAKING REQUIRED ENTRIES. ALL PERMITS EXPIRE 180 DAYS AFTER PERMIT ISSUANCE OR 180 DAYS AFTER LAST INSPECTION ACTIVITY IS PERFORMED. OWNER/ AGENT IS RESPONSIBLE FOR CALLING FOR ALL INSPECTIONS PRSOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET. CONCRETE MECHANICAL MANUFACTURED HOME m 90 Date By o Footings ISetbacks Ribbons __ _ Z o Gas Piping 0 CYI Interior Date By Interior-Date By Date By n v Exterior Date By Exterior-Date By Set-up Point Load/isolated Footings INSULATION Date By D BG/SLAB INSULATION Date lay Data By FIRE DEPARTMENT r- Foundation Walls Floors Date By Z Date By Data By DECKS m FRAMING Wads Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type: Bate By Date By Date By D.W.V DRYWALL Type_ Int Brace Mil pate By Date By Date By FINAL INSPECTION W m Water Line Fire Seperaticn r Date By Date By Dale �2 '� By o�� m � Pass or Request I nspect. c s pe onsp.T f I Fail Date Date Done By Comments CA Cc is 7l ov � > v CD Cn a 8 a 0 _ N O N .D (D q z 0