HomeMy WebLinkAboutBLD98-0942 Mobile Home # 401 - BLD Permit / Conditions - 10/1/1998 ,� MASON COUNTY
�. Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
VA L3 I L_ " 1 N C f-' F: " Mi I FOR INSPECTIONS CALL, 427--967O
BETWEEN 5pm AND Sam 427-7262
E31_DO8--0942 PARCEI.. v42001:330O04O PLAT - D I V: BLK : LOT:
JOB ADDRESS : 140 E BI. V 1 NS 14D N Unit - 401 SHELTON
OWNER : CHARLES SANDS 509-892--4528
CONTRACTOR : COURTF"Sb M0811 F €09--922 1.'!8 i
L.EGA1_ : S 543.65' Of E112 SN SM
-r_'srs•�'.-^_acuu:cc:+.,cr.:�rar.^.rs;cMzar.=•rzr.-�-s.:�-s:�s�;r. .�x<r-rr-_..s':^a:s�-rx.:�a:._ +rsc'•z-rr-rsxsr..:x::::��: 'rsr.
Ct_ASS Of. WORK -NEW SFDPt 3 BATH : 2 fiYP€ AMOUNT BY DATE RECEIPT ITYPE ANOONT BY DATE RECEIPT:
TYPEOF USE _ . ,M Et S T O R L E F _ . . . . . . 3 O �:�.�Y=���•���r_:�����.- x��- ^-s��-2;• ���r,��_- � �:: :�
OC•CUP . GROUP . . . e? BL_DG . HE I GHT . . : 0 .0f t PICK t 175.00 XT 09121196 46332 { E
TYPF OF CONST . , : ? FIREPLACES . . . . . 0 NHOF t 175,00 TNJ 19!#1198 48463 t
OCCOP . LOAD . : 0 WOODSTOVES . . . . : 0 Siff t 4.50 TMJ 1A161198 48463 f
DWELL .UNITS . . . .. 0 PARKING SPACES : 0 IEH0 t 50.00 1113 1019108 46463
INSPECTION ARFA s ? S HORFL. I NF? . . . . :N I� 1
`161ALc 404.50 VAIUI.ATl3N: $I
{�"�"SSTs.'9i:R.'T:^':f.Z":`Y.'.Z:'.-%4�S-".JG'uG....L�i3ii�t•..5:.�...5:='...•"1'.Z'^..Ai,^5.:...'li. iC.^Jimr�'L'.�YTS�S'1T�:t,'�StYw•'.^.:]C.:.w�.:,:�'..:.'t:.'L�
SETBACKS _._ __ _, . ___. ___ TOILETS . . . . . . . : . . : 0 FUEL- TYPES--__... _ _. __.- - BOILERS/COMP----.- MOBILE HOME--
FRONT . , W tin .£3f't BATH BASINS : 0 ; 0- 3 11P . : 0
ROAR .F 10 .Oft BATH TUBS . . : 0 3- 15 HP . : 0 MODE'L :FLEETWOOD
SIDE (l) .N 10 .0tt SHOWERS : . . . . . . 0 FURN < 100K BTLI , 0 15_30 HP . : 0 -MAKE - ---_.-. ._ _.
SIDE (2 ) .S 20 .Oft WATER HEATERS . . . . . 0 FURN >-100K BTI! : ICI 30-0 HP , : 0 SANDPOINT
SHRL_ INE .N O .Oft C.I. OTHFS WASHFRS . . : 0 F_0pN - FLOOR . , . .. 0 50_+ IIP . : 0 YEAR
AREA -___ _A______ ._ .._. KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 84
I.OT SIzF . . : FLOOR DETAINS , 0 VL=N'f SYSTEMS . . . . 0 E.VAP COOLER''> ; 0 I ENGTHz66
BUILDING . . , : 0ST nRINKING FOUNT . , . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . .. 0 WIDTH . : 14
BASEMENT . .. . : 0-st L AUNDRY IRAY£y . - 0 DOMES . I NC I N :O SE:.R I Al 1► _
DECKS . . . . ._ . : Osf D i SHWASHERS . . . . . . : 0 AIR HANDLING UNITS COMML . I NG I N :O 06480
GAR/CARP :? 09f GARB DISPOSALS, . ; . : 0 _ 14000 of;" . ! 0 REL.00/PEPAIR : 0
AT/DT . t? URINALS . . . . . . . . . . . 0 10000 cfm . : 0 OTHER UNITS . : 0
MI :IC PL..M F I XTUEIES-• : 0 GAS OUTLETS . t 0
sa�ucs:Y.r".:.r.x�=:L'�s-s-'�TG>x=.-x.^.Y:<^•�rra�vss-.:'�ce:zrscY��_�seza.:;ra:.sxurcza�;:--z.'-�.�x:"��z."4�+'+�x.�srx^s.:t:s:`�.:.�. =v:cu?.9N(a::.-3.�-azs.o«,nc�'xka.rcxSr�c:s�Y'3zsvest.;"�.RYYaR¢:.'s^...•�YwrLtecas:.:.x.,a+.+xns..'�^�-x^.r�'Y�:s-az�R�-^Y:.^:�:aT..r[:s-SUG.c:r_T'SS^.�
PROJECT DESFRIPTION:MOBIIE HQME
PROJECT LOCATiON:HwY 101 N (URN RIGHT 0114 SHEI.TON SPRING 5 90, IVAN ELIi INTO BtiVINS AD N RIGH! A! SPACE 1401
THIS PERMIT BECOMES 10tt AND 9019 If 1049 OR CONSTRUCTION AOTHOR17ED IS NOT COiINENCED MITHIN 180 DAYS, 01 IF fQNST9B£IION OR NORK IS SOSPEN0E8 FOR A PERIOD
Of 180 BAYS AT ANY TIME AfT1R '1ORK 15 CONNENCfA. €VIOfNCE OF CO01INUATION Of WORK IS A PROGRESS IINSPECTION NITHIN THE 180 DAY PERIOD. FINAL. INSPECTION MUST Pic
APPROVED BEFORE BOR BIPG CAN RF QC€VPIED,
i
OMII`R ttR 0"fNi: c DATE:__ .1�? ! '
i
RID 1111. rev; 03131191/ e.'rJMPI- 1 ANCsE TO ATTACHED CONDITIONS IS REQUIRED-
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up a
date by INSULATION date Z -Z -9 by
BGISLAB Insulation Flom �>
date by date -��7
FRAMING date by by
Walls FIRE DEPT.
date by date by date by
PLUMBING Attic 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
Z- L - /'111-1sP r zr1,0
Iv
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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I nst.a 1 I at inn . I hereby assume a ] i s ess ons i h i 1 i t y for the 4,i,hodu I i no o these requ i re-0
inspections . It these required inspections are not requested, inspected and signed
oTf ( a+pproved ) by they ins. ectar• in 'the prescribed order 1 undrars�.i rand that re i nsper.t i on
fees and an hourly invests ation fee pursuant: to the 1994 UBC, Table 3A will be assessedi n addition to my csr i q i nc ! permit feces to resolve, anv questionable pu act lees or
rob1ems that have been discovered , i further understand that this investigation will
e scheduled as time fa 1 I caws . Uni 1 I resolution of any l a i I pre+b I eras no oocuteanay ( F i na I
I nspeot i on ) w I i I be granted for the re*s i dencea .,/
OWNER!CONTRAC-1 OR ( o nd i oat e which ) Signature X.�''"�--
7 ) A i I mob 1 1 elmranufa Lured home landings or decks must be f reerstsand i r►g (self support I ng) .
s The 1 rrrgest I and i nq or, deck e Tarm i t.t ed without drtaw i tires c►r a building Permit Is 120 ':q f t
i,)r less AND MIDST be cruder 30 . in height f row :surrounding grade . NO second story decks ,
or decks above 30" cyan be built w i t hc9u t a permit . Any i and i nq or deolk that is :30 or,
more in height from walking surface to finish grades requires a Permit . Any landing or
deck that has, 4 or more: r i Yers requ i res: a hands 1 I .
III
II.
I
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
dats by date by
p W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
PERMIT NO.: BLD `1 V '02
MASON COUNTY
BUILDING PERMIT APPLICATION 04 lqq
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
�'�1 Owner 44t/ .D.-t5 Contractor NameCazlg-rts- e MGC�trNo�ra
Mailing Address P.O, &6W A %_91 Mailing Address V o,ainy At r99 a, tz
City State Zip Code}�i?'7 City State c,&/f Zip Code C9
Phone( j7 ) V2_U5ZS Other Ph.( Other Ph.(
Lien/Title Holder "/err' Contractor Reg. #ef Gluit —Ms/ IT<% Z
Address Expiration__/ 2
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Co n ct to Sewer
System Name of Sewer Sys m Well Water System Name of
Water System
PARCEL INFORMATION-12 digit T Pg1�� No. /. 3 / Fire District
Legal Descriptio
Site Address(Plea include street nn street number and ity) .4101
Directions to site
Will timber be cut and kid in parcel eparation? (Yes o
Is your property within 200' of the following: Body of Wa err_(Name)� Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB ew Ad Alt Repair Other Use of Buil ing
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOO GE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Z4w Model tAA1s &./mgV - Model Year
Length F,6 Width / Serial No. No. of Bedrooms__?_No. of Bathrooms_
Type of Heat Purchase Price $_f 14 Replacement Unit ?(Yes/No)
Installer Name /Nr 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
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith No changes shall beamade without
approval. first obtaini g approval.
X "--- __ Date XZ-e C- Date.- i
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW OVED D NIED CON ITIQ C00E5
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
i
Fire Marshal
Valuation $
FEES
Building Permit Fee OU 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 5a
Violation Fee Pre-Paid at Submittal ( )
........ •.::Y: ::::..:,.,.r.d...,:. .,.:.......................................:::. TOTAL FEES
:;:i.•.•,.}:"'r�`:>}:i�'•:}'v::.:tiM1 r::::{:L:Lti•'::?{{}:;:•,:��:>::'r,3,:ti::::•i::i:{:;:::i:�:�i:}5:4�:i•:i<•i:.i::'•::•:is?:�:•}
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
/� Case No.
Name L1heIrl e-S !�, Si Ir& PARCEL NUMBER CfZcL�' c
/-33-OQOyo Date / 116._
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences L
Existing Structures Driveways
Structure Setbacks Shorelines t,
Water Lines Topography N
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System /
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjac mt property line- I I E-adjacent property line
I I
I I
z mS
I I m
z I
I
I I
I
.n�
hc
� irk P
r 5ePr I C�cbl
ti'cr 55fl
Ho lyle
s _
o!
1� 4§4
/OD 0
I I
adjacent ro ert line4 I Fad'acent property line
SAMPLE SITE PLAN 0evi;n S
adja�nt property line4 3io� _ _ _ E-adjacent property line
D 30' rRESaRvE gel
-SEA u AL_
HOME I .Cs 116.E�1 CREEK �
I > Pao Pas 0 sm pt:c
1 ,
I 14-- 60,
I I
VAGn,T I T
go I /i
Ili I DAoPosCD so'
A42 LGLLLTUJLAL I
I IF-40� \ ,�• I
I
I I
eo•
I \ I
I \ I
eLL
I I
I I
� /00' —�
adjacent property lined ; \; Fad'acent ro ert line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
dtstar.ca. to
ru�tLa.Y�
d is't'a r+LL *C
Slop= tc¢
dis+anca
4o t
�ZZ /s
Signature Date
Peter and Darlene Pennock
• 80 E#201 Blevins Rd. N
Shelton,WA. 98584
360-426-2015 Fax360-426-1568
E-mail dpennock@westsoundcom
EIVERGREEN MOBILE ESTATES
September 16, 1998
Mason County
Building Department
Building III
426 W Cedar St
Shelton, WA, 98584
Dear Sirs:
Charles and JoAnn Sands have signed an agreement to rent space#401 in
Evergreen Mobile Estates. They currently own a three-3 bedroom mobile home.
This home replaces a mobile home, which left the space in December 1997. Mason
-;-. County Building Dept issued a permit for a mobile home that same month for a new
...................
home. The purchaser of the home changed his mind and didn't move in the home.
...� _._
:,_i:- ::;,;:;:;. The name the permit was issued in is Jack St Cyr. Existing septic and water systems
serve this space. This is an existing space and has been for many years.
Please call us if you should have any questions and need additional information.
Sincerely,
..................
..:r
..._.............__., -
Peter and Darlene Pennock
Owner/Managers
Evergreen Mobile Estates
!_.!::_:!..!..!.!!!!!.!!!
_ ----ice_ �i--_
...:T::::>ti =:!eeI— �-�F!j!- i„ .:ef�an'm�'='!
_ - _ _
.x:.. '
... i' .xt'.4.
EN N r �_m_.__ 11 N� _.._�....