HomeMy WebLinkAboutBLD99-0449 Mobile Home #404 - BLD Permit / Conditions - 6/18/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
IE!, LJ I L._ 0 I NC�i P E Fi M I T FOR INSPECTIONS CALL 427-967O
BETWEEN 5pm AND 8a►n 421-7262
81.099--0449 PARCEL142OO133OOO40 PLAT : DIV . BLK : LOT :
JOF ADDRESS t 140 E BLEV I NS RD N Unit ; 404 SHE:LTON
OWNER : PETER PENNOCK 426•-2015
CONTRACTOR :
LEGAL : S 543.65' Of E112 0 31
CLASS OF WORK . . :NEW SEDR : 2 .ESA"rii : i AMOUNT S9 DATE RECEIPT ITYPE AMOUNT 6r DATE RECEIPT
1
TYPE OF USE . . . . iMH STORIES . . . . . . . : 1
OCCUP . GROUP : . . ;? BLDG. HE 1 GHT . . : 0 .Oft IMHSF 1 175.11 V.0 #51261 49 51375
TYPE OF CONST . . :? FIREPLACES . . . . : 0 MHBL $ 175.#1 KS 06118199 51i853
OCCLIP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 ISTFE I 4.51 KS 06110199 50653 1
DWELL. .UN I TS . . . . . 0 PARKING SPACES : 0 SENCP I 51,10 KS 06118'99 50E53 �
INSPECTION AREA r 2 SHORELINE:? . . . . :N {
� 1T0?Ali 404.50 'VALULA1101r 5201
Y�IAi�C.+'7i+aOrN'9TAifInaYs��+'a�mYmoC4i+mi�. —
SETE3ACKS---_ -- - _-- - - - TOILETS . . . . . . . . , . : 0 FUEL TYPE:S------------ BOILERS/COMP----- MOBILE HOME--
FRONT . . . O .Oft SATH BASINS . . . . 0 : : 0-3 HP . : 0
REAR . . . . O ,Oft BATH TUBS . . . . . . . s O 3-15 HP ,. : 0 kAODEL. :RIDGEWOOD
SI DE ( 1 ) . O .Oft SHOWERS . . . . . 0 FURN < 100K ETU : 0 15-30 HP . : 0 ._k4AKE-------
SIDE(2) . O .Oft WATER HEATERS . . . . : 0 FURN >-1O0K BTU : 0 30-50 HP . : O 60114
SHRL I NE . 0 Oft CLOTHES; WASHERS . . . 0 FURN - FLOOR . . . : 0 50+ HP . c 0 -YEAR--_-- --
AREA -------- --------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 79
LOT SIZE . . : FLOOR DRAIN` . . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH :56
BUILDING . . . : Osf DRINKING FOUNT . , . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 14
BASEMENT . . . ; 0sf LAUNDRY TRAYS . . . ., : ►d DOMES . I NC I N :O --SERIAL#----
DECKS . . . . . . t Osf DISHWASHERS . . . . . . % 0 AIR HANDLING UNITS-- COMML . INCIN -.0 O91_15
GARICARPt? Osf GARB DISPOSALS . . . : 0 <- 10000 cfm , : 0 RELOCIREPA. IR : 0
AT/DT . t? URINALS . . . . . . . . . , 0 > 10000 Uf#w . : 0 OT14ER UNITS . : 0
MiSC PLM FIXTURES : 0 GAS OUTLETS . : 0
:+:C.::J GP. Y1:Y1L-:1.1:rLt'.^I^.:T.Z.1=.tAT.ifGl::.C.�'Si.i2:_^.�:.3�•�•. 1�'^a::aGA'.^C:.�::V.:.Y1-E:.'�..eS'�,•••-••�•aS�iCK.i.'�••••�•.,CS.�'i3'aJ..:.4:.:"t�.i..�"�aYYiisu�x.XX:G3�nA:.i:_^...."�"— •••-•..•-S:r'^�:3L'-3.�:.^..
PROJEr'T DESCRIPTION:108RE HOME
F10JECT EOCA1101itTO HVY I01. 101111 TO SHELTON SPRIN%& fil, !VfiN P1601. URN LEFT INTO 6LEVINS R6 U 1U01 RIGHT INTO EVE SPACE 404 4111' 09 RIGHT
THIS PERMIT BECOMES NULL AND VOID IF fell( 01 CONSTRUCTION AUTNO113f0 IS NOT CONNENCED 111911 181 DAYS, of if CONSTRUCTION OR fORk tS SUSPENDED FOR A PERIOD
Of II1 DAYS AT ANY TJME AFTER fORK IS CONNENCEO, EVIDENCE Or CONTINUATION Of NONC. iS A PROGRESS 1RSPECTION fiTHIN THE 181 DAY PERIOD. FINAL !NSPICTION $110 RE
APPROVED EEFORF RUIVIING CAN IF OCCUPIEI,
01Nf.R 0R AGENT: �..t { E / i ..11. it E", J -- -_ DATE,
BLe-PANT, :er, 13131 i Al COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
I -
'CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up Stt: T►)CLOY"
date by INSULATION date
BG/SLAB Insulation Fbrs Final
date by date
by date � 2 c) by I
FRAMING Wails 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
'� Er . c t►►,� a �'L ��-- O,J net �..vt ,•,/Q„VY►._-7,'oti
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BLD99-0449
For , PETER PENNOCK
Page , 1
1 ) The use, hand I i ng and stora a of hazardous mates i .4 i 9 " i amr.-iao l e and c;:,r�7bu�2 i bie
Iiquid� In excess of 10 galc ons is not allowed without the approval of the Mason County
F ire/' airsha I .
2 ) MOBILE HOME PARK SETBACKS SHALL BE 15 ' FROM OTHER STRUCTURES, 10 ' FROM PROPERTY LINES
A JROM RIGHT-OF-WAY AS PER MASON COUNTY ORD I ANGE #1 18-91 .
3 ) PURSUANT TO 1994 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 REQU I ICES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPi`CTION FEE , BASED
ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL. BE ASSESSED IF
OWNrR/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS ,
4 ) THE FOUNDATION SYSTEM SHALL BE PLACEC ON UNDISTURBED, NATIVE
SID I
5 ) The approved plot plan is required to be can-site for inspection purposes . If
inspection is called for and plot plea Is not on site, Approval WILL NOT be granted . In
addition , a Re- Inspection flee In the amount of $42 .00 per hour (m i rt irnum 1 hour ) will be
charged and must be collected by thls department prior to any further inspections being
pe.rfprme'd or approval granted ,
x J
& ) REQUIRED INSPECTIONS ( Footing I nspec;t i on--pr I or to pour , Get--up Inspection-prior to
skirting, Final Inspection--prior to ocoupancV) . I have received a coH y of the General
I nforma't i on and Guide 1 i nes-Mobs I e/FAantsf acturetl Housing Installations andout for
(CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by date b
Gas Piping
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. I
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
II
I
II
I
I�
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
of SH
instaiiation . 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 1994 UBC , Table 3A will be assessed
In addition to toy original permit fees to resolves any questionable practices or
pproblems that have been discovered . I further understand that this Investigation will
kse scheduled as time allows . Unt i t resolution of,' anyl a 1 l problems no occupancy ( Final
Inspection ) will be granted for the residence .
OWNER/CONTRACTOR( indicate xhich ) Signature X
7) 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 120 sq ft
or less AND MUST a under 30" in height front surrounding graade . NO second story decks ,
ar decks above 30" can be built without a permit Any Ian i ng or deck that i 30 , or
more i n height from Ka 1 k I nq surface to finish grade requires a Permit . Any landing or-
deck that has 4 or.; morrisers require, a handrail .
X- r ,jJ f ( r
8 ) Owner / builder assumes all responsibliity If drainfield/reserve area Is
enc,timberled J
Case No . ; BLD99--0449
J
r—
r'
ICONCRETE 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
P_UMBING OTHER
Groundwork Attic
d date by
ate
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
_ _f� PERMIT NO.: BLD
QQ
MASON �OUNTYq
BUILDING PERMIT APPLICATION 5
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
AFPLIC NT INFORMAT19N CONTRACTOR INFORMATION
Owner -re_n ()04, Contractor Name Sf
Maili ��'MQdressto Mailing Address
City t_- I- o State Zip Code City State Zip Code
Phone D - .SOther Ph.( ) Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existin eptic Connect to Sewer
System Name of Sewer System WeII-rWater System Name of
Water System
C( 1
PARCEL INFORMAATIO-2 digit a/c Plarr-el No. 1 / Fire District�L
Legal Description 6+
Site Address(Pleas in I de street name, street number and city) C
Dir ptio to site / �.. fK.
�llU C k ill L M /'t°O
Will timber be cut and sold in parcel preparation? (Ye N
Is your property within 200' of the following: Body of Water(Name) X�) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add It Repair Other Use of Building 6
Describe Work N _
No. of Bedrooms A No. of Bathrooms SQUARE F OTAGE-1st Floor JJrV 2nd loor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMAT N-Make o el Model Year
Length Wid h Serial No. S/S No. of Bedrooms No. athrooms
Type of Heat P rchase Price $_J%)Co Replacement Unit ? eAo)
Installer Name Pr' e-m - ywxyt- 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 chan s shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. q� first obtaining approval.
X ate z�'r// X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date •Submittal Amount Due — Receipt No
DEPARTMENTAL:REVIEW APPROVED DENIED` CONDITION COPES
Building Department 1
Occ GroupType Constr. ����J
Planning Department
i
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
................................
FEES
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
.. «: m:::: :::•::::•::::>::::: .4.,:...,.:..:..:::::::..::..<.::::::..:..::.::::::::. TOTAL FEES
L�
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name Pej-�'--r 1 r P4enwck— PARCEL NUMBERqz'W'I —33'040g0 Date_5--
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
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 nt prc perty line-) , E-adjacent property line
I
I
I
'1 I
I
� I
3 1
I
41
I
Vy'J01A
Mobs�� I
I
�L I
o� t c
Gone I
�4 ,2 Cenn. b�L I
I AIMS
I
I I
adjacerlt propprty line-) I I <—adjacent property line
SAMPLE SITE PLAN
adjacent property line-> 3Lo' _ _ E-adjacent property line
D 36' rRLdRvi
.gEASo w/Al_ �• R\ ti 7I� � _�L'PT7L_
C HOM tr I 6a6EwJ
I j PrioPasan sapttc —�I
I 1
I R I
VAGIvT I CrARAC.6 \ I
I 30' I i
PM1oPo�CD �
I� �\ A&R=LLLT�RAL So
I 1 I
I \\ I
I I
� I
I \ ; /DO
I � I
L—e-LL
I I
I I
I 7t /DO
adjacent property line-� ; ��. c \; F-adjacent property 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
d15fianCQ tv
rux-1t1.-Yir-
diS't'a►'+CG tC
Slops tc¢
dis+anc2
to a
Signature Date
�- _
� '�
L _ �-- �
� �
l�� "`
���-
',
i - �G�
-�
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
EVERGRE� MOBHjE ESTATES
May 24, 1999
Mason County
Building Department
Building III
426 W Cedar St
Shelton, WA. 98584
Dear Sirs:
Peter Pennock the owner of Evergreen Mobile Estates has purchased a 1979
mobile home. This mobile home will replace an older mobile home that was
destroyed by fire in December of 1998. There has been a mobile home in this space
since sometime in the 60's. The mobile home that was in the space was a two (2)
bedroom and the mobile home we have purchased is also a two (2)bedroom.
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,
Peter and Darlene Pennock
Owner/Managers
Evergreen Mobile Estates
. . . . . . . . . . . . . . . . . . . . . . . . . .