HomeMy WebLinkAboutBLD97-0905 Mobile Home #416 - BLD Permit / Conditions - 8/29/1997 i
MASON COUNTY
�I Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
f3. U 1 1__ C_y I N fl P FF R M I _1 FOR INSPECTIONS '*ALL 427-90fO
1:11"TWE.EN 1CI)m AND Sam 427.-I`±62
BLD97-0905 PARCaFL 1 42001 3 30004 0 PL.A s D I V : BL.K : I.OT :
JOB ADDRF;7S : L: 140 BtF'VINS RD N unit . 416 SI•IELTON
OWNF..R : ESTER FOX 42.7-54963
CONTRACTOR r L AKFPO INTE CONSTRUCTION 984-- '1810
{ LEGAL : S 543.65' OF C112 81 SIT
CLASS OF WORK , . :NEW RFL)N s 3 '.BATH : 2 TYPF ANOUN1 BY DATE RECEIPT TYPE AMOUNT B+ BATE RiCEIP1
TYPE OF USE . — MH STORIES — . . . . . : 1 �.;�:_
OCCUP . GROUP . . , g? BLDG . HE E GHT . . t 0 ,Of t FHf:P 1 26.00 KS 01126i: i 8
TYPE OF CONST . . :7 FIRFPIACES.' . . . z 0 NHOT 1 155.119 K$ 09128191 8
OCCUP . LOAD . . . v 0 WOODSTOYF.S . . . . : 0 STFE f 4.51 KS 48128191 A
DWELL .UNITS , . . . : 0 PARKING SPACES : to
INSPEPTION AREA : SHORE I. INF7 :N TOTAL: 185.54 VAIUTATION: 17989
SETBACKS ...._ __.__. __ __... TOILETS . . . . . . . . . . . 0 FIIEI ' YPES. - --- BOILERS/COMP- MOB I LL HOME- -
FRONT . . .S 6 .Oft [BATH BASINS , . . . . . , 0 : 01 3 HP . . 0
RE?AR . . . .N 16 .0ft BATH TUBS . . , . . . . . . 0 3-15 HP . : 0 MODEI- :FI.EFTWOOD
SIDF ( 1 ) ,F 15 .011't SHOWERS . . . . . . . . . . : 0 1UFIN .c 100K. BTU : 0 l i-30 lip . : 0 -MAKE-
S I DE (P ) .W 1 5 ..Oft WAITER HEATERS . . . . - 0 F'URN >-100K BTUs 0 30--50 IIP , : 0 GREFNH I l 1...
SHRL I NE . 0 .0'f t CLOTHES WASHERS . , 0 FIJRN - FLOOR . . . .. 0 50+ Hp . ; 0 YEAR - -
AREA __ _..... .._w___ _.__._ KI1CHFN SINKS . .. , 0 HEAT PUMP . . . . . . a 0 97
1,0T r I ZE . . : FI_.00R DRAINS . . . . . . 0 VFN 1 SYSTEMS— . 0 FVAP COOL FRS : 0 I.FNGTH t66
BUILDING — ; 0Sf DRINKING FOUNT . . . 0 VF N r FAN` . . . . . . : 0 HOOD:; . . . . . . . . 0 W 1 DTH . :28
SAF3EME N f . . . : 0c;f LAUNDRY TRAYS . 0 DOMES ,. I NC I N i O --OER I AL.� _.._...
DECKS . . . . . . . 08f DISHWASHERS . . . . . . : 0 AIP 14ANDL + NG UNITS- -- COMML . INCIN :O 4387
GAIT/CARP :? 0sf GARB DISPOSALS . . 0 <: 10000 cfm . : 0 RFLOC/REPAIR : 0
AT/DT . r? UPINALS . . . . . . . . . . . 0 t 10000 cfln . : 0 OTHER ONITS . : 0
MI SC PLM F i XTtiRE4S r 0 GAS OUTLETS : N
.:7
9.x,'t8'�i.':4VE_1=:.�d.'RtJ6':3"tL:Yltt�' +:[IFW 'Q'^.L:.'�'.v:x^,p ApiSb:'4A.'V::"..YX. e3li:+t:2:v'T+tC.^....+.2:"rt��btY':aL Lt.iPX^.:9 .:'i'.dal'.'triL'lE.'i^.2RR..R"�49AI"-MR'iR't a::let:•,idCdACC:'SK'�F�CLR:S%!1'2Fi llCf:r;tR+ GYT':CA.'G..G:t:T.'3:'�'Y.F.::
j PROJECT DESC1IPTI9K,1O8ILE HOME
PROJECT IOCAI!ON;GO!NG ROPIN nN HWY 10t, RIGHT SHEL144 SPAINA; RD, 110 ttfVINS ROAD, R1601 1910 iVEREREEMS E�IATES, SPACE 416.
f'I TMIS PEIMIT SECOMI� NULL AND VOID IF 110A!( OR CONSIOUCTLON A61HORIZED IS NOT COMMENCED 11TRIN 10! DAYS OR IF CONSTAUC1101 OR WORM IS SUSPENBED F64 A 1FR!OU
Of 180 DAYS AT ANY TINE AFTER WORM IS CCMMENCIP. fVIDINCE OF C001119ATiON Of WORK 1S A PROGRESS 10SPE 100 111111111 THE 189 DAY PERIOD, FINAL INSPE0ION MUST BE
APPIJvEO 8EIFOIF BUILDIOG CAN if OCCUPI€8.
OIIIIER OW AGENT: 4AII:
AI�_PANT, rev: 431'31191 UOMPL 1 ANCF TO ATTACIIFD CONDITIONS IS RE OU I RED
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
PLUMBING date by 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
IV7
IM
f
I
II
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF I I M I _U (_1k7lN13 1 T-
CaFse No . : BL.097-0905
For : ESTER FOX
Paget 1
1 ) The use, hand IInca and storage of hazardous mateiIafs or ffammat)la and combust Ihle
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
tic Marshal .
X
2) Maintain 1t. foot sethack between Mnbl le Hoare and anV' and al i
int cturas .
X
3 } Ap t,r _7d as rep i acement: of ex i st i nq mob i I e home i n eax i st i nq space .
x
4 ) PURSUANT TO 1994 UNIFORM BUILDING CODE SFC T I ON 305(C ) AND SUCTION 513 , At L SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PRbVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBI.E
AND LEGIBLE FROM THE STREET OR ROAD FPONTING THE PROPFA1Y . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS , A
RE i NSPECT 1 ON FEE BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE W 1 i f. BE
ASSESSED IF OWNED/CONTRACTOR FAILS TO POST ADDRFSS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
5 ) REUU I RED INSPECTIONS ( Foot i rap I nspeo t i on'-prior to pour , Set. -cap I nspect i on'-prior, to
skirting Final Inspention-'prior to occupancy) , 1 have reoelved a copy of the General
f nformat Ion and Gu I d-,� i i nc3-i-Mob i l e/Manuf ac.tur-ed Housing Installations Handout for
detailed desociptions of all required Inspectione on my mobile/manufactured home
Installation . I hereby assirme all respons I hi I I ty for the schedu I I nq of these reflu i red
Inspections . if these required inspections are not requestQd, Inspected and signed
off (approved) by the irispeotor In the prescribed order , I understand that repinspectinn
feels and an hourly Irivestigation fee pursuant to the 1991 013C, Table 3A will be asses�3ed
in addition to my or- 1 q I na 1 porm i t fee:, to resolve any questionable prrar.t i ons or
robf rims that have becat d I soovered . I • further understand that this i nve*t 1gat ion will
e scheduled as time allows . tint I i rerio I on 1 n of any/a l 1 ems no I em no o�oiipanov ( F i na l
Inspection ) will be grmnted for the reps Idence3
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
I
MASON COUNTY
-�\ Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
6 ) Al I mobi le/manufactured home landince, o:, deck ; mu+•rt be freestanding ( self supporting ) .
The I argerr t 1 and 1 ny or de(,k perm i t.t ed w i t hots t dr aw i nqi> or a bu i I d i nq permit Is 36" x
36" . Any landing or deck that is 30" or more in heigP from walking surface to finish
grade requires a quardraiI . Any Iandin�h ur douk that has 4 or more risers reyulrep a
handrail . Any landing or deck larger an 36" x 36" must be permitted which requires
structural drawirigs and a buiIdinq hermit ,applloat Ion . this InstniIration Permit doesr.
NOT Include any I and i ng or deck I tar-ger than the 36" x 36" size .
X ;
h
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 b
BG/SLAB Insulation Floors Final r
date by date by date �d"/0 by,4 f"
FRAMING Walls FIRE DEPT.
date by date b date by
PLUMBING y OTHER
Groundwork Attic
b
date by y
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
II
I
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 q
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269) �,Q C
PLEASE PRINT
#1 Owner 0'51AC 6 X Phone# (36Z) L127 -S-q'gL
Site Address F, 140a ebgL wS Fire District#
City '3176'Lzrz ry St C✓14. Zip gg<fAl
Directions to Job Site lU. oN Ka)Y 101 5o2rcLt-3& e9
Owner Mailing Address '56 -90 (-' 440L_"( 12�
City SH6-L'Tw St w Zip
Lien/Title Holder
Address
City n St Zip
#2 Contractor Name f��k �dtltlTt�� `�' �k U��16 tit Contractor Reg#LWz?(,*-oqso 1
Address 80#4 - P�L►fW tlw6- 6vP '3K Expiration Date / W / q-7
City 00Z—P(-[e— St w Zip e(OCN"� Phone 3-ggQ I
#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)
#4 Parcel No. U Z00 I - 93 - 660q 0
Legal Description cv✓V—UQ4W �E m'r s A'6<1 u& 4 o vK�-' P4 2-kc
#5 Building Square Footage:
1st FI 2nd FI 3rd FI Loft Basement
# Bedrooms #bathrooms 2. Deck Other
Garage N Y+ Carport _(Circle:Attached or Detached?)
#6 Use of building I ry'3, P1WU?LTLt2&'a Yov1,6— - Zf51.06PO TL Describe work
#7 Type of Job: Newer!Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year III-1 Make f derw000 Model 6w46N n!LL
Length LQ4 Width 2-9 Serial No. 143S~7
# Bedrooms 3 # Bathrooms Z- Type of Heat CLrte .
Purchase Price$ `-'77,q11,0-6
#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
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
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
F Co Z?.
ZgxLAO .
�lDAW,
29
18�
r(a 1 Lr'- �Ha7rYl F ts�r71
Sr2��-
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No UaiLs Fees
Showers — Furn BTU
_Hot Water Htr _ Heatpumps
_Laund asher _ 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 16.75 Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ 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 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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 BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE _7-
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY ,
Approved Cond. Hold
Approval
Planning: 1�P,&tgjj� oYl v6Y . W—t,2&" 0 L6e� Mff 0A - N—, coo
c
Environmental Health:
8-5-°1l
Building Plan Review
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 ( Z& o
Other
Other
Building Valuation: TOTAL FEE
Peter and Darlene Pennock
: E80#201 Blevins Rd.N
Shelton, WA 98584
• 360-426-2015 Fax 360-426-1568
EVERGUENMOBRiE ESTATES
July 31, 1997
Mason County
Building Department
Building III
426 W Cedar St
Shelton, WA. 98584
Dear Sirs:
Mark Synder and Esther Fox have signed an agreement to rent space#416 in
Evergreen Mobile Estates. They are buying a three- (3)bedroom mobile home,
which will replace the three- (3)bedroom mobile that previously occupied space
#416. Existing septic and water systems serve this space. This is an existing space
and has been for more than 30 years.
Sincer y,
Peter and Darlene Pennock
Owner/Managers
Evergreen Mobile Estates
. . . . . . . . . . . . . . . . . . . . . . .