HomeMy WebLinkAboutBLD98-0410 Mobile Home - BLD Permit / Conditions - 6/9/1998 MASON COUNTY
j r Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Li Li I L. 1.1 1 N a ,
ELF T'VVFFN 1:: !AND ::j: 427--7262
FIL_D98-•0410 PARCEI.. :420167'.50003O PLAT : D 1 V : BI_.K : LOT -.
JOB ADDRESS t 121 IN CARMAN RD N SHELTON
OWNER : RANDY BLAIR
CONTRACTOR : TIIE 1I0IIS i N(i MART , I NC ., 352--016tj
LEGAL : TO 3 OF SURV 141100
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CL ASS OF WORK . . :NEW BEDR : :3 BATH : 2 TYPE PNOUNT BY DATE RECEIPT ITYPE AMOUNT BY DATF RECEIPT
TYPE OF USE . . . . ..MH STOR 1 US , . : . , . . t 1 ��-
OCCUP . GROUP . . . :R 3 f I. DG , HEIGHT . . .- 0 . Of t NHOf 1 160.00 KS 06109198 41318
TYPE OF CONST . . i5N FIREPLACES — . : 0 STIF 1 4.50 KS 06109198 47318
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 Rif 1 44.00 KS 06109198 47316
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 fHCP 1 soles KS 06109193 47318
INSPECTION AREA : 2 SHORELINE? . . . . :N TOTAL: 258.51VAtUtATION: 56900
TOILETS . . . . . . . . . . s 0 FUEL TYPES- ____. __.__.. BOILERS/COMP----- MOBILE: HOME-- ..
FRONT . t 50 , 0f t BATH BASINS - - : 0 0-3 HP : r 0
REAR W 5 .Oft BATH T'U8S . . . . . . . . 0 3- 15 HP . t 0 MODELtMODULINE
SIDE ( I i .N 5 . 0f t SHOWERS . . . . . . . 0 f'URN < 10OK EST( r 0 15-30 FIP . : O - MAKE- -
SIDF (2 ) .S 2O .Oft WATER HEATERS . . 0 FURN -a1O0K BTU : 0 30-50 HP . : 0 PLEXUS
SHRL INE .N O .Oft CLOTHES WASHERS . . : 0 FURN FLOOR .' _ -: 0 S0 ► HP . : 0 YfAFT
AREA - --___._ __.___.___ -__-- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 98
LOT SIZE . . : FLOOR- DRAINS . . . . . : 0 VENT SYSTEMS . . . . 0 EVAP COOLERSt 0 LENGTH :60
PUILDING . . . : 168Osf DRINKING FOUNT . . . : 0 VENT FANS . '. . . . . : 0 HOODS . . . . . . . . 0 WIDTH . :28
I� BASEMENT . . . : 0sf LAUNDRY TRAYS . — : O DOMES . INCINtO -SERIAL #-
p DECKSS . . . . . . : 0Sf DISHWASHERS . . . . . . t 0 AIR HANDLING UNITS - COMML . INCINeO FACTO
GAR/CARPt7 Osf GARB DISPOSALS . . . r 0 C- 1O000 cfm . ; 0 REL.00/REPAIR : 0
AT/DT . t? URINALS . . . . . . . . ... : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MI SC: PL.M FIXTURES . 0 GAS OUTLETS . : 0
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PROJECT OESCRIPTION+MOBItF HONE
PROJECT LOCATIONtSHU TON NATIOCI, RD TO CANNON RD, NORTH, F0101 TO PROPfR1Y 04 Im SIDE :JUST PAST 01 1.
THIS PERVIT BECOMES RUtt AND VOID IF 1001 OR CONSTRUCTION AUTHORIZED IS NOT CONNENCE0 WITHIN 181 DAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TINE AFTER WORK IS COMMENCED, EVIDENCE Of fONTINUATION Of WORK IS.A PROGRESS INSPECTION WITHIN THE 100 DAY PERIOD. FINAL INSPECTION NOST Bf
AAPROVEO BEFORE BU1tOING CI)N�BE OCCUPIED.
OWNFR OR AGENT: � �'' DATE./e- I :
81.0 _PRMT, rev, 93/3t191 COMPLIANCES TO ATTACHED CONDITIONS IS REQUIRED
CONCRETE A[,O F AA'✓ O'V :C'7C MECHANICAL MOBILE HOME
Footings.Setback C/C 13ZA STo0K4S It date b
date _ - 95 by _ Gas Piping date 6 `�3 b
Foundation Walls date by Set Up-7
date INSULATION date /—3o 99 by L '
BG/ B Insulation Floors Final Q Q
date by date by date CJ ��J b �
y�'��'L''�"-
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
-30-98
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I . .
Case No . : BL.D98-0410
For : RANDY BLAIR
Page : 1
1 > This application Is subject to 6tif fer and L. andscaap i ng regt.t i rement s as established under
Masan County Ordinance 1 .03 .036 .
X
2. ) The use, handling and storage of hazardous materials or flammable and combustible
liquids In excess of 10 ga 1 I ons i s not allowed without the approval of the Mason County
Fire Marshal .
3 ) Provisions for, surface/ subsurface drainage control must be implemented with new
construction or development on site and MUST NOT adversely impact adjacent parcel , .
Under the requirements of Mason County Stormwater Ordinance, either private ditches and
drains will meet requirements of the stormwater ordinance or prior approval will be
drainage to use an existing utility and drainge easement dedicated for that specific
purpose . For, further information re ctard i ng this ordinance and the RFQU I REMENT to
obtain an ACCESS PERMIT for the Installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department
prior, to construction at Ext 450 .
For any construction which Is proposed -to hc> located within 25 ' of a Mason County road
right of way, it is suggested to contact that office to review future planned work which
may affect .;your project .
X
,I ) Proposed structure or any portion thereof cheater 'than 30" in height trom qradea line,
must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from
all County and 03tate Road right of ways .
x
5 } PURSUANT TO 1 fi94 UNIFORM E3U 1 1_D I NC t,OE)E , SEC F i ON '30Fi(C ) AND 5EC7 i ON 51,t ALL. SITE.' MUST
HAVE APPROVJFn NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bi PLAINLY VISIBLE
AND LFGIBLF FROM THE STREET Oil ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE: COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE 1 NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE W 1 t.L BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
CONCRETE MECHANICAL MOBILE HOME
Footings -Setback date by Ribbons
Cate by Gas Piping date by
Foundation Walls date by Set lip
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
X
6) THE FOUNDATION SYSTEM SHAL I BE Pt ACED ON UND i S"I t)RBF D, NA I ; v t:
SOIL .
7 ) The approved plot plan Is required to be on- site for Inspection peirposaes , it
Inspection is called for and plot plan is 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 he
charged and must be collected by this department prior to any further inspections being
performed or approval granted .
X
4
8 ) Al I. CONSTRUCT ION MIDST MEET OR EXCFE D At 1. t.00AL CODES AND URC REQUIREMENTS .
9) REQUIRED INSPFCTIONS ( Footing Inspection- prior to pour , Set -up Inspection-prior to
skirtln Flnal Inspection-prior to occupancy ) . I have received c Y . opy of the General
Informa Ion and Guidelines--Moblle/Manufactured Housing Installations Handout for
detailed descriptions of all required Inspections on my mobile/manufactured home
Installation . I hereby assume all responsibility for the sc.heditling 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 rFelnspection
fees and an hourly investigation fee pursuant to the 19911 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 oot:upancy ( Final
Inspection ) will be granted for the residence .
OWNER/CONTRACTOR( indic;ate which ) 4ignatur'e X
10) All mobile/manufactured home landings or decks must be freestanding ( self supporting ) .
The largest landing or, deck permitted without. drawings or a buildinq permit Is 36" x
36" . Any I;anding or deck that Is 30" or more In height from walking surface to finish
Rgrade requires a guardrall . Any landing or deck that has 4 or more risers requires a
andrall . Any landing or deck larger than 36" x 36" must be permitted which requires
structures drawinc1y rind to bit IIding permit appIi cat Ion . This InstaiIatIon Permit does
NOT Include any landing or deck .larger than the. 36" x 36" size .
X
_ r
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 OTHER
PLUMBING Attic
Groundwork date by
date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by data _ by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 1 ) CONSTRUCTION PROCESS TO 8E F I Et D CORRECTED AS ,REQUIRE-11 f r SON III NTY BU I LD I N(
DEPARTMENT AND UNIFORM BUILDING CODE . x ,it
12 ) Applicant acknowledges that this development is subject 'to policies and regulations: of
Masan County, Compre ensive Plan and Development Regulations .
13) Sub)ect to conditions of Resource lands and Critical Areas (ALC ) Checklist notification
x
14 ) OWNER MUST SHOW PROOF OF SATiSrAC'IOPY WATER SAMPLF PRIOR TO TEMPORARY/PERMANENT
OCCUPANCY OF THE RESIDENCE .
I
I 5,•
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 Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLU'7BING — - 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
��-30•� 8
• ermit No. 8�b�gay j(�
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670
(Callin rom: Seattle,464-69r-,gkelfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 6eSite
er n)D - r Phone#
Address - i C A e Aj 0, mdP '9 FireDistrict#ity . N e LJA. St Zip
Directions to Job Site t�'1 o
Owner Mailing Address f'o 6 O
City S 14 L L 7-nl St--[ A Zip -5
Lien/Title Holder
Address
City St Zip
6
#2 Contractor Name �l l �� c���s ,N 4 Vl �a -I � P`C_ I�-� UBI #
Address 19 '7 99 L Lb L P-6L rUL S Q I1Z`r�N Reg# // o i 6L
City n o.k N,s r L rL St i,(3- Zip ',9,5-71 Phone# 2 7 3 -8 8 r z Expiratio@ate_L4
#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)
# Parcel No. `/;),0 1 G -Zomc C
Legal Description �� of �U r✓�e-1 l��'� 168
#5 Building Square Footage:
1st FI %(F 8 0 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garage Carport (Circle: Attached or Detached?)
#6 Use of building �L_�L t��zw F7 tqL-1 Describe work
pY°z� /-�2 J In , , -
D 1_ I
#7 Type of Job: New _Add Alt Repair Other— 8 ��Q
'APR
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model L.L� S
Length (Q o Width_Serial No. 2
# Bedrooms 3 # Bathrooms Z Type of Heat L LLCT-,? , C
Purchase Price$ S(r 9 oo.�
#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 O,Iy�l�vl dui
F-S-howfollowing 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
>;
exs-riuq
YhJP3 lF: VJOwI:
f
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
9
c g�
J
S
i
i
/C>0
q'
Plumbing Fixtures($3.45 eac.h� Fee Mechanical Fixtures ($7.00 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs 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 Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. 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 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 FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X EY �
, �'��A-,I L�X
DATE DATE /
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL'REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
a / Approval
Planning: o Gh he V, w�W3 b-i, � /J Y
Environmental Health:
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
Other
Other
Building Valuation: TOTAL FEE