HomeMy WebLinkAboutBLD95-0227 Mobile Home - BLD Permit / Conditions - 5/2/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E1 ItJ 11- 0 1 N G PE, R M 1 -1 FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Bam 427-72.62
BLD95-0227 PARCE:L. :420184400040 PLAT : DIV : BLK : LOTt
JOB ADDRESS : W 900 LITTLE EGYPT RD SHE:LTON r�
OWNER : .TERRY GOLOSBY v
CONTRACTOR : FULL HOUSE MOBILE HOME SERVICE 535-4227
LEGAL. : E112 5112 SE SE
CLASS OF W0RK . . :NEW BFDR : 3 BATH : 2 TYPE AMOUNI BY DATF RECEIPT TYPE AMOUNT 81 DATE RECEIPT
TYPE: OF USE . . . . :MH STORIES . . . . . . . .. i
0CC11P . GROUP . . ? BLDG . HE (GHT . . : O .Oft MNOf t 100.00 CPH #5102195 38943
TYPE OF CONST . . :? F I REPLACES . . . . : 0 Siff t 4.50 C.PN 051#2195 38943
0CCUP . LOAD . . . . 0 WOOnST0VES . . . . : 0 ADDR t 5.00 CPH W09195 38943 :•
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 FRIP t 5�1.00 CPH 95142195 38943 .
INSPECTION AREA : 2 SHORELINE? — . . rY TOTAL: SO VAtULATIOW: 35100
�:'am�+nsac�:scasc:.,sc-..ate.aeaamr.^carae.�xms.aa:� vaae�sravc-- ae�:r.�r..sasc�-.
, SETBACKS---------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES--------- BOILERS/C()Mk--- MOBILE HOME--
E FRONT , . .3 5 .Oft BATH BASINS . . . . . . : 0 e 0--3 HE' . 4. 0
REAR . . . .N 5 .0ft BATH TUBS . . . . . . . . : 0 3-15 HP . ;i .?1 M0DEL.3LIBERTY
IDE ( 1 ) .E 5 .0ft SHOWERS . . . . . . . . , . : 0 F1IRN < 100K BTU : 0 15,30 HP . :_--a -MAKE•..,..----
S I DE (2 ) ,W 5 .Oft WATER HEATERS . , . . : 0 FURN >-100K BTUs 0 30--50 HI?. :.:,,0 LIBERATOR
SHRL INE . O .0ft CLOTHES WASHERS . . : 0 FURN - 1=1.00R . . . : 0 504 HP, YEAR-
AREA ----------------- K I TC11EN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 y' `�` 95
LOT SIZE . . ; FLOOR DRAINS . . . . . 0 VENT SYSTEMS . . . : 0 F VAP COOL , 3,: 0 t ENCTH :40
B0 I LD I NG 1060s f DRINKING FOUNT . . 0 VENT FANS . . . . . . : t3- NPODS . . 0 WIDTH . :28
BASEMENT .. , . OSf LAUNDRY TRAYS . . . . . 0 DOME S . IN64N :O --SEAIAL.
DECKS . . . . . . . 05 f DISHWASHERS . . . . . . 0 AIR HANDLING UNITS- C01u ML . I NN1 N -0 09L28
CAR/CARP :? Ost GARB DISPOSALS . . . t 0 <- 10000 cfm . r 1?i RFLOC/RE7A M : 0
T"ATfD . :? URINALS . . . . . . . . . . . 0 > 10000 aft . : 0 OTHER UN TS . : 0
M I SC PL.M FIX TURFS : 0 GAS 0U1 LETS . : 0
0 �R9II�3:�)F.'.r^''^L^LS:":•'.C'i!Y.'S16.Y«':+RS'.'aC'.�.S:S:!CC.S.'L'1tiiYY"bTt.�6^+l%81SAlYTlt��';9Ct'�.°lc9flav47Y..=uCGt�'it3^ToA"'kF"�+1TS'5:R:°.'�iYt�S:.&Ft..ti.-GL�G:Wi^S`BR<.:..PC YEW':t�1:^.S�:iF,3?3;tl:�,:5:�:SFlTM.:99RT?'C�'.:6:'�,Y:•Q•li'JIit�CIR`r�.�+:::,:its:.]^b;3.C.:' ixAG:::�t'dHwA�:4T'S7'a'fi^itlxSXCS.;�..(C
PROJECT OESCAIPTION:MOBIIF HOVE
PROJECI LOCATION:SHEtTON VAU COK RD LEFT 00 1ITTt.F EGYPT 10 314 MILE ON 91011 91DESOFF TURN IS St CORNER "D IS 2N0 tINE Of PROPERTY WEST tINF IS STRING BY
"IIF IONSOA
s
THIS PFR41tT BtCOMfS Nlttt AND VOID. IF WORK OR CONSTRUCTION AUTHORIZED lu NOT COMMENCFO WITHIN i40 DAYS OR IT CONSTRUCTION OR WORK IS SOSPENDFO T0N A PERIOD
-.40f !Of DAYS AT ANY TIVF AFTfA WORK IS CONIIENCEO. EVISEWCf OF COOTINDATION OF 1099 IS A PROGRESS INSPECTION WITNtN THE 181 DAY PERIOD. FINAI, INSPECTION MOST BE
APPROVED BEFORE BUILDING CAN BE OCCUPIED.
! OWNER OR AGENT:.
RLD PRNT, rw 13/31191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
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CONCRETE MECHANICAL MOBILE HOME /q t
Footings-Setback date by Ribbons P0
v►-
date by Gas Piping date ,S�l '9� b R
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
6 7
MASON COUNTY
• Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF t=iM 1 'T GCaN [� ! LLT ! C1N �
Case No . s BLD95-0227
For : JERRY W GOLDSBY
Page : 1
1 ) 'the use , handling and storage of hazardous materials or f t arnmab 1 e and combustible
liquids In excess of 10 gallons Is not allowed without the approval of the Mason County
Fire Marshal .
X—�-'' .
2 ) Proposed structure or any portion thereof greater than 30" In height from grade line,
must maintain a minimum of 5 ' setback from all property lines, easoment,.-� and right of
ways . r
X_.,�. __„d
3 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROViDED iN SUCH A POSITION AS TO B_' 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
REINSPFCTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE. WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS ,
X_______���• _ _� _ ___
4 ) REQUIRED INSPECTIONS (Footing Inspeetion-prior to pour , Set-up inspec:tlon�-prier to
skirting Final Inspection•-pprior to occupancy ) . 1 have received a copy of the General
information and Guidelines -Mobile/Manufactured Housing Installations handout for detalled
descriptions of all required Inspections on my mobile/manufactured home installation . I
hereby assume all responsibility for the scheduling of theses required Inspections . IF
these required inspections are not requested, inspected and signed off (approved) by the
inspector in the prescribed order , I understand 'that reinsppesction fees and an hourly
investigation fee pursuant to the 1991 UBC , Table 3A will be assessed in addition to my
original permit fees to resoive any questionable practicses or pr,obiems that hAve beet)
discovered . I further understand that this investigation wilt be scheduled as time
allows . Until resolution or any/all problems no occupancy ( Final Inspection ) will be
granted for the residence .
OWNFP/CONTRAC:TOR( Indirate which) Signature X J/
.5 ) All mobile/manufactured home landings or decks must be freestanding ( self supporting) .
The largest landing or deck permitted without drawings or a building permit ► s 36" x 36" ,
Any landing or decks that Is 30" or Inr,+re In height from walking surface; to finish grade
I
CONCR JE 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
PLUMBING OTHER
Groundwork Attic
date by date by
p W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
• requ I res a guardrail . Any I {I;,{_i i rfcc_�� 01 uac.:l: 1 hr t has- 4 or nioi t: i i r � ret,u If c,; u rluI;J; « i I .
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
6) Placement of structure must comply with standards s t#orth per URC sec . 2907
regarding descend sng and/or ascending sIopes .
i
CONCRETE MECHANICAL MOBILE HOME '
Footings-Setbac% 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
MASON COUNTY
BUILDING III 426 W. CEDAR Q�
SHELTON, WASHINGTON 98584
(360) 427-9670 /►
CORRECTION NOTICE
Job Location f-c> z A�1-1'(6
LC
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
�f= CTa 2�e£C'_T o� �y ��j���:��� �U.0 �•Ex- ��' l�S�,Ec Ti� J
�9 3, ,�R-E
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department 14 t fc / Al
Date —�/ 1� Inspector c,t S jjf S
■ o« * NO OT MnV Tklv--- T A ,� '
` MASON COUNTY /
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584 l g
(360) 427-9670
"' CORRECTION NOTICE
Job Location LizlIZ6 ?
o L1Sf L
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: c k F7,!��>4- �d,Efi �
Items listed below must be corrected to gain code compliance
��� �G.r�,�' �.€iYE f•�'/���'�S /� ,dam//� (.y,��4�.
rl4 f3 L 8 c/4s
usj!� A/u rL, 13ec ��✓ sT.rcuc7���:
0Elk- (U,Q-A)CeS
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
all for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department
Date �� Inspector
■ oo s NnT MnV T141qlah, TmLow
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location Z'ih�' ,E '
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: / ells- f> �-�%� �r.•s
Items listed below must be corrected to gain code compliance
/ i1
A10 e.t ..7;1/ f�'waft `
Z'1 C�e-e-y /tV
���yE,� S's<-�O,r1 /� �1��///Zf�C'��.G- ��1it/E� G/"�•c/ X/U /�C��
��. 66
49
'AFIC- Zllv-
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to /
Department
Date �7 " �' i5� Inspector
11040No OT MOV TH1141111k T LOW
ti
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location c-D
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
f o
2
S S
U P^��
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
or re-inspection when corrections are made before continuing
Make corrections, items will be checked on next inspection
aOKto
Department
Date 6 �� Inspector
moos NOT MOV ' THfqmrA& T' ,*
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 1V
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
� s -
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department A2,11a
Date Inspector ar
01040 NOT MOV TH' Imv-h, T' ,* '
2 limes the neiq,t of Structure Tog of = " c�"rl��/1 M.
1�' MaX.-� Sic4e to of
a Faorinq
Fuca of r Tae of Nat to tzcaed 40'
Structure Slop* 3iV'
TYPICAL STRUCTURAL SETBACX BUILDING OFFICIAL MAY APPROV
ALTERNATE SETEACXS a CLEARAtVC-S
Sccfe t" - ZO'
Sample Site Plan
241�
153' 14
40 32 20'
I
c PROPOSED n -�
RESIDENCE
recta a
E-0(3c' OF 13ANX S.ptic Tang
m
T J
24. �
C 440 a
� Q C
N
0p rn Shop 56. La
r
I�.ti S's.fbau W411 riet 123
238' I
TYPICAL v ---
SITE PLAN I" = 20'
J. OCE 1406 MCZOn Lk. Or.
N
1
Permit No. 13)d q6-n2a 1
MASON COUNTY
BUILDING PERMIT APPLICATION q5• ti�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 b`p C)
PLEASE PRINT
#1 Ow r Phone#
` ite Address Fire District# LP
City 51\r 1+yjr, St L-J k.Zip 9 s�S Cz LJ
Directions to Job Site N 7. ke L. 4l /e C f
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name//� (/ovS_� 0�� '��`C� Contractor Reg# FUZ(_,4� )d774L
Address L/7 O / Z 7 n ST S W Expiration Date /Q / // / cfS
City T-Nnorv'A St w Zip '1 8 414 Lt Phone# 2L{-7
#3 If septic is located on project site, include records. J�
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)-
#4 arcel No. `�a 1 - LJ Ll - ()Q0 J- 0 L
Legal Description V1z.
#5 Building Square Footage: (existing/proposed)
1st FI / /()6C 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / -5 #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year�—Make L Model `115CK TVZ
Length ND Width 2S Serial'No. cal L Z8918 3 X v
#Bedrooms—_#Bathrooms 2_Type of Heat e C 5 K VJ
Purchase Price $ 3 5L
#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 Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
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�Cle�r,n fV I
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. oilets CIRCLE FUEL TYPE: qas, lectri ,
4
ath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
i
H Water Htr Heatpumps
/ L ndry Washer _ Vent Systems
Sinks _ Spot Vent Fans
_For Drains No. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal ctm#
_Urinals No. Fire Protection Systems
_Other Auto. Fire Alarm Sys 50�00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
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 15.00
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 OF THE 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
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY '
Approved Cond. Hold
Approval
Planning: Ru- q 4 _ 019'7-
Environmental Health:
5 Lit
Building Plan Revie4-9- 4w- 1, �it <Z�
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE
REGI§TERED AS PROVIDED BY LAW AS A:
NT'' GFM' ;
REGISTRATION NUMBER EXPIRATION GATE
r J;LL HDUSF. MOBIL: HOME S 'RVICC
.42,0 12TTK 5T S w
j,ACUhA WA 98444
SIGNATURE
ISSUED By DEPARTMENT OF LABOR AND INDUSTRIES
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