HomeMy WebLinkAboutBLD96-1208 Mobile Home - BLD Permit / Conditions - 4/28/1997 MASON COUNTY
—� Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
f Ei 4.1 1 L. Cl 1 N 43 P EE F1 M I -T FOR INSPECTIONS CAL[ 427--9670
BETWEEN 5pm AND Sam 4?7--7262
11I..096-1208 PARCEL i 32.2325051025 PLAT :UNPL.O 51 D I%' : BLK I kllmlt,
.JOB ADDRESS t F 180 STH ST UNION
OWNER : ERIC TAYLOR ; A98-2.378 NULL & VOID BY EXPIRATION
CONTRACTOR : �(
LFGAL t 1NI1N .NOON CANAL IAN# A IN? CO At[I 5T LOT! 101 25. 27 1 VAC PORT 191N$ENN It ANC DATEQ9-._ �� l
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DATE RICEiPT TYPE ANOUNT 6Y DATE 1FCfIf7
CI ASS OF WORK . . :Nr ►N E3FDET : i BA TII : Ft
PEATYPE OF USE . . . . rMFI STORIES . . . . . . . ; 1 Es :ragx •, ,.,1. +•�
OCCUP . GROUP . . . c? BLDG . HEIGHT..; O .Oft JA06R 1 5.90 11 04128197 44360
TYPE OF C:ONST . t? FIREPLACE - 0 RIC 1 42.01E 11 04128191 44360 1
OCCUP . LOAD . , . . : 0 WOOD yTt�ti(E?',. . . . . t 0 MNOf $ 158.01 TM 04128197 44360
DWELL . ON ITS . . . . : 0 PARK I#0 SPACES : 0 SIFE 1 4.SO T1 04 126 19 7 44360
INSPECTION ARFA : :3 S14lipiL INFI :N FRIP 1 52.01 T1 04128197 44361 TOTAL 253.50 1ALOlAIION: 2650)1
ssaxvur--
:>FTBACKS- -._.. __ _ .. __ �oA 01 LETS . . . . . . . . . . S,__ . ._ .___...___. I301LFRS/COMP- - -- MOBILE HOME.
FRON`t _ 0 .Of t)c BATH BASINS . - . . . 0 : 03 HP . : 0
REAR . . . . O .Ott BArH TUBS . . . . . . . . : 0 3-15 HP . I 0 MODELtCHAMPION
SIDE ( 1 ) . N .Oft ISNOWFPS . . . . . . . . . . : 0 F UFiN 1 OOK BTU . 0 15-30 HP . : 0 -MAKE--.---._
SIDE(2 ) . O l Ot t WATER HEATERS . . . . : 0 BURN > 100K BTU : 0 30--50 HP , I 0 SEOU I O I A
SHRL INE . ' A .Oft CLOTHES WASHERS : . : 0 FURN - FLOOR _ . - 0 504- HP . r 0 -YEAR- - -AREA - _. M__.__.__. KITC14EN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 86
LOT S 1 7F . . I FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . . 0 F. VAP COOI FRS t 0 U ENGTfI c 44
BUILDING . . . . 0sf DFINKING FOUNT . . . I 0 VENT FANS . , . . . . , 0 HOODS . . . . . . . : 0 WIDTH . t28
BASEMENT . . . t 0Sf LAUNDRY TRAY;? . . , - 0 DOMES . I NG IN iO SER IAE --
DkCK8 . , . . . . : Ost DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- -- COMML . INCIN10
GAR/CARPI? Acf GARB DISPOSALS . . . .. 0 «: 10000 (:fm , c 0 RFLOC/RFPAIR : 0
AT/DT . :? ORINAt_S . . . . . . . . . . . 0 } 10000 ct") . : 0 OTHER UNITS . 1 0
14I SC PLM F I XTURF S : 0 CAS OLITL.ETS . t 0
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PROJECT OESCRIPTiyir;NU31lE NONE
or
PROJECT tOCAliON:NOHT!I ON NCRIA.YY 10 NIH ST iAKE IEfT t;0 i 112 NItICKS ON iNf Ri6Nl k 130 51" ST,
THIS PENNIT P£C°;YES NUH AN0 Y018 IF 1009 01 CONSTIBC1101 AUTHORIZED IS NOT C0NNERCf6 1111111 180 DAYS, 01 If CONSTRUCTION OR 1019 IS SUSPENOEO FOR A PE0100
Of 184,pAYS A] AVY TINE 0114 #ORK IS CONHENCEO. fvIDFNCE Of COITINUA11011 OF 101K IS A PROfilfSS 11SPF.C11!!N 1110I1 THE 190 DAY PIR100. FINAL INSPFC1101 N13T B
APPIfOVJW BEF.O I RU11611IF fAN RE OCCUPIED.
0111ER Of'sm.01: .,. , .._ __.:.__ ..:_'�_ DATE:
81.0 PRNI, rev:'4113111t Ct)MPL. IANCE TO ATTACHED CONDI fIONS 113 RFOUIRLD
ti
t
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 FRAMING by date by date by
Walls FIRE DEPT.
date PLUMBING by date by date by
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
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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
II�
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MASON
SO COUNTY �
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) �. ! •ll�l:i a k. I, . ' t e .. .. )( '_�. �,, n .. `.1 .•\' . .:}�' t
X
8 ) 401.11 RED INSPECTIONS (Footing Inspection-prior to pour,, Set- up H
Inspection-prior to
` skirting Final Inspe►ction-•prlor to occupancy ) . I have reoelved a copy of the General
nformat 1 on and Gu I de I i nes-Mob i I e/Marivf actured Housing 1 nalta. 1 1 at i ons andout for
detailed descriptions of all required Inspections on my mobile/manufactured home
Insstallation . I hereby assume all responsibility for the scheduling of these required
inspections . If these required Inspections are trot requested, inspec-ted and signed
off (approved) by the Inspector in the prescribed order 1, I understand that re inspection
Pees and an hourly investigation fee pursuant to the 991 URC , Table 3A will be assessed
in addition to my original permit fees to resolve any qurastionahle practices or
�iroblems that have boon discovered . I further understand that this Investigation will
to scheduled as time a l i cows . Until resolution of airy/a I i problems no ovoupanc v (Final
Inspection ) will be granted for the residence .
OWNER /CONTRACTOR( i nd I oate which ) S i gnat steel
9 ) All mobile/manufactured home landings or decks must he freestanding ( self supporting ) .
the largest landinci or, deck permitted without drawings or a bul ldinq permit is 36" x
36" . Any landing or deck that is 30" or more In height from walking surface to finish
grade requires a quardra1I . Any landing or deck that has 4 or more risers requires a
handrail . Any landing or deck larger than 36" x 36" mint be permitted which requires
structural drawings and a building permit appiloation . This Installation Permit does
NOT Include any landing or neck larger than the 16" x 36" size .
10'; Proposed structure or portions thereof with *in projection cover 30" In hhiyht from grade
4 I i ne, rnust maintain a 6 " s+etparat l or1 distance between adjacent structures and that
furthest projection . X_
11 ) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . IF ANY {QUESTIONS. PLEASE
l_L THIS OFFICE BEFORE CONSTRUCTION
12 ) CONS TRIICT I ON PROCESS TO BE F I EI. D CORRkk IFD Ala RF9_U I Ri±rr PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM Btt i LD I NG CODE ,
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
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III
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Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 11/
PLEASE PRINT
#1 rite
�� �" / �y Lds^ Phone#
ddress �, /,fO Fire District# LP
�1f /�Sh l�, f�d�.���— St Zip
Directions to Job ite 04 ZC 2a s� <t-
s
Owner Mailing Address E �/ lot,
City City q4 4�4 t/7 ��SY� St Zip
Lien/Title Holder
Address
Clty 4 St Zip
#2 Contractor Name 19WIle-1 r<'c- f- 1a-yZ o,, Contractor Reg#
Address -5 rme- Expiration Date
City St Zip Phone#
#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 No:3�.2/-4/-z _ �/D�tl
Description o • .� .ZS'.Z VAC
7owo s� A�J .
#5 Building Square Footage: (existing/proposed)
1st FI !4 ,X/25e) 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?) _
Other sq.ft.
#6 Use of building Describe wT_r m
1 3
Cn u��U
#7 Type of Job: New Add Alt Repair Other TLnC=
#8 MOBILE/MANUFACTURED HOME INFORMATION ^
Model Year Make--l� ej Model s?co 4 rn uW
Length Width o�e Serial No. a •n �_
# Bedrooms # Bathrooms - - Type of Heat
Purchase Price$_a��. 5-00- mo
#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
L
Show following on the site plan N
Lot Dimensions Flood Zones
Existing Structures Fences E
Structure Setbacks Driveways LA/
Water Lines Shorelines
Drainage Plan Topography S
Septic Systems Wells
Proposed Improvements Easements Indicate Directional b N S E W
Name of Flanking Street y , , , )
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOWra
,
4C
� er
,DI iv°ewaly
1 //
Lofi 7s r,
- ---- ------------ -
s
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
J
`�»�• 'OTT
t7
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 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
_Disposal cfm#
_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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 S DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 0 C-PrIcA - Ajee;qs HKF
Y
Environmental Health:
Building Plan Review
o—uA
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit ��,ov
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspeetien
Building State Fee
Other RC-0(6 DO
Other , Op
Building Valuation: �P,!C7 TOTAL FEE ,�