HomeMy WebLinkAboutBLD95-1265 Mobile Home - BLD Permit / Conditions - 10/4/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
_ LJ I t _ n I N t i F' 1= R M 1 "t" FOR I NSPEC'l I ONS CALL 427-9670
BETWEEN 5pm AND Ram 427-.7262
BL.D95--1265 PARCEL :32232520202.0 PLAT :UNPLO 2 DIVI PLK : 2 LOT t
JOB ADDRESS : E 20 PORI TOWNSEEND ST UNION
OWNER t JIM DONAL.DSON 426-5092
CONTRACTOR , AMER I CAN HOME SFRV I CF S 956--8796
LEGAL : UNION-GRAYS HARBOR A UCRR ADD RLK: 2 LOT 21-23
CLASS OF WORK . . tNEW BEDR . 3 BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AVOIINT BY DATE RECfIPT
T Y P F OF USE: . . . . r M H STORIES . . . . . . . : 1
OCCUP . GROUP . . . t? BLDG . HE: I GHT . . : 0 .Oft ADDR I 5.00 KS 4104195 40435
TYPE OF CONST . . :7 FIREPLACES . . . . : 0 VHOF = 100.00 KS 1010419N 40435
OCCUP . LOAD . . . . r 0 WOODSTOVES . . . . .. 0 STFE 9 4.SO KS 1N114195 40435
DWELL .UNITS . . . . . 0 PARKING SPACES : 0 EHCP 11 10.00 KS 10104195 40435
INSPECTION AREA : 3 SETOREEL. L NE? . . . . :N TOTAL : 119.50 VALULATIONt 44100
TOILETS — . . . . . . . . . 0 FUEL. TYPES--.-.._.---___..._, BOILERS/COMP._--- MOBILE HOME=.-._
FRONT . . . 0 , 0'f t SATH BASINS . . . . . . . 0 0- 3 lip ' ' 0
REAR . . , . 0 .Oft BATH TUBS . ,, . . . . . . . 0 3-15 HP . : 0 MODFI. tLIRFRTY
S I DE ( 1 ) . O .Oft SIIUWFRS . . . . . . . . . . . 0 FURN < 100K. B'TU : 0 15 30 HP . : 0 -MAKE-
S I DE (2 ) . 0 .Oft WATER HEATERS . . . . t 0 FURN —100K. BTU t 0 30-50 HP . r 0 OAKHURST
SHRL INE . 0 .Oft CLOTHES WASHERS . . : 0 FURN -- FI 0OR . . . : 0 NO+ lip t 0 -YEAR ' _....._...__
ARF..A - --.___.__.___ __...__-_ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . t 0 96
'LOT SIZE . . r FLOOR DRAINS , . . . . . 0 VFNT SYSTEMS — : 0 UVAP COOLFRS : 0 LENGTH :44
BUILDING - - 1166sf DRINKING FOUNT . . . : 0 VENT FANS . . . _ . : 0 HOODS . . . . . . . . 0 WIDTH . :28
BASEMENT . . . r Osf LAUNDRY TRAYS . . . . t 0 DOMFS . I NC I N :O -•SFR i AI # - .__. -
DECKS . , _ Ost DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :? 0E'sf GARB DISPOSALS . . . 0 r, 10000 oft . : 0 FIFL.00/RE'PALRt 0
AT/DT . n? URINALS . . . . . . . . . . : 0 ? 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . t 0
DC)."i^..'�'RRF.1t�"¢tATiS..=.At�'T.2X.>"ST.Ll�.C':'c'.:A.lr:".S-fT.�S'�S'24TTLL2'.`eR'.Y.1C^Sf a�T1Y""'�'.'CST'C'_T'L"'S.':iiRfY:.'. C'1T3..•-CL:'L"6'h.l'.�^'F.'E'�...-"T•T..G."L"..'.^iCgpC3e�S.R.T:3'nC:TAt"k��.�[.SLLS.'t"ATTI.T:"t:GTS S�S�TC'.JU•CdG:1�Oi'�C:A.�^G"Y�'JSY S:'.:ffi:T.¢C�-T)�`.�.'1415�t..t_S':'-S'_':
PRO,IF.CT OESCIIPTION:VOBILE HONE
PROJECT I.00AIION;1CREAVY RD TO 5TH IFFT AT 7 BLOCKS ON THE LEFT ACROSS FROM PARK.
THIS PERNIF RECOVER HUFL ANO VOID 3F,10RK OR CONSTRUCTION AUTROIIZFD IS NOT CO11FNCF8 WITHIN 111 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF IB0 DAYS AT ANY T111f AFTER WORK 1S CON�FNCED. FVIDENCE OF CONTINUATION OF WORT IS A PROGRESS INSPECTION WITHIN TNF 180 DAY PERIOD. FIVAL INSPECTION OUST OF
APPROVED BEFORE RUIIDING CAN 8E OCCUPIED,
ONNF R 08 A0 NT: L_ a _ -
DATE ....�..-._�_. _.....____.._.�._�._..__.....
R1 0 PONT rest: 1'3131191 COMPI I ANrF TO ATTACHED CONDITIONS VS RFOYI 1 Rfi I)
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date A b
Foundation Walls date by Set Up
date by INSULATION date rD-3 AD (u
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 INS ECTI N li
date by date q Z 7 �0 7 by f j2Cj_ date by
ACT M X l2.rLA I&E- l ; ,LE rm."t 0 g
Lo - 3
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f-�tip 2cl 0, 7 le,
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MASON COUNTY
- Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E' 11 M i -t- +C-1 O N r:3 1 T I C'a N E�,
Casey No . , BI D91?-1265
For . JIMM OONAL DSON
Page : i
1 ) n I I approved p 1 arts are requ I reed to be on--s. I to for- i nspect i on purposes . I f Inspection i
called for and plans are not on site, Approval WILL. NOT be granted . In addition, a
Re- I nspect i art fee In the amount of $30 .00 per hour, (m i n i murn 1 hour ) will be charged and
must. be collected by this department prior to any further inspections being performed or
approval (Iranted .
?._ ) PURSUANT TO 1991 UNIFORM BU 1 L D I NG C OOF , SFCT I ON 305 (C ) AND SECTION 513 , ALI. SITE'S MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED 1N SUCH A IT OS 0 P 1 N A�., TO BE PLAINLY VISIBLE
AND I.FG I Bt.E FROM THE STREET OR ROAD FRONTING T14F PROPERTY . MAC:ON COUNTY BUILDING
DEPARTMENT RFOUIRFS THAT TNlS BE COMPLETED PRIOR TO CALLING FOR AN1' SITE INSPECTIONS . A
RE I NSPECT I ON FFF BASED ON RATES IN TABLE 3A OF THF '1991 UNIFORM BUILDING CODE WILL BE
ASSFSSFD IF OWNED CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
3 ) ALL CONSTRUCTION MUS L MEET OR EXCEED ALL LOCAL CODE'S ANrj URC
REQUIREMENTS
4 ) Rl-U(J 1 RF.D I NSPFC'T i ONS ( Footing Inspection-,prior to pour , Set - up Inspection-,prior to
skirtings Final Inspection-prior to occupancy) . 1 have received a copy of the General
Information and Gu i de I i nes•-Mob i 1 e/Martufaut tared Hous i no Installations Handout for detailed
descriptions of all required Inspections on my mobile/manufactured home installation . I
hereby assume all responsibility for, the scheduling of these required Inspections . it
these required inspections are not requested , Inspected and signed off ( approved) by the
inspector In the prescribed order , I understand that reins ection fees and an hourly
Investigation fee pursuant to the 1991 LIBC , 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 . Unt i 1 resolution of arty/all problems no oecupanoy ( Final I nspect i on ) will be
granted for the residence .
OWNFR/CONTRACTOR ( indicat:a which) Signature X
5 ) All mobile/manufric,tured home landings or decks must be freestanding ( self supporting ) .
The largest landing or duck permitted without drawinrts or a building permit 1 ,; 36" x 36" .
Any landing or deck that is 30" or more in height from walking surface to finish grade
— -----------
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
I�
f
_ MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
requires a guardrail . Any landing or, deck that hasi 4 or more risers requires it handrail .
Any landing or deck larger than 36" x 36" must be permitted which requires structural
drawings and a building permit au licat. ion . This lnstaliaticn Permit does NOT includeand- I send i ng or deck larger than the 36" x 36" size .
t-
6) Chances to approved building plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and indoor, Air Quality
Code, the Uniform Eau i I d I ng Code and/or Mason County Re ti 1 at i ons mt.ist
be approved by Mason County prior to constructicnX
7 ) CONSTRUCTION PROCESS TO BE: FIELD CORRECTED AS REOLI i RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
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
I
W
CONCRETE MECHANICAL MANUFACTURED HOME 40
o Footings !Setbacks Gas Piping Ribbons D
Interior Date By Interior-Date By Date By
Cxterior Date BY Exterior-Date ¢T By Set-up CAI
Point Load J Isolated Footings INSULATION Date By Z
BG t SLAB INSULATION -
Date By Data ay FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS _ -
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Data By Date By Type:
Dale By
D.W-,V DRYWALL Type:
Int.Brace Wall Date By
Dale By t]ate By
FINAL INSPECTION Oo
Water Line Fire Separation r
Date By Date By Gate I'Z-7 (O 7 ByA/zC tp
Pass or Request Inspect. C
° Type of Insp. Fail Date Date Done By Comments I i
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IPermit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 ner J\�n 6rcnW I�a� � SD/J Phone# �12-6 JD "! 2
rite Address E r7 Fire District# (42 o y aU 1 -o/J St (V4- Zip q c,5c1;;L
Directions to Job Site NT 1¢✓ A�)/T
on I& k_ ' CL-L, 0LJ Oval 4rcwl
Owner Mailing Address S Zv cv 5
City St V Zip '_C. r-
Lien/Title Holder R ,ti/e Alt fib, ✓ jCA
Address Pa 66x 3 IOU
City UP"C_p u V cV- u 1 St Zip c!
4- N So 0
#2 Contractor Name W ecl CM�✓ Contractor Reg# V. 2
Address Ad 3 Expiration Date
City oc- VA st +4 Zip gA>S 1 Z Phone# ?S ? 3
#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 re dential, proof of potable water is required)
#4 arcel No
,S 2—Z 3Z -J- b 2-O L U
Legal Description 14- 1 4 ` 2
#5 Building Square Footage: (existing/proposed)
1st FI / H 46 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / 3 #bathrooms / Z
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building /f rtic Describe work
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 0l G Maker Model OM< 64Y45 7-
Length '(q Width Z Serial No. �o
# Bedrooms -'57 #Bathrooms Z Type of Heat
Purchase Price$ G/G//<
#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
Z
46
I
I I 1 l
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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 Units
_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 DATE
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY '
Approved Cond. Hold
RM Approval
Planning:
vl�
Environmental Health:
Building Plan Review
9/1z
C
Occupancy Group: — 3 Type of Const: -
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit DD a o
I
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee Sa
Other l 5100
Other
Building Valuation: TOTAL FEE