HomeMy WebLinkAboutBLD97-1225 Mobile Home - RLC Permit / Conditions - 11/5/1997 I MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E; t.J 1 L_ C.) 1 t4t4 F' E- F1M 1 1 1` 014 INSPt. ClIONS CALL 421-vbi'(3
BETWEEN 5pm AND Sam 427-7262
BLD97-1225 PARCEI. :322.325212007 PL.ATe DIV :? BLK :? LOT :7
JOB ADDI'IFSS : 134 F '0R D ST t1NION
OWNER : JOHN A0i"
CONTRACTOR :
LECAI. : OIMION-BRAYS HARBOR I BCRN ADDITION
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CLASS OF WORK . sNCW BE DR 3E3ATHt ? {IYPt AMOUNT CT DA1F RECEIPT TYPE A110UNY BY DAlf RE(fil"Ir
TYPE OF USE . . . . :Mtl STOR I ES . . . . . . . : 1
OCCOP . GROUP . , i 7 B[.DO . IIF I GHT . . : ;0 ,Oft �MN9F ► 155.00 NJ? 11185191 45&31
TYPE: OF CONST . . :? FIREPLACES . . . . t 0 iSIlF 1 4.59 NJP 111e5197, 45837
OCCUP I OAD : . . . 0 'AOODSTOVES . . . . : 0 EHCP t 26.00 NJP 11105191 4NO37
DWEI L .I.1N 1 TS 0 PARKING SPACES : 0
INSPECTION ARFA : ? SHORFI_ INF? . . . . :N 10TAtt 185.50 VAt8irt110N: 3101E
1-01LETS . . . . . . . . . . t 0 FUf1• TYPES-. - -- - - BOILERS/COMP-- -- MOBILE HOME.--
FRONT F 50 .0 T t BATH BASINS . . . . . 0 : 0- 3 HP . : 0
REAR . . . .W 17 .Oft BATH TUBS — . . . . . t 0 3-15 HP : 0 MODELtFLEETWOOD
SlDk ( 1 ) .N 3�, .0ft (SHOWERS . . . . . . . . . .
: 0 FURN < 10OK BTU : 0 Ito 30 HP . t 0 MAKE
SIDE (2) .S 16 .oft WATER HEATERS . . . . t 0 FURN -100K BTU : 0 30-50 HP . : V1 53636
FAIR INE .N O .OTt CLOTHES WA8:HERS . . : 0 TURN - FLOOR — : 0 %50-f IIP . : 0 YFAR- - -
AREA --------- - - KITCHEN SINKS . . . . : 0 HEAT' PUMP . . . . . . : 0 96
LOT SIZE . . t FLOOR LIRA I NF . . . . . . 0 VEN't ;SYSTEMS , . . 0 f:VAP COOL EFIS t 0 1.E:N(;TH :38
BUILDING . . . : 950s1 DRINKING FOUNT . . . . 0 VENT FANS . . . . . . t 0 HOODS . . . . . . . . 0 WIDTH . t25
BASEMENT . . . ; 0sf IAONDRY TRAYS : . . : 0 VOMFS . INCIN :(c1 4;Eftili�LN ___
DECKS Osf DISHWASHERS . . . . . . : 0 AIR HANDI. 1 NG IJN I TS--- COMMI- . I N(: I N %O
GAR/CARP :? Ost GARB 1) 1SF'OSAi S . . . 0 <:�. 10000 (.,Vm . : 0 RE-t_OC/FIE PAIR : 0
AT/GT , :? URINAt.S . . . . . . . . . . . 0 > 10000 orm . : 0 OTHER UNITS . : 0
M ';C: PI.M F I X ftfRES ! 0 (,A;:, OUT I. FT8 . : 0
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PROJFCT DE1C1IPTIQ1tM0811E HOME
PA9•IFCI 10CATIONIPASl UNION PARK iSi PLANT TO CIfARFD 101 ON tiff.
61's PIRMIT BECOMES NUtt AND VOID I.F 10BK OR CONS.1
Au1HORItED IS 901 COMMFNCID WITHIN 180 DAYS, AR IF CON3TRyC11bN OR NOAK 1" sIlspfll o top A ►TROD
Of 18f RAYS AT ANY [IMF AFTEP 1)AK TS COMMENCER. EVlAENCE OF CONT14VA TION OF 109K IS A PNOhRESS. INSPECTION 111114"FHE 169 DAY PERIGO. FIVAI INSPECIInIl 110+1 BE
APPROVED BEFORF 8UI1DP!G C.AN BE OCCUPIED.
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:1NER P AFEN�t - 4-
.. _ ... . . ���`� � _�,_,r� _.'.::,_.,.p __._..__ __- __.._.. .__ ____ .___ .... . DAIt
Id O .911 i, rev, 031 i I t S' I C0MPI.. 1 ANCE TO ATTACHED POND I T 10NS 18 REOU I RED
i
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
_date by Gas Piping date Z-9—'F 7 b 1,1gIZe�
Foundation Walls date by Set Up
date by INSULATION date — — by
BG/SLAB Insulation Final
Floors
date by date by date 2— Z 0" S 9- by 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
Fool«. f�ASSe D
a
�StE /4
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
j
I
Case No BLD97 - 1225
For : ,IOHN GU I t L I L ANC)
Pago 1
1 ) Ibis appI Ioat Ion Is sub leot to Buffer oiid l a+id,cat, ing regrrIr-ements a:: estab1 i :.shed under,
Mason Country Ordinance 1 .03 .036 .
X
2 ) The use, handling and storage of hazar•doiss matey I a i s or f I ammab 1 e and combo-J i b l e
I Igsr ids i n excess of 10 (;a I Ions i s not a 11 ;')wod wi thout the appr ova l of the Naz;on County
F i rt Marshal .
X '
3 Propur;end struotur,e or any portion thereof greaten than 30" in heIght from gradt� I ine,
must maintain a minimum of B ' setback from all property lines , easements and 10 ' from
a I I County, and st ate Road r i ght of waVa
!9 7
4 ) App I I cant aok now I ed(Ies t ha t t h i s deve I opment i s sorb i eot to po l i c i -s and regu I sat i arts of
Mason Cc�}i y Comprehensive P 1 art sad Development RegU 1 at I ons .
X
5 ) PURSUANT TO 1994 UNIFORM BUILDING COD . , SECTION 305(C ) AND SECTION 513 , ALL. �; ITFS MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS. TO BE PLAINLY VISIBLE
AND LEGIBI.E FROM JHE STREETT OR ROAD FRONTING THE PROPFRIY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEF BA>ED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BU I 1 D I NG CODF WILL PE:
ASSES,c;FD IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
1 NSPECT I ONyS.-.
X _s
6 ) REOU I RED I NSPF(:.T I ONS ( Footing I n�speot i on--pr i ur- to pour , "'et-up I nFpeot i on-pr i or, to
skirting, Fina { Inspection-prior to occupancy) . I have received a copy of the General
Information and Guidel inet.•=-Mobi .le/Manufactured Housing Int,tai lations Handout for
detailed descriptions. of all required Inspections on my mobile/manufactured home.
installation . I heret)y assume all re:.ponslbility for the notieduling of these required
- II
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
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
L
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
Of ! t •y. i), 'i , !tv ! ht" ! 1t jt` �!1 eRGr' ! U'. i +ic'S ii:i4.'! :!It1 : i .1 f 1 I ti .i "Ut ion
fee^ and an hourly Investigation fee pursuant to the i93t 613C , Table 3A will be assessed
Irl addition to my original permit fees to resolve any questionable practices or
roblems that have been discovered . I further understand that this investigation will
e scheduled as time allows . Until revolution of ,,&
ayjall problems n oceupanoy ( FInaI
Inspection ) will be granted for the residence ,
OWNER/GONTRACTOR ( Indioate whioh ) Signature X
7 ) All mobile/manufactured hove l and i nggs or decks must: be frees tend i n(y ( so i f supporting) ,
Tht I �►rgefvfi I and l nq or deck permitted without draw i n s or a bu i l d i tig permit Is 36 x
36" . Any landing or deok that is 30" or more in heiggt from walking surface to finish
grade requires a guardraIi , Any landing or deok that has 4 or more risers requires a
handraaiI . Any landing or deck larger than 36" x 36" must be permitted which requ ! res
structural drawings and a building permit application . This Instaliailon Permit dons
NOT inc1u e ..�ja[/ny landing or, deck larger than the 36" x 36" size .
Y_
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
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
- - - -- - - -
Perm�No. 6
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT c/
#1 Owner Phone# b
e Address�2 ]✓'. - nl j)n! ,Y-r C 6+r. - Fire District#
City St l.C��t Zip �l��f c�
Dire ctions to Job Site ct-� c�z�c.
Owner Mailing Address '0 '
City St Zip��
Lien/Title Holder
Address
City St Zip
L� r•��� -o�s�o
#2 Contractor Name e"ti-ate" Contractor Reg# a-
Address / '7 0 y Expiration Date 9 f
City `�t�c.--� - _-,- St C&J'dF- Zip of f J/ Z- Phone#34
#3 If septic is located on project site, include records.
Connect to Septic? eS Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 P el No. -
Legal Description /-� �C,
0rniun -C�> 44A-60f- (UJcr✓e. L+tUri
#5 Building Square Foo age: t Var, Pri IN
1st FI S S"'Z) 2nd FI 3rd FI Loft Basement
#Bedrooms #bathrooms � Deck Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of building -r2 Describe work
rn >�
#7 Type of Job: New ✓ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 91, Make /Go Model -S 3 e:3 P
Length_Width S Serial No.
#Bedrooms # Bathrooms Type of Heat ���e e / 5 �cv
Purchase Price$ 3 �. Do U
#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
/0
-3 131?
_
Q r
s r.
v
`r
f;v;
i 2 ol)e
�I 25
HI"rLIIrHIV I I V UflhYY I VrVVnnr I I I 1 9 1J1 91.. v�w..
Y l
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
ath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers 1 Furn /TJCw BTU
Hot Water _ Heatpumps
t Laundry Washer _ Vent Systems
Sinks ?i Spot Vent Fans
Floor Drains N Boilers/Compressors
_L undry 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 $ 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 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 OBT NING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARI_MkNT.
X OWNER X BY(;�f
DATE DATE AD P
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
/►n(�/1�'J Planning: T cp aec G4
la�Z
Environmental Health:
r
Building Plan Review
D 34
Occupancy Group: Type of Const:
Fire Marshal:
Other:
i
Special Conditions: FEES
Building Permit /
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection 462
Building State Fee
Other
Other. 1-1
Other
Building Valuation: TOTAL FEE