HomeMy WebLinkAboutBLD97-0472 Mobile Home - BLD Permit / Conditions - 5/21/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
fv3 LJ I L_ IF) I N t--I 11 ivl 1 s , ,,; s "js -
BETWEEN 5pm AND 8rem 427--7262
131.097---047 PLAT s 11NPL.O 19 D I V : BLK 19 I OT
..10B ADDRESS : iF 170 ',PPDC;F S f UN I OW
OWNER t JOE FASS I O 896-262..7
CONTRACTOR :
LEGAL
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CI..ASS OF WORK . . :NFW BFDR . 2 BATH , 2 11Pf AMOUNT BY DATE RECEIPT IT1PE ANGUNI PY DATE RECEIPPT!
TYPE OF USE — MH S1OR I.FS . . . . : i - _ �'.>:
OCCUP . GROUP . . . :? RL DG . HE I GHT . , s O .Oft NHOF f 155.00 XS 05121197 '14529
TYPE OF CONST . . :? F IRFPLACES . . . . : 0 STFE 1 4.50 KS A5121197 44529
OCCOP . LOAD . . . . r 0 WOOOSTOVE S . . . . : 0 ENCP f ?8.00 KS 05121197 44529
DWELL .UNITS . . : . : 0 PARKING SPACESt 0
INSPECTION AREA : 3 SHOREL INF? . . . . :N � TOIAI r 19S.50 VAlC:P110M: 4 53 55
SFIBACK`i- -____.__._._.__-_ TOILETS . . . . . . . . . . : 0 FUF.1_ TYPES-- . _-_ _ ._. _ BOILERS/COMP-- - MOBILF HOME---
FRONT . . .rti 10 .Of t. B%1 i H BASINS _ . . . : 0 (1- ,1 HP . : N
REAR . . . :N 5 .Of t BATH TUBS . . . . . . . . : 0 3- 1; MP . : 0 IAODFL :fL.F.EIW001
SIDE ( 1 ) . F 31 .Ott SHOWER`.- - . . : 0 FOPN - TOOK BTU : 0 15--30 IiP . s 0 MAKf
S l DE ( 2 ) .W 25 .Oft WATER HEATERS . . . . . 0 FURN >= 1010K BTUs 0 30--E50 HP . : 0 4443N
SHR4 INE . 0 .Ott CLOTHES WASHERS . . 0 1111IN -- FLOOR . . . : 0 50+ HP . t 0 YEAR _._.. _.
AREA __..___..... .. _ _ .._._. . KITCHEN SINKS . . s 0 HEAT PUMP . . . . . . : 0 97
LOT SIZE . . FLOOR DNA INS . : . 0 VFNT S,YST EMS . . . : 0 FVAP COOL V RS : 0 LE NG fH :44
BUILDING . . . . 1199gf DP. INKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH .. :27
BASEMENT . . 0sf I. A1INURY TRA Yfi . . . . : 0 DOMES . I NC i N :O SE R I Al M-- -
DECKS . . . OSf DISHWASHERS . . . . . _ : 0 AIR HANDLING UNITS--- COMML . INCINiO
GAP/CARP : ? 0,,;t GARB D I SPO"IAf S . . . s 0 'r 10000 of ru . 0 RFI.00/REPAIR : N
AT'/DT . :? URINALS . . . . . . . . . . : 0 > 10,300 cfm . : 0 OTHER UNITS .. : 0
M I SC PLM F I .X TURF S t 0 GAS OUT L.F. 'TS e G�
ICW.ST:SSM1Y.TATZ�(s1:T.�'.:11'CC'�'n'c'Z'3R�'JLiC'�.C^f!:':STT..-�._C'LtT.[Y.RTL]{'COYNr:LT�.A.:Ss`L T3IIYC�'�`fSt�.>tOiC.?+:.'i9�OL..'G'.C.F3fS�'ie'b';>..Ytt.:«f:�:�.L'.LS'p�.SAY:3..':tLT'..-: .�JFR.�.t'�t:�ttY'�Su�I::.�R.'P'."LC:I'c.'c.^rgy.�':eF.....ea'L':_'._-.:C.Tr.:I•Z-_- L.�.S.'i.'P.::�x1C?%•i'�
PROJFC.T DfSC11PiiON:NOBII£ HOME
PROJECT I.00A110NtIAKE MCREAVY fi!ON SHfiTON 10 ONION 1AX1 1E1`1 ON STH; 1HEN lf.F; A" STAY I.FfI .UP THE Hill AND AROUND THE CURVE TO SPRUCE ';T SECOND HOUSE ON
110NT.
THIS PlRill BECOMES NUII AND Vt110 II NORM 09 CONSIRN(TION A111HORIZED Ia 0i CONMUCED NITHIN 180 DAYS, OR IF CONS`RUC1100 ON NORK 1;, SUSPENDED foe ! PEAf00
OF 111 RATS AT ANY TIME AFIE11 1019 IS CONNfNCEO EVIDENCE OF CONYINUATION Of 11011 1S A PROGRESS INSPECTION NITTIIN IHE 181 DAY PfRIOO, FINAI IN8PEC110N NU91 8f
APPROVED BEFORE RUIIDING CAN RE om'PlID.
r 7 ,L Gs C� DATE r
'(`11NER UR AGE41 0 .. . .._. .
Rl H._P1MT, rev. 03131191 COMPLIANCE. 10 Al TACHLI) CONDITIONS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date f�) `L� L—L� 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 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
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E- rl IVI 1 r C; C.) (I.l I I I i I c ) N
Case No . r Bl-D97-•0472
For ; JOF F A S S 10
Page . 1
1 3 The +.rnd�+r s i gyred pr oper•t V owner, Is aware of the uncertainty regarding Mason County ' s
dAvelopment regulations created by the Growth Managment Hearings Board 's Ordor of
October 2 , 14tAfi, and Irc r.onf: iclerat ion of mat4on Coirnty ' s, wi l l iwiner;s to proceed with
processinq of applications which might be affected by the Order , tht+ undersigned
property owner hereby agrees to wtr I ve+ any I awsu I t , action , or claim for damages aga i test
Mason County whloh may arise out of Mason County 's actions in acceptance processinq
and/car i Issuance of such permits or approvals ( hereinafter "porm i tt i ria ao{ Iona" ) , which
damages are attributable to the County 's decision to take permitting actions de-;pate
the risk that ohange�s to the County ' ; development requlations might later make the
County 's ,ra mitting actions invalid .
2 ) The tr ;A, hand l i ng and storages of hazardous materials or f l ammab l e and (.;c►mbust i b l e
Iiquide. In excess of 10 gallons 1s not aIiowt?d without the Approval of the Mason County
Fire Marsh� 1 .
X f
3 ) Proposed str-uc.t Lire or any port i can t hereof greater t han 30" 1 n he i(Jilt f rom grade I I tie ,
must maintain a minimum of Fi ' setback froth all property lines , easements and 10 ' from
a I I Count rand State Road right of ways .
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4 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , 1'Fr1 I ON 305(C: ) AND SUCTION 513, ALI. S l 1'F C; MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND I.FGIBI.F FROM 7HF. STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT PHIS BE COMPLETED PRIOR 10 CALLING FOR ANY SITE INSPFCTIOWC . A
RE 1 NSPECT I ON FEE , RASED ON RATES IN TABLE 3A OF THE 1994 UN I FORIA BU 1 l D l NG CODE WIIL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIO
X
5) REQUIRED INSPECTIONS ( Footing Inspection--prior to pour , Set- tip Inspection--prior to
skirting, Final Inspect ion -pr i or to occupancy ) . I have rece 1 ved a (-:+)py of the General
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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MASON COUNTY
-� Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 nforme, t i
=T--
instal lat Ion . I iit,i Wby. dL'."'Urn!' et1 i r I 1 6 1 D i I r ly I u i ttie chul 1iita h C:vi l -,e� r e e(Iuri d
insT�eotiorrs , If these required inspections are not requested,
ed, inspected and signed
off { approved) by the inspector In the pre�soribed order , 1 understand that reInspection
fees and an hourly Investigation fee put-suant to the 1991 tlBC Table 3A will he assessel
In addition to my original permit fees to resolve any questionable practices or
�►rohlem3 that have been discovered . I further understand that this investigation will
e scheduled as time allows . Unt i i reso I in i on of '.any/ a I I I?r•oh 1 ems no occupanov ( F i na I
In9pection ) will he granted for the residence . t
OWNFR/CONTRACTOR ( indicate which ) Signature X
6 ) All mobile/manufaotured home landings or decks must he freestanding ( self supporting) .
Thor largest Iandinq or deck permitted without drawInAAs or a building permit is 36" x
36" . Any landing or deck that is 30" or more in height from walking surface to finish
rgra!de requires a guardrail . Any 1 and i rig or deck that hais 4 or more r i sers requires a
handrail . Any landing or clock larger than 36" x 36" must be permitted which requires
structural drawings and as building permit application . This IrestaIIatIort Permit does
NOT incVii any landing or deck larger than the 36" x 36" sizo .
X
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date — I b
Foundation Walls date by Set Up�' o
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date 6 " 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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Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
,%p+' 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
#AIite
wner t )O E `� I d SS i D Phone#
ddre Ass E /70 �S.O.�J e 7'. Fire District#
ty St Zip
Directions to Job Site h e% i O
o,-) 51h 412ele7 /e Br24;' ze
c :1z Y.,24-1i2o1he e c lve-,
Owner Mailing Address, = C)
city - U121&-i St Zip 98�Jy�
Lien/Title Holder J o e, rl L 5,5!
Address ! roe e
City Jr)iPY) St U/* Zip 9 �
#2 Contractor Name Contractor Reg# roNrr1�o33JA1
Address Expiration Date �/. /5 /
City_�� �l St -1 Zip 95-5g V Phone# 3,60- V-V- 830/
#3 If septic is located on pro'ect site, include records.
Connect to Septic? Public Water Supply r� Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
# rLarcelDNo.,IP23� 5a O/
DescriptionLegal
k4dl�bor o y e pie 4a- - U/k : I 9 zoff- 41c✓s_
#5 Building Square Footage:
1st FI /, 2nd A 3rd FI Loft Basement
#Bedrooms #bathrooms o2 Deck Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of building Describe work
#7 Type of Job: New fr Add Alt pair fl
#8 MOBILE/MANUFACTURED HOME INFORMATIO
_ A
Model Year Make F� Model N /V APR ,3
Length 411 Width hd 2�I No. O ���
#Bedrooms o2 # Bathrooms 1� _�Z Type of Heat /ice �»I� H
R�
Purchase Price$ � 1b�•JJ ��es
#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
APPLICANT TO DRAW SITE PLAN BELOW
l 2e.e i yc
F�Id
H
- shop
t4cYne
AM t
s
b
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
HOME S ke
-�. F LA-T- Al?C-A
u
i
Plumbing Fixtures ($3.35 each Fee Mechanical Fixtures ($6.75 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Fu rn 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 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 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 DEP,4RTMENT. DEPARTMENT.
X OWNER � �'/ X BY
DATE .a7� ��7 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date;
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: EVICerri4 L DO M3
Environmental Health:
SIq-R
Building Plan Review 5
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 �� !j