HomeMy WebLinkAboutBLD97-0836 Replace Mobile Home - BLD Permit / Conditions - 8/7/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
B U 1 U. !n 1 N (-A P F R M 1 T FOR I NSPEC: t I ONS CALL. 427-9670
BETWEEN 5pm AND 8am 427-7262
BLO97-0836 PARCEL s 32._232522F/021 PLAT :UNPI-0 20 DIVI BLK : 20 LOT s
JOB ADDRESS : E 330 SPIII) :f S1 UNION
OWNER : GEORGF NOFFERRERT r! 89A-2.146
CONTRACTOR : BUY R 1 TF FIOIAFR 4-19- 0795
LEGAL i 01101-GRAYS HARRIOR i UCRR ADD 81h 20 101 21-24
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1 .CLASS Of= WORK . . REP BEDR : I? BATH i 2 IYPE A1001111 RY DATE RECEIPT TYPE AV0111 11 DATE RECEIPT
f TYPE OF USE . . . ..MH STORIES . . . . . . . .. 1
.OCCUP . GROUP . . . :? BLDG . HE I GHT . . e 0 -oft 1HOF t 155.00 KS 081111 07 45118 { �
TYPE OF CONST . ; 7 FIREPLACES . . . . : 0 SIFF f 4.50 K^ 08/0I191 45119
OCCUP . I.OAD . . . . : 0 WOODSTOVES . . , : 0 FHCP 1 ?6.00 4S 08107/97 45118
DWELL .UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 3 SHORE L I NF7 . . . . :N 1107A1: 185.50 VAI ULATIONs 80AR11
:s.�s:�a-.szsar.-:rmca:a:snmcrtr��-•e:-s»z•,�rcrs>,-.�c-- :t:t-- 4
SETBACKS- --_- - -- TO LETS . . . . . . . . . . s 0 F UEL TYPES--_-_ - BOILERS/COMP----- MOBILE HOME--
FRONT . . .S I'" .Of 1, BA1 H BASINS . . . . . . 0 0- 3 HP . : 0
REAR . . . .N 5 .Oft BATH TUBS . . . . , . . . : 0 315 HP . : 0 MODEL :REDMAN
S 1 DE ( 1 ) :E 15 .0rt SHOWFRS . . . . . 0 FORN -. 100K BT1) r 0 15- 30 HP . : 0 MAKE .- -
SIDE (2 ) .W 5 .Uft WATER HEATERS . . . . : 0 FURN :-�1001( BTUs 0 30-50 HP . : 0 A921B
SHRL I HE . O .Oft CLOTHE: WASHERS . . 0, FORN - FLOOR . . . : 0 5 0+ HP . : 0 -YEAR - -
AREA - - _._..____......_.__ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 97
LOT S I IF . . : FFI OOR DRAIN: . . . . . s 0 VENT SYSTEMS . . . : 0 F VAP COOLERS : 0 I ENfT1 H :fit
BUILDING . . . : Oar DRINKING FOUNT . . . : 0 VENT FANS . . . . . . 1 0 HOODS . . . . . . . s 0 WIDTH . :42.
BASEMENT — a 0a1 I.AUNDRY TRAYS . . . . : 0 DOMES , INC1N .-O SERLAI.1)E- -_
DECKS . . . . . . r 0S f DISHWASHERS . . . . . . 1 0 AIR HANDLING UNITS—- COMML . I NC i N :0
BAR/CARP :? Osf GARB DISPOSALS . . _ : 0 — 10000 otm . . 0 RFIOC/REPAIR : 0
! AT/DT . s7 URINALS . . . . . . . . . . : 0 > 10000 vfm . : 0 OTHER UNITS . i 0
M I SC PI FA F= 1 XTORES . 0 GAS OUTLFI` 3 : : 0
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PROJLCI tOCATION:fHOM Nt-REAVY RD TURN ONTO 5111 S1 GO ABOUT 101OCKS AND 11194 IEFT ON PORT 10NNSEND, 60 PAel CANNIINITY PARK AND UP 11111E Hill , Rift AI IOP
OF Hill AID FOLLOW POAI A11091110 TO 5TH HOUSE 01 LFfl.
1H1! PERMIT NECONES Nlili AND VOID 11 140.. OR CONSTRUCTION AUIHORI:EH IS NOT t'OIMEHCfO 1110111 180 DAYS 08 If CONSTRUCTION 01 WORK IS SUSPENDfD tOR A PERIOD
Of 1111 CAY; AT ANY T11E AfTER 111OF 18 COMMENCED. EVIDENCE OF CONTINVATI01 Of 1011 IS A POOGIFSS 11SPF�110N 1111HIN Tnf ISO oAY PERIOD, f11At INSPFCFION 103I DE
APPVf0 RffORE 61111DINt; CAN BF OCCUP{ED,
A 1
OWNER OR A6ENT: BA1E:�__.._ j 1
Bto_PR1T, rev: 19131 81 COMPI. 1 ANCF TO ATTACI f'D CONDITIONS IS REOU I RED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date IC J b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
FRAMING date by date by date y
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
IL
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I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF7 FTtd 1 T C: c)Uj 1 1 1 CaNs'
Case No . t 131.1397-0836
Fnr i GEOAGF HOFFFPHFRT
Paget 1
i } The use , handl inn and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire MarGhal .
x
' 2 ) Proposed struot ure or any portion thmreof ctre{ ter than 30" in he i(tht from grade 1 I ne ,
must maintain a minimum of 5 ' setback from all property tines, easements and 10 ' from
all Co"ty and State Road right of wayr. .
X
3 ) PURSUANT TO 1994 UNIFORM 13011. D 1 NG CODE SECT 1 ON 305(C ) AND SECTION' 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PRbVIDED IN SOCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE; FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUItVINR
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS A
RE I NSPEC'f i ON FFF , BASED ON RATES IN TASI F 3A OF THE 1994 UNIFORM RU I L 1)1 NG COt>F W i t_L BE
ASSESSED IF OWNERrCON'TRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X____ - ��_. .._
41 REOU 1 RED INSPECTIONS ( Footing I ntipe+ct i on -pr I or t pour , Set- up Inspection-prior, -to
skirting, Final Inspection-prior t occupancy) . I have received a copy of the General
I nformat ion and Git i de i i nes--Mob i 1 e/Manuf act ure tI Hours i nq Installations Handout for
detailed descriptions of all required inspections on my mobile/manufactured home
Installation . I hereby assume all responsibility for the sohodrr I I ng of these requ t red
Inspections . If these required inspections are not requested, Inspected and signed
off ( approved ) by the in pector In the prescribed order , I understand that reinspect Ion
fees and an hourly Investigation fee pursuant to the 1991 UBC, Table 3A will be assessed
In addition t ray original permit feeb t resolve any questionable praot i ces or
problems that have been discovered . I further understand that this Investigation will
be scheduled as time a l I ow:; . Unt i I refzo l ut i on of any/ a 1 1 problems no occupancy ( Final
Inspection ) will be granted for the ie idenoe .
OWNER/CoNTRACIOR ( Indi (?ate: which ) Signature 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 FRAMING by date _ by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING
Groundwork Attic OTHER
d date by
ate by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
II
I
1
II
I
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
5) All mobile/manufactured home landings or decks must be freestanding ( self supporting) .
The largest landing or deok permitted w i t houi drawings or, a building permit is 36" x
36" Any landing or deck that is 30" or more in height from walking surface to finish
gray ea requires a puardra i I Any I anti i of or deck that has d or, more r i seer a requires a
haandra l i . Airy landing or deck larger than 36" x 36" most be permitted which requires
structural drawing; and a building permit application . This installation Permit does
NOT Include any landing or deck larger than the 36" x 36" size .
x
6 ) Existing�de(:k an s, 1to may be used however• , it will be up to the field inspectors
discretion to require corrections relating to life safety hazards and code compliance .
C _
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.
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
I
r . Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION , �'L�U)
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 f�� V
PLEASE PRINT \J
#1 er ��orcie yuf,-e 17/oge4ef-14— Phone#
ite Address 330 4 r`"C c S 1'- Fire District#
City a4 ro r7 St 6Ja , Zip 50"9.5 Z
Directions to Job Site /=ra,m /4C.Cr4fuvy PO4I� Ic A,-1 On 7S 5- S7<-
t le f'( On /Dort' TOL)Ase,,a `em s �crnult��
�url< act at3
h-#le r'/�. �' /� F� a / 1 o a Ir l�,-ll �- PO/^ /o PC —
cc ra un Xa , /714o'c e ar! le 16f.
Owner Mailing Address -70
City St WC, zip
Lien/Title Holder f ew —
Address_231 f— ,4ye,,7U r Scc;fe- Zoo
City AIhiyrt St /V Zip
#2 Contractor Name &tA I R,+t �A(D r n e S Contractor Reg#
Address
�� 3S1/3 (,��,-_��- �! O.� /40 Expiration Date
City 1-Dr-4- Oy-c, St W,°f Zip%3(.-7 Phone#
#3 If septic is located on project site, include records.
Connect to Septic?_J::�_Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) g00ce'"" t- . P U f]
#4 Parc I No. 32z - S22 - 200 z
egal Description .4oA 2/-;Z �foc-�< 20 %� fie Plu o G>�ys f�a��or �tn,d /JA,DA Rarilnx��
1v��1 \ Q ��,,fiyrr T�'v U/1,'o�► Gfyy�uccvr�,n� 7�T 1e !`EC19rd�rc�p!«t f/rereo�'�n IAe vAnr« oil-^ flee
Aotd'4111 -'i,-/Ylafoq CoLc'6 Gt a Uo u tiG ,2 die
#5 �Building Square Footage: (existing/proposed)
1 st FI / 3/ l z(, 2nd FI_ / Ord FI_ /_ Loft
,-V Basement_ .� /T Deck 75 / #bedrooms 3 / #bathrooms Z / Z,
Garage / ? Carport_ S / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building �I~iH�a/Li /`err�e�c Describe work
#7 Type of Job: New Add Alt Repair/ Other X
lZel2l/ace "'-s f';` y skit clT c�ure�i' /To/yt
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 192? Make3LdogQ_Model 8!2 21
Length_Width_ Serial No.
# Bedrooms 3_# Bathrooms Z Type of Heat ��e c,
Purchase Price$ SD.'000
#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
L�Cit/Gt.0/LQ.6'
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
n
„D-e�
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 eachl
No. Z Toilets 70 CIRCLE FUEL TYPE: Gas' Electric,
Z Bath Basins 6 70 Heatpump, Other \�-
,2- Bath Tubs C, 7 0 No. Units Fees
t Showers 3 3S _ Furn BTU
/ Hot Water Htr 3 3S _ Heatpumps
I Laundry Washer 3 35L _ Vent Systems
i Sinks 3 �S _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher 3 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 DEPARTMENT: DEPARTMENT.
X OWNE &/ X BY
DATE6Z /11 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
�n2
Environmental Health:
l�
Building Plan Review
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
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