Loading...
HomeMy WebLinkAboutBLD93-1861 Mobile Home - BLD Permit / Conditions - 12/23/1993 0 MASON COUNTY PERAfflf Mason County Bldg. 111 426 W. Cedar NULL & Y01D BY EXPIFIA-wili DATE -h.319!7 BYP.O. Box 186 Shelton, Washington 98584 T 7— 13 4-11 11. 11.- 13 :1, Itha Uw I Ut. t4 1: 4 1"4)11 J N S 1)1:C 1.1().N At 1 427-9670 B U I WE f:N 5 p m A N 0 "t in 427-7262 To IV., EI L 10B AIMRESS - IF 1041 PANORAMA ORSHEILTOtv OWNER TIM SLACK 4S8--1149 c f)N'r Rk A C 10 R t.t:fi A I - S11411f(RIFST 11FR11Aff 318 $91 UK- I I.Ijt I IIS 11111167S 41 1.12 2 C,LASs Of' WORK I w MI OR - 0 HAT 1-1 0 ITYPf AMOUNT 61 billf, kEcflpi lypt ANOINT 8Y DATI pfff(PI I E OCCUP . GROUP bi.116 . HET61-11 O . Ofi. 11110 1$# if 113P -111/23193 3411; TYPE OF CONSI . f I UZI P I.A C F$ z 0 Siff 4,S11 1113P 12/23/44 3471S OCCUP LOAD , . . . . 0 WOOOSPTOVE.$ . 0 f off J1JF 1?1?3141 11188 owt,I.I uNi, rs . 0 PARK TN( !.`-PACTS : 0 IN'SPECI XON AREA 0 (44014F 1, 1 NE ? I 'rH A(-KS—————— T 0 11.f'.T-S 0 FUF I.- I Y P t,: 0 1 1 '1 1? m H 1.1 F If 0 m U FRONT . S 6fF Of I: HATtl BASINS — 0 /El E 0 REAR . . IN 3A . Oft H AT H 10 H', 0 0 M 0 1)1-.1 1-3.1 N(,j I S I U1 r ( 1. E Oft, S H OWI:R"ti. , 0 FlIkN c 100K 0 Ito 0 1 so lip 0 --m A f,t — SI.OF( 2) �w 5 0 f 17 WAIVE? HE''A I t. R 0 F 1)F?N -1 OOK H 10 0 3 �,0 to P 0 5 H R 1, T N E 0 0 f t (,LOTHF5 WASHE-kS' , 0 F-U R N FtAIOR f0 lip , 0 AREA --- I( I I Cl lit N �-;I NK S . "FAI. 11111111-1 t of S I ZE ? FI 00R CjRAIN5, 0 VENT ."y I t M S. 0 1 v A 1-1 1.1 1?l;; 0 1 1 N6 1 14 64 fiu I L 01 N6 0 f OktNK,1N6 FOUNT 0 VL NT VAN'-)., 0 110oll'i 0 1 01 H 1. 4 8ASFIv1FN-T . . . 0 f I AI.INbPY FRAY 0 Immf 1 N4 1 N 0 PJAI,# --- DUCKS . . . . . . .. 0 to I SHWA!i Hf, k S 0 Al.k HAN01- INia IIN I I 11mml i pit IN 0 0r,I I I QAk/CARP : N 0 f (,,A rk,H f I I<�PO"i A L 0 1,0000 i flit 0 1?1 1 /lZI prj I I., AT /Of URINALS . . , . , 1. 0 10000 1 0 0 1 111 ll iltq I I '. m 1 13 IF PI m f--I X f 1110 t1 fi I'k 1 0 PROJECT OtSCRIPTIO11:11MAct *0011-1 NONE' PROJUI tOCA119111:11ORTH NOY 3 191111 k1fill'! ON 46.Alf ilREfT f1t)WO TO SIDIE I1JRN 116HI ON 0fSTVIEW DOWN 14 PAWARANA Uff 11111 11411ARANA 10IR11 fNi,[Y 101 AN 014#1 , foil; pfpklf h1(:QNfS poll ANO VOID If 1161k. OR A111HORIII'D 1) NOT ('01INENCEP 41INIO 184 OAYS. OR if (04%]IIII(l1ftit oR 091r� IS Sil'ifflIftfli FOR A Pfliffill (if 1811 DAIS AT ANY 1111f AFTIR UAIII IS CONINENCED fvlofmcr Of of RM. IS A PROM SS (10SPECTiall wil"Iff ffff Igo RAY Pflilftb FIIIAJ I WI`( 11011 NIISI Itt AllfROVIO 1fffgNf 1111 k1l1j1 IAI It Afflipffl). 01411fik OR AGENI.. ofill: J f,----- COMPLIANCE TO AT tACHIED CON[) [, ) JON`i IS RUQUIRIED 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 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . , 81-093 186.1 For ; Ff M LACK FlAge ' I Pit I h a n d I i ti q a n d stot-a P Ot hh7al C`101.11�; (IlAtw_bt' ia �;t Or' f I a I"Ino b 1 04 AI c o in I I I I f.; in oxcef>c- of 10 qal ?on-6 j.-, not at JewiM wit.hnut: tho approval of tho Ma,,;otj co4intly v I M4ar ha 2 Pt-oposod st.ructurr, or- arty pot-tion thet'imot cit,pater th,,m 301, 111 heicIIII, from qI-Adf-.! (nij S t ma i n t i n In 1 0 1 IT)I I(it S 4F4 t b a C I t-(III" a 1. P r 0 1)e I-t;y I i ti Q S v'4 t=;ff IvIo It I I f I r. I 3 1 111.1 R SO ANT 10 1 1197 1 ON 11- (,1 R M H U'l t,D­I N6 C 0 1)F , .'i E C I t(IN 10 C' I A N 1 17-furJON f1l _? . All 1 11' 1:1 HAVE 4PPROVFD NUMBERS OR ADORFSSES PROVI.DED I.N SUCH A POST I ION AS t 1) BF PI AINI Y V I I H 1.F AND LEGIBLF vRom rw St'REF1 OR ROAD f RONr IN( (It} PROPF P I Y , MASON COtJNlY H111t.tItNO DEPARTMENT Nfi,'OUIRES 111A ) T HT' i 14E ('0011,111-- itti PkIOR 10 CA11IN( FOR A14Y A REINSPEi.-'TION FEE , BASED (.IN R A t-t-,S) : I N I AV)t F -iA OF 110' I944 tlN*1FOkM l,111 I tit. ASSFSSFD IF OWNEk/CONTRACTOR FAILS TO VW1.`1 ADDRFS`ti ON (.. ) If PRIOR I 14 f (.1 U L I I N Ii INSPECTION 4) Att COMTRI-ICTION MOSI Nlt: f OR I- XiF1' It tilt 101",AU ("Of)fS' AND 014f: R () S k I T R f M FAIV�kt' ­X R E Q 1.11 k t D i W P L I f(I N S Footitig 111c'.poc- ti,on--pt ic)l t n pour tip lrt4,pf-o' c,kir't,inq, Final Inv.,pect-Jon- pri,ot, t.o occupancy) , T havp t­ect-j.vod a copy of I )to (ierjecrtl InformatJon and How'inq lrl(A-�Illaiiowl Ilaildolti r(I I- deta.iled dp�ct- jpt,joiis of all I-PqLIit'Pd on my mob 1 le/mimts I ac Im r4t d hoinv in!-,tAllation . T. her-p'by alt r4!sponr '; ibi' Ljty for 11h4? it ( t.J1wio I-reqwit-ed j 11!:�P e.c t�J o 11 S . it t-hp-,e roquit-ed ate neat; in,,ppclegi and s i q n d 0 ff(approvad� by the Inspvctor in t ho pr-e�scu tbod carder , 1, ti It d<?t �,' I,a it el 1 1-1 a I� I #-!i it�-P rt c oft fees and art jout- ly irives'tJ ?AtA00 fee pllr4,Uatlt to the 1.410 I)H(: , lable �iA be In additil-m to my or,i9trim permit fees t,o rpv,olve any p v a c or iVt-oblfomr, that hAve boon di5,cover'ed , .1. 11.11.t:h C4 r u n d e r s t.a n d I At- I h i j n t.s oi 4� 41 a f-i o ii e scheduled aG time al I ows On ti 1. c'evir)1,11 t to c.if a IV Itij I pi oht '41w.;, no occtlp,'.mc y F i ri at TrIspect, ion) wftl be qt,antp(t for, the v°t�t�,idvnco which ) SiqvImttj't,'f-? 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 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 6) All mobilelmanufactureu A 1. 6 U- 1he largerpt. lanntriq or r iIq J,- ;III U. i 36" . Any landing or, deck- thAt Is 3011 or more in height. tram wa-fkinq to ttrridalr grade r-e(piir'es is quards-ail Any landing or deck that. hiiii.. 4 or- more i i-,�ers requir-as a handrail . Any lAndinq or- deck larger- than 3611 x :161, cm.ji.0, be pet-mltto-4#4 which stv-uctur-al dr,awi nq% and a bu t .1 di nq pormi. t ?Ipf)I I(",A ti MI , Uh I�; I nV1 t Al 1.a t i o n P#?r,m i t'. d o N i I cio lily laindintl or dec lauwgr than the 3fill x 3611 slz.e . 1 ) Chanqtds,; to apfor-oved building PlAns that. 0 f f PC t C,om ianco t o t1fiv 11j"ll Ila-Alifiqlo 1-tilt -tAtIf, Uner-gy code. 1.991 Ventilation and Indc)or, Ai t- 9 m a I t y Code , the Uniform Biii Iding Code and/or MAsan County 1� i be approved by Mason County prJor t:0 n s t t-tj o tA o n 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 Q 5!t(2C::r POST OFFICE BOX 1666 I / L SHELTON, WA 98584 (206) 427-9670 FAX 42 7-8425 CXRTIFICATB OF R3S: D=L'%_:. USE I hereby certify to Mason County Department of Health Services and Mason County Department of General Services, than the residence located on aeon Ccunty Assessor's Parcel P:utai�ez 'Z) - cloo, - has no more than bedrooms. I understand that my on-site sewage disposal system waa designed and my building permit was issued on the basis of this number of bedroom3, and use of additional rooms in the reaidence as bedrooma could result in overload and premature failure of my on-site sewage dL3 po;:,l system. Further, I under- stand that use of additional rooms in the residence as bedrooms could result in Mason County taking steps to caus3 the vacation of said premises. Prior to remodeling or replacement of said residence, I agrae to obtain the ap;�rocriate permits for expanding my cn-s'_te sewage dispoaal system. DATL'D this 27 day of e r e- (Y-� j� s Xeg,1�0-n_,r of Property/Residence 0% this day personally appeared before mi TIM l? SLA.C,K to ma known to be the individual desgribed in and who executed the within and fors- koing instrument, and acknowledged that He signed tho same as 1+15 , free an voluntary act and deed, for tho uses and purposed therein mentiored. GIVEN under my hand and official seal this -Z7 'day of QED \ 199 J. N to Public Brigida B.Cruz _ 1L � , V U r= 1 8 1993 Rwlsad 09/01/92 HEALTH SERVICES ' Date Received: I "l U ' �-JJ MASON COUNTY Z4-EPARTMENT OF COMMUNITY DEVELOPMENT —3 3 RESOURCE LANDS AND CRITICAL AREAS CHECKLIST The fol%wing checklist is designed to assist an applicant for a Building Permit, On-Site Sewage System Site Evaluation and Disposal Permit, Access Permit, Land Modification Permit, Boundary Line Adjustments, Land Segregations, Hazardous Waste Permit, or Shoreline Permit in determining whether their property is affected by regulations under the Mason County Interim Resource Ordinance (77-931*. This checklist is an important opportunity for identifying early in the permit process whether there will be any environmental regulations affecting the proposed development. I Owner n��e .k Phone #('2,ub ) k4 n" - Ln Site Address © City_ d �rtti zip Owner Address City th'\ StateLLZzipr-(�$^t'(� Ta P rcel N with AssessQrs Office) '2- c:i - U, Le al Description1.4 S(onfirm C'oi-A cd2kltcC „ .Jlkfv�V,t�0l��w�C' S0k P1rttS � , 3 ,cup^ _ v►-►� _ r�Nn � Project Description Directions to site (Please attach map) `-� R e, ' h-t" `;�p v_) c r iv b e w SNO cup Please provide or attach a vicinity map which includes cross streets, major roads, creeks, etc. Answer the following to the best of your knowledge. County-wide maps showing general locations of critical areas oreoiei and resource lands are available for review at Mason Coa!nty Department of Community Development, Planning use ONY Department. Do any of the following exist on this property or within 200 feet of this property? Co t Yea No / 1. Saltwater shoreline or a lake 20 acres or larger? vet' El [� ❑ U 2. Rivers, streams, or creeks with year-round flow? &tt ❑ E] 3. Rivers, streams or creeks with intermittent flow but are withiq a clearly defined channel? [� ❑ 4. Lakes or ponds less than 20 acres in size? ❑ (4 5. Wetlands: Areas that are inundated or saturated by surface water that under normal circumstances support vegetation adapted for life in such conditions; such as marshes, bogs, and swamps. (See County Maps for guidance.) 1/' ( ❑ 6. Slopes greater than 15% (8.5 degrees)? (See the County Landslide and Erosion Hazard Maps for guidance.) ❑ [� 7. Floodplains? (See County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) j ❑ 5Q 8. Seismic Hazard Areas? (See)County Federal Emergency Management Maps and County Seismic Hazard Map for guidance.) t"I t You may be provided nuisance protections by the County for certain resource activities. If you are enrolled in any of the following programs: Co t Yea No [I a 1. Agricultural Open Space Taxation Program, RCW 84.33 ❑ 2. Open Space Timber Taxation Program, RCW 84.33, or Designated Forest or Classified Forest, RCW 84.34 * Copies are available a; Mason County Department of Community Development for $5.00 each. I IlC�7VU111.0 LIAIVLJJ O[ 1, fAll 11UPAL ARMMI O SITE PLAN PLE,*,SE SHOW THE FOLLOWING INFORMATION OR PROVIDE SURVEY MAP IF POSSIBLE.' ► Location & dimensions of existing & proposed property boundaries. ► Approximate slope of land (grade & direction), topography. ► Identify legal access including, width of all road right-of-ways&easements. P. Location of significant natural features (water bodies, rivers). ► Locate all existing & proposed structures, drainfields, wells &driveways. ► Project description Scale 1" = a� North Arrow ► /o, 'Z c0 y P�jwtwbG�Aba x vx Id Zc I � � A � /P 1 state that 1 have answered the above truthfully to the best of my knowledge.. C ,r / Applicant/Owner 12 ;02— 93 Date FOR OFFICIAL. USE ONLY Adjacent property. Using County Resource Land Maps, this ;1,--q:ert'y is designated as: Long-term Commercial Forest __� W_4. Shoreline Master Program 2. Inholding Land a.: :._ .__ :_5. Roes not apply. Mineral Resource Land C)£�tE3 There is a $40.00 application fee for the Resource Land & Critical Areas Checklist. Make checks payable to the Mason County Treasurer. When completed, this form becomes part of the permit application. Permit No. U"\��1�` MASON COUNTY BUILDING PERMIT APPLICATION lC�y 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT ii #1 Owner7( M O • S)+-Nc.r. Phone# 4- - I I 4 Site Address Fire District# City !gr�':c St W fl Zip Directions to Job Site O Vunu Y' �( AIDf ' �` rn Owner Mailing Address`vl M ''\P L_1(_ P� , )1( S( City V rvN S�ti A_ZiP Lien/Title Holder Address Clty St Zip #2 Contractor Name �� Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply$ Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) � ._ 1r\C�Q C�t T-eXno.e� ��d 1 C�- #4 Parcel No.3 - S(p -Qrc�og Legal Description L04&) e_ \NCO'+. UO u PAS 4eV\eS 9 2, 9 3 qt rn+ltsocv c o"fl, wp5h; rnCOU #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq.ft. / , j #6 Use of building Q ' Q r- IUrJ f l Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year rl 50 Makeu Model u ' Length h_Widt Serial No.�),M* nrRi_AA3q N 0 GS90UA83S H1.1V3H #Bedrooms-_# Bathrooms_Type of Heat 0 eLA-c S( Purchase Price$ ,LOC) M61 9 0 030 #9 Indicate by circling the applicable source if any water is on or adjacent to subject p n n River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runo PA !( Q 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 1 Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other i —Bath Tubs No. Units /� Fees Showers XHe BTU Hot Water Htr s Laundry Washer ms Sinks Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basi — HP X 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 PLU ING $ 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 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 BUILDIN DEPARTMENT. DEPARTMENT. X OWNE ii � &9X Z X BY DATE I a " u rC{J DATE FOR OFFICIAL USE ONLY:Accepted by: Date: i A a w DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: ` P�In7 v� ( ✓ Building Plan Review Pc-n- m F& )-oec5 o2 wAC Z- /So ?3 iv%H — LAeinfoul -3 Occupancy Group Type of Const: 14 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