HomeMy WebLinkAboutBLD95-0627 Mobile Home - BLD Permit / Conditions - 7/11/1995 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
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P.O. Box 186 Shelton, Washington 98584
tj I U-1 0 1 N 03 P E R m I -U FOR INSPECTIONS CALL 427--9670
BETWEEN 5pm AND Sam 427-7262
BLO95-0627 PARCEL :320215601001 PLATtSHPLO I DIV . 81-K . I LOT - 1
tJOB ADDRESS : F 10 P "AM DR SHELTON PERMIT
OWNER : BRUCE 44-5299 NULL & VOID BY EXPIRATION
CONTRACTOR : PACIVIC HOMES INC . 841-7312
LEGAL : 31100CREST TERRACE 310 ADD BLI(t I LOT: I DATE BY
CLASS Of' WORK . . iNEW BEDRt 2 BATH t I TYPE AMOUNT BY DATE AftffPT TYPE AMOUNT Fy DAIf RECEIPT
TYPE OF USE . . . . sMH STORIES . . . . . . . : 1
OCCUP . GROUP . . . t? BLDG . HEIGHT . . t O.Oft ADOR S 5.00 Nip 07111195 39593
TYPE OF CONST . . :7 FIREPLACES . . . . c 0 OROF $ 160.00 Nip 01/11195 30593
OCCUP . LOAD . . . . 0 WOODSTOVUS . . . . s 0 ISIFF $ 4,50 110 01/11195 39593
DWELL .UNITS . . . . t 0 PARKING SPACES ; 0 IEHCP S 10.00 Nip 07/11195 39593
INSPECTION AREAL 4 SHORELINE.? . . . . :N TOTAL c 119.511 YhOtATION.- 6000
SETBACKS--------------- TOILETS . . . . . . . . . . 0 FUEL TYPES------------ BOILERS/COMP---- MOBILE HOME---
FRONT'_S 5 .oft BATH 0 c 0-3 HP . t 0
REAR . . .N 5 .Oft BATH TUBS . . . . . . . . : 0 3-15 Hp . : 0 MODEL :
SIDE( l ) .E 51 .oft SHOWERS — . . . . . . . . 0 FURN < 100K BTUs 0 15-30 HP . : 0
SIDE(2) .W 5 .Oft WATER HEATERS....HEATERS . . . . s 0 FURN >=iOOK BTU ; 0 30-50 HP . : 0 BROADMORE
SHALINE . O .Oft CLOTHES WASHERS — t 0 F'URN - FLOOR — t 0 50+ HP . 1 0 --YEAR-- _-.___
AnEA KITCHEN SINKS . . . . ; 0 HEAT PUMP . . . . . . s 0 70
LOT SIZE . . e FLOOR DRAINS . . . . . : 0 VENT SYSTEMS — i 0 EVAP COOLERS 0 LENGTH %64
BUILDING . . . - 7209f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . 1 0 HOODS....... 0 WIDTH . 02
BASEMENT — v Ost LAUNDRY TRAYS . . . . ; 0
DOMES . INCIN :O --SERIAL#-----
DECKS . . . . . . . Os DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O 50095
GAR/CARP :'? Ost GARB DISPOSALS . . . t 0 <- '10000 ofm . r 0 RELOC/REPAIR : 0
AT/DT . t? URINALS . . . . . . . i . . : 0 > 10000 ofm . g 0 OTHER UNITS . : 0
MISC PLM FIXTURESt 0 GAS OUTLETS . t 0
PROJECi DESCRIPTI01*811E NONE
PROJECT LOCA11O#;lAKf DATE #0 TO AGATE STORE )URN RISHT 01 CRESTVIEW TO SHORFtAEST, 00 C113TViff BfTlfff PANORAMA AND 4AIDGER
THIS PERMIT BECOMES NQLt All VOID IF 1001< OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN IBA DAYS, 08 If C0131400104 OR WORK Is 3Q$?E#Qfv FOR A ?0Igo
OF 184 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION 111614 THE Igo DAY PERIOD. HNAI INSPECTION OUST B
APPROVED BEFORE sult.4116 CAN of OCCUPIED.
Ole- pill, (owl 13131191 COMPLIANCE TO ATTACHED CONDITIONS IS REOUIRED
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 S-96 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 ZS'� by date by
An -7 ��,
MASON COUNTY
V Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Any landing or deck larger than W, x 36" must be permitted which requires struoturaI
drawings and a building permit application.. This 1nstalIatiors Permit 'does NOT include
any landing- or deck larger than the 36" x 36" size .
e
r
y
b
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 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
PERM I I" C (-)N 0 1 _r 1 KENf:11
Case No . t BLD95-0627
Fort BRUCE CARR
Paqe ; I
1 ) The use, handling and stora e of hazardous materials or flammable and combustible
liquids In excess of 10 gallons Is not allowed without the approval of the Mason County ",,
Fire Marshaj.—�-'"-�'
X
2 ) Proposed structure or, any portion thereof greater than 30" In heiqht from grade line,
mustmaintain.--a minimum of 5 ' setbaok from
all property lines , easements and right of
ways
3 ) PURSUANT TO 1991 UNIFORM BUILDING CODE, SECTION 305(C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BED PLAINLY VISIBLE
AND LFGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1491 UNIFORM Still-DING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X_
4 ) REQUIRED INSPECTIONS (Footing Inspeotion-prior to pour , Set--up Inspection-prior to
skirting - Final Inspection--prior e r1or to occupancy) . I hav received a co y of the General
Intorma Ion and Gui elines-Aobile/Manufactured Housing Installations gandout for dfftalled
descriptions of all required Inspections on my mobile/manufactured home Installation . I
hereby assume all responsibility for the scheduling of these requireol, Inspections . If
these required inspections are not reqoested, inspected and signed olf( approved) by the
inspector In the prescribed order , I understand N e a ti at teinspction fees tend n hourly
investigation fee pursuant to the 1991 UBC, Table 3A will be assessed to addition to my
oripina e permit ferns to resolve an, quest nab lepraotinesorproblems that have boon
discovered . I further understand at this investigation 11l be scheduled as time
allows . until resolution of any/all problems no occupancy (Final Inspection ) will be
granted for the residence .
OWNER/CONTRACTOR( Indicate which ) Signature X.'.Mef_'_�'<__'__.
5) All mobilo/manufactured home landings or docks must be freestanding ( self supporting) .
The largest l and in or dock permitted without drawings or a building permit Is 36" X 36"
Any landing or deck that Is 30" or more In heiyht from walking surface to finish grade
requires a guardrail . Any landing or deck tha has 4 or more risers requires a ,,andrall
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
19
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS & RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
May 22, 1995
Bruce Carr
5017 Waldrik Rd. S.E.
Olympia, WA 98501
Dear Mr. Carr:
It has come to nay attention that during your Structural Plan Review that you have applied for
a "Alteration Permit". At this time your permit can be issued for a "Alteration Permit Only".
This would allow you to store the Mobile Home on your property and make the necessary
corrections for L&1 approval. With this permit no occupancy is granted nor any type of set-up,
blocking, etc.
If this L&I "Alteration Permit" is completed we will need you to provide us with a
approved/signed Alteration Permit. If all other departments are completed Mason County will
then be able to approve for issuance your Mobile Home Permit. This will allow you to have a
set-up inspection and enable you to occupy the Structure. ,
If you should have any questions you may reach me Mon-Fri 8:00-5:00 (360) 427-9670 Ext. 352.
Sincerely,
Christine Herth
Building/Clerical
cc: property file
® 4`" of I vL pgld,• k t 7 11 llgs Permit No.
MAS�N'COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 O ner �v C �� Phone#
ite Address m&— Dn IJ a- T _. Fire District# `J
ity •` 1�p1 -k,� st �zip4
Directions to Job Site Tim i /�-4-r-t . 4j �-e '4G;e'C f zz'f'r
O,%) C 'Z S%7��'�C i..! �/ Gal f y,l
Si
Owner Mailing Address ee cr
City !': St Zip !fPSC'
Lien/Title Holder �¢
Address
Clty St Zip
#2 Contractor Name dg� '� '� �- f°- '� Contractor Reg# - -
Address `'J� i 6j e-z d.-C C 'ee r£ Expiration Datp
City St U,; Zip 9SS—O/ Phone# 360 ;Z c/—5-29 9
#3 If septic is located on project site, include records.
SW(o Connect to Septic?__�<_ Public Water Supply Well
45P*onnect to Sewer System? Name of System
LAWIX'(if res' ential, proof of potable water is required)
# Parcel No. 556 - 01d101
egal Description R%_',f M7- U�.0 e--,t--£ 3'-=" / 7c-e-' eLlr
#5 Building Square Footage: (existin��
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / ,f Carport / (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building F OL, Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 7t) Make Model '���J'��
Length 6`/ Width Serial No. I/ev';�r St Q9_$_
# Bedrooms # Bathrooms_ Type of Heat ► &.115 C
Purchase Price$ l&d&
#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
�v
w�c
M
17- /k arc E
1 3 s^ w�ti Pvi uP F2-✓�f d«,
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
�AJ
a �
7070
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
Ho ater Htr _ Heatpumps
_Laundry asher _ 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 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 OF THE ORD]NANCE 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
Approval
Planning: S YYl► i rny1w, SeR bC1Qj . �1ti1?S
5//�
Environmental Health:
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 }G�d/l� OD
Other
Building Valuation: TOTAL FEE