HomeMy WebLinkAboutBLD97-01164 Cancelled Mobile Home - BLD Permit / Conditions - 2/22/2000 1 Y MASON COUNTY
" . �- /�✓�U=lam
�\ Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 L) i It- I (N CA p F. R rA 1 _r FOI1 INSPECTIONS CAI.I. 427-9670
BETWEEN 5pm AND $rain 427-7262
(BLD9 r-1 164 PARCFL. : 122304490030 PLAT ; DIV : ELK t L.O1 ;
JOB ADDRFSS t 16650 E 4lTE 3 Al t YN !1
OWNER : FER 07 -7-14 ti.. ! L1
CONTRACTORt
L t.GAL t 14 5 Of SF SF t OF HY PIN rR B SP 146111 1332124
b �F.rstr-xrrn[sztfi:.r.-..R:=:_.:.,-.�sZ:t:[.�:`SiSr::nr��.-s.^ID.=s-.sczu fie, a.x. mF.wag•aC•.mwKcs�.•:.:tom-Y�:s4R•_.e- rs:?�C'�..:r�- i'.
CLA15S- bF WORK tNFW RF.DRt .SATF! t f 1YPE AYDUNT BY DATE RECEIPT TYFt ANtaUNT BY DATE aECfIPT1
TYl C i7F" usF . . . _ -Mfi STOR IFS : 1 _ur.::K-:z. =- -.___ z_ _ u��- � •. :�>- .�_ a=� �:�
QCCUE' . GROUP ... ;7 ETt.Dr . H[: ! (7HT . . . 0 .O t t 11HOF I 155.19 NAP 11175191 45902 1
TYPE" OF CONST . t ! f FRI:PLAC'E-1: . . . . . 0 S1Kf t 4.SH NJP 11125197 45982
OCR"UP . I.OA11 . . . . t 0 WOODS TOVFS . . . . : 0 Imp t 52.60 N,€P 1117—? "
DWE:LI .UNITS . . 0 PARKING SPAcrs : 0 �
INSPECTION AREA : 4 SHORFI INE? . . . . .N Al: 111,51 YkIUtAT10N: N
TOILFTS . . . . . . . . . . . 0 I7UF:1_ TYPk-,__ - BOILERS1(.,04f'--.__ MOBILE HOME--_.
FFRONT
. . .W 1 (0 , Oft RAT tI BAS INS . . . 0 0- 3 Hp 0
REAR . . . .E 100 .Oft PATH TUBS . . . . . . . . : 0 3-- 15 NFL 0 MODEL. :
fit. SIDF ( 1 ) .N 300 :Ott SHOWERS . . . . . . . . . . . 0 FURN - 100K BTU : 0 In 0 tl 0 " -MAI'.E
S I DE; (2 .S 300 .Oft WATER HEATERS . . 0 1711RN >-100V BTIS ; 0 :10- 50 H t 0
SHRL I NE .N 0-Oft 01-01-HES WASHERS . . 0 FORN -- F 100H . , , 0 FiO.j. ti 0 YEAR—
AREA - _._._______._...._ . _-_-__ KITCHEN ,SINKS . . . . : 0 HEAT PUMP . . . . . . . 0 81
I-OT 17.E . . . FLOOR PRA I NS . 0 VF'NT• SYSTU MS . . . . O E VAP COOL."S ; 0 L F NG 114 :51
BUILDING - - OST DRINKING FOUNT . . . t 0 VENT FANS _ . . . . . 0 HOODS . . . . 0 WIDTH : 14
BASEMENT . : . : ost LAUNDRY TRAYS . . . . . 0 DOMFS . I IN .0 Sf'• RiAIN --
DECKS . . . . . . : 05t DISHWASHERS . . . . . . : 0 AIR HANDLING UN I'1'5--- COMMI. , f INO
GAP/CARPt7 OFf GARB DISPOSALS . . . : 0 � m 10000 cfu , : 0 RELOC/RF IRt 0
ATf DT . t? OR I NAI_S . . . . . . . . t 0 100O0 ctm . : 0 OTHER UN 1 'S . t 0
M I SC P!_M F I XTURE S t 0 GAS OUT L E, S ; 0
PCrAO
n • xxx.om�s�.�•�u�:A.:z�a�x:amu:�m.:.-a�..�:�.an�.:.�...��.- „m.mn -.__-�.�:.-ms�r.�.y,�-.._..n....,�,���s«a�:n:,rm-.-,..7._.d..........-.,�.,::Yxz��.�a�+..�-:,�r�.�-,.:.u\ _a.-a.•�s.,:.-:,_---.�.:��.d��-Y.xc�a-�.
GT OF3C11 PT€ANt#C811F NONE
UOJF0J LOCATlt1N:TAKE HWY 3 TOWARDS AItYN fR0i1 SHELION IQ 16.S NIEES.FAON HINBERMANS 101111 .1 DRIYfWAY JUST Off OR[ 111 4 I UA1TY SIGN 481' PANT THE wR1it
9RIVEk1Y AT 16661 HIT 7
Tk1% 4.1NIT BECOMES NU11 AND VOID If WOt1K OR iOWSAUCT[ON AUIHORIIEO IS R{ti Cti�MMEMCID WITHIN 181 PAYS, Dim CONSTRUCT1fIN OR NnRK IS SUSPENUFD FOR A PIRTUD
OF 161 VATS AT ANY TINf. AFTER 1011 IS CQIIVEiiCEA. F>I11ENCi Of CONIINBAf'ION of. '.ill. is h.PP.9tiRESS -INSPECTION, 1110111 THE 194 OAT PiRiaO, FINAL. tN PtCTION NJS+ BE
APPROY(p 6fF0Rf 8111tDI106 CAN BE OCCUPILf. 0 1
-_ R AOE N t, !. i_. . _.,_.`_.L._ 1 . ate :. . J, . DA I F t
r e� H.1131€S 1 COMPI I ANCF TO ATTACHFF) POND I T IONS IS RFJWt RFD
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date `>
Foundation Walls date by Set Up
da by INSULATION date�f��-- 53' 6
13TSLAB Insulation Floors Final
d,3!e by date by date G' 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
Z
ey
li
zA s 1 k� rh kL 4e rlc��
`� •2Do a 12. e p vv-� -r +Cur--�� D�c n�.�� (�(1c.�;,n � c.
h9�'w�� �Gr�l. tr�Mr��v�. 'CV1� (�ow��1_•�I -� i��. 9 1�
\. C Lc
CAU D 6s1j
3 1,n :lQ zoo - 4v Avi
v vl r; y-
bade-
au u QM4-
vzo, a. AV14 jig
-_"0,4 46GjV,.4 AVNAA�� +nn o
e�S i/j
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
= P,O, Box 186 Shelton, Washington 98584
Aw
I == F1M1 1- caN " 1 'T 101N
Case No . - BLD97---1164
Fot FERN SVENI.)SEN
1 ) Th i -% app i i oat i on i r, srib i t o Biiffor and L andsc:ap i ng requ i r ement.r; ras a stabI i cued under,
Matson County Ordinance 1 .03 .036 .
X
2 ) The uye, handling and storage of hazardous materials or flammable and combAlstible
liquids in excess of 10 Ua l l onr-, i s not a t 1 owed w i t hout t he approver 1 of t he Mas,�n County
Fire Marshal .
X
3 ) Proposed structure or any portion thereof quea 1 er than 30" in he i(-rht f ioni grade I i ne,
must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' fvom
a t:l County and State Road right of ways .
4 ) Approved per, dimens; Ions and set b€oi(s pan stibmItted site plan . y.
5 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , SECTION -05 (C ) AND SECTION 513 , ALL SITES MUST
HAVL APPROVED NUMBERS OR ADDRESSE=. s PROVIDED IN SUCH A POSITION AS '10 OF PLAINLY V i S 4 E3i..f
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DE PARTMk NT REQUIRES THP T THIS BE COMPLETED PRIOR 'TO CALLING FOR ANY RITE I NSPECT i ONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WiLA BE
ASSESSED i r OWNFR/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS ,
X
6 RE00I RED i NSPFrT I ONS ( Foot i nq i nspec t i(in, pr i or to poFrr , Set--up I nspe:ct i on -prior to
skirting, Final i onpect i on-pr i car to occupancy ) . i t,ave reioe i ved a ro ,y of the General
I nfor mat i on and Guidelines. Mob i l e/Man.trf actured Housing Installations Handout for
detailed descrlptions. of all requirod inspections on my mobile/manufactured home
Installation . I hereby asf,ume fi l I respons i b i 1 l t y for the soheriu ! i ng of regn 1 t eel
Inspections . t 1 these requ i reed. I nspect 1 ons are, not requested, I nsperted anti i gned
1
RETE MECHANICAL MOBILE HOME
tings Setback '~ date by Ribbons
date by Gas Piping date b
li 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 II
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
off(approved) by r p; had �-,rc c: f
fees and an hourly Invest 1 at i on fee pursuant to the 1891 t1BC, Talc l e 3A will be ns-e�sse3d
In addition to my or l tj i na peria i t fees to resolve any questionable pract l ue•fi m.. {or
P�roble that have bo;e n discovered . I further understand that this Investigation will
k)(4 Scheduled ar. t iml^) a I i ows . Unt i I reso 1 ut i on of any (.a I 1 pr ob I emr, no oc;cupFanc.y ( F t n:s I
Inspection ) wi i l be granted ed for the rea i denue .
OWNER/CC=NTRAC MR ( Indicate whir,h ) Signature X
7 ) At I mob i le/manufactured home landings or decks must be freestand i nij 0io l f support i ng )
The largest l arwd i nct or desk perm i t t ead without. fir•aw i reps or a building perr! i t is :36" x
36" . Any landing or deck that Is :30" or more it, height f rum walking 1 k i ng ;urfa<�e to f i n i rah
g rade requires a quardra i i . Any I and i nq or dook 'that has 4 or more, I �ie*r c; raga i r er:a a
handrail . Any landing or deck larger Than 36" N 36" must be permitted which requires
strantura1 drawings and n htil iding permit Fappl it r; t ion . T h I s 1n;,tral lrit ion Permit does
NOT Include any landing ur dusk l arryer thorn the 36" x 36" i zed .
X Y
_ I
c'\S
r-
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 WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
r-
_ APR-14-'98 TUE 08:00 ID:WSDOT SIGNALS TEL NO: (206)764-4065 ##027 P01
._
Y I I,
i
i = -
qd
Dan Jnng?-s (ao() 764 - v
�c �0/ft z G 3 3 ��S-
I
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION Cl,
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
j-�
#1 O r r�1�r) J t� /YIGt- �_V e IA"-"e,,� Phone ��� q U 7-
Site Address ? (�CvS� �. OCL�x� SOU Fire District#
City ykj St Zip
Directions to Jo ite TA k =`� Q
Ck Yi Vey LAJ U S - 1 /4 e rri
� � v� rL I14
Owner Mailing
City St Zip
Lien/Title Holder ryo ? I;-'(Z'
Address
City St Zip
#2 *contractor Name contractor Reg#
Address V4Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic'? Water Supply Well
Connect to Sewer S stem? Name of System
(If residential, proof of potable water is required)
#40 r o. 12Z - -cl(X�3 O�, � 12 �D � � 4' �-
al Description P-
#5 Building Square Footage:
1st FI `7 , � 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms I Deck ►/ Other
Garage Carport (Circle:Attached or etached))
#6 Use of building PV- VIA a VU\ 2 t--\ Describe work
#7 Type of Job: New____)— Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFOR TION C `) D
Model Year ( C11 g 1 Makes.nGI a Mode e' 0 C T 0 1 1997
Length 5' Width Serial No.
#Bedrooms Z #Bathrooms Type of Heat C '
UU.
Purchase Price$ 'I .Ct � PERMIT ASSISTANCE CENTER
#9 Indicate bpy circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream A!andLake Marsh Saltwater Seasonal Runoff Other
i
Show following on the site plan
Lot Dimensions `, Fences
Existing Structures 'IV Driveways C
Structure Setbacks Shorelines J
Water Lines Topography /
Drainage Plan, Wells
Septic Syste ; Easements
Proposed Improvements -
c1
Name of,Side Street _ j 4 I Indicate Directional by (N, S, E, W)
Name of Fronting Street / - �}} C� in relation to plo plan
APPLICANT TO DRAW SI E PLAN BLOW
S
Vive �
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
r'`
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 — Furn 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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
,IJWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY )HAT 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 BUILDI G EPARTMENT, DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Dater
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: � it2 "� G
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
FFirearshal:
Other:
FEES
Special Conditions:
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee00
Other Fj/U, 9074-
Other
Other
Building Valuation: TOTAL FEE 1 ,