HomeMy WebLinkAboutBLD96-0349 Cancelled Mobile Home - BLD Permit / Conditions - 1/7/1999 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
LS L) 1 L_. 17 1 N cm P F 1`11`A 1 -T FOR 1 NSPECT 1 ONS CALL 427--9# TO
BETWEEN 5pm AND Sam 427-7 PERMIT
BLD96-0349 PARCEL :22 10R'76001 10 PLAT : WILL & VOID BY EXPIRATION
JOB ADDRESS # NF 201 L I I AC I N IRf-LFA 1 R
OWNER # PATR 1 CK CALLAGHAN DATE _Lk_� - BY
CONTRACTOR : Rot. C>ONE:TRUi:T ION 421.-5940
LEGAL , TR 11 OF SIAVFV 17134 NE Pit I ILIAC LANE
CLASS OF WORK . #NEW BFDR # 2 BATH : 1 TYPE AMOUNT PY thif RECEIPT 'TYPE AMOUNT SY DATE RECEIPT
TYPE OF USE . . .. :MH S'TOR 1 ES . . . . . . . : 1
OCCUP . GROUP . . t 7 BLDG . HE i GHT . . : 0 Oft %HOF ! 160.011 T1 11401196 41742
TYPE OF ( ONST . . :? FIREPLACES . . . . : 0 Siff 1 4.59 TN 04111196 41742
OCCUP . LOAD . . . t 0 WOOGSTOVE S . . . . : 0 ENC► t 26.00 T1 94111196 41742
DWELL .ONITS . . . . : 0 PARKING SPACES : 0
1N`IIPFCTION AREA : 1 SHGRFL. INF? . . . . ..N 130.51 V41PLATIOW: 9
SETBACKS--- --- - ----------- TOILETS . . . . . . . . . . : 0 FUEL TYPES-------___._. BOILERS/COMP •--_.- MOB i L.E HOME- -
FRONT . . . 0 .Oft BATH BASINS . . . . . . , 0 : : 0--3 HP . : 0
REAR . . . 010ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL #
SIDE ( 1 ) . 0 .0-f t SI_IOwFR-S . . . . . . . . . . 0 FURN < 100K BTU : 0 15-,10 tip . : 0 -MAKC-
S I DE (2 ) . O .Oft WATER HEATERS . . . . # 0 FURN >-100K BTUs 0 30-50 HP . : 0
SHRL. I NE . O .oft CLOTHES WASHE:PS . . : 0 FURN - FLOOR . . . : 0 G914. >;P . : 0 - YEAR-- - - - -
AREA - ---_____...__.___._ KITCHEN SINKS . . . . : 0 H1`AT PUMP . . . . . # 0
LO1 SIZE . . FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 FVAP COOLERS - 0 LF. NG*TH : 0
BUILDING . . . : 1056ST DRINKING FOUNT . . . : 0 VENT FAMS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMEN'! . . . : 05f I AUNORY TRAYS . . . . : 0 DOMES . I NC I N .0 -;.FR I At II- •__ ..
DECKS . . . . . . # 09f DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML- . INCINiO
GAR/CARP :? Ost GARB DISPOSALS . . . . 0 <— 10000 r,-Tm . # 0 REL.00/REPAIR : 0
AT/DT , :? URINALS . . . . . . . . . . . 0 > 10000 cfin , z 0 OTHER (,NITS . : 0
M t 9C Pi_M FIXTURES # O GAS OUTLETS . : 0
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PROJECT DESCRIPTION:M08ILs IOYf
PROJECT LOCATION:FRON SANDNIII RD TO AFAR DEIATIO PO TO LEFT 01 A14ti1(411N TANUYA RP KEEP LEF1 PAST ERICKSON LAKE " kUNSON RO FOIL91 MUIISON RD 10 1111AC
LANE, TIRN LIFT TO END Of ROAD
THIS PIRMIT REf,OMES NUH AND V410 1f loot JA CONS)RUC11411 f.6THO111fD IS N01 COMMENCED VIIHIN 103 DAYS OR It CONSTRI;CTION OR WORK IS SUSPENDED FOR A PERIOD
OF I81 DAYS AT All fi1E AFTER 1011 ►S COMMENCED. FVIOENCI. OF C4NTINVA110N Of 10RK IS A PROGRESS INSPECTION 11THIN THE 131 DAY PERIOD. FINAL INSPECTION 118T AE
APPROVED RFfORE RU110114 CAN RE OfC9P1lD.
i
Cft1ER OR A G E r 7 ,� /
Ric _?PIT, ; rr. 1'31311e1 COMPLIANCE TO ATTACHED CONDFT1 NS 1S REOUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
dale by Gas Piping date by
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
1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PtERM I T t^ ORIt ) ! T Ii c3NE�
Ca3e No . : ULD96-0349
For , P.ATRICK CALLA6HAN
Page , 1
1 ) The use , handling and storage of ha7ar0ous raatpr i a i :i or flammable 'ind �..,combust 1 bl c-
liquid-, In excess of /A gallons Is not allowed without the approval of the Mason County
Fire Marshal
2 ) Propo%ed structure or any portion thereof greater than 10" in height from grade tine,
must maintain a minimum o, 5 ' setback from .^. i 1 property lines, easements and 10 ' from
all Co►unti and State Road right of whys .
.3 ) Anprcived per s I to-p 1 an
4 ) Structure must be setback 5 ' from all utility and drainage easements , a total of 10 '
rom eeoh property line , or a var1anre mucut be obtained from the Bur ► ding Department .
5 ) PI)RSUANT TO 1991 IJN I FORM 110 1 i.D I NG CODU SECTION 305(C 1 AND SECTION 513 ALL RITE!,:, MU '�
HAVE APPROVED NUMBERS OR ikDDRFSSES PRbVIDED IN SUCH A POSITION AS TO Bt' PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET CAR ROAD f RONT I NG THE PROPERTY . MASON COUNTY RIJ I LD I NG
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE 1 NSPECT 1 ON FEE BASED ON RATES IN TABLE 3A OF THE 1991 UN I f ORM isle I t D I NG CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
6 ) REQUIRED INSPFCTIONS ( Footing Inspeotion•- prior to pour , Set -up Inspection-prior to
skirting Final Inspection-prior to occupancy ) . i have rer.eived a copy of the General
lntorma ion and Guidelines-Mobile/Manufactured Housing Installations Handout for
detailed descriptions of all required inspections on my mobile/manufactured home
installation . I hereby assume all responsibility for the scheduling of there required
Inspections . It these required Inspections are not requested, inspected and signed
oft ( approved) by the inspector In the pret;orihed order , 1 understand that reinspection
I
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
daie 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 Attic OTHER
Groundwork date b
date by y
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
fees and an hourly Investigation fee pursut►ia to the 1991 UBi,, l ab l e 3A w i i I Lic aPse:�seod
In addition to my original permit fees to resolve any questionable preotices or
pproblems that have been discovered . 1 further utidersLand that this Investigation will
be soireduled as time allows . !Until resolution of any/all problems no occupancy ( Final
Inspection ) will be granted for the residence .
OWNER/CONTRACTOP( indioate which ) Signature
7 ) All mobl ie/manufactliresd leome landin s or decks roust be freestanding (self supporting ) .
The largest lending or deck permited without drawings or a building permit Is 36" x
36" . Ar;y lending or deck that is 30" or more fn height from wa !king surface to finish
grade requires a guardrail . Any landin or deck that has 4 or more risers requires a
Handrail . Any landing or deck larger than 36" x 36" must be permitted which requires
structural drawings and a building permit application . This Installation Permit sloes
NOT include any landing or deck larger than the 36" x 36" size .
I
I
i
r
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
d.te 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 b date by
te V WALLBOARD NAILING
D.date by date by
Water Line FINAL INSPECTION
date by date by date by
i
P�rce ,C a�3Bg7 �045 Z
/Ite-vSd.t! CLC• %v- -en7zJ
AL'S PERC & DESIGN
10515 Old Belfair Hwy. n
Bremerton, Wa. 98312 County Dept. head
275-3592 Mason RpVvD Z
A►PP
Initials
Date --�-�—
THERE IS TO BE NO
WHEEL VEHICLE TRAFFIC ON
DRAIN FIELD AREA BEFORE
OR AFTER INSTALLATION
0
C CERTIFIED INSTALLER ) NO WELLS WITHIN 100
ONLY / FEET OF DRAINFIELD
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Permit No. �3 N
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 caner P rA'�c�" d S f���LE� C/�L1,�4'GNr9 Phone#
�ite Address Al 2 e/ L 1 I IQ C,: LAl- /44111/S 6 AI T.pr9 crs Fire District# CZ
City 0L 1�4 i R St 104. Zip
Directions to Job Site "O A.4 SAND H11 L fD re 5 A R D F 4J,4 rTa 1,;FlD
&A6A VA H 4 -A R D &,6 F yv L E.c TT P,4 --,T
�2 -,(A uA1 S x/ -D /-'-o 1LQef3 Po. Td L�LL,.�c Li9-/VE i 77z eA1
l L--77 A) n 6ke2
Owner Mailing Address Q, PO X 127/
City _ RZ L Cif I„� St Zip
Lien/Title Holder 4,�C4�fA 12Q545 fi AIffN G�
Address
City le IF I�Z- St t� Zip
#2 Contractor Name if d- L Contractor Reg#R,4/-?d u// s STs d-
Address r'o,13o)C /G 2 Expiration Date /6 / / Q / 9e
city S r.4'cr 14 P- St G•1A Zip W2`> 3 Phone#3Ca - 7,73 l
#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)
#4 rcel No.22 34R - -
Legal Description 7-,e // -5 uR 12)2
#5 Building Square Footage: (existing/proposed)
1 st FIB/ 2nd FI -/-' / 3rd FI / Loft /
Basement_A1// Deck / #bedrooms / #bathrooms _/
Garage ,U1S / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building 1P,--5' DZ'yG�" Describe work
#7 Type of Job: New Add Alt Repair Other, r`
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 9 1 Make Model -APR 0 1 1996
Length 2—Widths Serial No. s A/ 75
# Bedrooms Z # Bathrooms 1 Type of Heat L tjeM, 19=A1 TH SFRVICEF
Purchase Price$ /L "76 0
�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 Indicate Directional b N, S, E, W
Name of Flanking Street in relation t y of plan
)
Name of Fronting Street P
APPLICANT TO DRAW SITE PLAN BELOW
1
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures($6 each)
i
No Toilets \CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs N. ni Fees
Sho\Whqi�
Furn BTU
_Hot — Heatpumps
_Lau VentSystems
Sink Spot Vent Fans
Floo No. Boilers/Compressors
_Laundry Basins _ HP
_Dishy(iasher \ No. Air Handling Units,
i
_Disposal _ cfm#
,Urinals No. Fire Pmtection
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Autd Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
das 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 P�rmit Basic Fee 15.00
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.
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 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 OWNER ' , C V ` X BY
DATE DATE
FOR OFFICIAL USE ONLY:Accepted by: ' ' Date: 7
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
QAppp�roovval
Planning: NO ota 'bat am..i or �C Aze �
Environmental Health:
Building Plan Review CC�1
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