HomeMy WebLinkAboutBLD96-0395 Final Mobile Home - BLD Permit / Conditions - 9/10/1996 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 IL,I 1 L_ C� 1 N 0v P I= H m 1 T FOR INSPECT IONS CAI L 42.7--9670
BETWEEN 5pm AND Sam 42.7--7262
BI-DUO-0395 PARCEL : 1 3169 200030 PLAT : D I V . BLK : LOT :
4013 ADDRFES : NE 2613 01.0 BE'I.FA I R IIVVY RI LFA I R
OWNER : VERL f N SMITH 360-2 75-844 1
CONTRACTOR :
LEGAL : TO 3 of NW ND
CLASS Or WORK . :NEW BEAR : 3 BATH : 2 TYPE ANOUOT BY DATE RECEIPT TYPE AN0011 at DATE RECfIFYI
TYPE OF USE'. . . . , sMH STORIES . . . . . . . : 1
OCCUP . GROUP _ . :7 RLOG . HE i GH f' . . : 0 .0f t thCP 3 26.08 kS #5106196 41924
TYPE OF CONST . . :7 F I RE PI.ACES . . . < : 0 INOF 3 150.01 KS 15461$6 41824
OCCUP . LOAD . . . . : 0 WOODSTOVt« S . . . , : 0 Siff f 4.50 KS 15106;06 41824
DWEI.L ,UNITS . . . . : 0 PARKING SPACES : O
INSPECTION ARFA c 1 SHOPEi INE? . . . :N 1101AL: 180.56 VAIII[A11011: 0
TOILETS . . . . . . . . . . , 0 FUEL T'YPES----------- BO 1 LERS/COMP---- PAOB I LE HOME --
FRONT . - O .Oft BATi1 BASINS . . . . . z 0 : : 0-3 HP . : O
REAR . . O .Oft BATH TUBS . . . . . . . . : 0 3-15 HP , : 0 MODEL tBARR
S(DE ( 1 ► . 0 .0ft SHOWFRS . . . . . . . . . 0 TURN r 1001( BTU : 0 15--:10 tip . : 0 -MAKE—
SIDE (2) . O .Oft WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30-50 HP . ! 0
SHRL I NE . O .Oft CLOTHES WASHERS . . : O f'URN Fl.00R . . . e O 50-t kIP . : N '' YEAR-.
ARE:A --•---�-------_--_, KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . ; 0 84
LOT SIZE _ i FLOOR DAA I NS . . . . . : 0 VENT SYSTEM. . . . : 0 EVAP COOLERS : 0 LI"NGTH :52
BUILDING , . , : 1456L;f DRINKING FOUNT . . . ; 0 VENT FANS _ . . . : 0 HOODS . . . . . . . : 0 WIDTH . :28
BASFMFN7- . . . : 0qf LAUNDRY TRAYS _ . *- . : 0 DOMES . I NC I N :O --SER I AI #- -
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : O AIR HANDLING UNITS-- COMMI . INCIN :O WAFL2
GAR/CARP :? Os.f GARB DISPOSALS _ ; 0 10000 ufm . : 0 P.ELOC/REPAIR : 0
AT/DT , :? URINALS . . . . . . . . . , . 0 > 10000 o4m , : 0 OTHER UNITS . : 0
Miss PI-M FIXTURES ; 0 GAS OUTLETS . : A
PIIOjECI DESCA1PiI9N:N46IlE NUNf
PROJECT tOCATIONO RAVft OLD BEtfA1l 111 TO 112 Nitf flog BEAR CREEK STOLI, APPROS, 3 Mitt& fool BELfAIR.
TNIS PERNiT BECOIf.S NO L AR1 y'010 IF WORK 01 CONST10CTION AOTNOl1ZE1 IS NOT CONN-IICFD WITHIN 181 DAYS 01 IF CONSTROCiJON OR 10AK IS SUSPEl/ i FORA P`RI00
Of 160 DAYS AT A11Y TIN AfTfR 0PIRD IS CONVENCfD. FVIDFNCF OF CONTiNDATION OF WORK IS A !AOGlFSS 111P?QTIOP 1119IN THE 180 DAY PE4100. F!NAI. INSPECTION NUS' 89,
APPROVED OFFORE 801101 6 CAN UE OCCIPIED;
OWNER ?R ASfNT:
B!D_PRNf, rev: 1:I31141 COMPL_ I A.NCE TO ATTACHED CONDITIONS IS REQUIRED
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 a by
BG/SLAB Insulation Floors Final
date by date by date ej by �✓
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date b �sL i
date
Y
D.W.V. b WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-0395
VERLIN SMITH
NE2613 OLD BELFAZR HWY B$LFAIR
05/23/96 r
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
BLDA010 Application received / / / / 04/10/96 04/10/96 KW
BLDA100 Approved For Issuance / / / / 05/06/96 DONE KS 05/06/96 KS
BLDA200 (H) Hold / / 04/10/96 05/06/96 HOLD FOR SIGNATURES DONE KW 05/06/96 KS
BLDA205 (H) Environmental Health HOLD 04/29/96 04/29/96 05/06/96 See water adequacy.psd DONE PSD 05/06/96 PSD
BLDA500 (F) Issue building permit / / / / 05/06/96 DONE KS 05/06/96 KS
BLDB110 Structural Plan Review 04/26/96 / / 04/29/96 FOUNDATION ONLY 4-29-96 MJB DONE MJB 04/29/96 MJB
BLDB130 Planning Review 04/10/96 / / 04/26/96 DONE HRF 04/26/96 HRF
BLDB134 RLC Checklist Review / / / / 04/26/96 NO CRITICAL AREAS ON SITE. NO RLC DONE HRF 04/26/96 HRF
REQUIRED
BLDB135 Addressing / / / / 04/11/96 DONE GM 04/11/96 GM
BLDB200 Environmental Health Review 04/10/95 / / 04/10/96 plot plan andbedroom numbers match DONE JWT 04/10/96 JWT
permit. JT
BLDB210 Water Adequacy 04/10/96 / / 04/10/96 need bacteriological results from well HOLD JWT 05/06/96 KS
water. JT
TURNED IN AND ADDED TO THE FILE
BLDB210 Water Adequacy 05/06/96 / / 05/06/96 Well log and water sample in the DONE PSD 05/06/96 PSD
file.psd
BLDC200 MH Setup inspection 05/21/96 05/22/96 05/22/96 CORRECTIONS: FAIL LW 05/23/96 LAW
1. FIX WATER LEAK ON PLUMBING AT
MARRIAGE LINE.
2. PROVIDE PERIMETER BLOCKS AT BOTH
SIDES OF DOORS.
3. FINSIH INSTALLING PRESSURE RELIEF
LINE OFF WATER TANK.
rt"0111
4. INSTALL DRYER DUCT, USE SMOOTH WALL
MEATL PIPE NO SCREWS.
5. INSTALL POWER.
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F, U4 M I _f C" " N 0 1 _r_ 1 C-3 N IF;
Case, No . : BLD96-0395
For . VFRLIN SMITH
Page : I
1 ) The use, handling and storage of haeardous ma-terials or, flammable and combisstible
liqiilda In exoes of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
X
2 ) PURSUANT TO 1991 UNIFORM BUILDING CODE SFCTION 306(C ) AND SECTION 513 All, SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PR6VIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND LEGIBLE 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 FFE ' BASED ON RA'I FS fN TABLE Cif'
OF THE 1991 UNIFORM BUILDING CODE WILL 13
ASSESSED IF OWNER/CONTRACTOR FAILS, TO POST ADDRESS ON SITE PRIOR TO PEOUESTING
INSPECTIONIC .
X
3 ) RFQUIRED INSPECIIONS ( Footing Inspentloto-prior to pour- , Set--up Inspeotion- prior to
skirtin?, Final. Inspection.-prior to occupancy) . I have received a cog of the General
I nf o r ma 10 a n r,I Got I de I I ner.-Mob I I a/Ma n ut act ured Ifou s I ng I to sta I 14t I on.s andotit for
detailed descriptions of all required inspections on my mobila/manufaotured home
I n 9 t a I I at I on I hereby assume a ! ! respons I b I I I tv for, t fie schedu I I riq of t hese reqtj I red
Ins eotions . It these requirod inspections are not requested, Inspected and signed
oM e e approvd ) by the Inspector in the prescribed order I understand that re .inspection
fees and an hourly investigation fee pursuant to the 1991 UBC Table 3A wl It be assessed
1 it addition to my original permit fens to resolve any questionable practices or,
problems that have been discovered . I further understand that this Investigation will
be soheduled as time allows . Ilrotil resolution of any/ail problems no occupancy ( Final
Inspection ) will be granted for the residence .
OWNER/CONI FACTOR( irit'ilca ) e which ) Signitt#re
4 ) Al I mobi ie/manijfacturt,J home landings or dooks must be freestanding (sell supporting) .
n o The larget landing r deck perm I i ted w I the ut draw I ngs czar a bu I I d I ng perm I t I s 36" x
136" . AnV landing or deck that Is 30" or more In hel9fit from walking surface to finish
grade requires a guardiall . Any landing or deck that has 4 or more risers requires a
handrail . Any landing or deck larger than 36" x 36" must be permitted whloh requires
structural drawings and a bitilding permit application . This Instpilation Permit does
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� 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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
5) f, i avement of structure must comply with standards setforth per UBC seu . 2907
regat-ding descending and/or ascending slopes . X__
8? Proposed structure or any portion thereof greater than 30" in he: igiit from grade line ,
must Mai t'A." a minimum of 5 ' setback from all property lines , easements and its ' from
all Cou Wand Stater Road right of ways .
X
7 ? Proposed structure) or portion:: therecif with an projection over 30" in height from gr ado
line, must maintain a 5 ' seprr1tT'on distance between adjacent structures and that
fur theist projection . X
Q > CONSTRIJCT i ON PROCESS TO BE F I F..t_D CORIIECTED AS ObIlRED PIER MASON COUNTY BUILDING
DF=PARTMFNr AND ti iroRM OUiLDING CODE . x �. An
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
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Permit No. 6�•�,
MASON COUNTY \ d�
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 \
PLEASE PRINT _
#1 Owner Phone #CO(v) 5175 -: 9'-51t,
ddres #
�L St�Zip a\'
erections to Job Site d
15zl� 1=7
_ off- �� 3 S-x.-cL¢�,a /�-•,►� ,eL
Owner Mailing Address �73
City 54 L-1' St (,)A Zip
Lien/Title Holder /•<o e,G
a lS
Address 3 m.J
City 4e uo t5640,-J Zip f3�0 �
#2 Contractor Name Contractor Reg #
Address Expiration Date
City St Zip Phone #
#3 If septic is located on prod ct site, include records. /
Connect to Septic? � Public Water Supply Well Y _
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) I
(A"PCLA ct�
#4 tercel No./o73/�0 - c�o - 4�83� �6p -�j2�� qWA
���egalDescription Scc A774�Cl�J �•�y • Mf:mrl71� 1/�^"'�
#5 Building Square Footage: (existing/proposed)
1 st FI / 2nd FI / 3rd FI / Loft
Basement / Deck / # bedrooms / # bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other f2J e.e -S sq. ft. / �R
#6 Use of building Describe work
#7 ' Type of Job: New ✓ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 11 Make Model
Length_ra Width Serial No. 10 A F7L al A f- 3 A
# Bedrooms -3 # Bathrooms oZ Type of Heat
Purchase Price $ o?/, 0 DD
#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
s
r
Sews
5�
6 LI C
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
/,-
s �
G L, a 5W
,/,a s ,4AJ J-L)e,&'
A(D"'1 oGPI B� ��a 4,OV . , s
tie Lm�. f ,9 W,,7-,'d
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bat Basins Heatpump, Other
Bath Tu No. Units Fees
Showers Furn TU
Hot Water Htr _ Heatpump
_Laundry Washer _ Vent stems
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
xed Fire Supp. Sys 50.00
Permit Basic Fee /16.25 _ Auto ire 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 16.25
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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- LATINGTHE 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 IRST OBTAINING PPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDIN D PAR ENT. DEPARTMENT.
X OWNER p X BY
DATE ; DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: SEEe IATT-ACHjF-:D GpIJi :; T'-1 s� r.�p G(Z -11C,o-E-- Hrz1r
f'c��Dtis O t�? Sl•r
p4�Z6
Environmental Health:
Building Plan Review 1a j7�
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 4,�a
Other -•
Other
Building Valuation: TOTAL FEE ,�
aly f O��/ ,7/
x %tl
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