HomeMy WebLinkAboutBLD94-1838 Mobile Home #14 - BLD Permit / Conditions - 3/3/1995 MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F-t I I L 17'
VFR4� FN ",#Pnl 7*262
BLU94- 183P PARCEL 1233250000150 PLATSAPLO DIVI RLF - LOT
JOB ADC-RF'o" . NE 20 FlOrSSEt At) Unit - AP1,19 FFI-FAIA
OWNFR ,, FAHI BROTHERS Iq
CONTRAGiOR :
LFGAI ')AN 6. INI'll'it'S $011f A 4AN IIISF It 111 iS 03111 lk 46lr
LA
OF WORK sNEW FAFOR PA III :_1 lyff Avooll gy vAlf RICEIPI Iriff tiougi FT yAlf Rfami
1 YPE ("It U-VE 7 S I OR I F
AC CUP . GROVP , , . , 6 L VG , HF I GHT 0 Of t #001 1 11111,011 ks 121?0191 18421
TYPE OF CXNST
OCCVP . [-OAF) , 0 W001:1STOVES 0
I-1WE t L UN I Tom . . I PARKING SPACUS ! 0
IN`�'.pFI.T10N A F t U A I SHORE 1. 1 NF? 7
GE TOILETS . . . - 0 trijiti- rYP[t�- BOILERSiCOMP- -- -- MOVII,J HOMF
FRONT V, Oft RATH RASIN"; . , , , 0 . 1,(-1, L 1 i is 0-3 lip , - 0
PEAR 0 'Ott BA114 TUBS _ 0 3-11!� H P , 0 MODE t !t I RU 0 T y
-I .
UE 1 stfowf R S 0 F IIR N < 100�, ST U . 0 15 10 lriF IAAKE
SIDEQ ) 0 ,orl WATER HEATrAS . 0 F(IRN 1 OOK BTUs 0 30—bo "P . 1 0 !;,Y L V AN
1,SHP t I N E O .Ofl G 10 T H FIS WAS H E Ft 0 1-k I R N __ FLOOR 0 50+ lip 0 YU111,11
A R J.'A I< ITCHEN SINFS, 0 HEAT PUMP . . 0 9f,
I ?F FLOOP DRAINS _ t 0 VENT f.YSTEMS t 0 FVAP C;001LFR:S , 0 tf`Nfil," t4k)
BU11,0ING , Visf PRINkING FOUNT . r 0 VENT' FANS _ . . . 0 110011; WlDffl - ,?R
BASEMFNT . . . ; 0,;f tAUNDAY TRAYS . . 0 DOME S . INCINtO —SERIALS
DECKS . _ _ 0-,,r Ul HWASHFR,4i . , , 0 AIR HANDI.- ING UNITS— COMMI - INCINtf) 29021
GAP ICAR P i 7 0,, f GARB (711 GPOSAI S . 0 10000 vtm . f 0 RE L 0C/R f PA I R - 0
AT!OT , -.7 UP I NAL S; . . . . . . . . . . 0 1 P3000 ;;fat . ; 0 OTHFA UNITS . ! 0
lAIF.'r P[" FIXTI.JRFSi 0 iAS OUTLFTS 0
111111410 WS111PIPTIOPI100110 406-e
PAQJE�1 I)c-ATIO1130idtio Ertl owip Hoot Part to EvIltir ow to Peotlsl Pfflct, w4f� f(4 flWotatv :tloof
11111; PtIINIT qroofs Kitt Alto VOID If wool 41 04"JPQOIOII AUTROIlIff 11 10T Cillill'ICE11 11111111 IS# DAYS of If C0ISIRUCT104 04 Iloil 01. INSPfluff 1`0 A PFRIOD
OF Is# 00111 .i ANY TINE Afift 1049 !$ CONNF11cfe. tylpfNct Of 0011110A11100 or V)A4 Is A PROSRISS Ilspfcllov stillll 141 1&# DAI 1`111110D. fiNAl 11111fril(to Most P
0FR09F0 ii1flik RVILDINS CAN if occuplit.
01111(1 01 ACE 41k DAIF,
I- .:, _ ___
COMPI. I ANCE TO ATTACI*rT CONO I TA ONS I RF 0111 Rr-'I)
CONCRETE MECHANICAL MOBILE HOME
Footings-setback date by Ribbons
doe by Gas Piping date by
Foundation Walls date by setup
date by INSULATION date -? 7 - by r
BGJSLAB Insulation Floors Final
date by date by date 3' -3 - b
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Attic
Groundwork date by
date
D.W.V. WALLBOARD NAILING 1 / 3 1; f
date by date by
Water Line FINAL INSPECTION
date by date by dale by
L/ -aOGt
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
-)7T
ryiq;m,,,*4T To 1991 VNIFORM 8011-DING COW
14AVF APII$IoVr - SEC I ION 30!'F(C ) AND SECT ION 513 . AL L S I I US 14INT
li ANn L U- ' t� NUMPFR S OR ADORE eRO I"D IN 91;CH A PO S I T I ON AS TO BE PL A I N! Y V I s- f
,! I V t r f POM 7 liF 'i-THE F T Oft ROAR f RUNT I Nil THE iRopr h r v . MASON COUNT Y 81)11 D I NG
DEPARJ'mr-0 PU001RES THAT THIS BE COMPLETF-D PRIOR TO CXLL I FOP ANY SITE INSPE-clrioN
N FEE ,
BASED 1)N RATES IN TARIF 3A OF THE 11'991 I)NG NIFORM 8011t)ING CODE A
OWNFAWONTRACTOP rAll ,3 TO POST At)CtjE!,,,S ON tiITF PRIOR TO RF0UF1,1'rINr�*
I NSPECTI ONZt ,
ACQU I AFI) I NSPECT I ONS ( F ocit tig n
uk I r t I ng � F i I 11SPOCt -pr I or spec;t 1 on-pr 1 nr t rp UP I fISPeot i oti pr i or to
to Occupallcy ) . 1 r0c" v'c-d d 0011 4 of the General
Gtildelines-mobll&IM&nulitcttirect Housingnst a I I a I j ttn,�) Handout
re-julred Irfsoectiont; on my math! le Lirtufactfjred h"Me Instat, 016rt(jJ0L11-jtjd. i I*_-d
hereby tj,,5qM0 all for I of I
the r-equ I red i IISP90t 101)s are, nt)t f gtaestndthe '�chft(jll I i nV Of I 1100se r equ I r tid I nqtowt I r n!�
n t he Or eser i tiesi or ,dpr nt"Pe(;-1 od anti s I 9ned )f t ( elpf.1g, t V e(j )
10 Ve"5 t I r i;l afid that reins etcJion IjV th �
?qtfon fee pursoant to the 1991 U13C , Table 40d tin hourly
CI 1 na Pormi't fees to resolve 3A wi It F)e asses�!-ed In additlott t<) Inv
dig,*)verod , d0v qu041;`tIqt1abl (t praciti..,es or probit,mc thitt hfsvf, hee�fj
I r"t-thAr rind-irstaticl that ' illis Investigation I I I bf� sc;
a 1 1 lini I I reno I it i or of �jnvt�,j I I hediilr�#(j a�i time
grant:�-fj for the vesidel1r:e . PrObloaffis, no 00cUP81#r-v (Final Inekrjeoti(jn ) will he
wbto-fi ) sic'Initture
Al I i"'I'l felfflillufauturq(I Or, dect s mwil be frpeStanding
1he I at cjf*st If 'ie I r 5(1ppor t i 114
inij ft "r CIO-6k PerMittod without
.Airy ti dt nq or dert , dr-bwlnq�; or a biji ldln�j pormit if, 16" X
-drall . Any lAn(jilh or deck t bat has 4 ot r I Sp I sh fjr4d*
that Is 39)" Of' more fn height from vvalkin ,j %3urfa�,,v* to fin
Any fancilng Of (j,?.,
drawjrj� ,k jar.qf_r, than 3 36" 10fl:qt be PerwIttftd whlt,,h
js 8"(1 4� bullding permit app , I c_qt I of, . re_� Z;tructural
An,/ landlieg or deck la - Thi �i In'--tallatirin Pit
toer that) the 36" size . r"I't dne-r, NO' inolu(je
4 ) WE 11 U HOMU PARK 4-47RACKS SHAt 1, SE 1 6 ' FROM OTIfUR C:'j AND FROM R 1014T -OF--WAY AS PFR MASON r0tINTY 0111)f ANrF 10' FROM PROPFPTY 1. INF�'.
.60
Permit N 19q
MASON COUNTY
BUILDING PERMIT APPLICATION
PLEASE PRINT 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
#1 Owner a -RL_-_� `�In Td ff R s Phone
Site Address C's _R D E S 9 F_ L. # f ! Fire District#'_ _
City J�1 L Tom, l(' St r✓ii'� —Zip
-� Directions to Job Site ---��5�N � ���}t )5 � 4Flt�? �
�� ftsS 1:N of (: -0 c Jma c N
Owner Mailing Address
City _.-.G I G- St Zip
Lien/Title Holder S ! 1"3 j} N2K
Address
City _ .� ��_ St Zi /
p
#2 Contractor Name L/3 R I TtJtJ C C,►\)7R11C 7D A)�. Contractor Reg#_8L SR) � /351 9
Address �O /�,`- Tff, ,a V f ,( Expiration Date 0 q /A-1_/q.
City_ �j f}��f � St� Zip Phone(--au ®' l q 3
#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 Parcel No. 3
Legal Description
9 p _
#5 Building Square Footage: (existing/proposed)
1st Fl / f0 2nd FI / 3rd FI J Loft /
Basement / Deck ! # bedrooms ������/� #bathrooms /
Garage / arport / (Circle:Attached or Detached?)
Other QS" sq. ft. /
#6 Use of building Describe work
#7 Type of Job _ Add Alt Repair Other _
#8 MOBIt.41MANUI ACT REP HOME INFORMATION
Model gear 119,5' ake/"3"7' Model S i,[ V,-9/v
Length W h • Serial
n
# Bedro�oms --_T—# Bathrooms Q_Type of Heat L-R C- -
Purchase Price$3 '�j. J
#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
ow 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 by (N, S, E, W)
Name of Flanking Street in relation to plot plan
Name of Front; St'oet
APPLICt, -VV
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
L_
Plumbing Fixtures {$3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other__ _
Bath Tubs N2 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 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
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 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 Cn zt-� /3 A _'j_AA X BY ---- — ---
DATE I f.S - 9 V DATE
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. I Hold
Approval
Planning:
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
Other
[Building Valuation: TOTAL FEE