HomeMy WebLinkAboutBLD96-0128 Mobile Home #24 - BLD Permit / Conditions - 2/26/1996 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
13 LJ I L 0 1 N E R M I 'I- FOR INSPECTIONS "'ALI 427--9870
BETWEEN Spat AND Sam 427-7262
8L,D96-01Pq PARCEL 02,3325000050 PLAT .-SAPLO DIVt * BLI( i
JOB ADDRESS : NE 70 ROUSSPI RD U"It ; SP 24 Oft FAIR
OWNER ? DAVID HINKLE 820-1964
CONTRACtOlIt
SAN 1. jittil'S jqff I q&I IjS 11 9# If ?# I&SSt, is
CLASS Of WORK . , rNEW RIFORt 2 BAIII: 410911 of $Alt I!Cfl?l TIFF A10011 of DATE kfcftpl
TYPE OF Uf.N . . rMH STORIES . . . . . . , jj
OCCUP . 4RO11P . . . 7 BLDG . HE I GHT . s O .Ott 1140 1 26.91 tee #2126M 41324
TYPE OF - t~*.T . . F I RF Pi-ACF S 0 0or t too.$$ rev #2124106 41374
OCCUP . 1,0AI) c 0 WOODS rovEs 0 4.60 tee 02041116 41374
DWELI. AINITS , _ . 0 PARKING SPACESt 0
INSPFCI ION �11417A t I SHOREL I NF? :N TOM: 130.5# VAIVIA11011i tM11
TOILETS . . . . . . . . . . . 0 FUEL TYPES---,---- - - -- - 8OII.EkS/COMP- ---- MOBILE HOME
FRONT _ 0 ,01` t BATH BASINS . . , , 7 0 0- 3 "P . . 0
REAR . . . . 0 ,01't BATH TUBS _ . . . . . . ! 0 3- 15 "P . , 0 MODEttsKYLINE
SIDE( I ) . 0 .01t SHOWEAK_ _ . ' ' . 1 0 FURN < 100K STUr 0 15-30 HP . : 0 -MAKF-- - -----
SIDE(2 ) . 010111' WATER HEATERS . . . . - 0 FORK �1001< STUt 0 30-50 HP 0 LEXINGTON
SHRLINF , 0 .01t CLOTHES WASHFRS . , , 0 FURN - FLOOR _ : 0 50'# ilp . t 0 -YEAR- - -
-
AREA KITCHFN SINKS _ 0 HEAT PUMP . _ , _ . t 0 95
, LOT S17F . FIOOR DRAINS _ 0 VENT '%YSTFMS _ t 0 EVAP COOLERS ; 0 tFNGTHt40
BUILDING — : 1080sf DRINKING FOUNT 0 VENT FANS......FANS . . . . . . t 0 HOODS , . . . . . . , 0 WIDTH - i28
BASEMENT _ t 0;-r L.AtINDRY TRAYS . 0 DOMES . INCINio -SFRIALI- - -
DECKS— _ ! 0-t DISHWASHERS . . . . . 0 AIR HANDLING UNITS-- CORAL . fNCINtO
GARICARPr? Osf GAPS DISPOSALS _ # 0 10000 cto . 1 0 RELOCIREPAIRt 0
AT/Dr . :? UFIINAl_S . _ _ _ _- 0 > 110000 offa . , 0 OTHER UNITS . / 0
MISC PLM FIXTURFSt 0 GAS OUTLETS. t 0
Iffitcl 6ESCIlett#Nr18IIlF N41F
F110,1110 L0CAII41c60t1f0 8fLI 1061tt Rolf PARK is IfItAIN, SPACE 174, VNf1 V09 ENTER M FAR;, SO DOWN RVS$ttl it. All 60 BACK 1110 fff fAit, 21# StAtf OM
11fl. 311ACE 001111(11 fill of I.Alftio.
IRIS P11111 lfcoffs 46it All veto if 114t of 04131INCT161 AIT11011119 Is Noy C0111170cf6 VITHIN Is# DAYS OI " CONST"C1144 01 #Oil IS SVS?flDF1 142 A IF1101)If III #At$ AT ANY Tiff AfTfl 1411 to Conlitfs, FvIl(1CF OF C911110A11#1 of Volt is A ppoGIM tISPf 1011 NIT1111 THE !4# DAY F(1101- fI4AI 11SPECT140 1081 9
AFPk0Vfl RfFOAF 911t,9116 CAI Of OCCOPI(I.
QV01 01
$to lill. rev, 031311#1 COMPI. IANCE TO ATYACHFD MUnITMUR #Q oCnissnen
CONCRETE MECHANICAL MOBILE HOME
Footings- Setback date by Ribbons
by
date by Gas Piping date
Foation Walls date b Set UP .`.�c
und
date -- by
date _ by INSULATION
— L ►J
BG%SLAB Insulation Floors i final
date by date by date b
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Attic
Groundwork date by
date by
WALLBOARD NAILING Q• �`'� 1
D.W.V. date by i !c
date by
Water Line FINAL INSPECTION
date by date 3(� by C / date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F, t- R ?0 1 -T C'. 0 N r") 1 _r I n N
ca-so Nu . t BL 096 -0198
For . PAVIt) "INKIF
Page : I
1 ) Maintain 15 fout -,aptbijok between Mob# if. Hanle arld a0v and at I
2') The USf*. handi Ing and t;tora r f m
& of hazardous mutp sai6. or lamable and combustibleliquids in excess of 10 qalyons i not
Fire MArshal . s allowed without the approve , of the Mason County
X
3 ) PURSUANT TO 1991 UNIFORM BUI IA)ING CODE , SFCJION 305(C) ANn SECTION 513, At L SITES MtIS'f
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO OF PLAINi-Y VISIRL,E
AND IEGI Ell F FROM THE "-,TPFET OR ROAD FRONTING THE PPOPrRTY , MASON COUNTY BUILDING
DEPARTMFNT REQUIRES THAT THIS BE COffPLETED PRIOn TO CAI-[. #NO FOR ANY SITE INSPECTIONS . A
REINSPrCTION FrE . BASED ON RATES IN TABI.F 3A OF THU 1991 (INIFOAM BUILDING CODE Witt of-
ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS
X
-4 44
4 ) REOUIRED INSPECTIONS iFooting In% entloo-prior to pour , Set-up Inspection-pr. jor to
skirtin?, Final InuPection-prior �o ocoupanouy ) . I have received a copy of the General
Informa Ion and Guldell"08-MObile/Manutaotured Housing Installations Handout for
,1 data lled descriptions of all required Inspections on r4y mob il*/1114nutootured home
installation . I hereby assume all r*sponal (,*jIjty for the scheduling or the�r- required
Inspections . If these required lnspeotlons are not reqA49sted, Inspootea and signed
Off(approved) by the Inspector in the prosorlbeJ order , 1 understand that reinspection
feevi and 4in hourly investigation fee pursuant to the 1991
911 USC, Table 3A will be assessed
In addition to MY original permit fees to resolve any questionable practices or
orgab leras that have bee e
n discoverd .
be schedolad as time allows I further understand that this Investigation will
. Uni I I resulut ion of any/al I prc blems no nor
Inspootfoo ) will be granted for the residence , upa"ay (Final
OWNER/CONTRACIOR ( indicate which ) Signature x
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MON 3 u" 1VOINVH03W 3L380NOO
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Ali mobilelmanufacIiired hots, lanuillgs I- deck:; must be supporting) .
Tht largest landing or deck
36 Any lantilno or deck tbav ermitttd without drawin 9 or a building permit is 3sa x
Is 30 or more In height from walking surface to finish
Rrade requires a guardrail . Any landinyor deck that has 4 or more risers recioirea a
andrail Any landing or deck larger .an 36' x 36" must be permitted which requires
struotural drawintjs and a bulidino peimit 4phoation . TIjIs Installation Porwit does
NOT 1110144de any l and Ing or deck larger than the 36" x 34, size .
• X
6) PURSUANT To 1991 UNIFORM BUILDING CODE SECTION 3054C ) AND SECTION 513 Alt SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PR6VIDED IN SUCH A POSITION AS TO Bid PLAINLY VISIBLE
AND IEGIBLE FROM THE STArF1 OR ROAD FRONTING *r"E PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE BASE() ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUIt.DING CODE WILL OF
ASSESSED IF OWNFAI CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
7 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND URC REGUIRF14ENTS .
X--_4ftftwo�- --
8) Proposed structure or any P01`110n thereof greater then 30" In height from grarle line
must maintain a minimum of 5 ' sotback from all property ( ines, easements and right of
9-) Chanjw, tt' HPPrnved bul Iding pianv. that 01100t 000PI lance to the -1991 Washington St&tv,
Energy Code, 1991 Ventilation and Indoor Air Quallt
Code, the Uniform BuIldin? Code and ior Mason Count Kegislations most
be approved by Mason County prior, to e:onstruotiM :—Q%.1,11
10) ALI. CONSTRUCTION MUST MFFr OR FXCFED LOCAI CODES . IF ANY 01JESTIONS, PLEASE
CALL THIS OFFICF BEFORE CONSTRUCTION .
I 'li CONSTRUCTION PROCESS 10 OF FIELD CopnpCIE AS RFQI'IRED PER MASON COUNTY BUILDING
DEPARTMFNT AND 11NIFORM BUILDING CODEx V-11
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3WOH 31180W 1VOINVHO3w 313MONOO
i
Permit No.
MASON COUNTY �� Z00
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT /
#1 Owne f�V l 6 E. AN -�E r1 N (� ,�l<L Phone# 0T06
e Addre�� IV E AO Fire District#
ty �L Fr?//Z St cj2d Zip 98s�
Directions to Job Site
Owner Mailing Address
City i 2KLA N D St 1�� _Zip�8D 3rr�
Lien/Title Holder J IPA 9 //04-74V ;n
Address
City St Zip
#2 Contractor Name �� f� i fit- b M _S Contractor Reg#
Address 35"'j/� €� i�T� w . Expiration Date
City T'oPT t��C N A St Zip 9S36'1, Phone 0}79-D 7 59So e
#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 rc o. 1. 33
L al Description 1 oT �o sA�B 1+�� iz5-ffOrn£ GR, N %,P,geTs ��/ `��1�0Ds c�Asollotl✓�,
#5 Building Square Footage: (existing/proposed)
1st FI J ZW 2nd Fi_ ! 3rd FI / Loft I
Basement / Deck / #bedrooms / #bathrooms /
� Garage p r e / Carport / Circle:Attached or Detached?),
Other sq. ft. /
#6 Use of building Describe work b�
� J
#7 Type of Job: New Add Alt Repair Other [ED
CIO
LU
#8 MOBILE/MANUFACTURED HOME INFORMATION _U
Model Year i99-r Make-�'eYZ!VE Model &&61C �/ rn� >
Length C Width _Serial No. w
# Bedrooms Z # Bathrooms Type of Heat ��,►��..�+, 1.R! °C'
Purchase Price $ ����a D 9 ,
w
#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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 gachl Fee Mechanical Fixtures ($6 eaeh)
No. Toilets CIRCLE FUEL TYPE: Gas ectric,
~ _Bath Basins Heatpump, Other
\ No. ni b
. Bath Tubs
Sho rs _ F rn BTU
Hot Water 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 Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50.00
ed Fire Supp. Sys 50.00
Permit Ba ' Fee 15.00 — Auto ' e Sprink Sys 25.00
TO L PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet ve
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 5.00
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 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 X BY
DATE DATE
FOR OFFICERNLY:Acce ted b
P Y
:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: Y S !SA--A%-'CM K&H- A-4,r- ` } in v I�1rn.�
f
� f
Environmental Health: Goff tall 4,41k kA-s 9L 1�4 ' q„!,L� fiC�
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: _ FEES
Building Permit r�
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Site Inspection �i=1
Building State Fee
Other
Other
Building Valuation: TOTAL FEE
GOLDEN BELL MOBILE HOME PARK
N.E. 20 ROESSEL RD. BELFAIR,WA 98528
PHONE #(360) 275A623
DEPT OF GENERAL
P.O. BOX #186
SHELTON, WA 98584
As required, we are sending you a notification of a new lease agreement with
the following new tenant. Lease agreement will commence when their MOBILE HOME
arrives on our pre-existing lot. If you have any questions please call during normal
business hours.
Legal Discrepton:
Lot 20 Sam B thelers- home garden tracts. Volume 4 page 20 RECORDS MASON
COUNTY.
PARCEL NO- 12332-50-00050
. i
New Tenant Name: V
New Tenant Lot:
THANK YOU,
Dede Schattenkerk
Mgr.