HomeMy WebLinkAboutBLD96-1312 Final Mobile Home #34 - BLD Permit / Conditions - 2/14/1997 MASON COUNTY
- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
L._ r_1 1 N c3 P #'= Fat INM 1 T FOR INSPECTIONS C A t.1. 4 2 7•-9010
BETWEEN 5Pw AND Bam 427 726?
OLD96- 131 2 PARCEt o 12332b000O`0 PLAT .'-,APL 0 t)I V , Fat."t t LOT
-
JOB AbOflE SS : ME 213 RQE SSEL RD Units 3P 34 KIELFA IN
OWNER , TEMPELETTF MAYFIELD 360-769--9509
CONTRACTOR,, HUNT GONSTRucrioN A'-7-st929
LEGAL : SAN 1. T1ftER'S N#P A 4" INS 18 7# It 4 DAESSEL NN
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ASS OF WORK . . :NEW BF011 - 3 SATHt I wichtl Tyr[ A10911T DI PAT[ OFCF�rT
TYPE OF USE . . • . Mil STORIES . . . . . . . : 1
OCCUP . GROUP . . . BLDG . HE I GHT . , , 0 .(Af t f4" t ?it.#!! if 11118i9f , ,12@
TYPE OF ( ON`::1 , , 7 f f RF P1 ACL�, . . - . = 0 NN�F I 15f+.Di �N 1 t t+l>1t196 43925
1
OCCUP . LOAD . . . . , ► WOODS1 OYES . . . . 0 {Siff
}WELL . 1Nfi S ( PARKING SPACES : P INSI'FCf ION AHFA : 1 SHORELINE ? . . . . :N i1flAto 11#.S! vAtIItA:I��tls a�$#N
`�.@'.^�.2.-�03'L� ' 'Ki'-Y' 'YYC'3+L�MC'i."' '�" =C...-'S'Yt='�YY•.9A:�.ixt'S'1E%ir13y.':Y..''Y^"
SETBACKS ___ . _ ._. ._.__ TpiLf TS . . . . . . . . . . 91 FUFL TYPE > _ - -' 6()ILERS/COMP-- MOT,, II F HOME-
F'RONT —E 15 .01 t BATH BASINS _ 0 0-: HP . t 0
REAR . . . .W 1O . 01`t BATH TUBS . . . . . . . . : 0 3 . 1r) HP . t 0 MODELtFI_EFTWO(
SIDE ( 1 ) .N 15 'Ort SHC3WER_ . . . . . . . . 0 FURN < I091K E*1U . ;0 15 30 HP . : 0 MAKi
SIDE ( 2) .S 19 .Oft WATER HEATERS— , . . 0 FURN >-100K STU , 0 30-50 Hi" t 0
SHRL INE . 0 ..Oft CLOTHES WASHLRt 0 FIIRN - FLOOR _ : 0 604 'tip . t H g7AR __ :.
AREA ----- - _._.- _..r KITCHEN SINKS 0 HEAT PUMP . . — , 0
L.OT S I ZE . . FLUOR DRAIN`: . 0 VENT SYSTEMS . —- . . N E VAP coot.r 1t5 t 0 t ENGTH t 44
BUILDING _ , t 1 1 00s f DRINKING FOUNT . 0 VENT FANS . , - - ,. . . . . . : 0 jj000S . . . . . . , Ira WIDTH . t25
SASEMEN7 , Os t LAUNDRY TRAY;,, 0 DOME'— I NC i N O
DECKS . , . , Oat DISHWASHERS . . . . . . : 0 A I R HANI)t I NG 11N I TS- COMML . I NC ! N s O
GAR I CARP :: Ost GARB D I SPOSAI S . . . Pt ' - 10000 rtm . : A NF LOC/RI PA t R t it
ATIL)f . : `. URINALS . . . . . . . . . . + 0 > 10000 t,fut . : 0 OTHER UNITS . : 0
MI SC PLM F I KTURES t 0 [.Ate OUTLETS . ► 0
►NOJFCT DfSCNIPTIGN:1#lttf Nalf
!RO.IECI LOCA11611,NM11 3 TO ft1'iAll, IfF1 of ROESSft ND 10 GOLDEN 8f1.4 NQRILE NONE PA11t.
TMIS MFtIIiT dECONfS RMIt A11 "ell IF 101K OR CONS11901®N ANTil4lliff Is Not SONNfNCf# 411111N 1#0 GAYS. 41 If flOIST111CT10M ON #ORO IS luspflIDFD f01 A Few.
Of 141 DNS Al AII1 '"t` fill f�ONt !S CONME1CfO. FV111110 Of CONIINVA7100 Oi 1l0R1 I$ � rk061F&� INSlfl�lfGN 1tTNi1 IHi 18# DA1 rfNiOR. fiNAt R&rFCZ10N It+R
A9r104ID NEfORf BNttdIN6 AN WMCCNr1Ff1. ;
rlRNF A 9N A61 NT:
812 rRNT• I : #1 1(9, COMPLIANCE 70 ATTAI:HtD CON()I T I ONS I REOU I HEV
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date
date by Gas Piping by Ribbons
Foundation Walls F g date b
date by dateb Set Up
BG/SLAB Insulation INSULATION date I Z- jy by
date by Floors Final
FRAMING date _ by— date by
Y ( _f
date b Walls - FIRE DEPT.
PLUMBING date by jdate by
Groundwork Attic OTHER D
date by date by ,, C) z,
G_ y
D.W.V. WALLBOARD NAILING
date by date by ✓_P. 9 0 y
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
PE_ Rm l T
Cabe No . : HLD96 1312
For TFMPELI' TTE MAYFIELD
Pg9ee 1
1 ? Mt, Inta ► 11 1!, toot ret Wick bertw"Vn Mdbi + e H«Int* Mini! '"V an(' al �
-2�
ti The use , har,dt + nu and ;tordia of hazardous matprIals of fla,ulilatile and apmL7ustthle
liquids in exoess of 10 gaifons is not alloweil without the approval of the Mason Count'v
F i r e Mist s h a i
PURSUANI TO 19V4 UNIFORM BUILDING CODE , wE L:T I CAN 30F,€r: 1 AND SECT ! ON ON 513 ALL S 1 TIES MUST
HAVE APPROVF V NUMBERS OR ADDRES5ES PROVIDED IN SUC14 A POSITION AS TO 6ts PLAINLY V i 5{Bi.E
AND ►.EGit3t ! >rROM THE STftCt T OR ROOMt'LFTEf�I PRIORNG TURf1CAll ►IVC;Y . MFORNANOYUNlY SI TE IINSPI.CT I ONS .ING A
DEPARTMENT REOU 1 R►`S T"AT 'THIS 13E C
ASSFSpEDT1aNL1WNt=Rt BASED ON UNTRisfT0+1aFA11LStTf:TPOST ADpRE SST HONISITE11PRIORM ro REQiJEsTING Witt BE
4 > ALL CON. MIISV ME F T OR EXGF FD Al L L OCAI CODE` AND ti$t; AFOU I RFMENTs
114
r, ► IYt QI.i t RF t� 1 NSPf C:T +Cyit 5 ( Foot + ng Ins 1 on-pi J or t o pour , Set - up 1 nspef ti on-pr i nr to
Cy#
sk t r t i Ji Fins I t "spec t ion-prior to ooGupi "cy 1 I hove Pere i vect m collar,at t he for neyr e l
Informa an and G,t ►del ine,.- Mob+ 1e�;M€snufeetur•ect Nc?uslr►t1 + i►stal lot +one 11
,tet a i I ed desor i pt i onh of all required + rj@pe::t i ons o" my mob i I e;manuf act ured hume
installation . 1 hftft%bv auausle ' II reSpon ibiIity for the scheduiIng of these required
inspections , I f these requ 1 r ed I"slyer t i ons are not requested, inspected and 5, 1 g,ied
off (approved) hY the I nwlaeator + n t ht� presor l br►d ortler ,, t under s t and that r e i ns fiecT + on
fees a"cl t,ohviv tnvnv!30e Lion fne p irsuant to the 14I91 USC , Table 3A wi t I be assessed
it, eddlt Ion to my alit,4ll,al Pvrmlt fees. to ronolve atiV pue ticynable prAcstt Ig. ar,
ppi ,abtea,a that have been discovered . -1 further ►11)(Jerstand that this inveattr�aYlr,u Wi + +
t o sr:ht~edu l ed :is time A 1 I ilws - Unt I i rest.; I ut l on of any/ a t + PrRtb 1 eia� nc► nr.�c iJlianuy t E + na t
I n"-:+-sect I Ott ) w+ I I be granted tvr tho res i dence .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Q NEAICONTRACTON Jott+ CIA 1, 0 whIch )
t3 ! All rnulatlo. �rrrgn��facturt3cl rirame Iisnding» ur decks inugt be
awingg fr•eR�standtrrq ( pelf suppr�rttng)
The I ara"St I anO t rto or dook po rm i t t ecl4rW 1 t i nr he l ght f roc Iwalking d �t sur r aoe t to- finish
36" Any I and i ng or dock that Is 30
r�arj* require!.. a quar-dr•a 1 I . AnV t and I ugg or d"r4- that has •4 or more r i s3r-s requires a
AnY landing or dock larger ttan .18"' x :+8 �ne;st be ermitted which requtre,gandt-311 .
tr ur�t urs ! drawl
tigs ood a building perm t t aPP l tt-H.t i oil . Th t =+ I n t a l i at t�,n !'ot dA i f dot--.,
N01 Incl, landing or deck larder than tbm 36 x :{ .�tze31
} Changet, to approved but Iding plant. thht effect uumpl lac�e� tc the 1991 Washin. "11 `.trstP
FnbrgYd Gar/R approved, 199 r Vent 1 I at I on and I ndoor��1 Air Qua t t t
Coe , th6 UnIform bui11nq Code and.'ur r�lastin COun y
ter Ar;r� IatIonf. �
by M,jaon C dun y pr t ot- to �;onstr+�r:t Iran
P ) ALL. 4-'ONSTPLIC ION MUS_-i WET OR F X(J.-ED t OCAI COCIF I F AN'r i11.tF-':'t i ONS, PLEA-if
CAt_L TH 1�� E F ORF CONSTRUCTION .
n �qNF�TRt1G t i ON F'AO`E SS To Eat: FIELD Ct3ftRVG -V AS F PER MASON COUN4'Y 8t111.DtNO
6EPARTMFNT AND UNIFORM BUILD110 "ODL
10} µoBIt.E t•Iow t'Anv SETBACKS SHALL HE 1s� ' FROM UTHEIt sTRUCTUAIS 10 , fRC4M rA0PFI`lY LINE.',
AND 5 ' FROM RI . F-WAY AS PER MASON COUNTY oAr)IANCF #11A--�1 .
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-967011-800-562-5628
'LEASE PRINT
k1 ner
ite Address - Fire District#
City St —Zip
Directions to Job Site
Owner Mailing Address 9 /�7Q �rr� �i'• S• �a� ra
City St Z&Z4�- -Zip
Lien/Title Holder G!J
Address
City St LGzf�— Zip
t2 Contractor Name Lr�c.� Qha � u-�_ B1'YL eS Contractor Reg#
Address Expiration Date
City Ca p�j� St (�'/�-_—Zip Phone#
E3 If septic is located on oject site, include records,
Connect to Septic? Public Water Supply W 1
Connect to Sewer Sy tem? Name of Syst m
(If residential, proof of potable water is required)
E4 arcel No. Z-�n
e escri on
�Cwrt -,6 . - rhLlen '`� --£ - I ie 20
f5 Building Square Footage: (existing/proposed)
1st FI_1 It D/ 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage ! Carport ! (Circle:Attached or Detached?)
Other sq. ft. /
16 Use of building Describe work
17 Type of Job: New Add Alt Repair O r��a V 15
[0J
E8 MOBILE/MANUFACTURED HOME INFORMATION a
Model Year/? ;Z,9 Mak odel o r T 2 5 V5
Length Width �Z ci Serial No.
#Bedrooms ' #Bathrooms_Type of HeatZl2c• � � �y ����F�
Purchase Price$__I 2560 aaev
t9 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
6pau_ /-4�
i
::ZY40f ry-ttd
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
�l�
Plumbing Fixtures ($3 25 eachl Fee Mechanical Fixtures ($6.50 each)
No. _Toilets IRCLE FUEL TYPE: Gas, Electric,
Bath Basins H tpump, Other
ath Tubs � n' Fees
Sh ers _ urn BTU
Hot Wa r Htr _ He tpumps
Laundry her — Vent ystems
Sinks _ Spot Ve t Fans
Floor Drains No. B �t r ° r r
Laundry Basins _ HP
Dishwasher No. Air Handlina Un s
Disposal — cfm#
_Urinals No, Fire Protection Syst s
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.25 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood. Gas, Pellet Stove
NOTICE: 1 HIS 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 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 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
CONFORM NC THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHO FIRST BTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDI D MENT. DEPARTMENT.
O �, �� X BY _
DATES / DATE
FOR OFFICIAL USE ONLY: Accepted by:
Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved cond. Hold
Approval
Planning: y11U�11.F +IUM t�R11 SE )3!�C.11 CuL»fjF ITS 1�/�. —
Environmental Health:
Q9
Building Plan Review
I
Occupancy Group: Type of Const:
Fire Marshal:
Other: --- ------ ----�- --
I
_ � I
Special Conditions: _ FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee y
Other_C�
Other
wilding Valuation: TOTAL FEE ��
GOLDEN BELL MOBILE HOME PARK
N.E. 20 ROESSEL RD. BELFAIR, WA 98528
PHONE#(360)275-4623
DEPT OF GENERAL SERVICES
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-exisiting lot. If you have any questions please call during normal
business hours.
Legal Discrepton:
Lot 20 Sam B thelers-home garden tracks. Volume 4 page 20 RECORDS MASON
COUNTY.
PARCEL NO- 12332-50-00050
c+ '
New Tenant Name:
New Tenants Lot:
THANK YOU,
Dede Schattenkerk
Mgr.