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BLD95-0976 Mobile Home #13 - BLD Permit / Conditions - 7/14/1995
MASON COUNTY j-- Mason County Bldg. III 426 W. Cedar \ P.O. Box 186 Shelton, Washington 98584 B U f t._ C7 I N C4 FX E R M I -f FGg i NSPECT I ONS 427-9670 BETWEEN 5pm AND Sam 42T-7262 BLD95-0976 PARCEL. t 12332500005E0 PLAT iSAPLO DIVI E3Lk: t LOT t JOB ADDRESS: NE 20 ROESSFIL RD Unit ; SP 13 BFLFAIR OWNER , ROXANNE MITT 2X*s r0154-LZOI (CONTRACTOR t HUNTS MOB i L LEGAL 14ENE€1 1E CLASS OF WCORK . . tNEW BEDR t 2 .BATH TYPE A14VNT Of PATE AE(' m Tim AN0N1 91 0A1E 11E9f1t1 TYPE OF USE . . . . :MH STORIFS . . . . . . . . 1 _ OCCUP . GROUP . . . t? BLDG . HE !GHT . . t 0 .Of t 1111101' f 101.00 Its #1114 t93 39640 TYPE. OF CONST . . t? FIREPL ACES . . . . = 0 SIFE 1 4.50 9t #7114195 39641 OCCUP , LOAD . , . , a O WOODSTOVE:S. . . . : 0 EMCP 3 10.011 KS #T1l4195 3944# i DWEL .UN I T'S . . . . 1 0 PARKING SPACE S t 0 i L_ TatAt s i 14.h# YALVIA1 fONs 1'9#3 INSPECTION AREAL 1 SHORELINE4 . . . . tN SETBACKS---------- --_ TOILETS . . . . . . . . . . s 0 F1.1FL TYPES--------- - BOILE:RS/COMP---- MOBILE HOME— 0_3 FRONT . . . aloft BATH SAS I NS . . . . . . t 0 t HP . t 0 HP . t 0 Mt)E'�EL tFLEETWO®i REAR . . . . aloft BATH TUBS . . . . . . . . : Stt)E{ i ) . 0 .6tt SHOWERS . . . . . . . . . . , O FUpN < 100K BTUs 0 15. 30 HP . t o FURN >-100K BTUs 0 30-50 HP . % 0 CROON POINT SEDE(2 ) . aloft WATER HEATERS . . . . t 0 EAR- SHRL I NE= . 9 .0f t CLOTHES WASHERS , . ; 0 FttRN - FLOOR . . . t b 50{ HP . t 09 AREA - -- ---- _-- »__ KITCHEN SINKS . . . . 1 0 HEAT PUMP . . . . . . : 0 N EHt LOT S1ZE . . t FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . t 0 EVAP COOLERSt W10TH , : 0 BU 1 LD I NG . . . t 0s t DRINKING FOUNT . . . t 0 VENT FANS. . . . . . : 0 HOODS . . . . . . . x 0 W I OT E0 BASEMENT . . . t 0sf LAUNDRY TRAYS . . . . t 0 DOMES , INCINto -SERIAL#----- DECKS . . . . . . _ esi DISHWASHERS. . . . . . , 0 A 1 R HANDLING UNITS- - r,©fAttlL . 1 NC!N:a CAR/CARP12 oat GARB DISPOSALS . . . , 0 < 1001$0 c�fiw . t 0 E4Ei-OC;REPAIRt 0 AT/DT . a7 URINALS . . . . . . . . . . : 0 16600 Ofw . t 0 OTHER UNITS . t 0 MISC PLM FIXTURFS t 0 GAS OUTLFTR 0 - P11JECt OEgtliPtl01tN001tf NONE P10JEC1 LOCATION$$• 9 r*fSS*I rA It 13 1N10 lfilill OfC0013 MILL All V410IIt#0C0>I0f11t 0SIPIC110E A0711OOf llti01A"', Vol iC soft 01101i�#AOP1441 C111111 �#ikfiPECT#18Mll if11iN1!#TTME1161 QAY#rEAi90,�FINA11 16S}ECEI#NElost Of Ill OAY1 ITT ANY TINE AftEt E101 APi�l01►f1 6EF81E 411tiills CAN If OCCYP4E0. OAT It 110 P1N1, rttt 0d13lI ! COMPLIANCE TQ ATTACHED CONDITIONS MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PL__ " M I I CC3ND I 'F ION--; Case No . : 81-095-0976 Fort ROXANNF WITT Paget I 1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 . ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FPONTING 1HE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITr INSPECTIONS . A REINSPECTION FEE BASED ON RATES NA 3A OF THE 1991 UNIFORM BUILDING CODE WIIA BE ASSESSED IF OWNEOCONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTION" . X 2) REQUIRED INSPECTIONS { Footing Inspection--prior 10 pour , Set -up Inspection-prior to skirtin " nal Inspection- rior to occupancy) e the Genet-at I have re a copy of . Informa?I.nand Guidelines-gobilelManulaotured Mows inj Ins allations Handout for detail i descriptions of all rquired inspec m tions on my obilei t et e manufactured home installation . I hereby assume all responsibility for the schedulinu of those required inspections . It inspections are not requested, ins ected and si fined off (approved) by the these required e oil fees anti an hourly Inspector in the proscribed orderl I understaud that roinst ct investigation fee pursuant to the 1991 IJBC, Table 3A will a assessed in addition to mY car, jqinal permit fees to resolve an practioes or problems that have been discovered . I further understand that this irivestigotion will be scheduled a!i time allows . Until resolution of any/all problems no occupanev (Final Inspection ) will be I granted for the rosid000e . OWNER/CONTRACTOR( I nd I cate wh I oh ) S i gnat ure be freestanding (self supporting) . 3) ' All mobile/manufactured home landings or decks must 0 3 The largest landing or deck permitted withotit drawings or a building permit I 'l 36 x Any landing or deck that is 30" or more In height from walking surface to finish grade requires a guardrail . Any iandin or deck that has 4 or more risers requires a handrail . Any landing or dock larger than 39" x 36" must be permitted whloh requires structural drawings and a building permit applioation . This installation Permit does NOT Include any l and i 7 or dock larger than the 36" x 36" size . 4 ) Maintain 15 foot setback between Mobile Home and aity and Sit structures . X--,- r' G ( ! Permit No.*W0<5-'dg010 MASON COUNTY _ BUILDING PERMIT APPLICATION L�l LO P- C < l 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 `k,-,-D 'LEASE PRINT t1 w Phone# �D Q ite Address n o�U f}GE Fire District# ity i I St %CJ Zip Directions to Job Site U rl l/�rrr' � l`7` 14/ *9!5� S j J�C/ Owner Mailin Address ' City ' St_..Uzz� .—Zip 7�/ Lien/Title Holder / Address City �� St U1 Zip 2 Contractor Name/„/? S &Z,"ZE 4-d L- Contractor Reg# Address ��' Expiration Date City ,mac it/I St- (Ofi:—Zip S Phone T� 3 If septic is located on project site, include records. Connect to Septic? V'*� Public Water Supply_ Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) 4 rc - - Legal Description 1"1 (Umq y 11qf' - v ;ec dr�ls AfirS(7N e,)A/'/ 3 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms #bathrooms__! Garage / Carport / (Circle: Attached or Detached?) Other sq. ft. / 3 Use of building j��FLt�L -•� /Y DescAbe work Type of Job: New _Add Alt Repair Other 3 MOBILE/MANUFACTURED HOME INFORMATION Model Year1�4r Makej� odel_-C— 0' A' Vif Length Width Serial No. #Bedrooms # Bathrooms�152, Type of Heat Purchase Price � SU r CIndicat by circling the applicable source 4/Py 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 by (N, S, E, W) Name of Flanking Street in relation to plot plan Name of Fronting Street APPLICANT TO DRAW SITE PLAN BELOW a�t�4 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW PI mfZjog Fixtures ($3 each Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other Bath Tubs No. UnijaFees Showers Furn BTU _Hot Water Htr Heatpumps Laundry Washer _ Vent Systems _Sinks w Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP TDishwasher 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 rt5.00 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 MENNS 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 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 BUILDIN EPARTMENT. DEPARTMENT. OWN R X BY DATE �� �S_T DATE . .o .. .. .. FOR OFFICIAL USE ONLY Accepted by; bate: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval , Planning: 7 �� Environmental Health: L Building Plan Review ' Occupancy Group: Type of Const: Fire Marshal: I i Others — — — -- 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 GOLDEN BELL MOBILE HOME PARK N.E. 20 ROESSEL RD. BELFAIR, WA 98528 PHONE #(360) 2754623 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-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 New Tenant Name: �C �, Cti✓�'�'�p �N New Tenant Lot:��__ THANK YOU, Dede Schattenkerk Mgr.