HomeMy WebLinkAboutBLD92-0268 Cancelled Mobile Home - BLD Permit / Conditions - 1/26/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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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 i by INSULATION date by
BG/SLABS Insulation Floors Final
dite FRAMING by date by date by
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
MASON COUNTY
4- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by s9f vp-
date by INSULATION date by
B Q/SLAB Insulation Floors F
date by date by �daZ by
FRAMING WallsME BEPT.
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
1 �
i
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
` date by Gas Piping date b
Foundation Walls date by Set Up
date by date ,�" "i��' by k
INSULATION
BG/SLAB Insulation Final
Floors
date by date by date(K �'�� by / 4
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic ti���}�/✓�,�, ,f ����R��/�u
date by
date b rrrT1�V�"I� C��v =!��.��✓_��•�tr'
WALLBOARD NAILING
D.W.V.
date by date by
Water Line FINAL INSPECTION
date by date by date, - - - b
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
I
I
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
IF:I: R...R ':II:: R.... tF)l :1: P-41 4::iiii 1 :" R::::: II=;;1' II'111 :1: R F O R INSPECTIONS CALL 4 2 7—9 6 7 0
BLD92-0268 PARCEL : 123201093270 Pt_ AT : DIV: BLK : LOT :
JOB ADDRESS : NE 243 NEWKIRK . . . . . . . . RD BELFAIR
OWNER : DAVID SILIVEN 373-4873
CONTRACTOR :
L E G A L : TR 21 OF E112 NE 1 Y112 NY FS 15116:59 8[ 1638 TN 3 SP 86
C LASS OF WORK . . : NEW B E 0 R : 0 . BATH : 0 TYPE AMOUNT BY GATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : MH STORIES . . . . . . . : 0
OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 01t A H 0 F $ 79.25 DJK 07J30(92 30985
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 S T F E $ 4.51 DJK 17J30J92 31985
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0
OWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE ? . . . . : ? TOTAL: 83.75 VALULATION: 22792
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES----------- BOILERS /COMP---- MOBILE HOME--
FRONT . . . ? Oft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0
REAR . . . . ? Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : GUEROON
SIDE ( 1 ) . ? Oft SHOWERS . . . . . . . . . . : 0 FURN < LOOK BTU : 0 15-30 HP . : 0 —MAKE------
SIDE (2 ) . ? Oft WATER HEATERS . . . . : 0 FURN )=100K BTU : 0 30-50 HP . : 0 L344111
SHRLINE . ? Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 92
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 44
BUILDING . . . : 1232sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 28
BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O FACTO
GAR/CARP : ? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 0ESCRIPTI0M:M081LE HOME
PROJECT L0CATI0N:1 1J4 MILE NORTH FROM BELFAIR ON OLD BELFAIR H W Y TURN E ONTO N E W K I R K RD FOR 118 MI ON LEFT SIDE
THIS PERMIT BECOMES HULL A N 0 VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 181 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPElTI0N WITHIN THE 186 0 A Y PERIOD. FINAL INSPECTION MUST 8E
APPROVED BEFORE 8 U I L 0 1 NG CAN 8E OCCUPIED.
OWNER OR AGENT: DATE: Q
RLO PRMT, rev: 03(31(91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
II
Case No . : BLD92-0268
For : DAVID L SILIVEN
Page : 1
1) SATIFACTO Y W!` R MPLE MUST BE SUMITTED BEFORE FINAL INSPECTION OF MOBILE
E .
X
BUILDING PERMIT APPLICATION Oa
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO. —
NAME / MAIL ADDRESS CITY&STATE ZIP PHONE 37
OWNER
DIRECTIONS /
TO JOB SITE T N 96fk" FL F19�/E'
PARCEL LEGAL sty ?a 7'wn Shp Z3 K
NUMBER / ? 3 q3Z 9J DESCR. =,,,"-'3 OFS 8
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF
BUILDING F-s
CLASS OF WORK NEW ADDITION ALTERATION REPAIR MOVE REMOVE
✓
DESCRIBE t
WORK / y7
r
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE ( jLSgFt STORIES SHORELINE CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES.C3-- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS SgFt BATHROOMS SEASONAL RES.Cal
COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED U DETACHED❑
OWNERSAFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVA ROMP I LDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWN E '�'�' DATE J'5 Z X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED s
YES No YES No BUILDING VALUATION 6
HEALTH K` , PUBLIC WORKS
FEE
PLANNING FIRE MARSHAL BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP _! PRE-INSPECTION
V ��`� c -�� ��U GJI``e i S O� �. •r2 �2 UU.+r SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE .J
A 1 ION ACCEPTED i PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
Y � CASH CK MO TOTAL
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TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE
I
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S. Gardan Craig
-•-- •• the
mason county
assessor
Ilea r
we have recently recaived a copy of tax certificate for mobile home
moveraenc on your mobile home.
In order Chat we may accurately value you mobile home, please complete
the questions below and return this fora to our office by
It is imperative that this information be provided to prevent a
possible double ass4mssaeac.
MOBILE HOME DATA LEN
K,l✓9sca� f�aoal.
MArT h up r o Mm= L3--ILLa =AA
NOaZl.r. HOME LOCATICU rNFC IATIoa SELT, �
(A- fay privately owned Land- l'ES ✓ ftp
E_ IL rented or leased Land who from? MAHE
A)P(A) e Ac.,rr &
YA
C- Rea L F."Party Panel # (Cax statement #) / 2 3 Z Q 93 2! 9e
D_ Mailing name and address for owner of mobil• bone -
Location address of mobile !some
F_ Dace mobile hocW 3 vas placed on preenc site
G_ Puccsase a.-ic G---
DATE. '^ y�
S IG.`tA R7HE
ZYPE OE PR LINT NAME
Tv"pgpNE NUHHEB
CJurtRcuse Shelton, Wasnington 98S84 Pttane 427-i670
NAME ON PERMIT 1DA Q i O S, L,u Y L) DATE OF PERMIT
PERMIT NUMBER CAD tj2 — � �( TYPE OF HEAT
Washington State Energy Code 1 Ventilation and Indoor Air Quality Code -
SET-UP INSPECTION CHECKLIST FOR MODULAR HOUSING
Pk e✓ ' A'Q�A
Note:
This checklist is not comprehensive: other code requirements may apply. This checklist can be
used by local by building departments for modular homes built to the 1991 Washington State
Energy Code (WSEC) and inspected in the factory by the Washington State Department of Labor
and Industries (L&I).
Ground Cover: 6 mil, black
Ventilation: Ventilation in crawlspace must be a minimum of one square foot of free
ventilation area (without louvers) per three hundred square feet of
crawlspace area, or a passive radon vent pipe must be installed. Note: UBC
regulations may require more ventilation.
Pipe Insulation: Cold and hot pipes insulated to R-3 in unconditioned areas.
Floor Insulation: No damaged or missing insulation; if floor insulation is done on-site,
R-value installed is consistent with NLEA form.
Ducts: Where appropriate, crossover ducts are properly joined, sealed, and supported
Duct insulation is in place and in good condition. If duct insulation is
installed on site, insulation value shall be R-8, or according to NLEA form.
Marriage Line: Sections are properly aligned, and sealed or gasketed with appropriate
materials (a non-porous material, such as a foam sill seal) to limit
infiltration.
Attic: Check for batts moved and not replaced during set-up. Loose fill insulation is of
uniform depth. Baffles displaced during set-up or transit are properly reinstalled
Doors: Check doors to ensure that they close and latch properly.
Notice to Local Enforcement Agency Form (NLEA): The NLEA has been reviewed and
the items listed have been inspected.
12/17/91
Washington State Energy Code - Ventilation and Indoor Air Quality Code
MODULAR HOUSING SET-UP INSPECTION PROCEDURES
Background
The Washington State Department of Labor and Industries (L&I) performs Washington State
Energy Code (WSEC) plan reviews and inspections in the factory for modular homes subject to
the Uniform Building Code (UBC). Although many of the WSEC and Ventilation & Indoor Air
Quality Code (VIAQ) requirements are inspected by L&I, some items can only be inspected on
site, and therefore, may fall within the jurisdiction of the local building official.
The Notice To Local Enforcement Agency (NLEA)
Attached to each modular home inspected by L&I is the NLEA, which provides the local
enforcement agency with information pertinent to the site inspection. Often, a modular home is
shipped to the site before some items normally inspected by L&I are completed. In these cases,
the L&I inspector fills out the NLEA form and lists items not inspected at the factory. For
instance, when a manufacturer ships a modular home before floor insulation is installed;the
NLEA form will indicate the R-value of the required floor insulation. The local building
officials' careful review of the NLEA form is an extremely important part of the modular
housing set-up inspection.
Damage Incurred During Transit
Sometimes a modular home may be damaged during transit. Although L&I is the building code
authority for the home until it arrives at the building site, often no L&I inspector will see the
home after it is delivered. If the local inspector discovers any damage incurred in transit, L&I
should be notified as soon as possible. (Contact Dan Sevcik at 206-664-0548.)
Authority of the Local Building Official
The local inspector has the authority and responsibility to inspect any work done by the set-up
crew. Some of the work to be inspected will be listed on the NLEA form Frequently, however,
the set up crew may damage or alter work previously inspected by L&I. The local authority does
not have the authority to inspect work already approved by L&I, except those specific items
altered by the set-up crew. For example, if attic insulation is moved out of place by the set-up
crew, the building inspector may require that the insulation be properly replaced, but may not
require that the attic be insulated with batts of a higher R-value than approved by L&I.
The WSEC Set-up Inspection Checklist
RCW 19.27A.035 requires that utilities provide an "owner at the time of construction payment"
for WSEC homes (only electric resistance heated homes 2000 square feet and under qualify for
the payment). Some utilities may ask for verification of a local jurisdiction set-up inspection
prior to making a payment for modular homes. On the reverse side of this page is a sample of a
WSEC Set-up Inspection Checklist for Modular Housing that may be accepted as adequate
verification by the local utility.
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