HomeMy WebLinkAboutBLD95-1042 Final Mobile Home - BLD Permit / Conditions - 8/19/2004 MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O, Box 186 Shelton, Washington 98584
kit LJ 1 I.. t-3 i N 0 P E R M I T FOR INSPECTIONS CA1.L 427-M70
BETWEEN 5pm AND 8a 42?-
BLD95-1042 FARCE:L :123212490040 PLAT : D 1 V : %p ��pt 10M
.JOB ADDRESS : NE 523 NEWK I RK RD RE=L FA 1 R VOID
OWNER : V I RG!NIA NELSON 215-6902 NULL 7 Y
CONTRACTOFI , 3
f LE:GAL : TN 4 Of Sf SE MN TO A Of SP 1274, Af 1313743 ppTE --
CLASS OF WORK . . 'NEW PFDR : :i bAfH : 2 TYPE AMOUNT BY RATE RFCEIPi ;TiPE . ANOUNT BY RATE RECEIPT
TYPE OF USE . —- . :MH SI0R 1 ES . , . . . , . : 1 :7v = -
OCCOP , GROUP . , . :? BLDG . HEIGHT . . : O .Oft NNOf 1 100.10 VJP 95136196 42046
TYPE OF CONST . . :? FIREPLACES . . . . t 0 STff Z 4:50 NJP 05139196 42046
OCCUP . LOAD ,. . .. . : 0 WOOD,cTOVES . . . . : 0 EHCP a 26.60 NJP 15/31106 42140
DWELL .ION I T,, . . . O PARKING SPACES : 0
IfiSPFCTION AREA : 1 SHORFi. INE:? . . . . :N �TOTAl : 15/.56 VAiUlA11011: 510#0
". <me—::..sxx�tacx.s-�.:.o:r.:�-a,ms •s:ay;,za�c:a:esx:r«-.-rr.�r» .. ...
SETBA( Kc;---------------- TOILETS . . , . . . _ . . : 0 FUEL TYPE.:,- ---- BOILERS/COMP---- MOBILE HOME----
F RONT _S 5 .0*t BATH BAS I NS . , . . . . : 0 : Ql- 3 �OP . : 0
REAR , . . .N 6 •0ft BA I'H TUBS . . . . . . . . : 0 3-1 r F . : 0 MODEL :GOLDENWESI
SIDE ( 1 ) .E .15 .Oft SHOWERS . . . . . . . . 0 TURN - 100K BTU : 0 15-30 P . ; td -A4AKE--
S F DE(2 ) .W 5 .Of t WATER HEATERS • . , : O Ft1RN >-100K BTU : 0 30-50 HP . : 0 WH481
SHRL 1 NE . 0 .011 CLOTHES WASHERS . 0 f URN FLOOR , . . : 0 50+ '%jHP < : 0
AREA -_..__ _____-_---_-_-- KITCHEN SINKS . . . . 0 HEAT PUMP — 0 `� 95
LOT S I LI` . • . FLOOR DRAIN'. . . . . . 0 VENT SYSTEfhS . . . . 0 EVAP COOLERS : 0 LENGTH 152
BUILDING . _, 1 400sf DRINKING FOUNT . . . : 0 b'ENT FANS . . . , . . : 16 ROODS : 0 WIDTH . :27
BASEMENT . . . : ost LAU14DRY "PRAYS . . . r 0 [TOME S . `fk'; 1 N 10 SER i AL 41--
DECKS • . . . . . • 09f D I SHWA+ShERS . . . . . . s P AIR HANnI 1 NG UNITS- - COMML . '_J, NC I N t O
GAR/(;ARP :? Osf GARB 01Sf''O^ALL . . . : 0 10000 afm . • 0 NFL OI;/OPAIPt 0
ATIDT . :7 UP INALS . . . . . . . . . . . 0 10000 cs1'm . , 0 OTHER UNITS. : O
MISC PI.M FIXTURES : 0 GAS OUT-L"ETS . : 0
."A_:-:. gp�L'�.si9.iTT.'0111F'.Ti'liLLV�329]^.!"1'I.t9:OCf::l'9C.CLT.lLD^''�':'3'1G9CS.'CStfiA'.S�YIC.1'aISLiSr-"C�Tl1L:r2tF''�^tlil.After¢""_.C'±W.^"..f�=-'Lfg' tSi.,Yc=yyYL®it�9�:-�'il3iliE.'G9�1�91�'$O�EIY�iYIiPL®/fit"—^.'.2.Y�'iC.1�Ri'�YILC
PROJECT 0£SCIIPT1011;110111E NOV
PROJECT 1,0011AN:0i.0 BfIfAIR HIV TO 41TXIRX iO SITE (A00REC3 ON I.RRGE ROCM) �
TNIS PERNIT RFCONFS NUII AID V016 IF 140I 01 COIISTROCTION AUTHONIZE6 IS NOT CONNENCEO 111111 181 RATS CA If CONSFIOCT101 OR folk IS SUSPENIE/ fog A PERIVO
Of 180 RAYS AT ANY TINE AFTER 1101K IS CONNEPCED. EViDFNCF CF CONTiNVATION Of VORK IS A PROGA S INSWTION WITHIN THE 180 DAY Pf?109. FINAL 1NStfCTIOR MUST IF,
APPROVED BEFORE 6111L11N8 CAN BE OCCUPIER,
OWNEOR AfiENl:
DATE s
..._.__.�__�.Q'.��
CIO _Pill, tau: 03131191 1 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
J
i
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 FIRED PT.
date date
date by y
Attic
PLUMBING by OTHER b
Groundwork date b
date by y
WALLBOARD NAILING
D.W.V.
date by date by
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
P' E FAM 1 T CCaND 1 'F 1 C311NIE;
Case No . : BLD96-1042
Fore VIRGINIA NELSON
Paget 1
1 ) PURSi)AN7 TO 1991 UN 1 FORIA BUILDING CODE SECTION 305 (C ) AND SECTION 513 ALL SITES MUSTHAVE APPROVED NUMBERS OR ADDRESSES PRbVIDED 1N SUCH A POSITION AS TO St PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING
DEPARTMENT REOUIRES THAT THIS BE COMPLETED PRIOn TO CALLING FOR ANY SITE INSPECTIONS . A
RE i NSPECT I ON FEE , SASEV ON RATES IN TABLE 3A OF 'THE`. 1 c)91 UNIFORM SU I I D I NG CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
2 ) REQII I P.F D I NSPFCT 1 ONS ( Footing Inspection-prior to pour , Sot--up Inspection-prior to
skirtr V. , Final Inspection-prior tc ooc(rpancy ) . I . have received a copy of the General
i nfvrraa t ion and Guide 1 i rras-Mots i l e/Manufsottired Housing Installations Handout for•
detailed desor Vl ons of all required Inspections on my mobile/manufactured home
installation . 1 hbrebV assume all responsibility for the scheduling of these required
inspections . If these required inspections are not requested . Inspected and signed
off ( approved) by the Inspector in the prescribed ordf•r , I understand that rein.,pection
fees and an hourly inveJsti ation tee pursuant to the 1`3391 1113C, Table 3A will be assessed
in addition to my origina permit lees to resolve any questionable praotlees or
##p�roblems that have been discovered . I further understand that this Investigation will
tie scheduled as time aI1ows . Until reuo1ution of anyIa1I problems tic cooupanoy ( Final
inspection ) will be granted for the residence .
OWNER/CONTRACTOR ( indinate which ) Signature X.___._.._.
31, All mobile/manufactured home landings or decks must be f reestand i no (se I f supporting) .
The largest landing or deck perry i ti�ed without drew i ngs or a building persk i t is 36" x
36" . Any landing or deck that Is 30" or more in height from walking surface to finish
Prade require-, a guardrail . Any Iandin or deck that has 4 or more risers requlres a
randralI . Any landing or deck larger, han 36" x 36" must be permitted which requires
s t ruotur-a l dr€ w i nge and is building permit application . This Installation Perm i l doer;
NOT include and/ landing or deck larger than the 36" x 36" size .
x.__
4 ) Placement of structure must comply with standards setforth per UPC son . 2907
regarding descending and/or a3cending slopes . X _
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
5) 'The ut;e, handling and storage of hazardous materials or fIamunabie and combustible
11cf0cls in excess of 10 gallons Is not allowed without the approval of the Mason County
Fire Marshal .
6 ) Proposed -tructure or anv portion thereof greater than 30" In height from grade line
must maintain a minimum of 5 ' setbaok from all property lines , easements and right u+
ways .
x
7 ) For Imw diate family use only
x.__
Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location S-Z3 /d C4-I IIIX' . N ��-
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
QD
a
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
OK to �GCC 'i,/ 7?W� 6C,;',PgyS
❑ This is not a corfiplete insp ction Department
Date ) a "C)r( Inspector
■ v« s NUT MOOV T 1 , TA
,
� D r/J Permit No.
SON COU TY yi
* BUILDING PERMIT APPLICATION ��� \oaf'
4'26 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
LhIZ611utR 6 AGso 366- Z
#1 Owner 092`7 12 � Phone#
C
Fire District#e Address /U L
City
(3( GE'Rt�2 �A `1�3,Sz$ St Zip
Directions to Job Site Oc D S e l�Gzt , &At14, Ab /lJ&Al l 21C d1n g.,r� , �,Ady-f&sg
an C!j . raCFs
Owner Mailing Address 5,QmcF
City St Zip
Lien/Title Holder AJ6&IC5
Address
City St Zip
#2 Contractor Name 661 dew 05-S.t Contractor Reg# uN k;
Address 2 313 Rn acdy T3 N Expiration Date
City mD» St W'4 Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? x Public Water Supply Well X
Connect to Sewer System? Name of System /T n t '—
(If residential, proof of potable water is required)
# rcel No. 123 i - 24 - 9 0a40
0 egal Description TR 4 d:r 5W SCE IVCv rR !t O -Sp gz Z4• , H'e'313 -44,3
#5 Building Square Footage: (existing/proposed)
1 st FI / i!q CSO 2nd FI / N/A 3rd FI / \f Loft / NV/A
Basement / A A Deck / NM #bedrooms / 3 #bathrooms / 2
Garage AMA Carport / N A (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building /--omGr Describe work
#7 Type of Job: New X Add Alt Repair Other 'z zQ,4z_!Yx;c-w
#8 MOBILE/MANUFACTURED HOME INFORMATION D D
Model Year Make_4Sa 'MAodel 094g1
Length 151 Widths Serial No. J U L I g
# Bedrooms # Bathrooms 2 Type of Heat V.L Y cf-
Purchase Price$ SD,JW �,, �, e `C
,JC:AI_T
#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
N 6 L,U V_ r (2 IG Q �N p
NC S21
O
romm,
.0 2 � 5 AC
ku e
b
ice
3 V
AA o 61 LE
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
K I
� bA
hit ( s `�
yap � o
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. 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
I Dishwasher No. Air Handling Units
�S Disposal cfm#
Urinals No. Fire Protection Systems
Other (2� Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _4 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 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 BUILDING DEPARTMENT. DEPARTMENT.
X OWNER (rl(J1 �(�QriYl X BY _
DATE DATE
Date:
FOR OFFICIAL USE ONLY: Accepted by: lQ�
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
[Approved Cond. Hold
Approval
Planning: mm5
Environmental Health:
Building Plan Review 9 5
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
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE
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4
NE SX t N4J k.�rk c�
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INVESTIGATION REPORT FORM �Q��j� n >
Revised 01/22/03 n
r
Part A: Nature of Complaint �
• Initiator's Name:
• Address:
• Telephone: -
y
• Owner Name:
• Address:
• Telephone: -
• Department of Concern
❑ Clerical Building ❑ Comm Development ❑ Fire
• Area of Concern: )(Building
` XHealth
❑ Process Delay ❑ Personnel ❑ Policy/Fee ❑ Code Violation ��t❑ Other
Refer to Director 7'i7 9S,6 � i
• Location of Concern: k%�=. ��� �.�, �C�-�- -•
B � z
• Site Address _
• Nature of Concern:
mob 6L L4c,
l
b1Cfc15 • U1D,IZ - L'(�._ nt ��L. 1')'I hf
• DOES COMPLAINTANT WANT TO REMAIN ANONYMOUS ❑ Yes ❑ No
Part B: Concern Intake and Referral
Received By: Referred,To: Response Date:
In-10 A �i�m
Name Date Name Date Date O n 0
Part C: Findings t'14 W) (o -o 9
Referral Forwarded to: ❑N/A
Name Date
Findings:
Part D: Resolution
Name Date
Intake Copy-White File Copy-Yellow
Tami Griffey- Re: 521 NE Newkirk Page 1
From: Michael Sprouffske
To: Tami Griffey
Date: 7/16/04 3:51 PM
Subject: Re: 521 NE Newkirk
Tami, I will be there. Is there a caravan going?
>>> Tami Griffey 07/15/04 11:56AM >>>
Continual complaints, apparently 17 calls to MC without any action, myself included. (1) MH-dbl wide
without permit, no septic and being lived in. (2) Obtained MH permit for SW unit but lied for septic
location-it is actually on a Group B Watersystem pressurized line? and other watersystem type issues (3)
20+ vehicles (4) Work within 25' of wetland (5) Car repair business operating out of private garage and
finally(6) Blocking culvert affecting 20' ROW deeded to County. After a 20 minute+ phone conversation
with the complainant these are the issues, only shortened up a bit. After running property check it was
advised to take deputy escort. For those of you that feel the need to access, we are planning on
Thursday, July 22. Tentative to meet at Belfair substation 9am but I need to verify that AM with Sgt.
Barrett. Who wants to go? OK, who feels obligated to go???
y 4' a � x 221
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