HomeMy WebLinkAboutBLD95-1087 Final Mobile Home to New Location - BLD Permit / Conditions - 8/19/2004 MASON COUNTY
Mason County Bldg, III 426 W. Cedar I�
P.O. Box 186 Shelton, Washington 98584 r `"
E3 U I L f7 I N(4 P F F1 M I _ !-OR I NSPECT I ONE' CALL 427-9670
BETWEEN 5pm AND 8am 427-72.69
BLD95-1087 PARCEL : 123212,3f40040 PLAT : D I V : BLK : c�
JOB ADDRESS : NE 521 NEWK1RK RD REL.FAIR PERMIT TION
OWNER : VIRGINIA NELSON 275-6902IRA
CONTRACTOR : NULL 8, Vold
I_FGAI_ : T1 T Of SR Sr 11 TA A OF SP i224, Af 1313743 DATE , BY
t�uc�sarsr;: . ,:.:a:._.z.-. =ra.v •-z._:-_:re..: .
CLASS OF WORK . . :NEWI 3EDR : 3 BATH : 2 TYPE ANOiJN1 B9 PAN i?t if?I TYPE ANOVIT BY DATE RECEIPT
TYPE OF USE . . . . MH STORIES . . . . . . . : 1 Xft"A "
OCCUP . GROUP . . . :? BLDG . HEIGHT . . : 0 .Of t NHOF I 111.00 NJP 05130196 42347
TYPE OF CONST . . :? FIREPLACES , . . . : 0 Siff 1 4,50 NJ? 05130196 42047
OCCUP . LOAD . . . . : 0 WOODSTOVE:S . . . . : O
DWELL .UNITS . . . . : 0 PARKING SPACES : 0
1 NSPFCT I ON APEA s 1 SHORELINE? . . . . sN TOTAL: 104.51 VALVIA1100i 50111
SETBACKS-------------- TOILETS . . . . . , . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . .E 5 .Oft BATH BASINS . . . . . . : 0 : 0-3 HP . : 0
REAR . . . .W 5 .Oft BATH TUBS . . . . . . . . s 0 3-15 HP . : 0 MODFL :FLEETWOOD
SIDE ( 1 ) .N 5 .0ft SIiOWFRS . . . . . . . . . . . 0 FURN < 100K BTtls 0 15-30 HP . : 0 -M. AKF-----_-
SIDE (2 ) .S 5 .Oft WATER HEATERG . . . . : 0 FURN >-100K BTU : 0 30-50 HP . : 0
SHRLINE . O .Oft CLOTHES WASHERS . . s 0 FURN -- FLOOR . . . + A 50+ HF . : 0 YEAR
AREA -------------• --- KITCHEN SINKS . . . . : 0 HEAT PIMP . . . . . . : 0 79
LOT SITE . . . FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . : . : 0 EVAP COOLERS : 0 LENGTHt66
6()1LOING, . . t 924gf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . s 0 HOODS , . . . . . . : 0 WIDTH . : 14
SASF'MENT . . . : Ost LAUNDRY TRAYS.— : 0 DOMES . I NC I N :O -SER I AL #-- --
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . 1NCIN :O 1X922.
GAR/CARP :? Osf GARB DISPOSALS . . . : 0 10000 rfm . : 0 REI-OC/REPAIR : 0
AT/DT . s? URINALS . . . . . . . . . . : 0 10000 cfm . : 0 OTHER UNITS . s 0
MISC PLM FIXTURES : 0 GAS OUTLETS . s 0
P184fCT OES I iFTION,10 F 000iLE 10 MEN LOCATION ON THE SANE PROPERTY.
PROJECT tOCATiON:OLD BELFAIR H1; TO 111)(IRK TO SITE (ADDRESS ON IA16f ROCK
IRIS PERMIT BECOMES NJLL AND VOID IF WORK 01 CONSTIUCTION AOTION12E1 IS 107 CONNENCE/ IITH!N 189 MAYS OR IF CORSTRUCHON 04 WORK IS SUSPENDED FOR A PERI05'
OF 180 DAYS A( ANY TINE AFTES FORK IS CONNFNCF./. EVIDENCE OF CONTINUAIION OF WORK IS A PROGRESS INSPRI101 WITHIN THE 181 DAY PERIOD. FINAL INSPECTION 10F1 I
APPIOVE7 BEFOIE 80110116 CAN CE OCCIPIEN.
FINER 01 AGENIc .� .w1uX�- -_ �_ _ . __.__.___ ____..-__. _ DATE:__._
+it b PRNT, rey, 03131191 , COMPLIANCE TO ATTACHED COND I T 1 ONS IS REQUIRED
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 T
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
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
` nI- RN1 I -F CC]talE3 i T- I C3NE
Case No . , BLD95-1087
Fors VIRGINIA NELSON
Page : 1
11 The hark! i I ng and s toragn of hazardouf: matey i f I s or flammable and oombu at i bl e
liquids ! n excess of 10 gal inns is not ailowe11 without the approval of the Mason County
Fire Marshal
2 ) Propor,ed strut-tune or, any portion -thereof greater than 30" in height from grade line
must maintain a minimum of 5 ' setback from all property i i ties , easements and right o+
ways .
x___
3 ) PURSUANT TO 1991 UNIFORM BUILDING CODE SECTION 305(C ) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBFRS OR ADDRESSES PR6VIDEn IN SUCH A POSITION AS TO 81� PLAINLY VISIBLE
AND LEGIBLE FROM !HE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATE; IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL. BE
ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITF PRIOR TO REQUESTING
INSPECTIONS ,
4 ) REQUIRED INSPECTIONS (Footing insection--prior to pour , Set--up inspection-prior to
skirting Final Inspection-prior to occupancy) . I have received a copy of the General
informatio pn and Guidelines-Mobile/Manufactured Housing Instaltationrr Ffandout for,
detailed descriptions of all required inspections on my mobile/manufactured home
Installation . I hereby assume all responsibility for the scheduling of these required
Inspections . if these required inspections are not requested, inspected and signed
off (approved) by the Infipeotor in the prescribed order I understand that reinspection
fees and an hourly Investigation fee pursuant to the 1991 UBC, Table 3A will be assessed
In addition to my original permit fees to resolve any questionable practice,,, or
FF�roblem.3 that have been discovered . I further understand that this Investigation will
ke sc,heduled as time allows . Until resolution of anv /all problems no occupancy ' Final
Inspection ) will be granted for the residence .
OWNER/CONTRACTOR( indicat.e which ) Signature X _ .
i
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
g ) Al I toob i I e/manufactured hump ± and i n s u± Ov(;k s mu.) I. :�-e Trevbtand i nq ( self supporting) ,
The largest Idnding or deck permit ed without drawings or a hllding permit is 36" x
36" . Any landing or deck that Is 30" or more In helg t from walkicg surface to finish
grade requires a guardrail . Any landing or deck that has Q or more risers requires a
handrail . Any landing or deck larger than 36" x 36" must be permitted which requires
structural drawings and a building permit application . This Installation Permit does
NOT Include any landing or deck larger than the 36" x 36" 6170 .
X.______.
6) Placeinerit of structure must comply with standards et orth per UBC sec . 2907
regard ! ng descending and/or ascending slopes . X_
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J�I L 2 1995 M SON COU �' `�
C `� BUILDING PERMIT APPLICA 10 JUL2 5P$I H SER Y edar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-56I�S
8
PL E PRINT
lit-AH SERVICES
#1 ner P.L. ��Y"G r n��9 G. (�e�Sn y.1 Phone# -3ioo 2-g-S 6�o Z
Oite
Address NE . I Ne z.I I<i✓ 2 DC Fire District# 2
S 2
y (3&�P1% 2 St W/+- Zip 2,8
Directions to Job Site 14w dn NeWlQric in eAlclv
6- C
Owner Mailing Address AA M�
City St Zip
Lien/Title Holder Non1E
Address
Clty St Zip
#2 Contractor Name /nL)6 le .&cgr Contractor Reg#
Address Expiration Date
City L)0e 2::'Yl St (�A'—Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic? X Public Water Supply Well X p
Connect to Sewer System? Name of System
(If re 'dential, proof of potable water is required)
# arcel No. 123Z I - Z4 - q o6q.o
egal Description T2 a of SW Sts' NL,J TIZ ft of SP ZZ4 A ID �43
#5 Building Square Footage: (existing/proposed)
1st FI 9 Z9 / 2nd FIL_/ 3rd FI &) 4 / Loft NJ jS l
Basement JN/yJA / Deck NZ& #bedrooms _/_�#bathrooms /
Garage /�!/FJ/ Carport / (Circle:Attached or Detached?)
rn Other sq.ft. / ' ' ID V •r E?��J' 16
f'1
�G� `
#6 Use of building -- �i scn e w r ` 6-1'
-Na PnA L�_
#7 Type of Job: New Add Alt X Repair Other
new site
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year '49 Make Flee�cu° lodel
Length (o(,_ Width 14 Serial No. 1)(4 Z Z 3 8 I 3 2
# Bedrooms 3 #Bathrooms 2 Type of Heat F,Mc
Purchase Price $ U r1 K
#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 Indicate Directional by (N, S, E, W)
Name of Flanking Street Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
9 i } -cc
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� . w �� � 2 ► 53 �qc
Q � L
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
IT
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44
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gybing Fixtures ($3 each) Fgg Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, El ctric,
th Basins Heatpump, Other
�Batl�_Tubs �. UnitsFees
Showers Furn B U
Hot Water Heatpumps
Laundry as er Vent Systems
Sink spot Vent Fan
FI or Drains No. Boilers/Com essors
aundry Basins _ HP
Dishwasher No. Air H I' a Units
Disposal — cfm#
Urinals No. Fir /rote6t ion Systemrs
_Other A o. Fire Alarm Sys 50.00
fixed Fire Supp.qtove
50.00
Permit Basic Fee 15.00 Auto Fire Sprinik 25.00
TOTAL PLUMBING $ Other
Gas Outlets
Wood, Gas, Pelle
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 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 q_24'1" S_ DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY '
Approved Cond. Hold
Approval
Planning: S
5/30
Environmental Health: ri 04v\ L
Building Plan Review
�l b Q5
Occupancy Group:� Type of Const:
Fire Marshal:
Other:
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
Building Permit # 7S e�� MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
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
13 &c- y d 17
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 _
)sCOKto ce-51« ,�i? i,�r� Tay ��"� 3� Z57e S' 47 �/s
❑ This is not a complete inspection Department r�?
Date Z Z Inspector T/2
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