HomeMy WebLinkAboutBLD95-1392 Mobile Home - BLD Permit / Conditions - 10/10/1995 - 1
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
F� (J I 1- 0 1 14 0 P F_ F2 M 1 71- FUR INSPECTION' CALL 427-9670
BETWEEN 5pm AND Sam 427--7262
OLD96-1392 PARCEL el23305100061 PLAT .BFPt_0 DIV : BLK : LOT 61
jOR ADDPESSt NE 521 LARSON BLVD BELFAIR
OWNER : DENNIS 011-OW 275-0100
CONTRACTOR :
LEGAL : REARDS COVE DIY 4 BLKt [Olt 61
CLASS OF WORK . tNEW BFDR t o BATH : 0 TYPE AMOUNT BY DATE RECEIPT TTPf AMOUNT BY DATE REC"tIFITT
`TYPE OF USE All"! STORIFS _ . . . . -,0
OCCUP . GROIJp . . . BLDG . HEIGHT . . . O .Oft PRO) $ 16.00 CFO 10110!95 494K
TYPE OF CONST t? FIREPLACES...,: 0 PICK 1 6.50 CPR 10!18195 40497 if
OCCUP . LOAD . — 0 (MOOD STOVES . . . . 0 kNOf I IOU00 CPO I8/10195 40492
DWELL .IINITS . . . . 0 PARKING SPACES : 0 SIFE I 4-5I LPN I8/10195 40492
INSPECTION AREA : 0 SHORELINE? — — tN ITOTAtt 12140 VALUIATION, 20761
s FT B A C I<S TO I L.E TS . . . 0 FUEL TYPES_______ BOILERS"COMP- - MOB )LE HOME_._
FRONT . . 10 .0ft BATH BASINS . . . . . . 1 0 t /FLE/ / 1 03 Hp . - 0
REAR . —W 111 .0ft BATH TUBS . . . . . . . . t 0 . 3-15 HP . t 0 MODEL eRE
SIDF ( 1 ) . s 139 .011't SHOWERS, . . . . . . . . . . : 0 FURN < 100K BT04 0 15-30 HP . : 0 -MA K F--- --
SIDE (2) ,N 27 .Oft WATER HEATERS . . . . 3 0 FURN >-100K BTU . , 0 30-50 HP , : 0 PACIFICA
SHRLINE . O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . : : 0 50+ HP . : 0
AREA KITCHEN SINKS . . . . .. 0 HEAT PUMP . . . . . . 1 0 75
LOT SIZE - - FLOOR DRAINS . . . . . 0 VENT SYSTEMS . . . t 0 EVAP COOLERS : 0 LENGTH :56
BUILDING . . . Osf DRINKING FOUNT . . . : 0 VENT FANS — . . . 0 HOODS . . . . . . . : 0 WIDTH . 04
BASEMENT . . . t Osf LAUNDRY TRAYS . . . . 0 DOMES . INCINtO - SERIAL#--- -
DECKS . . . . . . . 96sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNIT5.- -- COMML . INCIN .0 25KGI)
CAR/CARP :? Osf GARB DIk1;POSALS . . . : 0 <- 10000 otm . : 0 R E 1.0 C 1 R E P A I R z 0
AT/DT . -T URINALS . . . . . . . . . . 1 0 > 10000 oft . , 0 OTHER UNITS , : 0
MISC PL.M FIXTURES - 0 GAS OUILFTS . 0
PROJECT LOCAU00:9911 NORTH SHORF 10 SAND Hil.l. UP SAND1111.1 AND 1040 1ffT 00 (ARSON BLVD. UP (ARSON 9tVO, TO TOP Of Hill SECOND LOT IRON lop 00 IFFT 11AND sief. l
THIS Pfivil BECOMES Nutt AND vote IF WORK of CONSTRUCTION A01.110117F9 IS NOT CONIFICER WITHIN 104 DAYS, 01 If CONSTRUCTION u11 WORI IS SUSPfNOFD FOR A PERIOD
Of 181 DAYS AT ANY It* AFTER WORK IS COMMENCED. EVIDENCE OF C011INVA110111 Of 11DRY is A PROGRESS INSPECTION WITHIN THE ISO DAY PERIOD. FINAL INSPECTION JIUSY BF.�
APPIOVEII 8EfQ&E BVILD116 CAN BE OCCUPIED.
X
OWN(JI OR AGENT- DATE:
81.1111111, COMPLIANCE TO ATTACHED CONDIT '
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons T
date by Gas Piping date !C7 - g b
Foundation Walls date by Set Up
date by INSULATION date /S— by
BG/SLAB Insulation Floors Final
date by date by date ��/S� ly by —�
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING n.
date date by y(�
Water Line by FINAL INSPECTION K! j
date by date by date by
I
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P 6=- R M 1 -17' V, C:)N D I -r I f,3 P4
Case No . t SI-095-1392
Fort DENNIS BILOW
Pare I
1 ) Structure must be setback 5 ' from ail utility and drainage easements,, a total of 10 '
from each pfoperty line, or a variance must be obtained from the Building Department .
? ) Pro used structure or any port I on thereof greater than 30" in Height from grade I I fie ,
1110113 maintain a minimum of 5 ' setback from all property lines, easements and right Of
ways
3 ) The n(use. handli e j and storage of hazardous materials or turnable and combustible
liquids In excess of 10 gallons Is not allowed without the approval of the Mason County
Fire Marshal .
X
4 ) , This permit is being isued pending verification of L &I approval of
home . x ----------- - ---------
5 ) All approved plans are required to be on-,,-, ite for Inspection purposes , It Inspeotion Is
called for and plans are not on site, Approval WILL NOT be granted . In addition. a
Re- Inspotition fee in the amount of $30 .00 pet, hour (minimum I hour ) will he charged and
-must he oollected by this department prior to any further inspections being performed or
approval granted .
X—, _7'At
6 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALI, SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBI-E FROM THE 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 RATES IN TABLE 3A OF THE 1991 UNIFORM Still-DING CODE WILt. BF
ASSESSFU IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
7) ALL MUST MEET OR EXCEED ALL LOCAL, CODES AND USC REOUIREMFNTS .
8 ) REQUIRED INSPECTIONS ( Footing Inspeotion-prior, to pour , Set-up Inspection-prior to
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
If skl rtin c on
Inspection-prior to occupancy ) . I have received a copy of the neneial
Informa ,n and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed
descriptions tit all required inspections on my mohlle/manuf8ctured home Installation . I
hereby assume all responsibility for the scheduling of these required Inspections . It
these- required inspections tire not requested, Iris ected and signed off (approved) b the
Inspector in the prescribed order- , I understnd Mit reins gection fees and an hourly
investigation fee pursuant to the 1991 UBC, Table 3A will e assessed in addition to my
orIgIna? permit fees to resolve any questionable praotices or problems that have been
discovered . I further understand that this Inve6tigation will be scheduled as time
allows . Until resolution of and,/all problems no oocuparicy ( Final Inspection ) will be
granted for the residence ,
OWNER/CONTRACTOR ( indicate which ) Signature X
9) All mobile/manufactured home landings or decks must be freestanding { self supporting) .
-The largest landin or deck permitted without drawings or a building permit Is 36" x 36" .
Any landing or deck
that Is 30" or more In height from walking surface to finish grade
requires a guardrail , Any landin or deck thathas 4 or more risers requires a handrail .
Any landing or deck larger than 39" x 36" must be permitted which requires structural
drawings and as building permit application . This Installation Permit does NOT Include
any landing or, deck larger than the 36" x 36" size .
X
10) Placement of structure mtjqt comply with standards ..-%**# r
regarding descending and/or ascending slopes . X -,,pth per UBC sec 2907.
II 11 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Ouality
Code, tine Uniform Building Code and/or Mason County. "0 LA t 10 ns "I U st
be approved by Mason County prior to construct lonX. ' _�Z
12 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS_" PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x
i
Permit No.
` j �� MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT ?
#1 h h i S `,0 tJ Phone# J (.O
A-let Address /V�- 1 vS� v1 Fire District#
ity `� L St W4— Zip 8s'z8
Directions to Job Site
UV O►,
-e L"O v O S
Owner Mailing Address ✓S
City t'd StAZ:6k_- Zip
Lien/Title Holder
Address
Clty St Zip
Lq
#2 XContractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records. SOD
Connect to Septic? Public Water Supply Well {L
Connect to Sewer S stem? Name of System
(if residential, proof of potable water is required) "o ^
� Wu
#4 ar o. �a? -6 1
egal Descriptions
vim
#5 B g Square Footage: (existing/proposed) O
/ 2nd FI / 3rd FI / Loft
Basement / Deck �n #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building //<<, 1 c //� Describe work
#7 Type of Jo . New Add Alt Repair Other
#8 MOBILE/MANUFACTURED H ME INFORM ON
Model Year�Make K Model r`c�
Lengl -(o Width_Serial No S GD S 1 y33
# Bedrooms oZ # Bathrooms j Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if w,Aer is on or adjacent to subject property:
River Pond Creek Stream Wetland LahgNoarsh 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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Pium ina Fixtures ( 3 each) Fee Mechanical Fixtures ($6 each)
Noy Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpomp, Other
_Bath Tubs No. ' ni s Fees
;
Showers FL�n BTU
Hot Water Htr Heatpumps /
Laundry Washer _ Vent S�stems
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins HP
Dishwasher No. Air H n lin / ni
_Disposal _ cfm#
_Urinals No Fira ction Systems
_Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire SupP Y S s\ 50.00
Permit Vasic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ N h r
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- TOTAL MECHANICAL $
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 T REWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT ST OBTAININ APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE-BUTC6l�G ARTMENT. DEPARTMENT.
X OWNER X BY
DATE �-^ DATE
FOR OFFICIAL USE ONLY: Accepted by: �, � Date:_( / �
DEPARTMENTAL REVIEW
4 FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: MAC"TI — S;'t 13AC&
Environmental Health: b l� cyx Odu'ri Pei bkA"
Building Plan Review
__- 0 °z
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FE `r
rho c�c%
Building Permit eCV,
�6`-= 116
Plan Check 6 S�—
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
icy Other
Building Valuation: TOTAL FEE