HomeMy WebLinkAboutBLD95-1512 Cancelled Mobile Home Replacement - BLD Permit / Conditions - 4/16/1996 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
EA LJ I L. D I N 0 P F FA INA I -IF FOR INSPECTIONS CALL 427-9670
BETWFEN 5pm AND gam 427-7262
BLD95--1512 PARCEL. : 123305300051 PLAT ,6FPL0 DIV : BL.K : LOTS 51
,106 ADDRESS : NF 20 CAPTAIN HOOK DR REL,FAIR
OWNER : ANTHONY LAP INSKI 275-4686
CONTRACTORS HORSLEYS MOIL IIE HOME SERVICE 841--5696
LEGAL : BEAPOS COVE DIV 6 BIAS LOTS 51
CLASS OF WORK :PEP BFDR : 3 .BATH : 2 TYPE A100#1 BY PAT! I E c f I P T �TYPf ANOUNT BY DATE RFCFI?li
TYPE OF USE . . . . :MH STORIES . . . . . . . 0
OCCUP . GROUP . . . i? 8L.DG . HEIGHT . . : O .Oft 090f 1 18#,09 KS 1#119195 44507
TYPE OF CONST . . i? FIRFPLACES . . . . 1 0 ST!'E $ 4.511 KS 16!19195 46517
OCCUP . LOAD . . . . 0 WOODSTOVES . . . . : 0 f4CP S 10.00 KS 1#119195 44507
DWELI_UNITS . . . . . 0 PARKING SPACFSt 0
INSPECTION AREA : I SHORE L I NE 7 . . . . ;N 110TAlt 114,58 vA[ULATIO#t �3af8j
SETBACKS- TOILETS . . . . . . . . . . : 0 FUEL TYPES-- BOILERS/COMP----- MOBILE HOME
FRONT _ S 28 .Ott BATH BASINS . . . . . . : 0 0 3 HP . - 0
REAR . . . .N 31 .Oft BATH TUBS . . . . . . . . , 0 3-15 HP . s 0 MODFL :REDMAN
S SIDE ( 1 ) E 35 .Of t SHOWERS . . . . . . . . . . . 0 FURN < 100K BTU : 0 15-30 HP . : 0 - MAKE---
SIDF (2 ) .W 30 .0ft WATER HEATERS . . . . 0 FURN >-100K BTU : 0 30--50 HP . 2 0 RIDGEDALE
S I 010ft CLOTHES WASHERS . 0 -YEAR----
HR[ I NE FURN -- FLOOR . _i 0 50+ HP . , 0
AREA KITCHEN SINKS . . . 0 HEAT PUMP . . . . . 1 0 91
LOT SIZE _ z FLOOR DRAINS . . . . . t 0 VENT SYSTEMS . . . % 0 FVAP COOL EASt 0 t_ENGTHt40
81JILDING — . - 1120sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 140ODS . . .. . . . . z 0 VVIDTH . -28
BASEMENT . OFf LAUNDRY TRAYS....TRAYS . . . . s 0 DOMES . INCINiO
DECKS . . . . , . : OST D1SHWASHERS . . . . . . 1 0 AIR HANDLING UNITS--- IGOMML . INCIN :O 11816
GAR/CARP :? Osf GARB DISPOSALS . . . z 0 — 10000 otm . 1 0 RFLOC/RFPAIRi 0
Al'/(.)T . t? URINALS . . . . . . . . . . 1 0 > 10000 offfi . , 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT OfSC#fPfIOV10BItE NONE. REPLACENEIT
PROJECT tOCATIONtPORIN RHORE RD HAKE RIGHT ONTO SAID HILL SICOXO LfF1 0010 tARSON BLVD STRAIGHT 19 CAP) HOOK, LOT ON fORNER OF tARSON BtV3 AND CAPI 00k
THIS PEONIT alcolfs PULL AND VOA If 1101K OR CONSTRUCTION AUTNORIZEI IS NOT CONNEACtO WITHIN 188 DAYS, 09 If CONS119CP01 08 Wolf IS IUSFENOED foe A PERIOD
Of 1$0 DAYS AT ANY TIDE AFTER WORK IS CONWNCED. [V)DfNCE Of CONTINUATION OF WORK IS A PROGRESS INSPECTION 117HIN THE 180 DAV PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORC. 8911.v1#6 CAN 9F OCCUPIED,
OWNER OR AGfNlt-- OAT t t
.............
BID-PINT, revs #3131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
r 1
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 L
BG/SLAB Insulation Floors Final t
date by date by date — O (o by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING date by OTHER
Groundwork Attic
date by �
date D.W.V. b WALLBOARD NAILING b
date by y
Water Line FINAL INSPECTION
date by date by date by
1
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF P !V1 i T 00Nh 1 T 1 0114F
Case No . : BLD95-1512
For : ANTHONY LAP I NSK I
Pages 1
1 ) The use, handling and storage of hazardous materials or, f l immab i e and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
X.
E ) Structure must be setbaok 5 ' from all utility and drainaoe earpments a total of 10 '
from each property line, or a variance must be obtained front the Bu i ld I ng Department .
3 ) Proposers structure or, any portion thereof greater thon 30" 1n height 'from Grade Iine
must maintain a rninimoan► of 5 ' setback from all property lines , easements and right of
ways .
A ) All approved plans are required to be on-site for, inspection purposev . if Inspection Is
'called for rand plans are not on site, Approval WILL NOT he granted . In addition, a
Re- Inspection fee in 'the amount of t3Q1 .00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval granted .
X
5 ) 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 Bt PLAINLY VISIBLE
AND LEGII;L.F 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 ONIFORM B1,11LDING COOF WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X__�:
6) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL. CODES AND UBC REQUIREMENTS .
x --
? ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set - up Irtspection�-prior to
skirtin Final Inspection-prior to occupancy) . I have received a copy of the General
Informa?ion and Guidelines-Mobile/Manufaot►arAd Housing Installations Handout for detailed
descriptions of all required Inspections on my mobile/manutaotured home installation . I
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
hereby assume all responsibility for the scheduling of theses required inspections . If
these required inspections are not requested, inspected and signed off ( approved) by the
inspector lit the prescribed order , I understand that reins pect i on feet; and an hourly
y
investlgation fee pursuant to the 1991 UBC , Tattle 3A will be assessed in addition to my
or i to i na i perm i i f e3es to resolve any questionable practices or prnb I erns that have bee"
discovered . I further understand that this Investigation will be scheduled as time
allows . Unt i 1 reso l i.it i on of any/all problems no occupancy ( Final Inspection ) will be
granted for the residence .
OWNER/CONTRACTOR( indicate which ) Signature
t3 ) Al i mob! le/manufactured home landings or ducks must be freestanding ( self supporting) .
The largest landing or, deck permitted without drawings or a building permit is 36" x 36" .
Any landing or deck that is 30" or more In height froin walking surface to finish grade
requires a civardr a 1 1 , Any landing or deck that has 4 or, more risers requires a handra i I .,
Any landing or d(4ck larger, than 36" x 303" must be permitted which requ i re3s structural
drawings and a bti l I d i ng permit Sapp i i cation . This Installation Permit does NOT include
any landing or duck largor than the 36" x 36" size .,
a) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMl=NT AND UNIFORM BUILDING CODE .x y, ��
NO P—t Z la lte( i l l f(�tQ' P-r 1U—/1—�S Permit No. \
MAS� OUNTY
BUILDING PERMIT APPLICATION �p
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 Q�
PLEASE PRINT
#1 Ow r .y7 I Ai �`}" L�'� l /V S!'�` a Phone#
ite Address n15 c96 Cg:,� A�o C. Ori t/t r-----� u�� W4 Fire District# ;L_
City L / St -' Zip s
Directions to Job Site
r —
.� q
Owner Mailing Address I
City St LJ zip ��S a 0
Lien/Title Hold a a 4- t_L,1j1/4-rL I a-.Q t
Address
City St Zip
#2 Contractor Name S - M16 1b ; L - Wo,0 -S VC. Contractor Reg# 0 f3 4k S 'e")
Address , 20Al S Expiration Date/ / /_a
City St W aj _Zip Phone# 7 4 / S"lo 9 (0
#3 If septic is located on project site, include records./
Connect to Septic?_�Public Water Supply I Well
Connect to Sewer System? Name of System
(if residential, proof of potable water is required)
114
L gal Description A =� o V �
#5 Building Square Footage: (existing/proposed)
1 st FI //.2 d / 2nd FI / 3rd FI / Loft /
Basements La?,U- / Deck / #bedrooms / #bathrooms /
Garage,dn,vr%a—/ Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building 9L�0-��-Q- Describe work
#7 Type of Job: New Add Alt Repair Other �.
.i
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year/9 9 / Make E &OJ Model i LE
Width :1 Serial No.
Length 44 d
# Bedrooms #Bathrooms _Type of Heat F O R C E d
Purchase Price $ 0 o d
#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
L N L o-T " s
C L--D
P� N K
w �
:v
�- go'
o �
�J I -,.,
13'
16 a
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
l�D
PI-umbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. ilets CIRCLE FUEL TYPE: Gas, Electric,
Bath'�asins Heatpump, Other
Bath Tubs Units Fees
Showers —� Furn BTU
Hot Water r — \Heatpumps
Laundry Wash — nt Systems
Sinks — Spo Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins HP
Dishwasher 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 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 l X BY
DATE d c A .,5 9. DATE
FOR OFFICIAL USE ONLY: Accepted by: � ��—� Date: l�. cjs
------- - - ------- - ----- - ------ - --- - -- ----
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
�1
Planning: — AIL '54� A �V17S
)a/Z
Environmental Health:
Building Plan Review S",ot .36r0,4r pc s762? p";{ trrr�p, �L-c.
0—
Occupancy Group: i<—'� Type of Const: b N
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 if
Other
Other
Building Valuation: TOTAL FEE