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BLD97-0828 Replace Mobile Home - BLD Permit / Conditions - 7/30/1997
MASON COUNTY -�� Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 RJ 1 1._ Cy i N(-4 P F P M I 'T FOR INSPECTIONS CALL. 427--9670 BETWEEN 5pm AND Sam 427-7262 BLD97--•08PS PARCE1. r 123315100109 PLAT :13EPLO D I V r FILK : LOT : 109 JOB ADDRESS : NE 1P41 BLVD PUL.FAIR / OWNER r KE NNE"TH� 360--275-52.23 (CONTRACTOR : LEGAL : IFAIDs COVE DIY 1 91,K. LOT: I19 CLASS OF WORK , : :NEW DEUR r 3 .BATH : 2 TYPE AMOUNT BY DATE RfCfIPI TYPE AMOUNT IV DAlf l4ECc1PI� TYPE OF USE . . . . r:1*F• STORIES . . . . . . r 1 s �: w, OCCUP . GROUP — t7 BLDG . HEIGHT . O .fOft. EIICP A 28.10 KS #7129197 I1'LFA1R TYPE~ OF CONST . . r? FIREPL.ACFS . . . . r 0 MNOf 1 155.00 KS #7179197 BHFAIR OCCUP . L.OAD . . . . : 0 WOODS"TOVESr). . . : 0 z1FE 1 4.54 KS 17120191 PFIFAIR DWELL .UNITS . . . . r 0 PARKING SPICESr 0 €NSPECT €ON - AkE'A r 1 SHORFL 1 NE? ! . . . :N ITOIAh 145.59 VAIVIA11011: ?4100 TOI:LETS . . . 0 FUEL T'YPES4_________ _ BOI'"ERS/COMP.-__._ MOBILE HOMEdT_- FRONT . . .S 10 .Oft BATH E3ASIN4. . . . . . : 0 : /ELE/ / I r 0•-3 IIP , 0 REAR . . . .N 10 .0ft BATH TUBS .�. . . . . . 0 3-15 HP . r 0 MODEL rFL.F:ETWOOD SIDE ( 1 ) ,E 10 , Oft SHOWERS , . . . . . . . . 0 FURN { 100K BTU : 0 15--30 HP . -. 0 -MAKE. SIDE(2) .W 10 .0ft WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30--50 HP . : 0 BARR1NGTON SHRL I NE 0 .0f t CLOTHES WASHERS . 0 FURN - FLOOR . . . : 0 50.1• IIP . : 0 -Y# AR•- - - --- AREA KITCHEN St S . . . . . 0 HEAT PUMP . . . . . . r 0 77 LOT SIZE . . : FLOOR DRAFG S . . . : 0 VENT SYSTEMS . . . : 0 E:VAP COOIFRS ; 0 1ENGTHr60 BUILDING . . . r 09f DRINKING UNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . ., . . . , . : 0 WIDTH . :24 BASEMENT . . . c 0�f LAUNDRY TRAYI, . . . . r 9) DOMES . INCIN10 -:SERIAL#- - DECKS . . : . . . : 0yf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O GAR/CARP :? fOsf GARB I)I5POSA S . , . : 0 <— 10000 cfrn . : 0 RE:LOC/REPAIR : 0 AT/DT :7 URINALS . . . . . . . . . . : 0 => 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 ( AS OUTLETS : 0 Yea:.. aux�seei*x.:aocr:,am=^srrt:;:nrar-¢�.a:sa:�ae7xaerses.-: m:._a.asrss,us•ssun:s.::e.. .smsor.r.:x>�.srsuxx::�r.rer.-a:yxu+.:tvra:�.=rwe F,ti<114JECT DESCRIPTIONtIEPIACF EMISTIN6 NORiII PONE 189110) WITH A NENFA, IARSEN MOBILE HONE 160041, AND MOVE SNFD. P141JEC1 LOCA110110AKE NORIN SHORE RD AND TUR4 R1601 ON SANDHIII RD, IURN €E1`1 ON LARSON MD; APPRO1 1,5 NILES ON THE IFFTSIDI . NARDOI NIADDRESS OF 1?41 IS ON =TNf 119111 SIRE OF Re, THIS PIRNI,T BFCONES 11911 AND VOID IF 11ORK oll CONS1100ION AUTHOR1tED IS NOT COMMENCED WITHIN 181E DAYS, 01 IF CONSTRUC1100 ON NORK IS &NSPfNDFD FOR A, 111`11I00 OF 180 DAYS AT ANY TINE AFTER IOIK IS CONNENCE.t. EVIDENCE OF CONTINRAN.ON 0 001K IS A.PROaRESS INSPECTION WITHIN THE ISO DAY PF1106 FINAi. INSPECTION MUST RE APPROVED SffOR.E BUIIDINO CAN If OCCUPIFD. w `] 9'NIIE1fi t�R AGE III -- �L..__ :1.. .. ._.._,._.. .. _ DAIS: . _ 3 /. . J` I+C ARAi, rev: 03131191 COIOPI I ANCE TO ATTACHED COND I Y I ONS IS RIFOU I RITE) 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 ,2,4!5 by BG/SLAB Insulation Floors Final date by date by date i� 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 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E� R F\A I "T C,, C.)N Irl I -f" I C">N 9S� \1 Case No . : BLD97-.0828 Fort KENNETH tEWIS Pages I 1 ) PURSUANT TO 1994 UNIFORM BUII-DING CODF , SECTION 305(C ) AND SECTION -03 , AL I- SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING 'IHF PROPERTY . MA4'.ON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIG BE COMPLETED PRIOR TO k,ALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABI.E 3A OF THE 1994 ONIFORM UiHILDING CODE Witt HE ASSESSED IF OWNFRICON7RACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS , Z. X 2 ) ALLSONSTPVCTIPO MCLST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS . X__ 3 ) REQUIRED INSPECTIONS ( Footing Ins ection- -ti prior t po"r , Set Inspec p tion- rior to skirting, Final Inspeotion-prior �o oeoupanoy) ,. I have received a copy of the General Informa1on and (3uldelines-Mobi1e/Mantitaotut,ed Housing Installations Handout for detailed descriptions of all requited Inspections on my mobile manufactured home Installation . Pi horeby ' a9sume all responsibility for the scheduling of these required Inspection13 . If the-6e required inspections are not requested, Inspected and signed off (approved) by the InE pector In the prescribed order , I underltatand that roinspaction fees and an hourly investigation fee pursuant to the? 1991 UBC, Table 3A will be assessed in addition t my origina I , perm lt fees to resolve any questionable practices or roblems that have been discovered , I further understand that this Investigation will be schedtiled as time allows . Until resolution of any lall problems no ooctipara(.-V ( I'" Inal Inspeotion ) will be granted for the residence . OWNER/CONTRACTOR( indicate which) Signature X_ L. 4 ) All mob ilelionnutaotured home l and in s or decks must tie freestanditiq ( self supporting) . The largest landing or dock per mityed without drawings or a building permit If, 36" x 316" . Any l and inq or desk that Is 30" or more in height from walking surface to finish grade requires a ptiardrall . Any l and inq or, deck that has 4 or more risers requires a handrail . Any landing or deck larger , than 30" , x 36" must be permitted which requires struotural drawings and a building permit appl ,l oatl on, , This Installation Permit (loot, NOT Include any landing or deck larger than the 36" x 36" size . CONCRETE _ MECHANICAL MOBILE HOME Foot,igs-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 Attic OTHER Groundwork d date by ate 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 5 ) This atpp i 1 oat i on Is sub' to Buf fear and t_andscap i ng requirements as estab 1 i sherd underMason3 County Or i nince 1 .03 .030 . 6) The uso, handling and srora a of hazardous materials or flammable and combustible liquids in excess of 10 ClalIons is not allowed without the approval of the Mason County Fire ,rMarshal . X 7 ) Struoture must be setbaok 5 ' from till utility and drainage easements, a total of 10' from teach property a variance must be obtained from the Building Department . X OF 8 ) Proposed structure or any portion thereof greater than 30" in height from grade iinP. must maintain a minimum of 5 ' setback from all property 1 i nes , easements and 10 ' from all Coonty and ante: Rpad right of ways . 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 Building Permit # ' MASON COUNTY • BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location A-t5� 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 �SvLli T� G-C Sv �7 ,s 6/ z. d- C� �? V 7C d� S /3l/C You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK L] Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date y l ' l 7 17 Inspector ■ on NnT MnV THI T ' ,� Building Permit # o"-/J-DSze MASON COUNTY • BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRE TION NOTICE Job Location 1291 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 t.,r3 ISi?O 4., 17— i i_ A21M 14 SlAal �rr�,� A0 /lnr> /GG �224 &.. d' znvcZ /4 U/o tl 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 P Make corrections, items will be checked on next inspection El OK to Department 13&,0 Date Z -; 7- 95- Inspector _ i 0 00 0 EUT l Mo *V ltHi' T - ,��- Permit No. &-0 97-0W MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 r aNNF= -In t0►2 ppNNi` Li-LJi5 Phone# 3(�0- . -75, �?- 3 i (,tW te Address �i l l L SO a - Fire District# ity mil. St ,4 - Zip Directions to Job Site l /i - ! Owner Mailing Address ,)x .2-V1-9 city 10 E,L &L/rt St1 " zip Lien/Title Holder WA,A ZL414J�A Address Clty St N , zip ?R3/6 #2 Contractor Name St Contractor Reg#(jg.(jLD ©`l-RL I Address 7 Expiration Date/ / `?,9 City St- Zip F8-93' Phone# 5,(7 7- 7 #3 If septic is located on proje t site, include records. Connect to Septic? Water Si Well Nam Connect to Sewer System? Name of System JUL ' 007 (If residential, proof of potable water is required) n\�egaI rcel No. 1 33f - 51 - DO109 � ."t`' �`CES No. l-O'i- 10 9 o-�Plf�FRl(S PrM �, C(,6--, f l,c.o&d s O--F 1nA-s.a„0 Co a.u+-, , 641�} S #5 Buil Square Footage: (exis r pes�df ting/p 1 st FI / 2 / 3rd FI / Loft / Basement Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) O sq.ft. / #6 Use of building Op1c Aolof- �2£�OLficE OLdf-R. hi�aMc-Describe work_ E, -lr /fix .�5"` 66; ti o jq.E wi A 2q u(0 rnO6 ,An M F- #7 Type of Job: New Add Al Repair Other #8 U.RED HOME INF�:Ji�MA T i0 Model Year tq 1 MakeAE&=�Aodel�9 � Length Width_Serial No. # Bedrooms _#Bathrooms Type of Heat !CZC . Purchase Price$ !may i QQ ei:� #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 i vnvkAl � 10' v� J� Nt, I�ui �Q�.�ttQSoiu g�uD APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i ^v 1 � w AIL,a o>D V) `y i-�a�5ou g L Vb Plumbing Fixtures ($3.35 eachl Fee Mechanical Fixtures ($6.75 eachl No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Sh ers _ Furn BTU Hot Wa Htr _ Heatpumps _Laundry Was r Vent Systems Sinks Spot Vent Fans Floor Drains NV . oilers Com ressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal _ cfm# _Urinals No. Fire ProtectioH,,Srystems _Other _ Auto. Fire Alarm ?,Iis 50.00 Fixed Fire Supp. Sy�'\ 50.00 Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00 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 16.75 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 EPARTMENT. DEPARTMENT. X OWNER X BY DATE -7 ( S— 017 DATE FOR OFFICIALUSE ONLY: Accepted by: Date: /S 7 i DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 1�►Vt Environmental Health: Building Plan Review 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 FW0 Other Building Valuation: TOTAL FEE GA1t�'YA�rs,t�BC't'vR DEPARTMENT OF COM UNM DEVELOPMENT PLANNING - SOUD WAS'I'$ - U'TILt M39 BLDG. 16 411 N. 5"1 S'T. • P.O. PDX 578 4 SMLTON, WA 98584 a (W) 427-9670 MULAdIffi1t/WAIVER OF COUNTY LIAIRTUTY: PERMM ON EXISTING LEGAL LOT$OV ARCM, LAND bt RON APPROVALS,SNOREUNE PERMIT'S, VARIANCES, AND SPM- At USE MUM 11%ttddettigtted PmVmty oww is ix"m of the uncertainty regarding Mason Cotn>ty't development t6JUI&HON eteltted by the ""th Mtrtagemettt ReAt}ngs &AM'*order of Septetltbet 6, tW. and in cotwWeMtioe of Me"Cmm my't witlbett td ptOc6ed with proee11ing of eppUcklotut which might be d%eted by d At Order, the mderllgad ptopetty titglf�t hereby titre"to walVe ury tewtuit, action, or claim fdr dlttttgel ttkht:t Mason County whkh iflty ltW OW of MOM CdW ty't ltc&m in acceptmee, pm erasing and/or limttnce of Mteh pttmfb of apptavot ow4ffitw vwwIng ')►4'h ding"Are atttlbtttable to the Couttty't decltion to talcs pettttl�actions deapit6 the tick that changes to the Cmftty't development regulations might later nuke the Cotutty's permitting actions invAlid. 2-is-Y �k33�— s/- ' (1111"I No. or Legal Description) — ---- hrespetty owner's tignAht (Notltri�ed)--- - — _..-- (or the County may accept the signature of the owner's authorized agent upon proper proof of m>thoriztttlon) AMOWLETIGEMENT CERTIFICATE(INDIVIDUAL) STATE OF CouNTY oI'--------- ---- ----- — -- On this day of in the year , before me -- Notary Public, peMotwly appeared _personally known to me to be the Patton whote name Is subscribed to this itwtmmmnt, and acknowledged thAt he/she executed it. %TrNI3SS my hand And official seal. -Por Ca"Ity ttte fitly- Revlrulyd by erppIftwtt on Ntkaty'a Ngttatttw -- -- -- ---_----- ---- -- (� My Cottntiitllon Expires: _ Staff Itdtild: