HomeMy WebLinkAboutBLD95-00715 Cancelled Mobile Home - BLD Permit / Conditions - 12/9/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
1-3 1-) 1 1_ L) I N C-1 P FF F-4 M 1 T FOR I N;�PEC T IONS GALL 427-9610
BETWEEN 5pm AND Sam 427- 7262
BI_f)95-0715 PARCFI_ : 123315100071 PLAT ;BEPI_0 D I V : BLK : LOT : 71
JOT; ADDRESS • NE 261 JOLLY ROGER LN RELFA I R
OWNER ; MARTY FLEMING 658-9103
CONTRACTOR ,- IDEAL MOB I I F HOME SERV I CF 85 7--3065
LFGAL : BEARDS COVE. DIV 8 811; LOT: 11
CLAS`" OF WORK . . :NE:Vd FIFDR : 2 BATH : 1 F
PE AMOUNT BY DALE RECEIPT TrPf AMOt�NT 8Y DATE RECEIPT
TYPE OF' USE . . . . ..MH STORIES . . . . . . . : 1 ,�.,
OCCUP . GROUP . . , :? BL.DG . HE I GHT . . : 0 .Oft 111kc
f.HIP ! 50.00 CPR 06/12/95 39349
TYPE OF CONST . . :? FIREPLACES . . . . ; 0 t 42.00 CPO 06112195 39349 i
OCCLIP . LOAD . . . . .. 0 WOODSTOVES . . . . : 0 MNOf t 100.00 CPO 06112195 39349
DWELT .UN i TS . . : 0 PARKING SPACES : 0 Siff t 4.50 CPR 06/12195 39349
I NSPFC-T ION ARFA ; 1 SHORELINE? . . . . :N ITOTAL: 146.50 VALUtATION: 4500
SETBACKS--- -- TOILETS . . . . . . . . . . ; 0 FUFL. TYPES- BOI LF.RS/COMP- - --- MOBILE HOME:�-
FRONT . . .N 10 .0ft BATH BASINS . . . . . . : 0 : 0-3 HP . : 0
REAR . . .S 15 .Oft BATH TUBS . . . . . . . . : 0 3-- 15 HP . ; 0 MODE:L :D i PL.T
SIDE ( 1 ) .F 10 .Oft SHOWERS . . . . . . . . . . : 0 FURN <: 100K BTU : 0 15- :30 IIP . ; N ._MAKE- ---- -
S i DE ( 2. ) .W 10 .0f t. WATER HEATERS . . . . . 0 FURN >R100K BTU : 0 30-50 HP , : 0
SHRL I NE . 0 .oft CLOTHES WASHERS : . ; 0 FURN -- FLOOR . . . -. 0 504 HP . : 0 YE AR AREA __ __.____. _.._ .__ ... KITCHEN SINKS . . . . : 0 HEAT POMP . . . . . . : 0 81
LOT SIZE . . . FIOOR DRAINS . . . . . .. 0 VENT SYSTEMS . . . . 0 FVAP COOI_EPS : 0 LENGTH :52
,BUII.DING , . . : 728sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 W1DTH . : 14
BASFMFNT . . . : 0Sf LAUNDRY TRAYS . . . . ; 0 DOMES . INCIN :O -SFRIAI 1T'-_- -
DECKS . . . . - . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMMI_ . INCIN :O 10003
GAR/CARP : ? Os;f GARB DISPOSALS . . . . 0 cfm . . 0 RELOC/REPAIR : 0
AT/DT . :7 URINALS . . . . . . . . . . : 0 10000 cfin . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
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PROJEC'� OESCRIPHO11:M081LE HONE
PROJECT tOCA1100:0EADING TOWARD BELFAIR STATE PARK ON NORTH SHORE AD TURN RIGHT ONTO IARSON LAKE, RD TO TOP Of HILL , TURN RIGHT ONTO SABER AND TURN RIGHT
ONTO JQIAY ROGER, PROPERTY ON LEFT, TAKE EASEMFNL RO TO SUBJECT
TRiS PERMIT 8ECOMES Nutt AND VOID IF WORK OR CONSTRUC1E011 AUTHORIZED IS NOT COMMENCED WITHIN 190 DAYS, OR IF CONSIRUCIION OR WORK IS SUSPENDED fOR A PERIOD
Of Ill DAYS AT ANY TIME AFTER WORK IS COMMENCE8. EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPFCTION MITNIN THE Ill DAY PERIOD. FINAL P'NSPECIION MUST 81.
APPROVED BEFORE BUILDING CAN BE OCCUPIED.
OWNER 0R AGENT: A.4L 4- OAIE: / z G
e<nuu� �urF rn ATTACHED CONDITIONS 1
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 3 by "J
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
DW D.W.V. b WALLBOARD NAILING )
date by date by
Water Line FINAL INSPECTION
date by date by date by
II
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I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PF_ Rm I 'T CC3ND I T I CaNr
Case No . : BLD95-0715
Fort MARTY FLFMING
Page : i
1 ) Subiec:t to conditions of Resource Lands and Critical Areas ( RI..C ) Checklist notifioation
letter, .
X
2 ) The use , hand IIng and storage of hazardous mat orIaIs or f1ammable and combu-.tiblr.
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Maul .
X_..:
3 ) Str not re must be ea;ethack 5 ' from at I tit i I ity and draina(ie easements , a total of 10 '
from each property line ( 15 ' on rear property line ) , or a variance must be obtained from
the _Rr I a Department .
4 ) Proposed structure or any portion thereof greater than 30" in heiclht from grade tine,
must malptain a minimum of 5 ' setback from all property lines , easements and right of
ways
X
6 ) PUP SUANT TO 1991 ON I FORM BU I LD I NO CODE , SE CT I ON 305 ( C ) AND SC CT I ON 513 , Al t. 4 I TF S MUS"1
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO FEE PLAINLY VISIBLE
AND LEGIBLE FROM THE STPFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEE , BASED ON RATES IN TAKE 3A OF THE 1991 UN I EnRM F3t1 1 1 D I NG COW W 1 t.t BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X r'
fr ) RFOUiRED INSPECTIONS ( Footing Inspection-prior to pour , Set--up Inspect Ion.-prior to
skirting, Final Inspection—prior to occupancy ) , I have received a copy of the General
Information and Gto i de l i ne�s--Mob i l e/Manufactured Hous i nq Instal fat ions Handout for deta l l eed
descriptions of all required inspections on my mobile/manufactured home Installation . I
herretiy acssume all responsibility for the scheduling of the-:e required Inspections , if
these required inspections are not requested, Inspected and signed off (approved) by the
inspector, In the, prescribed order , I understand that reir►f;pection fees Find tin hourly
Investigation fee pursuant to the 1991 UBC, Table :3A will t)e assessed in addition to my
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
in i i to rest? ve :pry qu e p( actlof. pro � tt ,.
dIrcovered . 1 lurther understand that this investigation wi1I be scheduled as time
allows . Until resolution ref any/all problems no oroupancy ( Final Int.peotioh ) will be
granted for the residence .
OWNE:RMON"IRACIOR ( which ) signature X r
7 ) All mob! Ie/manufactured home landi ngs. or decks must be freestandlnq ( :pelf support Ing ) .
The I argest I and i itg or deck perm i t te+d w i thout drawl ngs. or a tau i l d i nti perm i t t Mi" x 36" .
Any landing or deck that is 30" or more In height from walking surface to flnl ^h grade
reou i res a quar•dra I I . Any landing or, dock that has 4 or more riser.; requires a handra i
Any landing or deck larger than 36" x :36" must be permitted which regttires structural
draw Inns and a buIIdInq per mIt appI I cat Ion . Thlr InstallatIon Perm It doer-: NOT IncIude
arnv lan inq or deck larger than the .16" x 36" size .
X
Permit No. 1dq/� 07 is-
MASON COUNTY �\��
BUILDING PERMIT APPLICATION l� A' c��
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628�`t �� p
PLEASE PRINT (,�"
#1 wn ar
� �,. 0,4�e "` Je_'W� Z_ Phone #'te d c +2- ,-sL_ Fire District#
City P-� f St f J Zip '`f Z
Directions to Job Site hdUQ -tY7t" AP� !-J ,ez
+vim k 0040- wJ A 1,0 b I.I v
SA t3 aE Jea p IrvJ0iJ >
LAw,a Po 4o sv
Owner Mailing Address
City I A .'E- St Zip -33 �r
Lien/Title Holder y0o �?Q.
Address
City St Zip
#2 Contractor Name _l-a�e D ��°tl ' Contractor Reg# /Zt & lUl� 0.1II��
Address I 'Z; ti Expiration Date Z / Zq/q6
City o�2— St !,C) Zip Phone#—aaZ
#3 If septic is located on project site, include records. � N P�,
Connect to Septic? Public Water Supply Well B
f�C� n
U T_
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) MAY 2 3 1995
?tPearcel No. I Z33( - :� u e ,! ('�gal Description �,c,� '1� t�2+d :� C-L� EJ C' 9FAUN SERVICES
#5 Building Squ e Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / # bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other n sq. ft. /
#6 Use of building �s, �, A' Describe work
#7 Type of Job: New Add Alt Repair Other -. \
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year r Make.�-- I— Model �; �` / �/�
Length 15 7— Width 4 Serial No.
# Bedrooms %i # Bathrooms I Type of Heat
Purchase Price $ q--Soo
Jam'
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property: 11
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other !v
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
s;
fi
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
CA-se-m e
/4
�1 a-
i v lz
Plumbing Fixtures( each) Mechanical Fixture ( 6 ea h)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs
_Showers _ Furn BTU
_Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains Ng, Bollers/Compressors
_Laundry Basins HP
_Dishwasher Ng. Air Handling Units
_Disposal cfm#
_Urinals Ng, 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 $ �JQ, 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- 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 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 'S X BY
DATE 4,7 �- DATE
1FOR OFFICIAL USE ONLY;Accepted
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
' 1 �►U1S
Planning: n", ICN,.s GK S6kAC1WYQ.. O\K'-'vr- 3O 1 h iCh i' YVllt_
A 6/
o tvNa- se_l)b>�)t «
c
Environmental Health:
Building Plan Review S
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 Feel"
Site Inspection
Building State Fee
Other�Qe[L
Other
Building Valuation: TOTAL FEE r LQ .