HomeMy WebLinkAboutBLD95-00427 Cancelled Mobile Home - BLD Permit / Conditions - 10/17/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 IU i L_ U) 1 N 0 P F Lt M I T FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND Elam 427-7262
BLD95-0427 PARCEL :321275300125 FLAT :LAPLO DIV : BLK : LOT :
JOB ADDRESS : F 511 DARTMOOR DR SHELTON
OWNER : BOB BENITZ 426-3447
CONTRACTOR ± DETRAYS QUALITY HOMI
LEGAL : LAKE 1.111RICK 4 TRACT 125 FS 19151 1K 121A
CLASS Of WORK . . :NEW BEDR : 3 BATH : 2 TYPE ANOUNI BY DATE 110IPT TYPE AMOUNT BY OATS RECEIPT
TYPE=. OF USE' . . , tMH STORIES . . . . . . . : 1
OCCOP . GROUP :? BLDG . HEIGHT . . : O .Oft RLC $ 47.10 NJP 04120195 38841
TYPE OF CONST ,. . :? F I RrPL.ACFS . . . . : 0 MNOf 1 1i0.80 Nip 04120/95 39841
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 811f 1 4.50 Nip 04120/95 38841
DWEL L.. .UN I TS . . . . : 0 PARKING SPACES : 0 EHCP 1 11.11 Nip 14/20195 3f,841
INSPECTION AREA : 3 SHORE L_ I NE? . . . . :N TOTAL: 156.50 VAI N AT ION: 400#0
c: =.mcm. - sma�raseercnnr
SETBACKS--.__._._____ _._._---_ TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MORI1-E HOME--
FRONT . . ."; 122 .oft LATH BASINS . . . . . . : 0 : : 03 MP . ; 0
REAR . . . .N 60 .0ft BATH TUBS . . . . . . . . : 0 3-15 HP . ! 0 MODEL :GUERDON
SIDE ( 1 ) .E 10 .0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15 -30 HP . t 0 -MAKE-- - ---
S1DF (2 ) .W 10 .0ft WATER HEATERS . . . . . 0 FURN >-100K BTU : 0 30-50 HP , : 0
SHRL INE . O .Aft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . r 0 'i0+ F1P . : 0 -YEAR---- - -
AREA ----_ --- - - ------ KITCHEN SINKS . . . . . 0 HEAT PUMP . . . . . . : 0 95
LOT SIZE . . . FLOUR DRAINS . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 IFNQTH :44
BUILDING . . . : 1176sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :26
BASEMENT . . . ,- Osf LAUNDRY TRAYS - . . . : 0 DOMES . I NC IN :fb
DECKS . . . . . . : 08f DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O 1742.9
GAR/CARP :? Osf GARB DISPOSALS . . . : 0 <- 10000 ctm . 1 0 RFI.00/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
�Y1tC51�:.:�__':^."G'J-��IL�i':.:_�'S.'F.Carl'Y^^.t•S.A .\'—"'�"'--Ri4Ra1LF7CR2'tr'ti�-:.S4YY..bCY'NL]�GC.'.S" 1.'I:A'A"�f%+S�YSf@'i'.�TL�TS._R6�T�CS`3`i_�.`.
PROJECT DESCIIPTION49111tE NONE
PROJECT LOCATION:RI601 ON DARTMOOR DR, STAY RIGHT, CO HAIf NItF, LOT IS ON TOE LEFT.
TRIS PERMIT BECONfS 1811 AND VOID IF 1OAK 01 CONSTRUCTION AUTNO1t7F1 IS NOT CONNENCEI 111010 180 DAYS, OR If CONSTRUCTION OR NORk IS SUSPENOfb FOR A PERIOD
DAYS AT ANY TINE AFTER LURK IS CONNFOCED. EVIDENCE OF r^ 14ATION OF IORK IS A PROGRESS I1SPfCI10N NIIHIN THE 180 DAY PFRI0/. FINAL INSPEC10111 MUST BE
0 BFfORE 911113106 CAN BE OCCIPI to,
bR AGENT: LIC L
_.�__�.._..�._._.__ --.1c.`.Y.�.__ _ DATE:
III, raa+ 1113i191 'S IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribborls�
date by Gas Piping date �, b y2�—
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Final �t ow
Floors
date by date by date by
FRAMING Walls FIRE DEFIr.
date by date by
PLUMBING date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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(S,0— Ac)
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T CGllNL7 I T I QN :
Case No . : BLD95-0427
Forx BOB BENiTZ
1 Pages 1
1 ) Sub eot to conditions of Resource Lands and Critical Areas (RLC ) Checklist notification
l et er .
X
2 ) The use, handling and storaqe of hazardous mat e7c- i a I s or flammable and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
X LJa
3 ) Structure must be setback 5 ' from all utility and drainage easements, a total of 10 '
from each Kvoperty line, or a variance must be obtained from the Building Department .
4 ) Proposed structure or any portion thereof greater than 30" In height from grade line,
must maintain a minimum of 5 ' setback from all property lines , easements and right of
&waX y
5 ) PURSUANT TO 1991 UNIFORM BUILDING COIF . SECTION 305 (C ) AND SECTION 513 , ALL SITES MUST
HAVF APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE 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 BUILDING CODE WILL BE
ASSESSED IF OWNE(�/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X______
6 ) ALL CONST UCTION MUST MEET OR EXCEED ALL LOCAL CODES AND URG
REQU I REM►IT;�
X r ;
7 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set up Inspection-prior -to
6klrting, Final Inspection-prior to occupancy ) . I havo received a copy of the General
InformatIon and Guidelines•-Mobile/Manufactured Housing Instal fat ions Handout for detailed
descriptions of all required inspections on my mobile/manufactured home installation . I
hereby assume all responsibility for the scheduling of there required Inspections . if
these required inspections are not requested, Inspected and signed otf (approved) by the
MASON COUNTY
Mason County g Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Inspector in the prescribed order , I understand that relnspeotion fees and air hourly
' Investigation fee pursuant to the 1991 UBC, Table 3A will be assessed In addition to my
original permit fees to re olve any questionable practices or problems tha'e have been
discovered . I further understand that this investigation will be scheduled as time
allows . Until resolution of any/all problems no occupanc ( Final Inspection ) will be
granted for the residence .
OWNER/CONTRACTOR ( indicate which ) Signature X ._4'-_��`
8 ) Ail mobile/manufactured home landin s or decks must be freestanding ( self su ► ortin ) .
The largest landing or deck permitted without drawings or a building permit Is 36" x 36" .
Any landing or dec that is 30" or more in height from walking surface to finish grade
require, a guardrail . Any landing or deck that has 4 or more risers requires a handrail .
Any landing or deck larger than 3t�" x 36" must be permitted which requires structural
drawings and a building permit application . This Installation Permit dogs NOT Include
any bland i,ng orb-,dec.k larger than the 36 " x 36" size .
r`
g> CONSTRUCTION PROCESS TO BE FIELD CORRECT(D S �E?Ul,$iE Pi R MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x �--i`
Permit No. ICA 09��
MASON COUNTY T
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT ��?? n
#Wte
6c).b UeM��'L Phone# 2-06 f y16—
s C S/l D4ArY *Auok Hail Fire DistrictShe/��✓ G. St Zip Q8�
Directions to Job Site t'2ru ON 0 crzf.."o,•x. ,Dx ,f/a u ,Wy_J oo h� 1# m r1P.
/u/ "r o'U ItAe /CAt
Owner Mailing Address !f� A A
City St Zip
Lien/Title Holder
Address
Clty St Zip
nn 2k�
#2 Contractor Name ,Je Tie uM S (4. Contractor Reg # p FTrL C,cGc�ZS
Address 3 PU f 4 G +` q'4 Expiration Date S-
City o �u St Zip C1 9S'0/ Phone# 41s7-/Sbu
#3 If septic is located on project site, include records.
Connect to Septic?__2�,_Public Water Supply Well Connect to Sewer System? Name of System Locke. 6.-"e*ue4
(If residential, proof of potable water is required)
#4 Z12`� - �- dot z s-
g I Description Laki Li„►c���-C� (�� y �,/ Lv� /2-4'
#5 Building Square Footage: (existing/proposed)
1 st FI 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms & / #bathrooms
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building „r � -� IYt Describe work
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year I r _Make 6cic"N Model Gu ew-J,,v 9� w 0�;J
Length qY Width -79 Serial No. 1 7V ZQ
# Bedrooms 3 #Bathrooms 2 Type of Heat /=Q,wcr CU'Ac. 67/rcnv
Purchase Price$ �/� Ovv
#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
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ( 3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. QLita Fees
Showers Furn BTU
Xun
Water Htr Heatpumps
dry Washer Vent Systems
Spot Vent Fans
_Floor Dr ' s N 7nri
ors
_Laundry Basi s _ P
Dishwasher N_Disposal
_Urinals No. Fire Protection Systems
_Other Auto. Fire Alarm Sys 50.00
Fixed Fire Sup Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink S 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 TOTAL MECHANICAL $
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 BUILDIN SPAR T DEPARTMENT.
�X'OWNER X BY
DATE �� I q DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: &A1;eC-A I (-CAnCl i� , LC ciS — OZO9 rn11�J
Ail- iidos o-' ! 4.41uc�44c nypyr 30 " 2 1(l�t�k�#- 4/1c)
b' 1-4)0acVA A k 1er.S4 es 110,VX c It ►n��114-X► o�yc:�{�c�e-
Q nnF 10' +rJ,+n /a�/arC]ei� / I r i�S . U V►12Z� c:_ V��r Ib�n�2_
$r&� i 1^Q 1)&A)i dl�i�G l�V h�s ��n a 10 nQ
Environmental Health:
Building Plan Review jM FL- Jp0 C-.S ✓N ii LAry.D 90ST 1'rAG' , w`C.
Occupancy Group: I�--3 Type of Const: 5N)
Fire Marshal:
Other:
Special Conditions: M UST M#gt1vr/f1nJ FEES
f 0 SL-7-i.31'f C GC , Building Permit r�� b 0
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
.Bob Qet4ih- D"V)Sioy
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