HomeMy WebLinkAboutBLD95-01263 Final Mobile Home - BLD Permit / Conditions - 3/6/1996� n
' MASON COUNTY
I�
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F TWC T P: „m AND Pam 7;2Fi?
BLD95-1263 PARCEL :32 1 2 753001 1 7 PLAT :LAPI.O n IV ;'A K : I-OT :
JOB ADDRESS : E 120 BALBRIGGAN RD SHELTON
OWNER : BERNIE OLSEN 923-9149
CONTRA;TOR : AMER ICAN HOME SERVICES 956-8796
LEGAL : LAKE I-IIIERICK 4 FRACT III
CI ASS OF WORK NEW BEDR : 2 BATH r 2 TYPE AMOUNT BY DATE RECEIPT TYPF AMOUNT BY DATE RECFIIII
TYPE OF I1SF . . :MH STOR I ES . . . . . . . r i
OCC:IIP . CROUP . . . r? BL.DG . HE I GHT . . r 0 .Oft ADDR $ 5.08 TW 99/15195 40251
FYPF OF CONSI . . :7 FIREPLACES . . . . : 0 MHOf = 1".00 TR '4911510- 40251
OCCUP . LOAD . . . . r 0 WOODSTOVFS . . . . : 0 EHCP 1 10:410 .T/ 1111115196 40251
DWFI I' : UN I F : A PARKING SPACES : 0 SIFE 1 1.b0 TV 0V15195 48?51
INSPCCTION AREA : 3 SHORFI INE7 . . , . :N TOTAL i 119.50 VAIUTAIIDNc 47000�
;FTBACKS--- -- ._-_.__.___.__ TOILFTS . . . . . . . . . . : 0 FUEL TYPES------------ BOILF_RS/COMP---- MOPIL.F HOME --
FRONT . . . 0 .0ft BATH BASINS . . . . . . : 0 0- 3 HP . : 0
REAR . . . . O .Oft BATH TUBS . . . . . . . . 0 3-15 HP . : 0 MODEL. rFLEETWOOD
SIDE ( 1 ) . 0 -01ft SHOWERS . : . . . . . . .. . , 0 FURN < 1O0K BTU : 0 1 5-30 HP . r 0
S1DE(2. ) . 0 .Oft WATER HEATERS . . . . : 0 FURN >-1O0K BTU : 0 30-50 HP . e 0 BERKSHIRE
SHRL I NE . O .Oft CLOTHFS WASHERS . 0 FURN -- FLOOR . . . r 0 0+ HP . : 0 -YE•AR-
AREA':-- --- --- ----- - KITCHEN SINKS , , . . : A HEAT PUMP . . .. . . . : 0 95
LOT• SIZF . . . FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . . 0 EVAP COOLERSr 0 LENDIHrA:'
BUfLDING . . . . 1060sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . . 0 WIDTH . : 8
t BASEMENT . . . : osf LAUNDRY TRAYS . . . . : 0 DOMES . i NC I N :0 .SFR I AL 4I -
-DECKS . . . . . . r Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O 20O9B
GAR/CARP :? 0-t GAFFE; DISPOSALS . . . . 0 <- 10000 cfm . : 0 REL_O.C/RF.PAIRr 0
AT/DT . :? URINALS . . . . . . . . . . . 0 > 10000 cfm . : 0 OTHER UNITS . : O
M4 SC PL M F I XTURES r 0 GAS OUTS ETS . : 0
3".�S'.^.L' :.=.3:�%.:�5`..}2.1.3 tc_S^it"t'S�'Y.G-LT'i.-RI�:'��' _ '��2'!1''.5- •r,3z:SY�t..zC2.'F}^'S.'^➢CZS.:vS.�.-' .�r.�.'r^—A"]C'LTSCOY:l.:fi t�T.•^<•:YG�.T:'7YCt^L""Y'_I'Yt^lT.E�...
1110JECT DESCIIPTI4N:MORIIE HOME
PROJECT LOCA1104:0iSON IAKF ROAD TO FIRST RIGHT TURN AT IAKE IIMFRIIK ON DIRINOOR TAKE THRID IEF1 EIGHTH 1.01 ON RIGHT
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION PUTHORIZEI IS NOT CONNENCER WITHIN 180 DAYS, 08 11 CONSTRUCTION OR WORK IS SUSPENDER rot A PERIOD
OF 180 DAYS AT ANY TINE AFTER WORK IS CONNFNCfD. EVIDENCE Of CONTINUATION OF WORK IS A PROGRESS INSPfC110N WITHIN THE 180 IIAY PERIOD. fINAt IN':Pff1I0N NUSI RI
APPROVED BEFONE BUHA ING CAN 8f OCCUPIED.
OWN[R OR AGE NTY OA1
t y
gin PAIN, rev! 03131191 COMPL I ANCE TO ATTACHES) COND I I I NNS is RF.QU I REn
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 W
date by date by date 3 � �4 by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b 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, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F' U77 t i n/1 1 7T C C) N D i r 1 (711 N
�48` No a 131-D95-1263
For . BERNIE OLSEN
Page : 1
1 ) A Road Access Permit or, Approve1 must be granted by the Masan County De artment of
PutIic Works . For more information contact ChareIl Holcomb, at (206 )427.-9670, ext . 460 ,
2 ) Approved per site-plan . X114 _
3 ) Proposed structure or any port Ion thereof greater than 30" in heiclht from grade line,
must maintain a minimum of 5 ' setback from all property lines , easements and right of
ways .
QX
41 POR^UANT TO 1991 UNIFORM BUILDING CODF , SF.C T 1 ON 305( C ) AND SECTION r513 Al-L S I TES=; MUST
NAVE APPROVED NUMBERS OR ADDRESSE., PROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND LEGIBLE FROM THE SIRFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS , A
REINSPFCTiON FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNE�i/CONTRACTOR FAILS TO POST ADDRFSS ON SITE PRIOR TO REQUESTING
INSPFCTIONS .
5 ) ALL CONSTRUCTION MUST MEET OR EXCFED ALL LOCAL- CODES AND UBC
REQUIREMENTS
6 ) R1=Qt)I RED INSPECTIONS ( Footing inspection-prior to pour , Set -up I nspeot i on--pr i or, to
skirting , Final Inspection-prior to occupancy) . I have received a copy of the General
Information and Guldelines-Mobile/Manufactured Housing Installations Handout for detailed
descriptions of all required inspections on my mobile/manufactured home Installation . I
hereby assume all responsibility for, the scheduling of these required inspections . If
these required inspections are not requested, Inspected and signed off ( approved ) by the
inspector, in the prescribed order , I understand that reinspection fees and an hourly
investigation fee pursuant to the 1991 UBC , Table 3A will be assessed In addition to my
original permit flees to resolve any questionable practices or problems that have been
discovered . 1 further understand that this investigation will be scheduled as time
allows . until resolution of any/all problem, no occupancy ( Final Inspection ) will be
granted for the residence .
OWNER/CONTRACTOR ( indicate which ) Signature` � '
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) Al I mob i le/manufactured hoot rid i : or, decks nest. 11 ( self supporting) .
e a
Any 1andinq or desk that Is 30" or, more in height from iking sur . ,IGH Lo fInish grade
recluIres a guardrail . Any landingg or deck that has 4 or more rI --ers requires a handrail .
Any landing or deck larger than 36" x 36" must be permitted which requires structural
drawings and ti building permit application . This installation Permit does NOT Include
any landing or deck larger than the 36" x 36" size .
P ) Proposed structure or anv portion thereof greater than 30" 1n tieIght from grade IIne,
must maintain a minimum of B ' setback from all property lines , easements and right of
ways-.
9 ) CONSTRUCTION PROCESS TO BF FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
Df PAIITMFNT AND UNIFORM BUILDING CODE jPi
I
Permit No. 4e
MASON COUNTY Ow
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Aner C-,r J I E Phone# 2- 3 c /9
Address o�2D A L f3 R 1 6 6 Wf-i Q Fire District# .5
ity St w P Zip
Directions to Job Site L-416c �'�D f3 s�r R� y G A/ & T /v
06<'niv S'Win.
Owner Mailing Address�/�zP1�' / r�� �cz� S� 2-0 8P-e_jcV- R0
City ` �,-• St v A Zip °r PS 8?V
Lien/Title Holder C. /2v'l
Address 0 9 C_
Clty L A c-g�-, St �✓'� Zip gd'Sy 3
#2 Contractor Name Ai�- 'C*7-/ Contractor Reg# � �5®2 so
Address 60 , 84 Expiration Date
City e2G-c,aw 6� St L✓0- Zip ' l Z Phone# 11 �� .S 7 3
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System L.,64 (4- L, w--k C
(If residential, proof of potable water is required)
#4 rcel No. 32 I Z
egal Description t-o T
#5 Building Square Footage: (existing/proposed)
1st FI 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage /OZ,) Carport / (Circle:Attached or tached�
Other sq.ft. /
#6 Use of building 1-611:1W Describe work
#7 Type of Job: / Add Alt Repair Other
#8 BILE/MANUFACTURED HOME INFQRMATION -
Model Year Make model �21C
Length �'(� Width Z$ Serial No. 0C �'! �
# Bedrooms - # BBathroom/s Type of Heat
Purchase Price $ / �/`
#9 Indicate ling the applicable source if any w n or adjacent to subject property:
River Pond Creek Stream et and 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. Units Fees
_Showers Furn BTU
Hot Water Htr Heatpumps
Laundry Washer _ Vent Systems
_Sinks Spot 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 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 OF THE ORD]NANCE 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 SHAL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FR M THE BUILDING
THE BUILDING DEPARTMENT. DEPART NT.
X OWNER X BY
DATE DATE — `j S
i
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: ,- /
9 w
Environmental Health: LL B r LLA� (V_ �„� �¢✓fin. ��,
Building Plan Review
/ S
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 0 O O
Plan Check IS
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other r ,DO
Other ge U PUW Ralcw �� OD
Building Valuation: 00 TOTAL FEE
LAKE LIMERICK
LOT-117 DIVISION-4
as
RESERVE AREA REQUIRES PRETREATMENT
Ot-„
� t. tti ' f�` GL,%� •
40
,
1 r.i
ti
Q..� ,-•. , ! � — `�i; 'ter ..
,
,
r 1 `
20 60 r•, `� \ 1 i
30'
SITE PLAN 1" : `� ►��, -���j_'� M�.. .
1