HomeMy WebLinkAboutBLD97-00314 Final Mobile Home - BLD Permit / Conditions - 9/5/1997 MASON u O COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E'e U 1 t1_ 113 1 N CA PERM 1 "T FOR I NSPFCT I ONS CALL 427-9670
BETWEEN 5Rm AND 8ram 427-7262
BLD97-0314 PARCEL_ s3`'1'1..75400014 PLATtLAPI_0 1.)1V : SL.K : LOT :
J0B AP[)RF:SS : E 260 CLONAK.ILTY DR 'SHEL.TON
OWNER : TERESA PIERCE 427-5906
CONTRACTOR : WASt11NGTON HOME CENTER 800-648--1113 '
LE:GAI ; LAKE LIMERICK 5 TO 14
CLASS OF WORK . :NEW BFDR : 2 BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY UATE RECEIPTl
TYPE OF {TSF' . . , . :MH STORIES . . . . , . . : 1 ��_: �-a_-� ��-,w :• � :. .-, .�� ��. ti r: �:.:
OCCUP . GR0UP . . . t? BLDG " HE I{CH T . . : O .Oft ENCP t 26.01 KS 44129197 44311
TYPES OF CONST . , :7 FIREPLACES . . . 0 IRIC
ADDR $ 5.01D KS /4129197 4437t
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 t 44.00 KS O4129197 44371
DWELL .UNITS . . . . : 0 PARKING SPACE'S : 0 ROOF t IS5,10 KS O4129197 44371
INSPECTION ARIA : 3 SHORFLINF? . . , sN ISIFF t 4M KS 04129197 443TI TOTAL: 234,50 MULATDOM: �
�c+r-.:-�ss.:.r * rum.-x:ctet:csxd.rats seat ccx.m .s�+xc�rruz,e:rre:rf�;.;� ._ ,VOW=
<yETf3ACKS - _.__.._ __. __. ..___.. T0IL.1 TS . . . . . . . . . . : 121 FUEL. TYPES,-- BUiI_EPS/COMP-__.__ MOBILE HOME —
FROM _ >W 10 ,oft FIAT11 BASINS . . . . . . . 0 0-3 Hp . ; 0
REAR . . . .E 1010ft BATH TUBS . . . . . . , : 0 3- 15 HP , : 0 MODEL. :REDMAN
SIDE ( l ) .N 10 .0f t SHOWFRS . . . . . . . . . . N VLIRN - 100K sni : Vi 15--30 HE'' . : 0 MAKE -
S I DE {2 } .S 10 .0f t WATER HEATERS _ , : 0 FURN - 100K BTtI : 0 30-50 Hp . : 0
SHRL INF . O .Oft CLOTHES WASHERS . t 0 FI_IRN FI-OOR . . . : 0 150 #'IP 0 YFAt1
AREA --____._ _... _.___..._ _... KITCHEN SINKS _ . . . s 0 HEAT PUMP . . . . . . : 0 97
LOT SIZE _ - FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . - 0 FVAP COOLERS : 0 I.ENGTH :48
BUILDING . . . . 08f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . . 0 HOODS . . . . . . . . 0 WiDTH . s28
BASFMFNT . , . : Osf I AUNDRY TRAYS . . . . : 0 DOMES . INCIN ;O -SERIAL#1---- ---
DECKS . . . . . . : 0s1` m SHWASHERS . . . . . .. : 0 AIR HANDI. iNG UNITS- -- COMML . INCIN :O 18237
GAR/CARP :? Ost (CARES DISPOSALS . . . . 0 r- 10000 c.tm . : 0 RFLOC/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . . 0 a 10000 cfm . : Al OTHER UNITS . : 0
MISG PI.M FIXTURES : 0 GAS 0UTL.EIS . : 0
:c xr�xsz�s�..�,:ua7acxr...x�.u..snc:-:z,�-+ars-.z~�a.�r�rzz:ter.-Kas-.�.rc:+.�rts..r_r..aacr:aec�r:rya+rs�aar:casxs�z:;�.,.sv"+zu:ax^»�arsr-r::cma+eczrrace:,�ac.;n::s�.z:-aaasc:-sm^-aermaaxsxxrsr:i�:,xassrac-:.•.�esua�v.:.�'rrn�arnsss��a�-K:-a:.s+sxra.;zxL�asrerr�ms...aasaci:
PROJECT OESCR{PT10.R�M061l.E HOaif
PROJECT IOCATI{+tl:#IA,SOII IM qD FIRST RIGHT (INDFR (RAIN THE TLE 10 TOP Of Kitt 60 IFF1 10 EHD OF C91-9ESA0 fig RMI SIDE ,
THIC PERMIT BECOMES Nutt AND VOID IF Vogt 02 CONTINUCTION A►4THORIM IS HOT COUMEICED 1110111 191 DAYS 01 if CORSIRUCTION OA WOR# IS SUSPENDED FOI � PE1101
OF 180 DAYS AT ANY TIME AFTER WORK IS CONMENCEk IY10S110E Of CONTINUATION Of WORK is .R PROGRESS IWSW1101 WITHIN THE 156 PAY PERIOD. fINAL INSPECTION #PSI M
APPROVED BEFORE BUIIOINb CAR BF OCCUPIED,
}
OWNEP OR AGENT: e t 2 _
9L D_PRN1, rev 7/t4,119 i COMPL 1 ANC;t T'O ATTACHED CONDITIONS IS REQU I RED
4
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 9 5 -97 by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b I
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
Si=v3 Prr+
l
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE= RV4 I -T K: 00NLI I T 1 C') N ��
Case No % BLD97--0314
For . t_FRF,",A PIERCE
Page : 1
1 ) The undersigned property owner is aware of the iancert a i nt y repar d i no Mason C ount v ' s
development regulations created by the Growth Managment Hearings Board 's Order of
October- 2, 1996, and in oonsiderat ion of Mason County 's wi i i ingneess to prooeed with
processing of a piioations which might be affected by the Order , the undersigned
pproperty ownor heroby agrees to waive any lawsuit , action , err, claim for damages against
Mason County which may arise out of Mason County 's actions In acceptance, processing
bind/or, i sr,riance of such permits or approvals ( hereinafter, "permitting €ac:t i t?is�, "! , wh i oh
damages are attributable to the County 's decision to take peArmittin4 actions despite
the risk that changes to the Cour+ty 's development regulations [night later makes the
County ' errsittInq actions invalid .
2 ) Th i , application is subject to Buf rer and Landscaping requirements a-: establ i s;hed under
ithason County Ord i nand! 1 .03 .036 .
x
3 ) l.he use, handling and storage of hazardous materials or, flammable and combustible
liquids In exoes s of 10 Aa 11 ons is not allowed w i thoiit the approval of the Mason County
Fire Marshal .
4 ) Struotisre must be setback 5 ' from all uti 1 ity and drainage erasoments , a total of 10 '
from oh property line, or ra variance must he obtained from the Building Department .
5 ) Proposed structure or, ativ portion thereof greater than 30" in height from grade I # ne,
must maintain a minimum of 5 ' setback from all property I i nes , easements and ifs ' from
all C nt y and State Road right of ways .
x
6 ) All cu 1 vents sha i 1 be ma i nta i need in pe [-pet u i t y to ensure that drainage will not
over f w .
x
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) Appi icapt a(::knowledqe�', I'hat ttol !l development is subject to pal 1 ,- Ies and rogtilat ions of
Mason ,�.io,untV Comprehensive Plan and Development Regulations .
8 ) Subject to conditions of Resource tands and Critical Areas ? PIC ) Check I I st riot IT I-oat Ion
letter ,
9) PURf",I)ANT TO 1994 UNIFORM BUIIDING CODE , SECTION 306(C ) AND SECTION 513 ALI SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Blk PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS SE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RFINSPFCTION FEE , BASED ON RATES IN TABLE 3A Of THr-_ 1994 UNIFORM BUILDING CODE WILL BF
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
/12
X L 4-
• 10) ALL CO STROCTION MUST MEFT OR EXCEED ALL LOCAL. CODES AND URC RFQUIRFMFNTS .
X
11 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour r Set- up Inspection-prior to
skirting, received
Final Inspection-prior to occupanoy) . I have reived a copy of the General
InformaIcan and Guide lines--k4obile/Ma"�tfac,,ttired Housing Installations Handout for
detailed descriptions of all required inspections on my mobile/manufactured home
Installation , I hereby a7,sume al I responsibility for the sobedullng of these required
Inspections . If these required inspections are not requested, Inspected and signed
off ( approved ) by the Inspector in the presoribed order I understand that reinspection
fees and an hourly investigation fee pursuant to the 191,91 UBC, Table 3A will be assessed
o ,;I a perm l In add It I n to my or I( n I . a ot t foes to resolve ny quest praices or
problems that have been discovered . I further understand that this Investigation will
be scheduled as time allow. . Ontil resol cot ion of any problems no ocoupanoy ( final
Inspeotion ) will be qranted for the residenoe .
OWNER/CONTRACTOR ( indivRte which ) Signature X...--
12 ) All mohile/manufactured home landings or decks must be freestanding ( self supporting) .
The larqest landing of deck permitted without draw Inq*,3 or a perm I t building Is 36" x
36" . Any landing or deck that 1 !3 30" or more In height from walking surface to finish
grade requires a guardrail . Any landing or deck that has 4 or, more risers requires a
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
and i nt1 irlu S t ,.'er e w 1 c; h re
structural drawings and ez bui Idinp pet luit rippi icatlon . This. In�.taI IatIon Permit does
NOT include any landing or deck larger than the 36" x 36" size .
X_. .__.__.__.______.____
1u ? Changes to approved bul Iding plans that effect cumpi iance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Code, the Un i f ormt Building Cade and/car Mason County R I at i ons mu"=t
be approved by Mason County prior to Construct ionX
14 ) ALL CONSTRUCTION MUST MfET OR EXCFFD LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL T 4, OFFICE BEFORE CONSTRUCTION .
15 f CONSTRUCT I ON PROCESS TO BE F I Ft U C0RREC1ED At U I RED PFR MASON COUNT Y 1301 L.D I NP
DEPARTMENT AND UNIFORM BUILDING C0DF x
t
1
GARY YANDO, DIR[CPOR
PLO\�_S Tq I'F O
MU �q DEPARTMENT OF COMMUNITY DEVELOPMENT
AO Y
S N PLANNING - SOLID WASTE - UTIL=-
o oY BLDG. I • 411 N. 51' ST. • P.O. BOX 578
`' SHELTON, WA 98584 • (360) 427-9670
1664
DISCI ABMT-RJNYA3\'ER OF COU n' LIABILITY: PEPMITS ON F>3STING LEGAL LOTS Or RECORD,
LAND DIVISION ATPROVALS, SI3ORELINE PI RI\IRTS, VARIANCES, AND SPL.-CIAL US1: 1"ElUTTTS:
llr. u:��crsigrx� propcoy orlTrxr is a% r-1c of the uncertainly rcCardutg Mf'.son County's development rcgulnitons crcntod
l i!:c r_;ro�•th Managcmcnt lic,mngs Board's Order of Scp'cmbrcr 6, 1996. rrkd in cons idc rill rott of "-so" Counly's
Jl:r:;_:rss to proecod with processing of application which ;:::r.!!t be nff,, tcd by drat Ordcr, tic urdcrstgnod proper).
n ;r. lr_rcb) ngrccs to %'r.i\•c any lav:suit, canon, or claim fo: dnrn.^.gcz rninsl hlrso:i CouniN \,hick mn.v r.rise out of
f irse•r. Co.ilvy's nations in nccelxance. processing an-dlor issus:�-c of such permits or approvals (he::inafter 'Irrniitting
r.ciiors-), which damages an r!tnlxrtablc to the County's dccisiea to tAkc Irrnnjuwg actions despite the risk tint cluuiges
to the Couno•'s devclopmeot rcgulettons nLght later make the Couoty's perniJ*m1)g actions invalid
J-2--1-q7 5a 127 54
Date (Parcel No. or Legal Description)
�—" Q- pxch(v
Property owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of autborizatioo)
ACKNOWLEDGEMENT CERTM-' CATE (E DIVIDUAL)
STATE OF,::k),q5,4,,-.uc..ro�J
COUNTY OF,--��
Oo thi;27 day oG��, in the year/�Z, before me ,/yJl(' .ca /f S cif= Notary Public,
personally appeared O;lO�et �f(1 ILG� personally 4mowu to me to be the perso❑ wbose name is
subscribed to this instrument, and aclmowlodged that hcJshe executed it.
NOTARY PUBLIC
State of Wash in ton
\YITN S my�pgi�i`of� I For County we only -
GnMnN�bn 4Y,21100
Reviewed by applicarlr on
(Date)
Notary's si tune
My Commission Czpires: �' Staff Initial
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 p
PLEASE PRINT ''��
#1KCiteAddress
- Phone# 47 7-690(p
LTW Fire District#_ r=T T(�JSI St Aj/ Zip
Directions to Job Site -M IQ N 1 JqLZ_: 1201fto j=lam( LJF=E Q IG 1j l l A1DZ;S2
-IR Y�IA) 1P,P 1 1= TM TOP off 011-1 r _1 1-1=T P—AID nE
UL- DE-GkG ON 16 4-F SIDE
Owner Mailing Address In an it), ooT6
City �4CI TC-)N St 1A)A Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name f.k�As�I h C-12A.11-1. �t_j C__ Contractor Reg# wA-�h she v'ngjA
Address S F2 co ► ��� �R Expiration Date��/�/c
City S I 0 .�, St uJol. Zip g9,� Phone# el zL, -4 6 6`1
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply ,/ Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 arcel No. ' *Z I- -s-- t)aa/,,-(
Legal Description l
#5 Building Square Footage: (existing/proposed)
list FI Bi I / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms- / #bathrooms Z /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building EL Describe work
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION ��
Model Year Make Model
Length Q �r' _Width 2 Y Serial No. L 3-)
1�39?
# Bedrooms _# Bathrooms -2 Type of Heat
r � •V
Purchase Price$ Za7 �
#9 Indicate by circling the applicable source if any water is on or adjacent to subjecf property: /
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other � a
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
1
Plumbing Fixtures ($3 35 each) Fee Mechanical Fixtures ($6.75 each)
No. 1`oilets CIRCLE FUELTYPE: Gas, Electric,
Bath'Basins Heatpump, they
Bath Tubs No. Units Fees
Showers Fu rn 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 o. Fire Protection Systems
Other _ "Auto. Fire Alarm Sys 50.00
Fixe ire Supp. Sys 50.00
Permit Basic ee 16.75 _ Auto Fire Sprink Sys 35.00
TOTALr LUMBING $ 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
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 JUL-, � �iQhl'p� X BY
DATE DAT
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
F
oved Cond. Hold
Approval
Planning: - S
Environmental Health:
Building Plan Review W LL
Occupancy Group: Sz- Type of Const: SN
Fire Marshal:
Other:
Special Conditions: FC.cT P L*^ /,S u a]q:�y FEES
U 44 1 G tt YOU 9 r- MAt NTAt N Building Permit
(0 -CersAcfc 6R- V14rt IArfLe Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor Az 61j,
Violation Fee
Site Inspection
Building State Fee ,
Other 5 DU
Other
Building Valuation: TOTAL FEE p`