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Home My WebLink AboutBLD96-00022 Final Mobile Home and Deck - BLD Permit / Conditions - 4/26/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B kJ 1 E._ U 1 N C3 P IF P 1\4 1 -T' FOR INSPECTIONS CALL 42.7--9$70 BETWEEN 5pm AND Sam 427-7262 BLD9#5-0022 PARCEL i 321 I.75400O26 PLAT :LAPLO D I V • BLK ; LOT' : JOB ADDRrSS . F 181 SLEAFORD RD SHE LTON OWNER t JEANN I E HANSE:N 857--6341 CONTRACTOR : LEGAL . 1AKE 1I1E11CK 5 TR f6 CLASS Of WORK . tNFW BEDR t 2 BATH ; 1 TYPE Ab10UN1 BY DATE RECEIPT TYIE AMOUNT BY DA"iF NfCEtPI� TYPE OF USE — . :MH STORIES - . . . . . . : 1 OCCUP . GROUP . . . ;7 BLDG . HE i GHT . . t . 0 .01 t ENCP 1 26.08 NJP 01125196 41159 TYPE OF CONST . . e7 FIREPLACES . . . . : 0 PANI S 10'.P4 Nip 011251db 41159 OCCUP . LOAD . . . s 0 WOODSTOVES . . . . t 0 PICK 1 6 50 NJP 01125196 41159 DWELL .UN 1 TS . . . . : 0 PARKING SPACES t 0 1NOF S 100.00 NJ? 01125196 41159 INSPECTION AREA , 3 SHORELINE? — . :N 1%1FF 1 4.5# NJ? $1125106 41159 T01Als 153.11 VALULAT IO'4, 21,1481 SE:TRACK S---- -- -- - TOILETS . . . . . . . . . . : 0 FUEL TYPES.-_.--------- BOILERS/COMP. --- MOBILE: 140MI'- --- FRONT . . . O .Oft BATH BASINS . . . . . . : 0 : 0-3 HP . : 0 REAP . . . . O .Oft BATH TUBS . . . . . . . . t O 3-15 HP . t 0 MODELtMARLETTE S1DE( 1 ) . O .Oft SHOWERS . . . . . < . . . . : 0 FURN < 1O0K BTU , 0 15- 30 HP . : 0 - MAKE=------- - SIDE(`) . O .Ott WATER HEATERS . . . . : 0 FURN >-100K BTUs 0 30-50 HP . : 0 SHR1 1 NE . O .Oft C1. OTHES WASHERS . . - 0 FURN - FLOUR . . . : 0 50+ HP . t O --YEAR-- - AREA -- -_.._.___�..__..-__ KITCHEN SINKS . . . . s 0 HEAT PUMP . . . . . . t 0 91 LOT' S17F . . : FLOOR DRAINS . . . . . . 03 VENT SYSTFMS . . . e 0 FVAP COOLERS : 0 LENGTH :44 BUILDING . . 1` 32st DRINKING FOUNT . . . : 0 VENT FANS . . . . . ; 0 HOODS . . . . . . . . 0 WIDTH . :28 BASEMENT . Osf LAUNDRY TRAYS . _ , . : 0 DOMES . INCINeP, --SERIAL.*- .- . _ DECKS . . . D 3f DISHWASHERS . . . . . . ; Od AIR IIANDL. 1 NG UNITS--- COMML . I NC I N :N GAR/CARP : . ti \� 70,if GARB DiSPOSAL.S . . 0 - 10000 Gfm . : 0 RE'LOC/REPAIR : 0 AT/D1 47 � x�r URINALS . . . . . . . . . . : 0 > 1000O otm . t 0 OTHER UNITS . : 0 L M I SC Pl.H F I X T U P F S t 0 GAS OUTLETS . : 0 s'tG�Ra9aiR: :-saa�ap�,s.1�_ � + 1 :'a.x:..�a'9P�'.�L-rJc:�'3-_s:+.`c•-s:ws'a.'i3:•^-e:3s.�xar.•iaA�c-cac.�^� -x="�:x:�:9f�sasfsxwras.+CCggCsw/A a+Y^at..vo:,crrnaR�R-t iar:^Yc:aeaQ•�_-.eOe' PROJECT OESCRIPI+QNtNO6ILE HdNE AND DECKS PROJECT IOCATIOR:PVY 3 TO NASO4 LAKE RD 1115111 ON CLONAKILIY FOLLOW TO LEfI P.I&HT ON SO AFOR FOLLOW 10 CUl DE SAC ON LEFT LOT (IN RIGHT LOT IS •REAVIV 1900F8 FCLI.O1 PINK 118EON TO 1ESI NOLES, IRIS PERNIT /ECnNES NULL AND VOID IF WORK OR CO11SIA1111011 ADTN011ZED IS 10I CONkENCFD /ITNIN i61 DAYS OR If CONSTRUCTION OR WORK IS SUSPENDED FOR A PFRt01a 81 100 BAYS AT AN1 TINE AfIEP 1011 IS CONNENCE9. EVIOHICE Of C11111VATION OF 1O1F IS A P1441ESS INSPECTION 111110 THE 161 DAY PER100. FINAL INSPECTION NNST 81'' APPROVED BEFRRE BNiLDING CAN BE OGCNPIED. • OWNER OR AGENT SLO-PIN1, rev, 43131191 COMPL 1 ANCE TO ATTACHED CONDITIONS IS REQUIRED 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 C\ Water Line FINAL INSPECTION 1J date by datr"V ._Z date iW by •derrcrocs 9 dL 51 l 0,►O /fe'/1.,-od 0 Cd viYlG .0 E iv .:=rE 7 S f,L L.., .44L); i i Lam` �ti rc� sg; Oc C;0 Y -- e MASON COUNTY Mason County Bldg. III 426 W. Cedar RO, Box 186 Shelton, Washington 98584 f' E= F? M I T G4� fVU I T 1 0tf\I � Case No . e BLD96-.0022. For : JEANNIE HANSEN Paget 1 1 ) The use, handling and storage of hazardous materlais or flammable and combustible liquids rp excess of 10 gallons Is not allowed without the approval of the Mason County F ire Mal.:Sbd I . 2 ) :3t:ru414)-tr��ertV m be setbbck 5 ' from a 1 I ut i I it and dra i n.ar,�a ea`�ement.s a total of 10' from Iine, or a variance must be obtained i`rom the Buijding DepartmentX :3 ) Pr;Allp,osed 9"1 runture or any port Ion t her oof gre Ater than 30" In heIoh't from grade tine must mal. a minimum of 5 ' setback from all property lines, easements and right o$ ways X__ 4 ) A �&oed per site-plan . X _ 5 ) Sub eat t o rond i t ions of Resource L.ands and Grit i ca l Ar f•ns (Rt.r ) Check 1 1st rs(,t ► f i oat ion l et er �. X 1 r 6 ) Proper disposal of construction debris must he on uplands , ii► such a manner that debris cannot enter wetands or cause water quality degradation of adjacent waters . 7 ) The date or dates of construction will Le provided to the Mason county Planning Department , at.- least 1 week prior to work . 8 ) Concrete leaehate+ must be contained during pourinq, such that water quality degradation of adjacent waters does not occur . 9) AX►provAd per site-plan acid construction plans . 10) Proper disposal of construction debris must be on uplands , In such a manner that debris cannot enter wetlrandv or cause water quality degradation of adjacent waters . 11 ) All construction debrlas must be removed from the beach oftor project completion . 12 ) Concrete l eaohate must be, contained d!er i nq pouring, such That water quality degradnt i on MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 rrr rre��wet*n t 13 ) Approved per site--plan and aunst runt i on plans . Permit NobLV 1 "CD9-9 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Phone#�� ite Address GI Fire District# City St Zip 56 Directions to Job Site S 1 c--- c- 4 k \u r C)V) R �CAKV " Owner Mailing Address City St Zip Lien/Title Holder Address Clty St Zip #2 Contractor Name r2 c�i- kI i L L Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. �cP �- �rm�+ Ci u-)Gl 9y- (\(o99 Connect to Septic?_ Public Water Supply Well �Prote� Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 el No.��a-L-�-�� . egal Description 1cc.c� Co �o� '5 11' Lt�Y�n� #5 Building Square Footage: (existing/proposed) 1 s 2nd FI / 3rd I / Loft / Base er3t / Deck / bedrooms / #bathrooms / Garage / Carport / Circle: Attached or Detached?) Other sq.ft. / #6 Use of building I b 7-7 Ig L Describe work�� - Lt 1 L p"- #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANIXACTURED HOME I ORMATION Model Year Make del Length_Width a Serial No. # Bedrooms_ # Bathrooms ®ape of Heat GENERAL SERA/I(:;:`' Purchase Price $ 7 '*Z C) #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 VIA 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 Ng. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handlin_ 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 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 OF THE 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 BU$PMG DEPARTMENT. DEPARTMENT. X OWNE / ) X BY DATE �- �j -GJ�L� DATE FOR OFFICIAL USE ONLY: Accepted by: Date: '7 ---- DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: A4,' - tDpeolS` Sea- Cxmo1d, &.i �i .Wl. 7I Gw�.�G.-�i I G� AL-6 4gVn��_/1e�irt4.,,, flf—ZZ Environmental Health: tu Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit �� Plan Check 6 so Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other 26 Other Building Valuation: TOTAL FEE