HomeMy WebLinkAboutBLD95-01240 Final Mobile Home - BLD Permit / Conditions - 11/20/1996 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 L.I I I_ [), I N G PERM I T FOR INSPECTIONS CALL. 427--9670
BETWEEN 5pm AND 89m 427--7262
BLD95— 1246 PARCEL. -321275400078 PL.AT :LAPLO D I V $ EILK s LOI -
JOB ADDRESS , E 201 KILMARNOCK RD SHEI.TON
OWNER : KRIS PI)OERBAUGH 426--22.75
CONTRACTOR ADH MOB It F GONTRAf_'I CINS
LEGAL a LANE t11f1ICK I T1 TI
CLASS OF WORK . . :NEW BEDR : 3 .BATHi 2 TIPF ANOUNT DY DATE RECEIPT TY"f AMOUNT BY DATE RECEIPT!
TYPE OF USE . . . . tMH STOR I ES , , . . . . t 1
OCCLIP . GROUP . . t 7 BLDQ . HEIGHT . . - O .Oft ENCP $ 11.110 TN 08123190 47 751
TYPE OF CONST . . :7 FIREPLACES . . . . . 0 AM t S.04 TN 08123196 42751
OCCUP . LOAD . . . . : 0 WOODSTOVE:S . . . . t 0 NHOF 1 109.00 N 04123198 42151
DWELL. .UNITS . . , , s 0 PARKING SPACES ; 0 SIFF t 4.A1 TN 08121196 42751
I NSPFCT 1 OW AREA t 3 SHORFL. 1 NE? . . . . s N ITOTAtt 119.51 °ALUEAT 10Nt 48100
SETBACKS--- -------..--- - TOILETS . . . . . . . . . . : 0 FUEL TYPES------- -. --- ' BOILERS/COMP.-- --- MOBILE HOME----
FRONT . . .W 10 .Oft BATH BASINS . . . . . • 0 : 0-3 HP . : 0
REAR . . . .E 10 Oft BATH TUBS . . . . . . . . : 0 3-15 HP . s 0 MOnEL :LIB
SIDE ( l ) .N 10 .0ft SHOWERS , . . . . . . . . . . 0 FURN < 100K BTU : 0 15-30 HP . , 0 - MAKE- _..-.._
SIDE( 2) .S 10 .Oft WATER HEATERS . . . . ; 0 FURN >-100K BTUs 0 30-50If1P . i 0 IHD
SHRL I NE . 0 .01t CLOTHES WASHERS . , - 0 FURN — FLUOR . . . 1 0 50+ HP . s O —YEAR--- _. --
AREA --.____.._____._____ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . e 0 96
LOT S 1 7_E . . , FI OOR DRP I N(,,, . . . . . . 0 VENT SYSTEMS . . . t 0 FVAP COOLERS : 0 L ENGTH :SS
BUiLI)iNG . . . : 15688f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . r 0 HOODS . . . . . . . e 91 WIDTH . :28
BASEMENT . . . , 0:;f I.A(INDRY TRAYS . . . . : 0 DOMES . I NC I N :O —SER I AL#-----
DECKS . . . . . , --09j DISHWASHERS . . . . . . 1 0 AIR HA.NDt. ING UNITS-- COMML , 1NCIN :O. 09L30
GAR/CARP !? Asf GARB DESPOSAtS . . . : 0 <— 10000 efm . : 0 RELO(;/REPAIR : 0
AT/DT . s? URINALS . . . . . . . . . . 1 '0 > 10000 cfm . : 0 OTHER UNITS . : 0
M I SC Pi.M F I XTORESt 0 GAS OUTLETS . - 0
Iwo
PROJECT 6fSCRiPTiDNsNOBitf HONE
PROJECT I.00ATION;NASON IAKE RD TO 010 ITNf RD till AT KItNAANOCK
THIS PEINIT BFCONES NMI, AND VOID if %Ott 01 CONSTRUCTION APINOR17EP IS Vol CONNfNCF1 ItTNIN Ili/ DAYS, OR. If CONSTRUC110N 3R MONK. IS MPFNDED FOR F PfRIOD
OF T81 DAYS AT ANY TINE AFTER 0011 iS CON01CF8, EV181 M OF CONTINNATION Of NONK 1S A PIOBIESS INSPFC11011 1111111 THE 111 DAT PE1100. f!NAt INSPECTION NUST BE
APPROVED BFfOAE 881tD116 CAN BF OCCUP1f1,
ONNER UA ABtN t: ,L�.�:.� .__ . ._ ! _i'...w�...�, ..r �._.__. DATf t
s41111141 1 C RFC
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date
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
PLUMBING date by OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING k-
date by date by
Water Line FINAL INSPECTION
date by date r date by
=5 k-: h�
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F" F F41\4 I ,F r_. C�3 N n I -r- o C3 N
Case No . , 81-1395 1240
For : FR I S PUDERSAI)GH
Pagel 1
1 ) The use , hend 1 I ng and .,torage of hazardous poster i a I s or f I ammrxbi o and combust i bl e
fiquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
2 ) Structure must be setback 5 from all ut i f i ty ajid drainage eip,ement, , a to a I of 10 '
from Bach property- line, or a variance must be obtained from the 81jliding Department .
3 ) Propo..ed structure or any portion thereof greater than 30" In hMigh-t from prude line
must maintain a minimum of 5 ' setback from ai I property lines , easements and right off`
ways . {
4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE SECT i nN 305(C ) AND `FCT I ON 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PRbVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND I_E.G i BL.F FROM THE STRF I T OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT RE:OUIRFS THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
PE: 1 NSPECT I ON f"EE . BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE-
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
I NSPE'CT l ONS .
5) ALL. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
EGU I RELENTS
6) Maintain 15 font setback between Mobile Hume and anv and all
structur�rs . ^�
7) REOU i RED I�NSPr-C T I ONS ( Foot.l ng Inspection--prior to pour , Set--up Inspection- prior to
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
skirtiti Final Inspsotion-prior to occupancy ) . I have recelved a co4y of the General
Intorma�ilon and Guidelines-Moblle/Manufacturod housing Installations ando►:t for
detailed descriptions of all required inspections on my mobile/manufactured home
installation . I hereby assume ail 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 presoribed order , 1 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 fees to resolve any questionable practices or
problems that have been discovered . I further understand that this investigation will
be r;chedu 1 ed as time a I 1 ows . Until resolution of any/all prob 1 em<, no oc:cupanr.y ( Final
lnspeotion ) will be granted for the residen e .
OWNE.R!CONTRACTOR ( indicate which ) Signature _-- �
8 ) All mot i l e/man►ifaetured home I and i nggs or decks must be freestanding ( sell s+.ipport i ng) .
'The largest landing or deck perm Itted without drawings or a building permit is 36 x
38" . Any landing or deck that Is 30" or- more In height from walking surface to f i :► i sh
grade requires a uuardrai ) . Any landing or deck that harp 4 or, more risers requires a
handrail . Any landing or deck larger than 36" x 36" must be permitted which requires
structural drawings and a building permit appilcation . This Installation Permit does
NOT inoludn any landing or desk larger than the 36" x 36" 31ze .
9) Proposed structure or portions thereof with an projection over 30" in height from grade
line, must maintain a ' separAtion distance between adjacent structures and that
furtheet projection .
10) CONSTRUCTION PROCESS TO RE FiELD CORRECTED Aq REOU1RED PFR MASON COUNTY BU1I-DING
DEPARTMENT AND UNIFORM BU 1 i-DING
11 ) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . iF ANY QUFSTiONS, PLEASE
CALL THI OFFICE PFFORE CONSTRUCTION .
Permit No. q% o �
MASON COUNTY
BUILDING PERMIT APPLICATION 0
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 p_
PLEASE PRINT
#1 Owner ��--��b 'C U t�YLf),-) Phone# �2)cao • 4-Zlo -
ddress l I L m AIZ�I�- ri Fire District#
y C--T -� St tN = zip �
Directions to Job Site T- OCR
1 L v►!1�
Owner Mailing Address 2f1 MA3 EN SC) S
City '<%00 •T0�-� St�zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Ao�V rmf'�)I CQ— Contractor Reg#AD00700#09401
Address Expiration Date_/ 2,:::;,
City St Zip Phone#2Ztv -847-744r'
#3 If septic is located on pro' ct site, include records. / ay
Connect to Septic?�Public Water Supply C Well �11�0�1� V4:ow
Connect to Sewer System? Name of System
4receIDNoc,"i��z
rsidental, proof of potable water is required)
#4 I Z'I -��- GOOgal esription C.Y�►� -t{'h�It2�Gl� Lc5 7R,
1V �j
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms !
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building c 7 �E-1I H tG- l L Describe work
#7 Type of Job: New �` Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 199�4 Make 1.( V Model I A 0
Length Width Serial No. L- 00 &>V
# Bedrooms 3 # Bathrooms 2 Type of Heat 2Ej )(-(w
Purchase Price$
#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. Units Fees
_Showers Furn BTU
Hot Water Htr Heat um s
P P
_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
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 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 OVA FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPAR NT
X OWNER X BY
DATE DATE
IT 7
f
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Con& Hold
Approval
Planning: Mi0l ' ' �41 D)IY15
$n�
Environmental Health:
Building Plan Review
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 Fee
Site Inspection
Building State Fee
Other }C �P1�G�
Other
Building Valuation: TOTAL FEE
i
1-277 ,
N
4G"ul
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