HomeMy WebLinkAboutBLD95-00283 Cancelled Mobile Home - BLD Permit / Conditions - 9/24/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 L.) 1 L_ D I N G P 1= H M I -T FOR I NSPEC'I IONS CC,1_L 427--9610
BETWEEN 5pm AND Sam 427-7262
BL.D95-0283 PARCEI- :321275400069 PLAT :LAPLO DIV : BLKt LOTt
JOB ADDRESS : E 820 OLDS LYME RD SHEL.TON
OWNER : MARSHA RODGERS 426-0366
CONTRAC"('OR t
LEGAL : IAIF 1.I1fWICN 5 TN 69 ES 19158 BK 1718
CLASS OF WORK . - :NEW BEDR : 3 BATH : 1 TYPE AMOUNT BY DATE RECE IPT TYPE ANOINT Of DATE RECE IPT
TYPE OF USE . . . . :MH STORIES . . . . . . . .. 1
OCCUP . GROUP . . - :7 BLDG . HEIGHT . . t 0 .Oft NNOF 1 109.00 TV #3128196 38673
TYPE OF CONST . . :7 FIREPLACES . . . . t 0 STfE 1 4.50 TV 03128195 38673
OCCUP . LOAD — . : 0 WOODSTOVES . . . . : 0
DWELL .UNITS . . . . : 0 PARKING ;PACES : 0
INSPECTION AREA t 3 SHORELINE? . . . . :N TOTAL: 164.56 VAINtATIONt 20433
f�y�.�racrams:zmm+e � i
SETBACKS-----_._.-------- TOILETS . . . . . . . . . . .. 0 FUEL TYPES------- --- BOILERS/COMP------ MOBILE HOME--
FRONT . . .E 36 .Oft BATH BASINS . . . . . . , 0 t /ELE/ / / 0-3 HP . t 0
REAR . . . .W 52 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :LIBERTY
SIDE( 1 ) .N 60 .Oft SHOWERS . . . . . . . . . . . 0 FURN 1 O0K STU % 0 15-30 HP . : 0 -MAKE----_----
SIDE (2 ) .S 60 .Oft WATER HEATERS . . . . : 0 FURN >-1O0K BTU : 0 30-50 HP . : 0 OAKBROOK
SHAL I NE . 0 .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . . 0 50+ lip . . OAREA -- ------ - ------ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 86
LOT SIZE . . - FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 L.ENGTH :36
BUILDING . . . : 8649f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . . 0 WIDTH . t24
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . t 0 DOMES . INCIN :O --SERIAL#----
DECKS . . . . . . % 8sf DISHWASHERS . . . . . . t 0 AIR HANDLING tINITS-- COMML . INCIN :O O9L.21
GAR/CARP -7 Osf GARB DISPOSALS . . . t 0 ¢= 10000 c*Fm . : 0 RELOC/REPAIRt 0
AT'/DT . :? URINALS . . . . . . . . . . : 0 > 10000 c:fm . t 0 OTHER UNITS . : 0
M I SC Pt M F I XTURES t 0 GAS OUTLE:TS . t 0
PROJFCT OESCRIPTION=NO81LE NONE
i
PRO,I€CT tOCA11011:010 LYNE RD LAKE 1,1NERICK DIVF 5 tOT 69 ALL WAY TO END AT CUIDESAC 11 ON RIGHT.
t
THIS PF>INIT BECONES NUII Apo V018 IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CONNENCED WITHIN 180 DAYS 01 if CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 186 DAYS AT Alt TINE AFTER WORK IS CONNENCED. EVIDENCE Of CONTINUATION Of WORK IS A PROGRESS INSPEITION WITHIN THE 100 DAY PERIOD. FINAL INSPECTION OUST BE
APPROVED BEFORE BUILDING CAN Of OCCUPIED,
OWNER OR AEEpT: DATE:
RI.81101, rev; 03131191 COMPLIANCE TO ATTACHED CONDITIONS 19 REQUIRED
-
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping Ate b
Foundation Walls date by Set Up
date by INSULATION date C)t--
BG/SLAB Insulation Floors Final 11
date by date by date.
FRAMING Walls FIRE DEPT.
date by date by dat b
PLUMBING OTHER
Groundwork Attic
date by date by Ok
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
(e— _,5�jqjs�-
J
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
f —
I P' Et=� M i T CONCa I T I C� NE:a
Case No . , BLD95-0283
For : MARSHA RODGERS
Page . 1
1 ) The usA, handling and stura p of hazardous materials or flammable and c:ombiie;tlble
liquids in excess of 10 galyons is not allowed without the approval of the Mason County
Fire Marshal .
2 ) Structure must be setback S ' from all utility and drainage easements , a total of 10 '
from all prep rty lines, or a variance must be obtained from the Building Department .
3 ) Proposed structure or an port thereof greater 'than 30" in height from grade Iine
p Y p 9 g
must tea ( nta i n r m i n i nium of 5 ' setback from all property 1 i nes , easements and right of
4 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 813 , ALL. SITES MUST 1
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAN FRONTING THE PROPERTY . MASON COUNTY SUItDING
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 OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS ./
5 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set- up Inspection-prior to
skirtin , Final Insp u
ection-pprior to occupancy ) . 1 have received a co ►y of the General
Information and Guidelines-Mobile/Manfaotured Housing Installations landout for, detailed
descriptions of all required inspections on my mobile/manufactured home Installation .
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 reinsppection 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 scheduled as time
allows . Until resolution of any/all problems no occupancy ( Final inspection ) will be
granted for the residence . J
\ f,.
OWNFRiCONTRACTOR ( indiaate which) 5ignatura�
---- — ----------- — ----------------------------------
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
6) All mobile/manufactured home landings or deokF :iust be freestanding ( self supporting) .
The largest landing or deck permitted without drawings or a building permit Is 36" x 36" .
Any landing or, deck that is 90" or more In hei`3ht from walking surface to finish grade
requires a guardrail . Any landingg or deck that has 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 application . This Installation Permit does NOT IncIllde
any `l aa�nd l or, deck larger than the 36" x 36" size .
" I S%-0/3 7 Permit No. IC
S30IA83S HIIV31- MASON COUNTY
BUILDING PERMIT APPLICATION q`�'
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 CID a-0
SE PRINT nr 0
r "IROA5 Phone# 3GO ` ya b-03 L,0
.Siitedress 1= 820 DIME L�me* �! aad Fire District#y �"l� ��� a St U-k- Zip
Directions to Job Site I L n)iF L
Owner Mailing Address 1= 1 U LrV EL�j r f Y� r
City � f) i- St Zip c L
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City � 'ornlG St�Zip Phone#
#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 ,ercel No.,3cRI a-) - 5 - O O(o Description— L I iltlGL
#5 Building Square Footage: (existing/proposed)
1 st FI 3 G�/ / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms_/ #bathrooms
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building I) )(-I I ii ( i )C _ Describe work
#7 Type of Jo : New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make L f- Model f" O
Length(, Width 3t�Serial No.09 La 1 h -1
# Bedrooms -3 # Bathrooms Type of Heat `�I f_LA c
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
may ,
y
j
P
V
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
i
g '
.5
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 p ps
_Laundry Washer _ nt Systems
_Sinks Spot Vent Fans
Floor Drains o. Boilers/Compressors
_Laundry Basins HP
_Dishwasher No. Air Handling Units
_Disposal cfm#
_Urinals No. Fire Protection Systems
_Other _ Auto. Fire Alarm Sys 50,00
ed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto i 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 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.
OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by:__� I��ti Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
[Approved Cond. Hold
Approval
�'1
Planning: �t"11,' loce0
Environmental Health:
Building Plan Review ,F
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: 7<<xjr2 love rny)1,j
FEES
f Building Permit
�`h a 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