HomeMy WebLinkAboutBLD96-01062 Cancelled Mobile Home Replacement - BLD Permit / Conditions - 3/10/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
E3 U I L. D I M Cam, p E R M i `r FOR I NIRPECT I ONS CALL 42 7-9670
BETWEEN 5pm ANT► Sam 427-7262
BLOOS -1062 PARCEL a 32 1 2 75 40006 4 PLAT :LA.KE LIMERICK D 1 V t 5 BLK : LOT :64
JOB ADDRE SS : E 720 OLDIES LYME AD S"EI_TON
OWNER , DONALD PtITV 1 N 427--0419
CONTRACTOR :
LEGAL , LAKE LIMERICK t TO 64
r ar.:ar-.ssursm�sss_ «z..::<smvs--rsra+s:aowrroua:e:e•a• .:r.�.•:x-:aria--�q
i CLASS OF WORK . . tNEW REDR t 3 -RATH : 2 t TYPE 4NOUN1 Si DATE RECEIPT TYPE ANOJiIT 3Y BATE RECFIPT+
TYPE OF USE _ . tMH ST( "I'S . . . . . I _ : 1 �-� ,:��..._�-�... �•r�� ��� a. �.����,�
OCCUP GROUP t ? BL D HE I GHT : O .Oft EHCP 3 26,00 T1 09111196 42811
TYPE: OF CONST . . t? I R LACE:S . . . . : 0 MHOf 151.11 TM $9111106 42111
OCCUP . LOAD 0 WOO STOVE S . : . . : 0 SIFE 1 4.51 TV 119111196 42892
DINE L.,t. .UNITS . . . . : 0 PARtk4NG SPACES : 0
INSPECTION AREA : 3 SHORT: I NEB? . . . . :N -� 10TA1: 180.50 YALE+I.A1 iONt 0
*_FTBACKS- - ---- _-- --- 1-011*" S !i FUEL TYPES----------- E3OiLERSfCOMp---- MOBILE HOME- -
FRONT , . .W 10 .Oft SAT11 AS INS . . . . . . . 0 : a 0-3 HP . : 0 1
REAR . . . F 10 .0f t BATf�UBS . . . . . . . . : 0 a' '3-15 Hr. : 0 MODEL :MODUL`f-44' ~,
S F DF( 1 ) .N 10 .Oft SI-10A ,S . . . . . . . . . . : 0 FUPN w 100K. BTU ; 0 ! ;15-30 HP . . 0 --MAKE--
SIDE (2 ) .S 10 .01t WATT HEATERS . . . , : 0 FURN a-1 OOK BTU : 0 ) 30-50 HP . : 0 2A743
SHRL I NE . O .01`t CLOTH ... WASHERS , * 0 FIYRN .- FLOOR,,,, 0 1 50+ HP . : 0 --YEAR-- -----
AREA ---- - --- _ -__- K I TCIIFN SINKS . . . . a 0 HEAT PUMP . . . . . . : 0 96
L?T .;1 ZE . . : Ft C)tDEt t)Rn. T N5 . . . . . : O VENT SYSTEMS . . . t 45 EV..Ap COOLERS - 0 I..E=NGTH .-60
BUILDING . . . : Osf DRINKING FOUNT . . , : 0 VENT FANS — . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :28
BASEMENT . . . : Oat LAUNnPY '(RAYS . . . - : 0 uMFs . INPIN :O - SERIAI.#- - - -
DEC.fKS . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . I NC I N :0
GAR/CARPI? Osf GARB DISPOSALS . . . : 0 10000 rfm 0 REL.00/REPAIR : V`
AT/DT . t? URINALS . . . . . . . . . . : 0 19000 rfm . : 0 `� O,THER UNITS . : t0
MISC, PLM F IXT1. P St 0 -GAS 0LJ'ILI_TS . : O
PROJECT BESCIIIP1101:10111E '1t'ME REPIACENENT
PROJECT LOCA1101tEAS1 ON 1111 3 TO MASON LAKE NO., IFF1 0110 MASON IAKI It, PROCEED APP101" 3 11IFS 10 OLD[ LYRE ►zD i1OCATEO IgNE01AT1LY BEFORE RAItROAD
TRESTLE1, 1161IT 0110 OLDS tYNF RD. , PROCEED APPROII i MILE. STAY 81401 AT Y, SITF 01 1i81l3 310E 11101E FO STRAIBNT
THIS PEKM11 IF�DIIES NULL AND VOID if WORK OR f04S1RUCTION AUTH0111EO is NO1 CONNENr.ED 11111111 111 DAYS, 04 If CCNS1190 10N OR 1011t I� S#SPENVEO FOR A PERIOD
Of 181 0A15 AT ANY TIME AFTER IORK IS CONNENCEO. EVIRENC£ Of CONIINUATI111 Of 1#1K IS A P?06Rr'SS INSPECTION 1111t# THE 140 9AY PERICA, FINAL INSPECTION MUST BE
APPROVED BEFORE 110110114 CA OCCUPIED.
OWNER OR AuE11Tt
1L1,-PI<1T, rev! 43131111 COMPLIANCE TO ATTACHFD CONDITIONS IS REQUIRED
f �
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbo
date by Gas Piping date
Foundation Walls date by Set Up
date by INSULATION date b
BG/SLAB Insulation Floors Final
date by date by date
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork
Attic
oundwork I_
date by date by SN�oke �2TeG+OfS
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
C.J Sre. at*ara..1 'f2j, 1
vu
I
I
1
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F, FF UI 1\01 I J_ C-1 (_3 IN! ri I 'T_ I C-)N .113
(;ase No , BLDcf6- 1062
f-oi DONALD PI.ITV!N
Page - I
1 ) The use, harsdi inq and storage of hazardous matorials, or flammable and combi#stible
IJqijIds In excess of 10 q- allons Is not allowed withotit the approval of the Mason County
Fire Kaplhal
2 ) S t r u C, rtir m ks s t be s e t b a c k 'from a I I u t i I i t y a n d d r st i n-%i�i e easements , a t o t a, 1 0 r 10
rom/eW property linf-, or- a variance must be obtained from the But IdIng Department's'
3 ) Proposed structure or ariy portion thereof (treater than 30" in height front grade I I ne,
must itjaln a minimum of 5 ' setback from all property lines , easements and 10 ' from
a I I nr
and State Road right of waya .
Y/ A,
4 ) PURSUANT TO 1994 UNIFORM BUILDING CODE SECTION 305(0) AND SECTION 513 , ALL. SITES MUST
HAVE APIIHOVED NUMBERS OR ADDRESSES PR6VIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FUIOM THE STPFET OR ROAD FRONTING THE PROPFRTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY ,SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 ONIFORM 81111DING CODF WILL BE
Z:S I F OWNER ICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
E
115 ALI, ACTION MOST MEET OR FXCFED ALL LOCAL G�ODES AND UBC REQUIREMENTS .
6) REOUIRED INSPE4'TIONS ( Footing Ins eotion--prIor- to pour , Set.-up Inspeotion--prior to
skirting Inspeotion-prior Vo occupancy) . I have rp,�ceived a copy of the General
Informa . a n and Guldelliies-Mobile/Mnufactured Housing In-J at ca
ns andout for
detailed descriptions of all required inspections on my moblie/manufactured home
inFtal tat lon . I hereby assume all respurisibi I Ity fear the sotwedul ! rig of these required
Inspections . 1t these required In,
speotions are not requested, inspeoted and signed
MASON COUNTY
'-� Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
` off (approved ) by the ins ector i n i r►e ,prey=;r. I bed order I under .: r and that re � r►speot i un
fees and an hourly i nvest I rat f on tee pursuant to the �991 tiE3C, Tab i cs 3A w i I I be assessed
In addition to my origins permit ferns to resolve any queutionable praotices or,
prubl "ms that have been discovered . I further understand that this investigation will
be scheduled an time allows . Unt i I resolution of n all prob i rfms no occupancy (Final
► nspeotion ; will be granted for the residence . /� �
OWNER/CONTPACTOR ( indleate which) Signature
7 ) All mobile/manufactured home landinggs or decks mu-t be freestanding ( 314, if supporting) .
The largest landing or deok permitted without drawings ar• a building permit 1 5 36" x
36" . Any landing or deck that is :30" or More in height f rorn walking surface to finish
grade requires a quardraIl . Any landing car deck that has 4 or more: risers requires a
handrail . Any landing or deck larger than 36" x 36" ►nust be permitted which requires
st ruet a l raw I ngs and a bu i l d i nit permit application . This Installation Permit does
NOT qlj6fany landing or deck larger than the 36" x 36" size .
a ) CONSTRUCTION PROCESS 1`0 BE FIELD CORRE TE QU I RED PER MASON COUNTY BU I LD i Nei
DEPAR"I'MENT AND UNIFORM BUILDING CODE - �_�
NOON
I�
REM
�Emm
ENE mommomm ocams
NEE ON
MOMME imommmm MONMEMMEM I
0 IN 0 0 IMMOMMOME mommol No
MEN MRSOMMEM NONE I
mmommommomm immommomom 0 1
MEMEMERMSEMM moloommm I
M mommosommi NONE momomm M I
I 14h USE MEMO 0 1
00 skims
anommommin lukloax 0
MEN
NOR
I.EC
Ino 0 „
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION M�00
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 r ��QLi� t7 �1/i,✓ v�. Phone#
eASiteddressy�=
�/0;�0 Fire District#S
City / o,✓ St C-�' Zip 9c
Directions to Job Site (S-q-17- a-✓ f&j 3 r, **4 so�4 64" 2n.
oCfflTr:;;r Aw�" z�o Or-PE GY—z of cac.�?�'U <�•�syi sn-�
24,c,2o,4ry T-r-F57e-c le,errr o~7b Cc-AF e-f',lrr P-6C6,CP
T AP?"Jc Af"C6 STAY 2"6;Nl ® f v
9 517-tf o�v /c'���r s vim, -Y,,PPLc IF ST iE T,
Owner Mailing Address
City l� St /,J1t4e" zip s
Lien/Title Holder /)fJ.—'>> Z) ;?-b .✓ 0 '
Address E -/62c)
city /fax St Z-t zip 9 ��
#2 Contractor Name fLll,4t1Ac Contractor Reg #
Address Expiration Date
City St Zip Phone #
#3 If septic is located on project site, include records.
Connect to Septic? X Public Water Supply +� Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 arceI No.3 2l 27 - S - 00
Legal Description �-a<c ��«cam. `%2 6!!K
#5 Building Square Footage: (existing/proposed)
list FI 70a / r 7&) 2nd FI =3' / k3r 3rd FI / ' Loft /
Basement Nowt Deck it/otiff #bedrooms -3 / # bathrooms
Garage Carport -vd ye (Circle: Attached or Detached?)
Other sq. ft. /
#6 Use of building �.y4u,� ��' �cJ' �s € 4J7'!.4e- Descri
#7 Type of Job: New Add Alt Repair Other �*C-44�
<•v6e9<--J rpif es?v3tc.E 77ouSC& `J 1D( o
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 11 7?C� Make anwcra.-Model 25743
Length (L,n ' Width 28/ Serial No. c,%yFc�R�t+A6L�
# Bedrooms_, # Bathrooms Type of Heat f re-ec-
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
f
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
EIZ v crcv
{(o' for no IN {¢
IN r9T4 A
I 128 x rao( rrE lbwtE
i
I t rar
caw•� I �
i I � 2Sr
I
ExlST/wy6
Davewtk
v
�p ! Gha(uFi2�D
L
/Sb
eLev
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
F,ctSRr�+G
o�oE tYn..g 2s .
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
I
I _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 16.25 _ Auto Fire Sprink Sys 35.00
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 16.25
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 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 X BY
DATE ��$`I � DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: MW -Se ael(, r�7 YES
y
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const: dCt!.)
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit t SO
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other iC o J
Other
Building Valuation: TOTAL FEE