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BLD97-00301 Cancelled MFG Home - BLD Permit / Conditions - 10/19/1997
f ` MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 f E_ 11 1 L_ 1:.:;` 1 N e=d P E-- Ft PA 1 _1f.. FOR INSPECTIONS CALI 427- 9610 BETWEEN 5pm AND 8 am 427. 77. Eli' P1.O97--0301 PARCE-1- -13212,7540O063 PLAT st..API_0 V I V : BL.K r 1-01' : JOB ADDRESS a IF 700 t'FL.DF I YMF RD F;NE I TON OWNER : JOiiN MARSHAI.i.. 427-1285 CONTIAACTOT; : LEGAL, i TAKE LINENICK 5 TA 61 9:Tir::. d�^Y�.�F'�A..1�L:Y^._'Ia"...M.s'^'.[:€5.4.R.$3�L�IL'w�•3'C��STt.'"n::V_T:T.:.-�Hi::S:..-'S'CY-�.T_":Yr'tT:CF,T.:'J['OL:::SIS.Y.`a 6:2� S CLASS OF WORK . -NEW SFDR : > B T41 : 2 TYPE ANOUNT 4Y Dt.if RECEIPT iPf ANOUNT SY I)AIf RECEIPT' TYPE OF USE . . . MH STOR 1 IF S . . . . . . . : ► �, x x- p :x,e :_:,X��•� : .,1 r_—:��: a:z r OCCUP . GROUP . .. . :113 81.DR . HE I GHT 0 .0f t EHCP 3 26,60 NJ? 04122197 44321 TYPE OF CONST . . :"? F I RF PI ACES . : A AODP $ 5.09 NJP 04122197 44321 OCC;UP . LOAD . . : . : 10 WOODSTOVES . . . . : 0 NHOr 1 IS5.110 Nip 04122197 44321 DWF1.I UNITS . . . . . 1 PARKING SPACES : 0 Siff 1 4.50 NIP 04122197 44321 i NSPEGI ION AREA : SHOREI_ I NE? . . . . :Y �0'TAl! 190.51 VAtUIATIOR: f SFIIRACP"3.- ___._- __.____ _.__ TOILETS .- . , . . . . . , . , 0 FUf=I- TYPES- BOIt.ERS/i:OM1'---- MOBILE HOME ._ FRONT . . W 10 :I<3f'L SATli BASINS . . . . , 0 0-3 HI. , 0 F'�„�><;.�� REAR . . . .E 10 .0 f t: B A T if TUBS . . . . . . . . s 0 3-15 1i P . : 0 MODEL. s M>4Mf}1-F��f±' SIDE(l ) .N 10 01`1 SHOWERS . — . . ., , . . 0 FURN .-- 100K BTU : 0 15--30 HP . : 0 SIDE(2 ) .S 10 .0f t WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30-50 HP . : 0 PENDLETON SHRL. INE . N .Of't CL.OTHUS WA ,HERS, . . : A FURN FLOOR . . . .. 0 50+ HP : 0 YFA,A..-, AREA __._ .._.......__. .. KITCHEN SINKS . . . . : 0 HEAT DUMP . . . . . . : 0 LOT SIZE _ c FLOOR DRAING . . . . . : 0 VFNT SYSTEMS , . . : 0 E ;/AP C:OOLFR`; c 0 1,VNOTH3'#►R BUILDING . . . s 0'�f DRINKING F+AUNT . . . s 0 VE N1 FANS . . . . . . < 0 HOODS . . . . . . . : 0 WIDTH . ! ;fir BASEMENT . . . s 0sf LAUNDRY TnAY,; . . . . : 0 DOME'S > f NC i N :OfiL#- ` DECKS . . . . . . : O f D I SHWASHERS . . . . . . : 0 AIR HANDLING UNITS--.. COMML. . I NG I N aN GAR/C•APP :7 Ost GARB DISPOSAUS . , . . 0 -,— 10000 ofw . : 0 REL,OC/REPAIR : 0 G� AT/DT . c? URINALS . . . . . . . . . . 0 > 10000 cfm . : 0 OTHER UNITS . : 0 M I SC F°L.M FIX 1 t►11C S : 0 GAw' OUTLETS . c 0 m1SL5$:w3Y'i'4' LT'>IC.S- 3'C:' ::2ER]{RTC::.2RSi`R'R�:'C+':i:.li'.T:�.'9i�.wS_^?.�s•.'��••.a':�s'�C.^4Cl:n'+J:�:.!'..S�.LAI%i.r.!:S3.:ZiOR:'.LE."Sty'�"9�_S.YIP.:�'�i..'i'L;.'.'t.^.'.'Y;'SP..T'S4SJwVS'=YG6T�S'Afl '�'Lif1�tl[!R"94.RF6tD.:'T`3:1L�Rt:WL?::..r•A'.'Wl'X^.19�r= PROJECT OFSCRIP(10H114149FACTURfS NONE PROJECT tACATtON:FOtIUM MASON tAKE RD. 10 01.0 tYNE RD, LAKE. LINERICK 'TURN 1116"T 1`011011 8110 Vitt AROUND 10 TNF BACK C-F OtD IYVF RD, LOT 63. Bi4 SlGt: WH II n3 PANTED, i , (HIS PfRoll RECONfS 11VIL AND V01I1 IF NOFK OR CONSTRUCTION AUTHORIZED 19 NOT CONNENC0 MITNIN 100 <)AYS, OR if CONSTRUCTION OR WORK IS SUSPENDED FOR A PERwD i OF I1N DAYS AT ANY TINE AFTER 101K. IS CONNFNCE EVl1ERCE OF C0N11NUATION Of NORt IS A PROGRESS INSPECTION NITNIO 'NE TS/ DAY PERIOD. FIXAL INSPECTION NUSf Pf APPROVED 81FOR1 B ltel 6 CAN BE 0CCI1/1E8. �NfR ACENis �4`'I ��� OLD-_PAN]$ revs N• 131 I11 CnMFI. I ANCF TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date 6114 b Foundation Walls date by Set Up II'' date by INSULATION date b" BG/SLAB Insulation Floors Final date by date by date /2_ %2 by L FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by fc fa +I I I A MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P IF 1-1 1`01 1 _T' (77) NJ D I 1' 1 C k N f-3 Case No . i BLD97- 0301 For : JOHN MAPSHAI I. Page : 1 1 ? The unders i gned proper t y owner is aware of the unueerta I my red}ar d i ny Mason County ' s development regulations created by the Growth Managment Hearings Hoard 's Order oP October 2 , 1996, and in consideration of Matson County ' s wi i I ingness to pr000ed with processing of a�plioations which might be affected by the Order , the undersigned property owner ere3by aorees to waive Fang 1 awsu I t , action , or claim for damages awa i nc:t Mason 'C'Ottnty which may arise out of Mason County ' s actions it) acceptance processing arldlcar Issuarice of such pe-miffs or approvals thereinafter "permitting ac{ lone, " } , which dawages are attributable to the County 's decision to take permitting actions despite t he I sk that r,heange s to the County '= de,ve t c,pment. re gu l at i olls 1A I qht Dater, make the C;oran y 't:, t�pnittiny actions Invalid . X t' 1 ) This app 1 i cat ion is, .tit:•l ec:t to Buf ff-r and 1 atadsoc; r) I ny t e(itt i t offs-rot a:> ebt tab 1 1 ,acre d tinder, Mas n County Ordinance 1 .03 .0:36 ,3 } The use , hand I I ng and storages of hazardous rnater i a l s or f I ammab l e and combustiblelgtricis in e�xcef.s of 10 gal nns is not of lowed without the approval of the Mason C.okrraty F f M43r 5ta.i 1 . 4 ) Proposed strtei..tures or any portion thereof greater than 30" in height from cirar3e Iiri#, 1114jstA mainti� in a minimum of 5 ' setback from all or-operty 1 ine�, easements and 10 ' from 1 1 oyryt ,y i �;t to t e Road r I ght of ways; . a erI / f • `i ) :,tt u(; t ure rn+l^t be see l back 5 ' from a l I ut i 1 i ty and dra i nagee e*clSt:int"nt E� , a 'total of 10 ' fro P.Aeti perty line, or a var i A ace trust be obtained from they Building Department 6 } Pt1F1 .,UAN'i Try 1994 UNIFORM SU i t O I NG C ODF , f F..CT I ON 305(C ) AND SUCTION 513 Att, S 1 I F S MUS1 HAVE APrROVHD NUMBERS OR ADI)RE SSES PROV I DEn IN SUCH A POSITION AS TO fit PLAINLY VISIBLE ----------------7 MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 -H 09HHNii, ;jUAti'lMiztd1 kLtOuiki.::a lio-% f i it i S bL kAA.'1t_'LLILU PI Itjk io (.,i,.LLiPita tOR ANY SITE ; N6t-tGt IUN) . A REINSPECtION FEE , BASED ON RATES IN TABI. E 3A OF THE 1994 ONIFORM BUIIJ) ING COVE WItL Bf.- ASSESSED IF OWNFRICONTRACTOR FAILS TO POST ADDRESS ON SITE rRIOR TO PF QUEST ING INS P EC T 10 NO. X 7 ) A F"TJON MVS1 MFFT OR FXCEED AL',_ LOCAL CODFS AND 01AC, RE 00 1 R U ME Nl',r-; X REOUl RED IN',';r'FC'f IONS ( Foot I nq i "spect i Oft- pr lor to pout- , IS'et- tip Inspect i011--pr for- to qkIrtIn nal Inspection -prior to occupancy) , I have received a o V of the General In.1orma?'i.n , c and Gtjidelinos- Mot,ile/Manuta(;,tur-ed Housing Instal andoui fe,r detailed desof1 tat ions of all required inspections on my mobile/manufactured home Installation I hereby assume a I I responsibi I ItV for the 8chedul In,,; otf -these required t aspect ions . it these required Inspections are not requPsted, lnspv acted and signed uff ,'approved ) 61 the Inspector in the prescribed order . I Understanii that relospection fees and an hourly Investigation fee pursuant to the 1991 UBC, Table 3A will be assessed in addition to my orIclina) permit fees to resolve any que-3tionab1e practices or roblems that have been discovered . I further understand that, this Invef.,tigation will )e sc hedo I ed as t I me a I I , Until i-esollstirin of auy/al I pf oblems no C-ootipattoy ( Final Inspection ) will be granted for the residence OWNER/CONTRAC4 OR ( Indloatto whloh) Sii.4natttre X 61� 9) Al I mc.)bl lelmanv)faotured home landings or decks roust be freestatiding ( self supporting) . 1he lar(lest landing or deck permitted withoAtt drawingq or as hu I I d i nq perm it i r, 36" x 36" . Any landing or, dock that Is 30" or more In height from walking stirfac(-s to finish ? rade require-.3 a qiiardrail ,. Any ; anding or deck that Itas 4 or more rise.rF, re quires a andrall . Anv landing or de ok larger than 16" x 36" must be permitted which requires structural drawings and a building permit apolivation . this Installatioti Permit does NO * Inolride any landing or- dock larger than the 36" x 313" !,ilze . 10) Proposed st i tiotut e cir pot t I ont; thef Pot with an project I on over 30" in height from grade line, M�J3t maintain a 5 ' se arM I diqtapoe betwp�n adjacent structurres and that furthest p r o.1 ea t: I on li ) MOBILE HOME PARK SETBACKS SHALL BE 15 ' FROM OTHER STSUCTURF!3, 10 ' FROM PROPERTY L I NE-13, AND 5 ' FROM RIGHT-OF- WAY AF, PER MASON '110UNTY ORDIANCF #118 -91 . —————---——------————————— MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 12 ) ALL CONSTRUCTION MUST MEET OR EXCEFD LOCAL GODEt IF ANY OUES7 1 ONS, PLEA SF CAL TIJIS faiGE BF'FORE CONSTRUCTION . 13 ) Approved per dimereions sari setbanks on submitted site plan . X 3pInr3 MA2SVAk1 —3 Ce l s' �► � i3' � I O �i /'�` i // .� Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT T / / #1 Ow r , r�G,�. Mars h/9 L L� Phone# ite Address ��� 0 Ide. L_ Fire District# City v�' StCJ _ Zip 3-e Directions to Job Site CpcL WASW" cK- o C& 111we Rcy Owner Mailing Address C ' B0 City St LQ4 Zip Lien/Title Holder Address City St Zip 61UK-gAy /7? cnnt'S #2 Contractor Name L e- Contractor Reg# 4)4InS 024 3 Address 6�©C� �'Ypw [�.� iay �� Expiration Date/ / /SLr" City�ki a c`A St�,_Zip M5 16 Phone# �"6 ~ Ed?/ �s, poi 1# #3 If septic is located on proje site, include records. 6 ZO kk 7 Connect to Septic? ublic Water Supply�Well ° '4� �`'``'' w UTG Connect to Sewer System? Name of System ����. ���,,,,/l�r 1' _ /e/333 5'd� ,If residential, proof of potable water is required) "'k # Parcel No. 2l - - ood63 Legal Description �I [ii_ <— Lo f 6 3 1/ A, C I` #5 Building Square Footage: (existing/proposed) 1st FI / 2nd A / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building 1l 7--k6WO Describe work - v #7 Type of Job: New_V__�Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year 91 95 Make ftNR� �Model 4q/ , Length S6/ Width�6 F1' Serial No. )(� � F # Bedrooms #Bathrooms _Type of Heat f e' � q ti Purchase Price SOU. `o MAR 2 6 400 #9 Indicate by circling the applicable source if any water is on or adjacent to subject protj' q� River Pond Creek Stream Wetland Lake Marsh Saltwater uno hr � �� 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 C1z 6�IL, ��blC� I� i Plumbing Fixtures ($3 35 each) Fee Mechanical Fixtures ($6.75 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 _ V t Systems Sinks Spot Vent Fans Floor Drains o. Boilers/Compressors Laundry Basins _ HP Dishwasher No. Air Handling Units Disposal cfm# Urinals N Fire Protection Systems Other Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 _ Auto Frre 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 16.75 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 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 MADEVITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING TH UIL ING DEPARTMENT. DEPARTMENT. X OWNE QWk4 X BY DATE z DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTA L REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: v Environmental Health: fI — 0 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 �5a Other 11df��,h Jc OO Other Building Valuation: TOTAL FEE I / �� b