HomeMy WebLinkAboutBLD96-00211 Final Mobile Home and Deck - BLD Permit / Conditions - 10/14/1996 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
IF-3 k.1 I L. r) I N Ca P FZ' R m I _r' FOR INSPFCTIONS CALL 427--9670
BETWEFN 5pm AND Sam 427-1262
BLD96-0211 PARCEL :321275400059 PLAT :LAPI-0 DIV : BLI( t LOT -
,JOB ADDRESS : U'610 OUDE LYME RI) SHIFLIFON
OWNER % MICHAEL VINE 427-7607
CONTRACTOR % LANCOR DE` IFLOPMENT 833-7878
LEGAL ; LAKE LIMERICK 5 TO 59
CLASS OF WORK , :NEW BEDRt 3 <BATH : 2 TYPE A1110011y BY DATE RECEIPT 11m ANOUVI BY DAIF RECEIPT
TYPE OF USE . . . . -MH STORIES . — . . . . r I
OCCUP . GROUP . . . :7 BLDG . HEIGHT . . t O .Oft f HCP $ 26.00 N,I P 03113!9A 41440
TYPE OF CONST . F z? FIREPLACES . . . . t 0 11101' $ 100.00 NJP 03113196 41448
OCCUP , LOAD . . . . 0 WOODSTOVES . . . . 0 SIFF 9 4.50 113 P 031�1306 41448
DWELL .IIN I TES . . . . 0 PARKING GPACESt 0 PRIII 91630 Nlip 1 196 414,10
INSPECT ION AREA : 3 SHOR E 1. 1 NF 7 :N C 6.61 Nip 13(0196 4144e 1101AIt t53.00 vAtutATION: 2831
SEIBACKS---------------- TO I LETS . . . . . . . . . . s 0 FUEL TYPES-- BOILERS/COMP---- MOBILE HOME
FRONT . . .W 42 .Of-t BATH BASINS . . . . . . 0 V 03 HP ' l 0
REAR . . . .E 67 ,Oft BATH TUBS , . . . . . . . : 0 3-15 HP . : 0 MODELsFLEETWOOD
SIDE ( 1 ) .N ?'/ .Oft SHOWERS . . . . — . . . . 0 FURN <1 100K BTU , 0 15-30 HP . - 0 MAKE—-
SIDE (2 ) .S 10 ,Oft WATER HEATERS . . . . : 0 FORN >-100K BTU , 0 30-50 HP . : 0 BERKSHURE
SHRLINE . 0 .oft CLOTHES WASHFRS _ i 0 FURN --- FLOOR . . . . 0 504- HP , : 0 --YEAR-------
AREA KITCHFN SINKS . . . . 0 HEAT POMP . . . . . . : 0 96
LOT SIZF . , t FtOOR DRAINS . . . _ ; 0 VENT SYSTEMS — : 0 EVAP COOLERS : 0 LFNG'f" r56
BUILDING _ : 1512sf DRINKING FOUNT . . . : 0 VENT FANG , . . . . . 0 HOOOS . — — i 0 WIDTH . s28
BASEMENT . . . ; P'st t.AUNDRY TRAYS . . , y 0 f)()Mf:s , INCINIO --SERIAt_#-----
DECKS . . . . . . z 24st DISHWASHERS . . . . . . ! 0 AIR HANDI- ING UNITS-- COMML . INCIN :O 4563B
GAR/CARP :? OsT GARB DISPOSALS . . . : 0 10 10 Irtm _. 0 RELOGIREPAIRt 0
AT/DT . -? URINALS . . . . . . . . . . .. 0 10 ?10 cTm . " 0 OTHER UNITS , : 0
MI SC PLM FIXTURES : 0 GAS OUTLIFTS . i 0
01.*SCRIPTION40811LE NONE All DECK
PROJECT IOCA110110AKE "ItCOND 111FRICK EXIT 10 Jill AND 60 01 OIDE tYNF ROAD SEE ATTAC 14 follow GREEN RIBBON 10 PERKS
; THIS PERMIT BECOMES NU1.1 AND VOID IF 10RK 01 400319OCTION AOTHORIZED IS 001, CONNEICE6 T310 IS# DAYS, Of If CONST90CII011 09 1011 IS SUSPENDED FOR A PERIOD
i
F 180 DAYS AT AN! TINE AFIfR WORK IS COMMENCED. EVIDENCE Of IORW is i1flOGAtSS INSPECTION 111HIN THE IRf DAY PERIOD. FINAL INSPECTION BE
i Pployfo BEFORE RU11,511116 CAA BE OCCQFIFP.
OWNER 1) A 61'1�N
-PRIT, rIT'. 1313119t COMPLIANCE ATTACHED'rO ATTACH CONDITIONS IS /
111.11 EEdUIRED
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 (- -1
BG/SLAB Insulation Floors Final date by date by date (C) Q / y- p n"
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
L
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
Water Line FINAL INSPECTION
date by date by date by
��knw l c5%nA
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
PF_: RU4 1 ""I 0ClN0 1 .._I 1 C) R1 S
Case No.. . : BIt 1)96-0? 1 1
For : MICH.AFL VINE
I Page : 1
1 ) Owner/ builder assumes all responsibility If drainfieid area is
encumbered .
X
2 ) The 'use, handling and storage of ha ardour matArials or fiammabla and combustible
liquids i rr excess of 10 gallons Is not allowed without the approval of the Mason County
Fire Marshal .
X
3 ) Structure must be setback 5 ' from all utility and drainage easements , a total of 10 ' �
from each property line ( 15 ' from rear ) , unless a variance is obtained from the Building
Department . I
Proposed structure or anV portion thereof greater than 30" in height from grade line, 1
must maintain a minimum of 5 ' setback from all property lines , easements and right of
ways .
f ) All approved plans are required to be on-Fite for ins eation purposes . If' inspection
is called for an plans are not on site, Approval WIN. NOT be granted . In addition , a
Re- inspection too in the amount of $30 .06 per hour (minimum i hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
approval granted .
X_ _-1
6 ) PURSUANT 'r0 1 9A1 UNIFORM BU l LD I NG CODE , SECTION :305o (C) AND SEGT I ON 513 ALI. SITES MUST
HAVE APPRO F.D NUMBERS OR V ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND LEGIBLE FROM rHE STREF T OR ROAD FRONTING T14F PROPERTY , MASON COUNTY RU i 1.D l NG
DEPARTMENT REQUIRES THAT T111 S BE compt.E TED PRIOR TO CALLING FOR ANY SITE I NSPECT I oNS . A
RF I NSPECT I ON FEE BASED ON RATES IN 'TABLE 3A OF THE 1991 UNIFORM BUILDING CODE Will RE
ASSESSED IF OWNEA/CCNTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I NSPErT I
X__
RE Ott I P F 1) 1 NSPIF C T I ONS F not i rig I rospect I on- rjr I or to pour , Settip I nspe!'t Ion- pr I or t C,
skirting, Final Ins ection -prior to occupancy ) . I have received a copy of the General
I of orma (:In and Guide I i nes.-Mob i I e�Manuf act ured Hous I nil n,.;t a I I at i o 1)s Nandout f or,
detailed descriptions of all required Inspections on my mobile/manufactured home
Instal tat ion . I herebv assume all respon a I b I I I t V for the schedit 1 1 nq of these r ecla I red
inspections , If these required Inspeotions are not requested, inspected and signed
off ( approved) by the 1 nspector I n 'the prescr, I bed or-der I understand that reinspectlon
�fees and an hourly Investlation fee pursuant to the 1991 UBC , Table 3A will he assessed
in addition to my originalpermit fees to reocilve any questionable practices. or
roblems that have been discovered . I further, understand that this investigation will
e scheduled as time allows . Unt I I reso I ut I on of awtv/a I I prob I ems no occupan(.-y ( Final
Inspection ) will be granted for the residence .
OWNFRICONTRACIOR ( Indicate which ) iSigriature X
All mobile/manufactured home landings or decks must be freestanding ( self supporting) .
the facqe,.it landing or deok permitted wt thoiji draw
ing.9; or, a but Iding permit lt� 36" x
36 " . Any landing car deck that Is 30" or more In he 1 g t from walking surface to finish
grade requires a quardra I I . Any landing or deck that ban 4 or more ristirs requires a
handrail . Any landing or deck larger, than 36" x 36" must be permitted which requires
structural drawings and a Ntildln( Ire application . Thi
s I F, instal I at I c.,#rk Permit does
NOT lnclu(14 any landing or deck larger than the 36 " x 36" size .
NORTH I�
IANCOR DEVELOPMENT, INC
10727 128TH ST. E. #C
PUYALLUP,, WA. 98374
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Permit No. 5 Co q(0-O 21 �
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRI
#1 wrier �► c�a�� L�r�r. the. Phone# 360 417 7607
ite Address 6F 610 O[Je- 14 Vtie- V-A Fire District# S
City 1�a.^ St zip Ctg S 14
Directions to Job Site T,,kc- eco,J- t ► ea, t o IAe- 1 -
5��
r���� �rooe�� 4r1�� • '
Owner Mailing Address E %-,o T�w► ��� �� - t
City S e-1-�o St W!k Zip Ct$S 4 Lf
Lien/Title Holder
Address 33600 4- Sj,a- toZ.
Clty St W zip gg663
#2 Contractor Name I a n Co e oe. lob yAe--� Contractor Reg#
Address 16-1 n IZg '�1` 5-k E . Expiration Date
City �0'4 -St W Zip q 3-1 Lt Phone# t -boo-36Z- Zk`t�
1) A 19 (@
� 0 W R
#3 If septic is located on project site, include records. D
Connect to Septic? Ve-5 Public Water SupplyYcS Well MAR 0 4 1996
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
4FALTH SERVICES,
#4 Parcel No.3Z,I 2l - 54 - b005c(
Legal Description lob 50t o-P 5 C Volvwe o� �Ig�s . �
#5 Building Square Footage: (existin ropose
1st FI 1 5 VL / 2nd FI / 3rd FI / Loft /
Basement / Deck 1x(v /Bjnt-,6gkbedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building Q es ►Je,,Ti a I Describe work
Ser- oe rte w Vhg 3 Q re,( Eoy,�-
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 1 cl 6L Co Make TI,-. .--AlVlodel 6er V,
Length 5(o Width Z Serial No. Lt563 'U
# Bedrooms 3 # Bathrooms Z Type of Heat EIS. ��ce - Art'r-
Purchase Price$ 5y+ 313.Z f
#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 Indicate Directional b N S
Name of Flanking Street y , , E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
eS `
-G �C-
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 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
Fix Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fir 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 OBTAI NG APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPA EN� DEPARTMENT.
X OWNER / X BY
DATE 2( Z�I (� DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
L - ----- --- ---
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
y� Approval
Planning: 10 oA Salo /S 0', ;-yc (
Environmental Health: _ ><
OWNER/BUILDER TO ASSUME ALL I,fq
RESPONSIBILITY IF DRAINFIELD AREA
IS ENCUMBERED.
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 Z fro,
Other
Building Valuation: TOTAL FEE