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HomeMy WebLinkAboutBLD98-00694 Final Mobile Home - BLD Permit / Conditions - 12/2/1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F3 1.J 1 1,- f.7 I N C:i F*' F, FA M 1 -T- FOR INSPECTIONS CALL 427--9610 BETWEEN Spm AND Elam 421--7262 81.099 -0694 PARCEL s321275401<'058 PI.AT :L.APLO D I V : RL.K : LOT ; JOB ADDRESS 1 600 E OLDF LYMF RD SEIELTON OWNER- LEE�,� CONTRACTOR LEGAL : IAI(f LINEAICN 5 TB 50 DC!_T���L1'Vlti![L1::�.-. .T' :•.�.?i� L.Y..-.l«:.^.FWD:!Gl'r�:1:+:��:'L<....:.'wYifi�t. :..h.�ti"•^.'x...:.'�Aa.:.'i�.'L3::'::A:i:^S�'1'.a CLASS OF WORD :NI-W BFDR , 3 -SATH : 2 FTYPf ANOONT at DATi RECEIPT TYPE ANAUNi E?Y DATE AECEIPTI TYPE OF' USE ,,MH S7OR I F.3 . . . . . . . : 1 OCC UP . GROUP . - -? SL MI . HE I MIT . . I O .Oft PICK t 175.06 KW 07113198 41622 TYPE OF CONST : 7 FIREPLACES . . . . : N NHOF t 175.00 tS 07!22198 47175 (V:CUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 Siff t 4.50 KS 17122198 47175 DWF Li_ .UN ITS . . . . : 0 PARKING SPACES : 0 RI" t 44.00 KS 61l22158 47775 I.N IPFC.:T ION AREA : 4 SI-I-')RFL INE? . . . . :N IMP t 50.00 KS 67122196 47175 11O1AI 448.50 VAII'MIONt 6( TOILETS . . . . . . . a 0 f 1)El TYF'CS __.._____.._— BOfLERS/COMP----.--- 14OBIE.E HOME:_.._ F RONT . . .W 80 .0f t BATH RAS I NS . . . , . . . 0 0--3 HP . : 0 REAR . . . .E 10 ,Oft BATH TUBS . . . . . . . . . 40 3-15 1-IP . : 0 MODEL :FL.EETWOOD S I DF ( 1 ) ..S 10 .0f t SHOWERS - - - 0 TURN 100K BT:_I : 0 1 5w 30 HP . : 0 SIDE: ( 2.) .N 1 0 .0f 1. WATER HE'ATER:a . . . , 0 FURN -—100K BTU a 0 30—k 0 HP . : 0 WAVEERL Y SHRL. I NF. N 0 ,09 t i L.OTHE S WASHERS - 0 FUPN — FL 00A . . , : 0 5 0+ LIP 0 YFAR . AREA _ . ___._._ ._.__--. KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 98 LOT S 17.,E . FLOOR DRAINS . . . . . . 0 VENT SYSTEMS 0 EVAP COOLFI1r : 0 I E_NGTI1 ,66 BU I I_D I NG . . . : 0,3 f DRINKING FOUNT . 0 VENT FANS . . . : 0 HOODS . ..r:. . . : 0 . WIDTH . :2 7 BASEMENT , . . : k' f LAUNDRY TRAY:, . . . : 0 L)�1N1E:S . I NC; I N tO --SER 1 AL.# DECKS . . . . . . t Osf DISHWASHERS . . . . . . - 0 AIR 14ANDI I NG UNITS--- COMML . I NC I N :0 GAR /CARP :? 0!�T GARS DISPOSALS . . . : 0 < : 100010 cfm . : 0 ' REI.00r/REPAIR : 0 AT/DT . :? UPINALS . . . . . . . . . . 0 t 10000 CTM , : 0 OTHER UNITS . : 0 MiSC PLM FIXTURES : 0 GAS OUTLFTF- : 0 L.'cr.Ti:.sa.�'L.w¢:ars..'acS.u:^.r.Sivrr�3s.a:ar::ax:]:a¢:irsara•'-.:+.^.:.-a:xr.TssarR:E-:-'i�:ursc:l`lcz+•�.7i'rr^�.-s'r2:.;{{�srzr.a:^:yesx:slesir�a--Tac_xs.:-:-p:+.::Esc;..:SsmL:-�+v��:�s'i'�.:.JC1uz:.':rzrTriL6�m':�+snxA'.s.i°.^6fis.�A.a'S!'rtsil.:�,�s�ec-:'.--s]c.'.:xCi;::':^..fcrvv�Y:rr.z�usts6+.x:a._,_••�..^.:...�+rT PROM I OESCRIPTION:111081t( HONE PROM LACATION:NASD# ME AD TO M IYVC HAKE RIGNT FOLLOW PAST PEBOLES CT AN$ KIIMARNOC>4 01111 ROAD I M S SHARP LEFT, LOT ON Ai6N1, L 5 PEWIT BECOMES NUtI AND VOID IF WORK 01 CONSIAUC118N 1194ORIZED1S #0 CBNNENCEB WITHIN 160 IIM- OR If CONSTRUCTION OR 0091 iS SUSPENOEO FOR A PFRI00 186 BAYS AT ANY TINT A1TFA WORK IS CONNINCED.' EVIDENCE OF CONTINUA110tor folk IS A PROfiRE" '!#S E i100 WITHIN TNF M DAY 9EA10D. FINPI INSPECi10N BUSTRQVEO BEFORE 8111(01N6 CAN 8F OCCUPICD.ER O1 AGEN1:��� _y� ___. DATE_t11tr rex-0,2 1 i 51 — — —�C-!1M€I 1A�1AtE _T AI L_A !2d21T_LOH L�> $ Il1E3E IL�_— _— —,_�J CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date $ 2 by 6-- Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date J 2 '2 _�: by t 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 G r i - I -------------------------------------------------- MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P F--. VI VAI I .7- C, 0 N U) I -T 1 1--) N '.S Case No . - 111..n98-0694 For : LEE DORMUTH Pago : I 1 ) PURSUANT TO 1994 UNIFORM B1411j)ING CODE , ALI S ( IPS, MUST 14AVE AI:1['HOVFD NOMBFR`-� OP ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE SlRFEI OR ROAD FRONTING THE PROPERTY . MASON COUNI'Y BUILDING DEPARTMFNI REompEs THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS , A REINSPECTION FEE , B- ASED ON RATES IN T'ABIF iA OF THr- 1994 UNIFORM Intl II.DING 'ODF WILt BE ASSESSFI) IF OWNER/CONTRACTOR FAILS TO POST ADDRES'.3, ON SITE PRIOR TO REQUESTING INSPFC110N,- a X 2 ) THE FOUNDAI I ON SYSTEM '1101-1- BE PLACED ON UND I STURBED, NAT I VET Sol I 3 ) The ftj--)pr,ovod plot plare is required to be . 1 inspection purpo,-e% It I nspeot I on I s ca I I ed for, and p I of 1) 1 an I s not on site, Approval WILL NOT be granted . 11) addition, is Re.- Inspeotion fee in the amoitnt of $42 .00 per trout minimum 1 hour ) will he charged and must be collected by this department prior to any further ins;pectitins being performed or approval qrantpd . X 4 ) RFQUl RI"D INSPFCTION , ( Footing Inspection-pulor to pour , Set- up In'spentioo-firlor to skirting. Final Inspection-prior to occupancy) . I have recce ived a copy of the Genf4ral Informatiun and Gt� idefiries-Mc,bile/MAnufactiirecI Houf- ing Installations plando"t r C)1, detailed descriptions of all required Inspections on my mobile/manufactured home insta ( lation . I hereby assuroe a I I respons lbi I Ity for, the settedul Ing or these, roquired inspections . If these required inspections are not reqi.iested, inspected and slqned off (approved) bv the I nspector I n t he preqcr I bead order , I understand that relnripevtion fees and an hater iv investiyation fee pursuant to the 1994 UBC, Table 3A will be a6sessed in addition to my orlqina permit feets to rep .,olvo ant questionable praot Ices or )roblems that have been discovered . I further understand that this investigation will e Scheduled as time , alloww" Unt I I reso I tot I on or any/ al I prof)lems no occupancy ( Fina ( lospeotion ) will be granted for the resIdence , OWNERtCONTRACIOR ( indicate which ) �Iqnattire, X MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 5 ) A I I mob i I o/wanuf actured home I antj i nets or dook!�3 must be f reestanding rs( self support Ing ) deck The l4rgest laridin or dkdrawing,.,rmitd without draw) ng or a i)iji idir.w permit i i2o ��-q ft car' less AND MUST ire under 30 ' In height from sarrotindina qrade . NO sApond story dp�,,';ks , or decks above '30" can 'De built without a permit . Any landing or deck that Is 30 ' or more in height from wn1king surface to finish grade rpqiiires a Permit . Any landing or deck 1hat has 4 r,r morff rivers requires it handrail . X 6 ) ALA- CONSTRUCT ION MUST MEET OR EXCEED 10CAL COVr,"; . I F ANY OVESTIONS , PLEASE C A t.11., S OFFICE RFFORE CONSTRUCTION . 7 Th 1 5; app I I aat 1 on I s sub I ego t to bu f f er and Landscap i nfj requirementu as estabi It;hvd tinder Mason .County Ordinance 1 .03 .016 . X-_ 7tXl'--�—e -------- �'L'I---------- .9 The use, hand ing and storage of hazardous snaterials or flammable and combustible liquids in excess of 10 gallons is not al lowtirl without the approval of the Mason CountV Fire.,marshal X 0) Provisions for surfa4,,e1s. ubsurfa--,e drainage, control must he Implemented with now construction or devefopment on site and MUST NOT adversely impact adjacent pare els . Under the requirements of Mason County Stormwater Ordinance, either private ditohes and drains will meet requirements of the stormwat"r turd inanne or pi-- ior approval will he granted to use an existing utility and drainage easevient dedicated for that specific; purpose . For further information re(tardinet thi &,, ordinanoe and the RFQUIRFMENT to obtain an ACCESS PERMIT for the inst4lI rat i on/constrtictican of to driveway or access 00ftPeCtlng from A Mason County Road, Contact the Maisort County Publio Works Depar't me n't prior to construction at Ext 450 , For any oonst runt ion which Jr., proposed to be located within 25 ' of a Ala cart County road right of way, It is suagested to contact that office to review future planned work whict'l may a, of your- projeief . X 10) Proposed structure or a n y port icon thereof - great ev 'than 30" 1 ri height from grade I Ine , must Maintain a minimum of 5 ' setbaok from al I property I i nes , easements and 10 from all qokj'p�y and State Roa.d riqht. (-,)I' ways . . X 7 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I Structure must be setback 5 ' From all io if itv and firainafie ea s emen t', to tot a I of 10 fvuiv ,P,"t., � property line, or a varlante must be obta i ned from the BuT i(I i nq Department X 12 ) Applinnnt, anknowledger, that this development 1s, -,ijbject to policies and regulations of Ma so p "V X 0.�nty Comprehensive Plan and Development Pegulations . FORM INK I,�b�JL / PERMITNO . BLD `r rpnmi* MASON NTY CAb� BUILDING PERMIT APPLICATION J 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 alIton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 �� ORMATION CONTRACTOR INFORMATION er ee doe- -DCr Contractor Name L, i Mailing Address H I E Wes L,)cc% Mailing Address 42 City State W}V Zip Code S Y-A/ City State 'Zip Code Phone(,36G ) q,2 7> 5/NOther Ph.( Ph.(,-,360 - ebther Ph.(3b0 ) -3'2 Lien/Title Holder 'SAti.i>� Contractor Reg. # 2 Address Expiration/ ,5 / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Conne t to Sewer System Name of Sewer System Well Water System Name of Water System---,� ,j Ae PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District Legal Description Site Address(Please include street name, street pumber and city) Directions to site AzIdj C d f v Wil timber be cut and sold in parcel preparation? (Yes/No) eS Is your property within 200' of the following: Body of Water ( )_4o Saltwater Lake River/Creek Pond Wetland_ Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB NewJZ Add Alt /R�epair Other Use of Building ,��i/e —//a Describe Work 5!� .l�-e0a 2 7- /1770h.,1e 7U/72e, No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Garage Carport Other sq. ft. MOBILE HOME INFORMATION-Make Model WdVeLlV Z'I�c:-St Model Year Length &(o_Width o2 tY' �''r Serial No. No. of Bedrooms No. of Bathrooms_ Type of Heat 2lee YW Purchase Price $ 7/ vuo�� Replac nit ?(Yes/No) Installer Name _r X1c /=ice fz � 2.ram Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining proval. x Date X Date FOR OFFICIAL USE BEYOND THIS POINT l Accepted by _��� DateL)`1 c�) Submittal Amount Due �� �'� `--Receipt No. D PARTNt 11ITAI.,;R � 1JV ,APPRQ1f>E~ 3 IED .. t..NPI 'f tN G p... Building Department Occ Group Type constr. /Ota /Of ! v!a Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ ..... ....... Building Permit Fee Site Inspection 1 Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other t Wood/Gas/Pellet Stove Fee Other _ Violation Fee Pre-Paid at Submit ( ) <v:�:::n:::rv:+.,«:;:;,::::�.>: >,.;:,>:.,.w::.:«,.�::�::;-:.r;: >;:<...::•::::::.;.:>:;::..:....:..::::::::::::::::::::::.:.: TOTAL FEES FORM M V 1 P E A, \' 0 pp ON COUNTY PROJECT SITE INFORMATION Case No. Name A"' C / ARCEL NUMBER J 6VAV—,5`1'-0-Xf8Date �3-/ D SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography 7Z Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- i .�) ` (9 T i Fadjacent property line Owl' i F--- (p I G+ I I I �8 5� I I I (J I I C I `\41 I \ V Sri h`OT'L�° I I v --- I adjacent property line-� I '� IJ' 3•91 i� � I Fad'acent property line © l d SAMPLE SITE PLAN • adjar�nt property line- _ aio E-adjacent property line D 30- rRL,C,,_ 3�1 .sE.�..� I � � HOM t I .GciaEiu CrtK I ) PRO Pca b s¢pt:c 1 , I30'-�I I I VAGn,T Tr-AMAad 1 I I PM1oPosCI� � TA&R=LLLru..RAL So' 90, I 1 I I I �--B o' I �\ I I � I /DO" I I I � r.,_.eLL I I I I I x� /00' i I t- .ALL I I A Q i � � adjacent property lined I I a". \I Fad'acent ro e.rt. ' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) f' I SAMPLE TOPOGRAPHY PROFILE dtstor.cQ to Q `b d iS't'a r+LG t o i Slopa t o¢ 3� fiL 1N. 5 a Signature Date J