HomeMy WebLinkAboutBLD96-00654 Cancelled MFG Home - BLD Permit / Conditions - 12/9/1996 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
ES U 1 L. D 1 1M 0 P E R M 17' FOR INSPECTIONS CALL 427--9670
BETWFE'N 5pm AND Sam 427--7262.
BLD96- 0654 PARCEL -321275400103 PLAT :LAPLO DIV : ELK : LOT :
JOB ADDPESS : IF 531 OLD LYME= RED► SHE.U TON
OWNER : DARCIA BROWN
CON`CRACTOR :
LFGAL i LANE 111111CN 5 TN 103 531 010 [Ift BOA#
CLASS OF WORK . . :NEW BE.UII : BATH : 0 '?'s"E ANOUNT BY DATE RECEIPT ?TYPE ANOUNT BY DATE RECFIPI
TYPE OF 1JSE . . . , sSF STOR IES . : . . s0
OCCUP . GROUP . . . :7 BLDG . HE 1 GHT . , s 0 .Ofi t "?EE = 4.4 NJP 06112106 42141
TYPE: OF CnNS? . . 7 FIREPLACES . . . . : 0 1NOF 1 150.111 NJ? 06112196 42141
O^CUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 EHCP t 26.00 PJP O6t12�106 42.141
DWCLL .UNITS . . . . : 0 PARKING SPACESi 0
INSPECTION AREA : 3 SHORF11NE7 . . . . ..N TO1ALs 18C50 VAtOtAII011t 0
SETBACKS--- - -.- _-____...___ TOILETS . . . . . . . . . . . N FUEL TYPES------------ BOILERS/COMP-- - - MOPAILE HOME---
FRONT . . .S 55 .0ft BATH BASINS, . . . . . . : 0 r /ELE/ ! ! : 0 -3 lip . : 0
REAP . . . .N S .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODELsFLE1TW00D
SIDE ( 1 ) .E 10 .0ft SHOWERS . . i A FURN - 1010K. BTU : 0 15-30 HP . c 0 - MAKF-__..-.__..
S i DE (2 ) .W 5 :COf t WATFR HEATFRS . . . . s 0 FURN >m100K BTUs 0 30-50 HP . : 0
SHRE_ I NF . 0 .Ott Cl OTHF:3 WASHER!a . , : 0 FURN -- FLOOR . . . ! 0 60+ HP . : 0AREA - - - -- __._.._._ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 96
LOT SIZE _ - FLOOR I)PA 1 NS . . . . , . 0 VENT SYSTFMS . . . s 0 f VAT' COOT ER c 0 I_ENGTH :156
BUILDING_ : Osf DRINKING FOUNT . . . . 0 VENT FANS . . . . . . . 0 HOODS . . . . . .. . : 0 WIDTH . : 4
BASEi14l: NT . _ . : Osf LAUNDRY TRAYS . . . : 0 DOMES . 1NC:IN :O -S11ilAL4F - ._ _.
DECKS . . . . . . : 03f DISHWASHERS . . . . . . : 0 AIR HANDLING ()NITS--- COMIo L . I NC I N :0 5663B
GAR/CAPP1 ? Oof GARB DISPOSAI S . . . : 0 <. 10000 raft . : 0 RELOC/REPAIRS 0
AT/DT . i? URINALS . . . - . . . . . . : 0 10000 ctat . r 0 OT14ER UNITS , : 0
MISC PI.M F IX111RES : 0 GAS OUTIFTS . : 0
:.�&�t:31s::.:aG^_�rsara�.-".c,�-.�J:aa�Araac::�as.`S:rxaeeaF�NFa^.-'lrt.:..?asfRsri'-"—••�••••—••,a;'^att�;C4... xrX�tlLrnexAWttir:..,mrs:...s'd�srmlr'f1t3:.'�CF r.Ttsl�.e:x�.^<:s_ersaersC:sYa+-0.tinsmas•�91e+*••••••••,:--'.s_ss-nrr,..::�z�a:C-
0`18JECT AESCRtPiIiN�NANUFAfT"REA 1141E
PROJECT LOCATION;HWY 3 101ip ,EF1 00 VASON tAAf RD. 60 TO AID LIME kD. TURN 016111
THIS PE9111 SEC►1NFS NULL AND VOID IF 1001 01 CONSTRUCIION UTNORi1ED IS NOT CONNENCED U TN1N 180 OATS OR It' CONSTRUCTIO1 06 WORN i4 SUSPEN01:5 FOR A PERIOD
Of 180 BATS Al r"NY 111E AF1FR WORK Is CONNEICFD. EVIDENCE OF CONTINUATION Of MORN IS A PROGRESS INSPFb ION WI TNIN THE 16A DAY PERIOD. FINAI INSPECTION NL","1 BE!
APPISVED REFOIE SUJI1106 CAN RF OCCIFIF0,
OWpiR OR AGEM1:__... _._.._..M" DA1Es
Bt U_PIIT, rev: 03131191 COMPLIANCE TO A7 TACHED CONDITIONS IS REQUIRED
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 dat - \p b
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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Pll_ RM i _T_ C-1C)kN0 1 _r I C3Nr
Case No . , 13L.Dg6-0664
For : I)ARC I A BROWN
Page : 1
1 ) PURSUANT' TO 1991 I)N I FORM BUT I V l NG COUE Sf C1, ION 305(C ) AND SECTION 513 AL I.. S I TE; MUST
HAVE APPROVED NUMBERS OR ADDRESSES PA , IDED IN SUCH A POSITION AS TO Btu PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPSPTY . MASON COUNTY BUILDING
DEPARTMENT REOU1RES THAT THIS RE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
HE I NSPEC r 1 ON FEE BASED ON RATES IN TABLE 3A OF THE 1991 UN I FOPM BUILDING CODE WILL SF"
ASSESSED IF OWNEA /CONTRACTOR FAIIS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
1 NSPFCT)OHS ,
X
1 ) ALL COt�STRUCTIAN MUST MFFT OR EXCEED ALL t.t)CAL. <:ODE9 AND lrH( R1'Q(.ItREMFNTS .
3 ) REOUINED INSPECTIONS ( Footing Inspection-prior to pour , Set:--up Inspection -prior to
skirting Final Inspection-prior to occupancy) . I have received a oo�y of the General
Informa ion and Guideline*s- Mobile/ManufFactured Housing Installations andout for
detalled descriptions of all required inspections on my mobtle/manufactured horse
installation . I hereby a asome 'III responsibility for the sohodu l i ncl of these required
Inspections . If these required inspections are not requested, inspeote3d and signed
off (approved) by the inspector in the prescrihed order , i understand that reinspection
fees anti aci hourly investlyation fee pursuant to the 1991 UBC. Table 3A will be assessed
in addition to ir:y origin& 1 permit fees to rpso t v any quest i onab l e; praot i oet: or
flrobl alas that have besen discovered . I further undexerstand that this investigation wi I I
be -chodu I rid res time allows . Unt i 1 resolution of any/a l 1 problems no occupancy ( Final
1 nspeact ion ) w i i I be granted fo; the res I denc:e .
OWNER! CONTRACTOR ( Indicate? wh l oh ) Signature X._
4 ) All mphi1e/manufaacture9d home landings or decks must be freestanding ( self supporting) .
The largest landing ar dock permitted without drawin s or a building permit Is 36" x
36" . Any landing or deck that Is 30" or more in height from walking surface to finish
grade f-equ i res a guardra i i . Any landing cot, dock that has 4 ors rears risers requires a
handrail , AnSi landing or deck larger than 36" x 36" crust be permitted which requires
struct'rral drawings and a building permit application . This Installation Permit does
NOT include any landing or deck larger them the 36" x 36" size .
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
5 ) Proposed strit�:ture or any portion thereof greater than 30" In iry i ght from grade 1 i nF ,
snu,t waJ nta i n a m i n inium of 5 ' setbaok f rnm all property 1 i nes , easements and 10 ' from
all Couinty and State Road right of ways ,
X__
6) The use, hand l i ng and storoge of har..fardou 5 materials or f l atomab l e and combustible
liquids in excess of 10. gallons 19 not allowed without the approval of the Mason County
F" t rep Marshal..
T) Proposed structure or Rorti,ons thereof with an projection over 30" in height from grade.
line, must maintain a e*proratlon distan-.e betwpan adjacent structures and that
furthest projection . X
Permit No. -OU5
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 2-WR6 r Phone#
Site Address t 5 `3 / O � (,del Fire District#
City � •a..�01 _� St Zip
Directions to Job Site
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg# 3 T co►vc,oho N 6
Address Expiration Date/ -Z a / 2��
City St Zip 2,V -) 3— Phone# y9l o
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well n
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 arcel No�
Legal Description -r.�a,�,T �� /0 31744
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck_ _ #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building Describe work
v�
#7 Type of Job: New Add AlterepairL2
�0therY
#8 MOBILE/MANUFACTURED HOME INFORMATION 'S)�
Model Year Make&,,s�del 3-6
Length_Width_ Serial No. On
# Bedrooms_ '7 # Bathrooms Type of Heat _
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
i
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 by (N, S, E, W)
Name of Flanking Street
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
� o
e
aY
x
70�>" CJ
VLA
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
C',
1
C
Q,
c
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
S wers _ Furn BTU
Hot Wa Htr _ Hea mps
_Laundry Wash Vent Systems
Sinks — Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins — HP
_Dishwasher No. Air Handling Units
—Disposal — ctm#
Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
P mit Basic Fee 16.25 _ uto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Oth
Gas Outl
Wood, Gas, P et 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- TOTAL MECHANICAL $
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. DEPARTM T.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: —&eY)TtM3 • ste- (OAoti'/ )'(n►s I,p I AI m►'Y15
Environmental Health:
�v
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
Other
Building Valuation: TOTAL FEE