HomeMy WebLinkAboutBLD97-00946 Cancelled Mobile Home - BLD Permit / Conditions - 1/13/2000 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 to I L (7 I N 0 P F R M I T FOR 1 NcoPECT I ONS CALL 421-9670
BETWEEN 5pm AND Sam 427-72.62
BLD97-0946 PARCEL. :321275400132 PLAT :LAr'l.0 DIV : BLK ;_01' :
JOB ADDRESS : 1 F PFEBLES Cf S11FI To" PERMIT
OWNER : J.
ANN JOHNSON 352-7816 10 Ry EXPIRATION
CONTRACTOR : 1"0141 I NI "nN�',TR1tt''I" I ON 4"? fV;0 1 r1ULL & V
LEGAL : I.Alf t.INE1ICA 5 TP 132 DATE By
CLASS OF WORK . :NEW BEDR : 3 RATH : TYPE A110901 BY DATE RECEIPT 7YPf ANOUNT FY DAIE RECEIPT
TYPE OF U S Ew . . . . :M H STORIES . . . . . . , : 1
OCCUP . GROUP . . . : ? BLDG . HE I GHT . . : 0 ,0f t f NCP t 26,00 Nip 11116197 45645
TYPE`_ OF CONST . . :? FIREPLACES-- : 0 UROF t 156.60 NIP 11/86197 45645
OCCUP . LOAD . . . 0 WOODSTOVES . . . . : 0 SUE t 4.50 W,IP 11 r06197 45645
DWEL L. .UN I TS . . . . 0 PARKING SPACES s 0
INSPECT ION ANFA : 2 SHORFt INE1 . . . . eN 1101A1: 165.51 VV3lA1ION: 57910�
- ...C:SaSr-::Jet.6.`.'s.T"S.^'s-'L-iT..c1C^® I�FSas.'�.s.T'S>:F."lr:.'[5:. 9C::t�C'.AG'?.TSSst.A^.51:.}:'T�'Y'tTR:ut'SI�.RFaZ.-•�C.ocT
TOILETS . . . . . . . . . . : 0 FUEL_ TYPES- -- ------ - BOILERS/COMP_-- - MOBILE HOME -
FRONT . . .S 10 .0f t SAT'H I3A: INS . _ . . . . : 0 : 0 3 HP . : 0
REAR . . . .N 40 .0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :FLEETWOOD
SIDE( 1 ) .E 10 Oft SHOWERS . . . . . . . . . . . N f'L114N < 100K BTU = 0 15-- 30 HP . : 9) -MAKE:--
S I DE(2) .W 52. .0f t WATER HEATERS . . . . : 0 FURN > 100K BTU . 0 30-50 lip' : 0 OAK GROVE
SHRI. I NE .W 0 .0f t CI.OYHES WASHERS . , : 0 F URN V l_OOR , : 0 r)d+ HP . ; 0 -YEAR.. ._...
AREA ---___ _._._ __.__ __._ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 97
t OT S 17E . , : FI OOR OCA 1 NS . . . . : 0 vFNT SYS'rf;MS . . 0 F V A P C001.FFT : 0 LENGTH r4fi
BUILDING . . . : 1248sf DRINKING FOUNT 0 VENT FANS . . . . . . : 0 HOODS . . . _ . :, . : 0 WIDTH . :26
BASEMENT . . . - 07;f I AUNDRY TRAYS . . . . . 0 DOMES . i N{; I W !O - SERIAL #_ _.. ..
DECKS . . . . . . . OST DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML . INCIN .0 .'
GAR/CARP :? 091` GARB DISPOSALS . —. . 0 <- 10000 cfm . : 0 RFI.00;/REPAIR : 0
AT;DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITR . :, 0
MISC PLM FIXTURES : 0 GAS OUTIFTS . : 0
�s+z-zsaan�av�=•----••-.asters.�r_suru�.z•aec=�.�--ccrko�.•.:•ws=.slyas:.cr_s-nxaarcvs� sec;asmz:�s-cr.Ra:-.<-sez.c+:a-::iac�z-->s-T.••----.c: -----,�:asnamr:�.ses-t-sr:asrca.r:�r,cs+r.-xsctt•�zrrrr_
PROJFGT OESCI�P?lON N9FIiE NONE d
PROJECT 1001 10N1010 tYNf AD ;9 PFFBIES.. COUR1 ZN1 101 ON 1FFT.
IRIS PERNii PFCONES Nutt AND VOID it 101$ 9R CONSTRUCTION AUINORII'ED IS wof CONVENCED IITNIN lot DAYS OR tF CONSIRDCIION OR WOR► IS SUSPENDED FOR A PF11I09
OF III) BAYS AT ANY TINE AFTER 101K IS CONNENCEB: EVI1ENCf OF CONTINUATION OF WORM IS A P108PES5 INSPECTION 11TRIO 111E 141 GAY PFRIOB, FINAL INSPECTION NISI PF
APPROVED BEFORE "IJ D,NG CAN S OCCON EO.
P
Oilll.EA 0R AEEN1: t` `�f l�I^ ✓ �`F ,�. r -- _ _ ._. 9A1f
110_'1111, rev: 133131191, COMPLIANCE TO ATTACHED CONDITIONS IS REGU I RED
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 Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
�j e-
CL /\ fit_��tc"'\ T l�(✓ J� �i Lr 1� 0 �G-C— 1 I ✓rt -Ij.
I�
1
Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location Z-// AR w'�5 e_ �
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
[[ din 6, �'— Cj/
3. f -k' -
L9r•v
r4 'tt,
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
,T Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date 75 Inspector L-
■ su NOOT is MUV T 1 %-W TAU-
uilding Permit # 0 L-! .
MASON COUNTY
BUILDING 1-11 426 W. CEDAR
SHELTON, %VASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location y/ Ie-5
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found:
Items listed below must be corrected to gain code compliance
U l\�
t CST �� � 1< -cf Y r mac_ l`d^� c.✓4S44)
l�.sT � r�s yG `y
y er 3 x 3
'0 ace, s c-- a a-5,� r 7` d- ;p rD cJ!fie 7 G_gr�� �✓ ,�l/rz>y e� lv�> lr�r1
C� c- c.—C- I c_
I /
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑OK to
Department
Date I —9 Inspector I--�
. so 1�'� Flo 0111 THPolk, T' ' ,ol
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E R 1A 1 T C, Ca N D ! 'T 1 C'z U4
Case No . t BLD97-0946
For . t EE ANN JOtiNSON
Paqe : 1
1 ) This app l I cat i on i s t ub ject to But f er and I. andscap I tag requirements as e:st ab i i sheci under
mason County Ordinance 1 .03 .036 .
X
2 ) Tire use , handling and storage of hazardous materials or flammable and combustible
liquids In exr;ess of 10 qa 1 1 ons Is not allowed without the approval of 'the. Mason County
Fire Marshal .
I, �1
i
3 ). Propased structure or any portion thereof greater than 30" in height from grade tine ,
crust maintain a minimum of 5 ' setback from all property lines. e+ayements and 10 ' from
all County and State Road right of ways .
_X
4 ) Strur.ttrre mur.t be setback. 5 ' from al 1 ut i I itv and draIna(je easeoment%, a total of 10 '
from each property line, or a. variance must be obtained from the Building Department .
X____—.Y.___ _...___._.__.v _________ i
5 ) Applicant aaknowle{toes that this development is subject to policip.'" and regulations of
Mason County Comprehensives Plan and Development Req►alat: ions .
6 ) PURSUANT TO 1994 UN I {C-HM BUILDING CODE , SECTION 30C-(C ) AND ;,F CT I ON 513 , AL I. SITES Iv O- i'
NAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCN A POSITION AS TO BE PLAINLY V siBLE
AND LECIBL.E FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT RFOUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REiNSPECTION FEE . RASED ON RATES IN TABLE 3A OF THE 1994 tjNIFORM BUILDING CODE Wilt.. BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
a
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
S p(.. 1 i nf, i Y• i C is ►
sk I rt i nq Final I nspect i on--pr iGr to occupancy ) I have r "(:e i veyd a copy of tlie3 General
In'Cormation and Guidelines-14obile/Manrrtactured Housing Installations Handout for
detallerd dosarlptlons of all required inspections on my mobile/manufactured home
Installation I hereby assume all responr i b i 1 i tv for the scheduling of these requ i r-ed
Inspections . If these required Inspections are not requested, inspected and signed
off (approved) by the Inspeotor� in the prescribed order , I understand that reinspeotion
fees and an hourly investittation fee pursuant to the 1991 UBC, Table 3A will be assessed
In addition to ray original permit fees to resolve any quest i onao 1 e practices or,
problems that have been discovered . I further understand that this Investigation will
tip sohedu I ed as time allows . Until resolution of any/all problems no ocoupftnov ( F i na 1
Inspection ) will be granted for the residence .
OWNER/CONTRACTOR( indicate which ) slgnfr,ture x
. ) All mobs leimanufactured home landings or decks inust be freestanding ' self supporting) .
the largest I and i r,g ar deck permitted without drawings 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 requires a c�uardra I 1 Any I and ( ny or deck that has 4 r,r more risers requires a
handra i 1 . Any I ar►d I ng or deck large than 36" x 36" must be permitted which requires
structural drawing,; and a bui1drnq permit application . This Installation Permit does
'NOT Include a" landing or deck larder than the 36" x 36" size .
x
• GARY YANDO,DIRECTOR
S TA
MO DEPARTMENT OF COMMUNITY DEVELOPMENT
U
o T 2 PLANNING - SOLID WASTE - UTILITIES
'> N Y y BLDG. I • 411 N. 5"i ST. e P.O. BOX 578
�° SHELTON, WA 98584 • (360) 427-9670
1864
DISCLAINIER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting
actions'), which damages are attributable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
Dat (Parcel No. or Legal Description)
Prope owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
1'
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF
COUNTY OF
On this day of in the year , before me Notary Public,
personally appeared personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal.
- For County use only-
• Revi d !'cant on
(Date)
Notary's signature
Staff Initial:
My Commission Expires:
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT �1
#1 Owner �^ P 7VIL _
Site Address = 0u Fire District# _
City St Zip
Directions to Job Site
r�r
Owner Mailing Address ,, CL
City h�/ St 2 t zip
Lien/Title Holder &&AI O --2
Address
City St Zip
#2 Contractor Name /7To'/ - %� v� U�J Contractor Reg # YC+ 4Cf033✓N
Address r - Expiration Date a - I
City G St �Zip ,50 Phone#" �'
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No.
Legal Description "JL
#5 Building Squar Footage:
1 st FI � 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garage Carport (Circle: Attached or Detached?)
#6 Use of building yOr�e, Describe work A G&
#7 Type of Job: New b Add Alt Repair Otheb
#8 MOBILE/MANUFACTURED JJOME INFORMATION
Model Year f� - c Make ,)14 Model AUG O 81997
Length� �Width Serial No.
# Bedrooms .3 #Bathrooms ? Type of Heat
Purchase Price$ 5� ! �fq��LTI u 1 SERVICES
#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 Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
Joe
52 �o p 05 e�
cIA} t�
q8Yoe X
l
� y
e c s Cf.
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
� J
o�
Plumbing Fixtures ($3 35 eact2l Fee Mechanical Fixtures ($6.75 eachl
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
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ 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 16.75
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 BUILD`IN DEPAR M DEPARTMENT.
X OWNER \ X BY
DATE F L DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL RE
VIEW I
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: MA I�I ' C MW q c- �f�
c
ot-71.
Environmental Health:
£ 13-
Building Plan Review
eg/&,� Ld
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other
Other
Other
Building Valuation: TOTAL FEE Jr-