HomeMy WebLinkAboutBLD94-1324 Replace Mobile Home - BLD Inspections - 7/18/2024 CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by )-Y)
Foundation Walls date by Set Up /
date by INSULATION date a by
4�6
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 b
D.W.V. WALLBOARD NAILING
date by date by D �)
Water Line FINAL INSPECTION
date by date by date G by i
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Page No. 1 CASE HISTORY FOR CASE NO.: BLD94-1324
MARK R JONES
W1366 STAR LAKE DR ELMA
09/28/94
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
BLDA010 Application received / / / / 08/29/94 08/29/94 KW
BLDA100 Approved For Issuance / / / / 09/27/94 DONE KS 09/27/94 KS
BLDA100 Approved For Issuance / / / / 09/28/94 DONE KS 09/28/94 KS
BLDA500 (F) Issue building permit / / / / 09/28/94 DONE KS 09/28/94 KS
BLDA900 Telephone call / / / / 09/01/94 ANY QUESTIONS CALL LAURIE JONES AT WORK KW 09/01/94 KW
AT 1-800-404-8570. KW
BLDB110 Structural Plan Review 09/14/94 / / 09/19/94 DONE CDW 09/19/94 CDW
BLDS130 Planning Review 08/29/94 / / 09/14/94 DONE DB 09/14/94 DMB
BLDB134 RLC Checklist Review / / / / 09/14/94 Shoreline is only critical resource on DONE DB 09/14/94 DMB
site.
BLDS135 Addressing / / / / 08/30/94 DONE GMM 08/30/94 GMM
BLDB200 Environmental Health Review 09/19/94 / / 09/22/94 Approved records and EH review DONE HLS 09/22/94 HLS
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
d 3 $: 1'4 9,31 F-", tl:: UZ twit J, ....I F O R INSPECTIONS CALL 4 2 7—9 6 7 0
BETWEEN 5pm AND 8am 427-7262
BL094-1324 PARCEL : 519085000126 PLAT : STPLO DIV: BLK : LOT : 126
JOB ADDRESS : W 1366 STAR LAKE DR ELMA
OWNER : MARK JONES (206)752-7453
CONTRACTOR : BUTLER 426-0448
LEGAL : STAR TALE 11 ILK: LOT: 126 FS 16194 11 152
CLASS OF WORK REP BEDR : 2 BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : MH STORIES . . . . . . . : 1
OCCUP . GROUP . . . : ? BLDG . HEIGHT. . : 0 . 0 f t N H 0 F $ 101.11 KS 09/28194 37322
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 STFE $ 4.56 KS 19128194 37322
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0
OWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 2 SHORELINE?. . . . : Y TOTAL: 114.51 VALULATION: 42101
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT. . . S 98 . Oft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0
REAR . . :. N 5 . 0 f t BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : MARLETTE
SIDE (1) .W 30 . Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE (2) . E 30 . Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 8191
SHRLINE . S 98 . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 94
LOT' SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 42
BUILDING . . . : 1134sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 27
BASEMENT. . . : 06f LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR/CARP : ? 0sf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC/REPAIR : 0
AT/DT. : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm. : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:Nobile Home Replacement.
PROJECT LOCATIOM:FRON SHELTON 60 WEST ON CLOQUALLAN HWY TOWARDS ELMA 14 MILES, JUST PAST MILE MARKER 14 STAY TO RIGHT GO 112 MILE 60 TO RIGHT AT SI6N FOR
STAR LAKE MILE TO CLUB HHOOUSE,, AA T CLUB HOUSE
CCE6B0p SILEFT,
1AQ1�/4 NIyLEOppIILOOffT 126 BETWEEN
bTyISBONNIjg ASTyyppLLA1R'WKI1SWQ iioo pp p0qqgg iigg SSppffpN EEpp FFppgg pp RRIIpp
bRT@6ATIABATIOAOOFCG�R1C"450AWPR06RE5�"IRSPECT46NIVIITAIATTAETI81 BAYWPERI00.S INAtDIASPECT40NEA05Q BE
APPROVED BEFORE 8 U I L 0 1 N 6 CAM BE OCCUPIED.
__11/ //
OWNER OR AGENT: ' t-- � y ' `6, DATE:
BLO PRMT. rev: /3/31191
I7fW'CE-TII--ITTA-C RED-C-O"IT r01TS IS REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BLD94-1324
For : MARK R JONES
Page : 1
1) The proposed project must be consistent with all applicable policies and other
provisions of the Shoreline Management Act, its rules , and the Mason County Shoreline
Master Program.
2) Excavated materials cannot be used as landfill within 200 feet of the shoreline without
prior approval from the shoreline division of the Mason County Planning Department.
3) Approved per site-plan.
4) Shore setback shall be no less than as determined in pre-inspection: west 78 feet from
OHWM and east 64 feet from OHWM. _ u(_Site plan i-nd ca-tes--98 feet) .
5) All approved plans are required to be on-site for inspection purposes . If inspection is
called for and plans are not on site , Approval WILL NOT be granted . In addition, a
Re-Inspection fee in the amount of $30 .00 per hour (minimum 1 hour) will be charged and
must be collected by this department prior to any further inspections being performed or
approval granted .
X
6) HAVEUAPPROVED9NUMBERSOOR ADDRDESSESCPRE IDEDTINNSUCH(A) POS AND
ITIONSECTION
TOIB PLAINLY SITES
VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPF TIONS .q,
X _ � 7)
7) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQUIR ME TS
X Tfi'
8) REQUIRED INSPECTIONS (Footing Inspection-prior to pour , Set-up Inspection-prior to
skirtin , Final Inspection- rior to occupancy) . I have received a copy of the General
Infor a on an G delines-�jobile M nufactured Ho sn Instal ation Handout f r detail d
descrTp?ions o a�� required inspections on my mo�i�e�manuFac ured 1'iome installation .
hereby assume all responsibility for the scheduling of these required inspections . If
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
these required inspections are not requested , inspected and signed off(approved) by the
inspector in the prescribed order , I understand that reinspection fees and an hourly
investigation fee pursuant to the 1991 UBC , Table 3A will be assessed in addition to my
original permit fees to resolve any questionable practices or problems that have been
discovered . I further understand that this investigation will be scheduled as time
allows . Until resolution of any/all problems no occupancy ( Final Inspection) will be
granted for the residence .
OWNER/CONTRACTOR (indicate which) Signature X V
9) All mobile/manufactured home landings or decks ust be freestanding (self supporting) .
The largest landing or 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 guardrail . Any landingg or deck that has 4 or more risers requires a handrail .
Any landing or deck larger than 36" x 36" must be permitted which requires structural
drawings and a building permit application . This Installation Permit does NOT include
any landing or deck larger than the 36" x 36" size.
X- X �=4
10) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Code and/or Mason County Regulations must
be approved by Mason County prior to constructionX
11) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE . x
12) owner/builder assumes all responsibility if drainfield area is
encumbered . 99
X
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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
#1 Ow' (2 r1c /r- JoKcS Phone # C,Po 75,,1— 761
e Address S-t-Q r AAc b rl Or Fire District#
City —4-1mg St_"' zip-
Directions to Job Site Fro,, S�c/fcti a s s W -tc r.)crr 's
_10 M'11C-S - ✓ / - 7i5
a
— CCU 1
ciw Z z. G
Owner Mailing Address (1i5
City St zip `(O7- d
ftCEIV
Lien/Title Holder z P
Address cL 1a11P 2 4 '19W
Clty St Zip
AL 1 h ac4<vi..ES
#2 Contractor Name � Ca �ci >�iov` Contractor Reg
Address Expiration Date
City St1,c,�,- 5�_ Zip SS -Phone# C)A6 -009
#3 If septic is located on pro ct 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. / O �O �S"Tl L,AV
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage o Carport / (Circle:Attached o Detached.
Other sq.ft. /
fI
I #6 Use of building
building ficc."CC4 C-L 41Ja 1c+a'f'10 K �m� k Describe work /acc- j
i
/&4 3 �r I-Wt YA6Cj C 'W;f4n l71^Gy� L'tG�l[C
I
#7 Type of Job: New Add Alt Repair Other_
f
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year )gJ(l Make&Ac Model
Length IA' Width 2_'Serial No.
# Bedrooms _# Bathrooms Type of Heat Z:71c_frj c
Purchase Price$ 4�;006
#9 Indicate by circling the applicable source if a_ny water is on or adjacent to subject property:
River Pond Creek Stream Wetland 0aeMarsh 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
Name of Flanking Street y N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
r/
fo14 � b/tv1
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Ck
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: DG
1LYAP�,
Environmental Health:
Building Plan Review ,�
�-c tia D
Occupancy Group: Type of Const: A
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
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units des
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 15.00 _ Auto Fire 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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION. j
I
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 BUILDIN DEPART, NT. DEPARTMENT.
X OWNER i X BY
DATE
C
'FOR OFFICIAL USE ONLY:Accepted by: Date: