HomeMy WebLinkAboutBLD95-00823 Final Mobile Home - BLD Permit / Conditions - 9/28/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar —
P.O. Box 186 Shelton, Washington 98584 _
1.3 1..1 I F .. 0 1 NO P t_ R r0 i .T._ FOR INSPECTIONS CALL 42.7-9670
BETWEEN 5pm AND Bare 427-7262
BLDOB-0823 PARCEL332136360O010 PLAT : DIV : BLKs LOT
JOB ADDRESS : E 5969 STATE ROUTE 3 SHEL TON PERMIT
OWNE:.R s K I M HUTCH I NSON 426-2873 NULL Q& VOID BY/EXPIRATION
CONTRACTOR : DATE EY
LEGAL : TN 1 Of 120 A. Of J.O.ECLEA'S N.F .C. S Of k11 SEE SURVEY 213 —�
I�Ja'Ff�".v.cac-^.� .:>*TM::�r..s�^.., x .».::•-.:u.s r-.x=xt �.:_ .'-xz�:ems.:.t.Tlxrr.:-�,:�..i".1'
CLASS OF WORK . . :NEW F3FDR : 0 .BATH : 0 TYPE AMOUNT 8Y DA]f RECFIPT �1vPE ANOBNT BY DATf REf,E1P] �
TYPE OF' USE^ . . . . :MH STORIES . . . . . . . .0
OCCUP . GROUP . . . :7 BLDG . HEIGHT . . : O .Oft EHCP 1 10>06 KS $7128195 39784
'TYPE OF CONS? . . s7 FIREPLACES _ . : 0 A0P1 1 5.00 KS 97128195 39784
OCCUR . LOAD . . . O WOODSTOVE:S . . . . : 0 1PRYT 1 100.00 KS 07128195 39784
DWE:L.1_ .UN 1 TS . . . . .. 0 PARKING SPACES : 0 S1fE It 4.50 KS 07128199 39784
INSPECTION AREA : 2 SHORELINE: . . . . sN TOTIII . 119.50 VH61ATION: 0
SETBACKS- -- --_--- TOI LETS . . . . . . . . . . » 0 FULL TYPES- - - --- --- BOILERS/COMP----- MOBILE HOME--
FRONT . . . O .Oft BATH BASINS . . . . . . : 0 0-3 HP . - 0
REAR . . . . O .Oft BATII TUBS . . . .. . . . . : 0 3-15 HP . s 0 MODEL :PACIFICA
SIDE ( 1 ) . O .Oft SHOWERS . . . . . . . . . . : 0 FURN - 100K BTU : 0 15 -30 HP . : 0 --MAKE_- __.__._
SIDE(2 ) . O .Oft WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30-50 HP . : 0
SHRL INE . O .Oft CI.OTHE:S WASHERS . . : 0 FURN - FLOOR — , 0 504 Hp . : 0 _ YE AR- -- -
AREA ----__-___.____..__ KITCHEN SINKS . . . . 1 0 HEAT PUMP . . . . . . : 0 73
LOT SIZE . . FLOOR DRAINS . . . . . : 0 VE NT SYSTFMS . . . : 0 F=VAP COOLERS : 0 LENGTH :64
BUILDING . . . : 1024:3f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :16
BASEMENT . . s 0 f l AlJNDRY TRAYS : . . . : 0 DOMES , 1 N(: { N :0 -HER i AL I1-
DECKS . . . . . . : 0^f� T)iSHWASHERS . . . . . . : 0 AIR HANDLING UNITS- .- COMML . 1NCIN :0
GAR/CARP :? Osf GARB DISPOSALS . . . . 0 -- 10000 otm . : 0 RE-L.00/REPAIR : 0
AT/DT . :7 OR i NALS . . . . . , . . . . . 0 > 10000 ofnt , : 0 OTHER UNITS : O
MISC Pl_M FIXTURES : O raAS OUTLETS . : 0
' yC-�'S"-R9t�".L:'R'.'::.lLt'O.+G_-.:.i'L"X��'.V��Y'XCCT:y'l.'3'S.:S'Si1.".`�...^^CCC.-." .L'ZS.R'K::S9A'/.�4�'EIX.�t^.�Asi�TG�cL]FF. T=^'-'^':.\D: 'i'.^•.":1::::-^{tA'3�.5"^-':eR'S.¢�'=3..'�1:5:.••.F•"..R:F.Y.�'C,�:
PROJECI DESCRIP114114581LE NONE fOR BUSINESS
PROJECT IOCATI(JN:NWY 3 ACCROSS FROM DEER CREEK STORF, N^RTN Of PUMP HOUSE AlON& 41Y
THIS PF11IT BECOMES 4011 AND VO!O IF WORE; ON CONSIIICTION AUTHORIZED IS NOT COMMENCED WITHIN 160 HAYS Of If CONSIRUCT101 11 volt 18 SUSPENIEO FOP A PERIOD
Of ISO DAYS AT ANY 114E AFIIA WORK IS CONNENCED. EVIDINCE OF CONTINUATION Of WORK IS A PROGRESS INSPE11100 WITHIN IHE 18/ DAY PERIOD. FIN01 INSPECTION WBI BE
APPROYEB BEFORE. RDILOIN6 CAN BE OCCOPIEO.
OWNER OR
BID-Pill, rev, 03131191 COMPLIANCE TO ATTACHFD 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 ate _�� by MCJD
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
T - 6l
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM 1 'T' CC'>PJC-) 1 "T' 1 C� NI<;
Casa No. : RLD95--0823
For : K I M HLITrH 1 NSON
Page ; 1
14 -Mre i no SgWovPd
are r® a to cue removed from the buiidinq
X '� -
2 ) A Road Accest, Permit OR Approval must be granted by the Washington State Department of
Transportation . For more Information contact Paula Ha► isiond, Transportation Planning
Engineer , at: (206),357-2620, ext . 630 .
3 ) ParkIng should be sufficient for 5 normal parking stalls. (9 feet by 20 feet ) and 1
handicap parking stall ( 12 .5 feet by 20 feet ) with sufficient maneuvering aisles .
Handicap stall should be of a smooth , flat surface and should be ;signed with the
International Symbol of Access . Screening from adjacent residential properties is
_ required .
X_
4 ) Approved per s it e--p i an . X.____ N _-._----
- _b ) Pro�iosed structure or any portion thereof greater than 30" in height from grade line,
mtlst m.aintaIn a minimum of 5 ' setback from a I property I Ines , easements and State IIWY
Right-Of-Way .
R )01 . PROVIDE ONE ( 1 ) 2A 1013C FATED FIRE EXTINGUISHER LOCATED NEAR AN EXIT DOOR .
. Mr.Kim Hutchinson
E 240 210 Wingert
Shelton,WA.98584
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1
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 186 Shelton,Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
RE: Permit Number �.Q,36_O( 13
During a recent plan review for your proposed project, it was determined
that the following information needs to be submitted prior to the building permit
b 'ng processed for approv I:
Ay
SAG ^ 2q-6
Once the information has been received by our department, the project
will continue to be processed.
If you should have any questions, please contact me between the hours
of 8:00am-9:00am, Monday-Friday at (206) 427-9670 ext_5-7,5 . If you can
not make contact between those hours, please call and leave a message and
I will return your call as soon as possible.
Thank You,
1 �
Building Inspector
cc: Property File
J
Department of Labor&Industries ALTERATION PERMIT
�.
Factory Assembled Structures Section ), ` Do not complete shaded areas
etmn
INSTRUCTIONS:
1. Complete all spaces to and including the box with the signature X in it. 23744
2. Draw map on reverse side of WHITE copy only. invoice# r.-
3. Submit completed permit and fee to the nearest office listed on the back.
4. Contact and schedule the inspection with the office in which you submitted the permit Insig is#
within 15 days.
Owner last name C / first name Day time phone _ Date
/V..................'1...:��.�........ ..
................................................... 1....:.............................................
Address /� ,` City State ZIP
`- //l_� - �(� �v /�1.1( f��f 7'-- '�1J
i Installer/Contractor/Dealer Phone Contractors registration number
f ( )
. . ..................................................................................................................................... ................................._......................................_....................
Address City
State ZIP+4
Check the appropriate boxes in section A and section B. FEES
A B Alteration Inspection(check appropriate boxes below) $75.00
Commercial Coach Air Conditioning/Heat Pump
Serial No. Electrical
p Electrical Appliances
Mobile Home
Fire Safety 06/09/95 14:70 `�5111585
Serial No. Gas Furnace ;'j.90
Gas Piping
HUD No. Plumbing
Structural
Serial No.
Recreational Vehicle or ❑ Park Trailer , Wood/Pellet Stove — —
Plan Review — — — — -- — — — — — — — — — — —— —' $70.00
Serial No. RV Inspection $70,00
Model No.or Plan Approval No. Rc-Inspection-- — — — — ngmaermtt
No. $50.00
Technical Inspection — -- — — — — — — — -= $50.00/hr
Signature of applicant or authorized representative Make check payable to: Dept.of Labor&Industries
X FEES DUE
De artment use only
Request approved or ❑Request den led because of specific violations of Washington rules and regulations. Violations
must be corrected and reinspection requested within 10 days for recreational vehicles and 20 days for mobile homes and
commercial coaches of the notice of violation date. (This does not apply to technical inspections). It is unlawful to offer for sale,
rent,or lease any non-complying mobile home,commercial coach or recreational vehicle.
• . . £ r
E r
.. . . .. _ . . . ...
i - -_. . .
. .. _ • . .
i . . . ... . . . .
�:♦ ♦i Y}: f 4 f{ . . .. . . . ._ . . . . . ... . . . . . . . . . . _ . . . _ . .
_ .. ._ .. _ ...... . .. . .
. .. . ... . . . . . ... . . . . . . . _ . . . . . . . . _ .. . . . . .. . . . .
` . _ . . . . . _ - . . .. . . . . . . . . . ........._ _
1 - .. . . . . . . _ _ . . .. . . .. . .. . .
i
Included are forms required which must be completed and fees submitted before reinspection.
Date Area office Inspector Total pages
F622-U12-U0U alteration permit 12-92 White-Olympia Green-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser
- �CJ 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 Owner IKMT_ /V -5CN� Phone# y2-6 2- b 7 3
o(ort"ddress_ 59 Lo 8 _ C�-i''�f ?2 Fire District#
II '' city St lit/4 Zip
Directions to Job Site AliQ
0;2 — a GC Z4nl�
G.o ntw
Owner Mailing Address yd_ �/O !Jc Lo
City
Lien/Title Holder
Address
City St Zip
#2 Contractor Name �u,Q,Q�rT 1�d614 c° ��0/ Contractor Reg#
Address Expiration Date
City -7e-40cJ7'j2 - St AJ�4-- Zip Phone#
#3 If septic is located on project site, include records. / -//4
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 el No.
+egal
Description
#5 Building Square Foot ag (existing/proposed)
1st FI1411 / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building 6'Dz e- - Lc$/A)a Describe work
PAZA47-e- Pd S i 07 L. — /5Z D B e -5e 7 (W
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED O�FORMATION
Model Year -7 3 Make Gc Model
Lengthy Width �6 Serial No.
# Bedrooms # Bathrooms_ Type of Heat UA( ,A:W zJ
Purchase Price $ 0-0-6
#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 DirectiolSaTb N, S, E, W)
Name of Flanking Street y
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
Alue2�
E�Xi STilV C�
�2e Pis e-6 ST�k��r�Qe
s �—
.4 eQ 5e D 5q 8 pu p s e
l'�a la. L-e p ST�cva
C e 2 CkP-e 4
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
rna 6/ <e �um�
f4m5e
y 3
zci
y
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
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.
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 DEP TMENT. DEPARTMENT.
X OWNER ` X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health: iS No "c s- WAAa Wo gmdP�
86wCQ L l��,-�D�� W3 vk i 6-I°1-A5
�C w
Building Plan Review �kr c DIU,D I-DDOS
Occupancy Group: Type of Const:
Fire Marshal: Y7'
Other:
Snecial Conditions: FEES j
1�44-r (owl f2,5 Building Permit
1 j Plan Check
IU -A k
b Plumbing Fee
Mechanical Fee
' Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other 5,W
Other
Building Valuation: TOTAL FEE