HomeMy WebLinkAboutBLD96-01377 Final Mobile Home - BLD Permit / Conditions - 7/30/1997 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
L:'� tJ 1 U.. f3 1 N Cyr P E F1 M 1 1" FOR INSPECTIONS CALL 427-967O
BETWEEN 5pm AND Ham 427 -7262
BLD96-1377 PARCEL :322127F)00070 PLAT : DIV : BLK : LOT :
JOB ADDRE:SF; : Nf: 81 ) TAHUYA RIVER RD TAHUY:.
OWNER .- LARRY BARBER 360-876-5880
CONTRACTOR :
LEGAI c TO I Or SVIVEY 11131 1111114 1 f8"1 fAH6yA RIVER Ito
CLASS OF WORK . . :NEW 8FDR : 0 BATMs 0 TYPE ANOINT By OAT1 RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . .SF STORIES . . . . . . . :0
OCCUP . GROUP . . . :? BLDG . "E I GETT . . : 0 .ort 1HOf 1 150.00 KS 121#6196 43562
TYPE OF CONST . . :7 FIREPLACES . . . . : 0 STFE 11 4.51 KS 12106196 43562
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 EHCP 3 26.01 KS 12106191 43562
DWEL.L .UNITS . . . . : 0 PARKING SPACFSs O
INSPECTION AREA : 1 SHORELINE? _ . tN TOTAL: 180.50 VALULATIIN: 0
SETBACKS-------- ---- --- TOILETS . _ . . . _ - 0 FUEL TYPES---- .- FO I LERS/COMP---- MOBILE: HOME---
• FRONT . . . O .Oft BATH BASINS . . . . . 0 : 0_3 HP . : 0
REAR . . . . O .Oft BATH T1.163 . . . . . : 0 3-15 Hr' . s O W4F)DEL :FLEE TWOODI
SIDE ( 1 ) . 0 .Oft SHOWERS . . . . . . . . . 0 FURN 10OK BTU : 0 15-30 HP . : 0 -MAKE---•-- .._
SIDE(2 ) . O .Oft WATER HEATERS . . . . : 0 TURN >-1 O0K. BTO : 0 30 •50 IMP . : 0 566388
SHRI. INE . O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR_: 0 50+ HP . : 0 --YFAR---
AREA --_.____ _______._._._ KITCHEN SINKS . . . . ; 0 HEAT PUMP . . . .. . . : 0 97
LOT S1ZE . . c FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . s 0 EVAP COOLFRSY O LENGTH :56
BUILDING . . . s Ost DRINKING FOUNT . . : 0 VENT FANS . . . . . . s 0 HOODS . . . . . . . : 0 WIDTH . :24
BASEMENT . . . , O%:P LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O --SERIAL#- -----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANPL. ING UNITS— COMML . INCIN :0 ?
GARICARPe? 0sf (iAR6 nISPOSAL.S . . . : 0 <_= 1N000 CfM . s 0 RELOCIREPAiR : 0
AT /DT . 0 URINALS . . . . . . . . . . : O 10000 ctm . : 0 OTHER UNITS . : 0
M I SC PLM FIXTURES ; 0 GIBS OUTLETS . : 0
srssa..-. —.-.-.__:.r�+^a�c�zTs-..ma1ss.:xazm�c..s rea::xa:.x•:caso�:r.�:zx;.�-.;aiz rxs�•a3--.:mxac'ss�saetazsrzscrs^z,r��c---c-_:-.='x v. ra-n, s x�xs�•_
P104ECT OESCIIPT ION:NANUFACT4RED NONE
PROJECT LOCA110110AKE HWY 3 TO BE11`111 11111N ON OLD BELFIAI HWY TM1.11 LEFT 01 HWY 300 00910 SHIRE 40. fOttOt PAST BEtFAI1 STATE P!RK T]RN RIGHT ON BE1iA18
TAROYA AD. FOLLOW ACCIOSS TAHUYP RIVER MAKE LEFT ON TARUYA BELFAII 11. TNEI LEFT ON NE TAHUYA RIVER Rif, RE1fFAI1 NA@AIIE LANE.
THIS PEPMIT BECOMES NUtI AND VOID IF WORK OR CON"TRUCTION AUTHORIZED IS NOT CONVENCED WITHIN 181 DAYS OR IF C011TRUCTION 11 WORK IS SUSPEMDEG FOR A PERIOD
Of 180 CATS 4T AWY TIME AFTER WORK IS CONMENOR EVIDENCE. 0f CONTINVAT101 0€ W01K Is A PROOPESS INSPEITION WITHIN THE 180 DAY PE110O, FINAL INSPECTION MUST B
APPROVED BEFORE BU11D1NC CAN BE OCCUPIED.
1
JW1ER OR Afiff'11
st C PINT, r Iry r 131311 V 1 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date b Ribbons _
77
date by Gas Piping date Z �- ? b
Foundation Walls date by Set Up -
date by INSULATION date .5-2- q by
BG/SLAB Insulation Floors Final
date FRAMING by date by date -gyp-I by L
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b � • �� 9�
D.W.V. WALLBOARD NAILING
date by date by rho-/5
Water Line FINAL INSPECTION
date by date by date by
�j
v\. V�
I
I
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T CC:7N0 1 T I C-3NE>'
Case No . : BLD96-1377
F,�r : L.ARRY BARBER
Page : 1
1 ) The undersigned property owner is aware of the urt�.ertainty regarding Mason County ' s
development regulations created by the Growth Managment Hearings Board 's Order of
October 2, 199 , and In consideration of Mason County 's willingness to prooeed with
processing of applicat: ions which might be affected by the Order , the undersigned
�rope+rty owner hereby agrees to waive any lawsuit , action , or claim for damages against
anon 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 deolsion to take permitting actiona despite
the risk that changes to the County ' s development regulations might later make the
Cou ty 's permitting actions invalid .
y Lf
_. .� _. ��.
2 ) 1his application Is subject to Buffer and Landscaping requirements H established under•
Mason County Ordinance 1 .03 .036 .
X.
3 ) The use, handling and storyqa of hazardous materials or, flammable and combustible
liquids in exoess of 10 gallons is not allowed without the approval of the Mason County
Fire arshal .
X
4 ) Proposed structtire or anv portion thereof greater th•-in 30" in h¢ Ight from grade line,
roust maintain+ a minimum of 5 ' setback from all property line, , easements and 10 ' from
all t.)un v and State Road right of ways .
5 ) Approved per dimensions and setbacks on submitted site plan . X 1
6 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE` PLAINLY 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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
RE I NSPECT I ON FEE , 13/k':LD 0H h. t_: ; "; , , i..`.. _,,A of ii:.. (ul,:'i_ xr 1 1. L. F 'c.
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRFGS ON SITE PRIOR TO REG►UFSTING
I NS7T I ONS .
7 ) AYI
a;4NV TRUCT I ON MUST MEET' OR EXCEED ALL LOCAL_ CODES AND LIBC REQUIREMENTS .
X
6 ) REQUiPED INSPEC.1 IONS ( Foo-t isig Inspeot ion-prior to pour , :>'et•-up lnspeot Ion--prior to
skirting , Final I nspect i ors--pr i or to occupancy) I have received a copy c?f the General
Information and Gu i de I I nes--Moi)l I e/Manuf ac=t ured Housing Installations Handout for,
detailed descriptions of all required Inspections on my mobs I e/manufactured home
Installation , I hereby assume all responsibility for the, scheetti l i ng of these required
inspections . It these reAqu i rad Inspections are not requested, I nspprtejd and signed
off ( approved) by the inspector in the prescribed order I understand that reinspection
fees and an hourly invesMatlon fec pursuant to the 1991 UBC, Table 3A will be assessed
In addition to my original permit fees to resolve any questIon'able 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( indioate which) Signature X
-4
9) All mobile/manufactured hoine landings or decks must be freestanding ( self supporting) .
The l arge�s t landing or- deck per m t teed without draw i n s or a building permit Is 36" x
30" Any landing or deck that Is 30" or more in h,r i 1 9t: from walking surface to finish
r-ade requires a guardraa i I . Any i sand i n44) or neck that has 4 ear more risers requires a
andrali . Any landing or deck larger Lhan 36" x 36" must be permitted which requires
structural drawings and a building permit application . This Installation Permit does
NOT i n c l ud+.. any landing or deck larger than they 36" x 36" size .
X _
10) Proposed structure or pportion;. thereof with an pr o ieot i on over 30" In height f roto quade
line, must maintain a , se3p ration distance between adjacent structureFa and that
furthest projection . X_ ZI � ___ __ . _.__- --
11 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor Air Ouailty
Code , the Uniform Building Code and/or Mason Countyy Heg,� lationy roust
be approved by Mason County prior to constructionX �/
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
12 ) ALL CONSTRUCTION MUST' MEET OR EXCEED LOCAL CUOL-S . IF ANY QUESTIONS, PLEASE
CALI. I I OFF 1 Cf BEFORE CONSTRUCTION .
X---
3 ) CONSTRUCTION PROCESS TO BE FIELD CORRECT'E S E0 I RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x_
I
. it
GARY YANDO,DIRECTOR
sT,arFo
S U DEPARTMENT OF COMMUNITY DEVELOPMENT
O T z PLANNING - SOLID WASTE - UTILITIES
N Y y BLDG. I • 411 N. 51 ST. • P.O. BOX 578
of 1864 �o SHELTON, WA 98584 • (360) 427-9670
DISCLAIMER/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.
Al - 7.5- - 000 7 D
Date (Parcel No. or Legal Description)
roperty er' signature(Notarized) o•`\N
(or the County may accept the signature of the owner's authorized agent upon pror",� 9 tion)
xt. t
F•
U; NOTAR y
•
N yPU13LIC •.
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) `� 9 '•�66-9$'
STATE OF
COUNTY OF
On this day of�(�� , in the year,before me Notary Public,
personally appeared (A1LQ 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 -
Reviewed applicant on
�1 -
(Date)
Notary's signature }
Staff Initial:
My Commission Expires: 1 m l�
NcCy:.leil
PeQ b �Tl
MASON COUNTY Nn
BUILDING PERMIT APPLICATN v
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1- �-5628
PLEASE PRINT
#1 ;1Zddress
J A .,v:T c,. iP6F4 Phone# v- 76- 4' o
1 W e S // 7-AHv YA 6&✓ER Rb Fire Distt'' t a
y Ti4/�t/y1� T St Gt//9 Zip 99,5
Directions to Job Site 7',o9A- yLay 3 TO AE1F4 iP TuRny oA�
T&9v✓ APFT Div Nwyfto NORTH SMOAF R/7 Aell w /°SST Akl'sAiR S?AT.t k
R1v A. # .,v -rAhOilYA c c R o .E
A.EFT VA-1 7ANv YA B.E/Fi9:.P R17 7NP�v .c,EFT ON lye 7A y&,yA R yeje R� �F/aw/►��9GG.:c s.9
` Owner Mailing Address o2,/07 Svy7W F/Dl�1.FiP l�Y�.
City PoRTD�4G/fi4R/� St _Zip 99366
Lien/Title Holder &,1ASW,;,t47,o y /LI u711A/
r Address�S-Do / .#9C:�/L Sel i P /d O
City 13iQE/''I,ERToiV St GJ/9, Zip 98337
#2 Contractor Name BvTc.t/ WARiR�/V Contractor Reg#hu7tHA /69Tt
Address PC- Z?e k 7.3 3 Expiration Date_ 7
` City /E St _Zip ljB.S-:?8 Phone# .360- 75- ,S'S-All
#3 If septic is located on project site, include records.
Connect to Septic? l--'- Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
I
#4 ,-PAi e o. -2-2/a -Z,:- 00070
e a Description rR 7 OF 3 8 NW �/J/
Ll )l
#5 Building Square Footage: (existing/proposed)
1st FI /3 y7/ 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms� #bathrooms o2 /
Garage / Carport / (Circle: Attached or Detached?)
Other sq.ft. /
i
#6 Use of building Describe work IIV0//,C
Aw1,10) -SE 7 u 7-WAr1 &V 7 Div 90APA 7 Y
#7 Type of Job: New_ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 199 7 Make M wcctodel SSd 3 'B
Length 6-6, Width P V .9 Serial No.
#Bedrooms -3 # Bathrooms a Type of Heat 6i9S
Purchase Price $ y�. S 9
#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 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
SC-Aj.k l ;N�.S`2„5� .JdF
APR* X,
� 1 r� 10g�►RA6E
P/C>)o0s D ty
6i9R/9& d O C A-r;e51✓
zz
,Buy'/O;.v6 6�R�6,F
P.ERni:T sEPAN7F � K
�a� Z
APPLI ANT TO DRAW TOPOGRAPHY PROFILE BELOW
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IV
t9o,�u D.fV D v afv ac,�v O,Ev -SvF✓ ,
i
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No.\Toilets CIRCLE FUEL TYPE: C�a�, Electric,
Ba Basins Heatpump, Other,i
_Bath T No. Units' Fees
i
_Showers Furn BTU
Hot Water Htr Heatpumps
j _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
Permitpasic Fee 15.00 _ to Fire Sprink Sys 25.00
TOTAL PLUMBING $ No.
Gas Outle
Wood, Gas, Pel t 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 5.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD �C
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 OF THE 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 D PARTMENT. DEPART T.
X OWNER X B
DATE // /- ,6 DATE
14
! FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: '
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 1�.00
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
OtherU• ,C ,(�
Other
Building Valuation: TOTAL FEE