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Home My WebLink AboutBLD92-01009 Cancelled Mobile Home - BLD Permit / Conditions - 11/19/1997 MASON COUNTY PERMIT Mason County Bldg. 111 426 W. Cedar MULL & VOID BY EXPI AT16H P.O. Box 186 Shelton, Washington 98584 DATE &A--q By 14. 44 A I I 1 4.: 1 J-4 1"I t I ME 5521 BEAR--V�REFK UVIIJAII10 kit ixk i I MARY CHURCH 3 12-2 1 0.� 014NER t% CONTRACIOR I 1 66 1 it I so It 11 1 it SIP 11641 Is 0114-11 H 444 I t-0 I p f'4 1",W I H I yvf ANY1191 iI 0 A I I I;f t.I p If fief A00041 IST 0 6 If p I=1 P1 tj Iff 1 14 i 'I Yf-t 01 t ttN!'; f 1, 1 t it 0IFf, 0 1 [4 1 f'f 1)p A t4 f 114 6 I 1 00 t t A I I I fi 0 t 1A I i I 11.1 i I.I I t4 Y I L 'v' i N I i "i N 6 1 N It k k'ii V 0 f, 0,-, ! A 1(6 1) 1 '-PO I 0 10CA 0 t III j't 1 1; 0 0 0 4 0 0 1 1 it Ill, 1 1 0 (10 t'(p T r I N.,0011[f, Hoot poll ICI L A I 14 0 p OfAR toftiI ofwjo NU ON I Ef 1 114 Ant! woef ffff,#DAlf. pks-' INIS pf f 0 11 N1 f oo s Nott AND voll if Von ftp (Oc4p111100 Aplw'l"fii 1� 001 fitNifNifti w-1011 180 wl" 0 If (9410ROf 1100 OR U441 m 11, �111' offte f4p A or to# I lof AfTER Vogt v) (AAAmfe, momf of foolio"Alm OF um 11, A plomii wpmfoo ulluo f"F 19.0 Ith'i ffrWIP fTwAI WpF1110 Phi Ff APPROVIP bf ft4f 'Al I bjp�, CAN ttf oft"PIF1 r LX1 "wv CONdRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up Gate by INSULATION date 3 by BG/SLAB Insulation Floors Final ate by date by date by r-RAMING Walls FIRE DEPT. date by date b date by PLUMBING y OTHER Attic 5�'J� Groundwork ,C�s ,r date b date by WALLBOARD NAILING D.W.V. date by /�✓zr /4�Py �CGCJ fi��c' Y date by FINAL INSPECTION Water Line �ffy date by date by date by NAME ON PERMIT ( Pr9--{ O qrc�CA 4 DATE OF PERMIT PERMIT NUMBER ►()bG TYPE OF HEAT s t � Washington State Energy Code 1 Ventilation and Indoor Air Quality Code SET-UP INSPECTION CHECKLIST FOR MODULAR HOUSING , 1I2� Z. 0r-A Note: (-PS 't�'AeV-LO OD ZV1 V Z4 This checklist is not comprehensive: other code regt&cmcnts may apply. This checklist can be used by local by building departments for Modular homes built to the 1991 Washington State Energy Code (WSEC) and innspectcd in the factory by dhc Washington Stan Department of Labor and Industries (L&I). Ground Cover: 6 mil, black Ventilation: Ventilation in crawlspacc must be a minimum of one square foot of ate ventilation aria (without louvers) per thrtt hundred square fect of =wlspace aria, or a passive radon vent pipe must be installed. Noce: UBC regulations may require mart ventilation. Pipe Insulation: Cold and hot pipes insulated to R-3 in unconditioned areas. Floor Insulation:No damaged or missing insulation; if floor insulation is done on-site, R-value installed is consistent with NLEA form Ducts: Where appropriate, doss over ducts are properly joined,scaled, and supported. Duct insulation is in place and in good condition. If duct insulation is installed on site, insulation value shall be R-8,or according m NLEA form. , _„Marriage Line: Sections are properly aligned and sealed or gaskemd with appropriate materials (a norr-porous mareriai;sucir as a foamsiU scat) cadmic- infiltration. _____ At`ir Qreck for baits moved and not=placcd during set-up.Loose fill insulation is of tmifcrm depth. Baffles displaced dttting set-up or transit are properiy reinsrall� Doors: Check doors to ensrut that they close and larch properly. Notice to Local Enforcement Agency Form (NLEA): ?he NLEA has been reviewed and the items listed have been inspected, I:"7,91 s Washington State Fnergy Code - Ventilation and Indoor Air Quaiiry Code - MODULAR HOUSING SET-UP LNSPECTION PROCEDURES Background The Washington Stare Department of Labor and Industries (L&I) performs Washington State Energy Code (WSEC) plan reviews and inspections in the factory for modular homes subject to the Uniform Building Code (UBC). Although many of the WSEC and Ventilation &Indoor Air Quality Code (VIAQ) requirements are inspected by L&I, some items can only be inspected on site, and therefore, may fall within the jurisdiction of the local building orficial. The Notice To Local Enforcement agency (NLEA) Attached to each modular home inspected by L&I is the NLEA, which provides the local enforcement agency with information pertinent to the site inspection. Often, a modular home is shipped to the site before some items normally inspected by L&I are completed. In these cases, the L&I inspector fills out the NLEA form and lists items not inspected at the factory. For instance, when a manufacturer ships a modular home before floor insulation is installed;the NLEA form will indicate the R-value of the required floor insulation. The local building officials' careful review of the NLEA form is an extremely important part of the modular housing set-up inspection. Damage Incurred During Transit Sometimes a modular home may be damaged during uansir. Although L&I is the building code authority for the home until it arrives at the building site, often no L&I inspector will see the home after it is delivered. If the local inspector discovers any damage incurred in transit. L&I should be notified as soon as possible. (Contact Dan Sevcik at 206-664.-0548.) Authority of the Local Building Official The local inspector has the authority and responsibility to inspect any work done by the set-up crew. Some of the work to be inspected will be listed on the NLEA form. Frequently, however, the set up crew may damage or alter work previously inspected by tar The local authority does not have the authority to inspect work already approved by L&.L except those specific items altered by the set-up crew. For example, if attic insulation is moved out of place by the set-up crew, the building inspector may require that the insulation be properiy replaced, but may not require that the attic be insulated with bate of a higher R-value than approved by L&L The WSEC Set-up Inspection Checklist RCW 19.27A.035 requires that utilities provide an "owner at the time of construction payment" for WSEC homes (only electric resistance heated homes 2000 square feet and under qualify for the payment). Some utilities may ask for verification of a local jurisdiction set-up inspection prior to making a payment for modular homes. On the reverse side of this page is a sample of a WSEC Set-up Inspection Checklist for Modular Housing that may be accepted as adequate vC2ifiication by the local utility. 121I7N I J ��p ��`� ��(.(�-+'�" LT1�> a�•(� T� Permit No.BLD MASON CO BUILDING PERMIT APPLICATION PLEASE PRINT B LC✓ �- (0 0 1 #1 Owner 1`/Ir, �)OSsrk� ne 0 M 11 r`h_Phone# c,�7o -,a-70;;L Site Address oj-eeK Z>ej'j? o c City T:�P1 ; r St l'oG _ "zip _q8SQS Directions to Job Site Cie e 1 Owner Mailing Address City ;C- St Zip q 215�X Lien/Title Holder el Address City St Zip #2 Contractor Name GP 711 Contractor Reg# Address Expiration date / / City St Zip Phone #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well ill-ise`k 7/42 (If residential, proof of potable water may be required) #4 Parcel No. ! P301 - 13 - goo I n Legal Description] 1 &�c S\,oc-t V\cc, - I SLI I No(-th) Cknc)e v-)-eS-t- #5 Building Square Footage: (existing/proposed) 1st Fl / 2nd Fl / 3rd Fl / Loft / \� Basement / Deck / #bedrooms #bathrooms__ Garage / Carport / (Circle: Attached or Detached?) Other sq ft / #6 Use of building Si��P,.�i Describe work p , #7 Type of Job: New _ Add Alt Repair Demolition Woodstove Re-Roof Bulkhead Other #8 MOBILE HOME INF RMAT N Model Year Make Model Length Width `/ ' Serial No. S 7b7 #Bedrooms #Bathrooms_ Type of Heat Prnon ne- #9 N// Any water on or adjacent to property: saltwater lake river pond wetland seasonal runoff other J Show following on the site plan u- - Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed, r-ovements Easements Name o F ing- Street Scale: Name of Fronting Street Date- APPLICANT TO DRAW SITE PLAN BELOW ��-t.._ P204 4 , �1 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixture-_ $2 each) Fee No. Toilets Fee Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP Hot Water Htr 6 . 00 3-15 HP 6 . 00 Laundry Washer 15-30 HP —Sinks 30-50-HP 6. 00 Floor Drains 50 + gp Laundry Basins 6 . 00 — No. Air Handling Unit Dishwasher <= 10000 cfm. Disposal > 10000 cfm. 7. 50 Urinals Other Other Evap Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUMING $ Domes . Incin. Comml . Incin. Reloc/Repair 6.00 No. Fuel Types '�n Mechanical Fixtures ti Gas Outlets X 2 . 00 o Woodstove 92pa,.4 Furn < 100K BTU 6 . 00 Other . Furn >= 100K BTU 6 . 00 Furn - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Pumps 6 . 00 TOTAL MECHANICAL $ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS AT ANYTIME AFTER WORK IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I All A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 AND AM AWARE IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK OONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST 08TAINING APPROVAL FROM THE BUILDING OEPARTMENT. DEPARTMENT. X OWNER � Wit- �t C� X BY DATE DATA Return permit to : Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427 -9670/1-800 - 562 -5628 FOR OFFICIAL USE ONLY: Accepted by: Date : LrjrH1t11v1L'lr 1Aj-d 1C� v mrr FOR OFFICE USE ONLY - ----� Approved Cond Hold Approval Plaaaing: Environmental Health: 11 Building Plan Review: Ito Occupancy Group: Fire Marshal: Other: FEES (ISpecial Conditions : 11 IlSite Inspection II II I II II IlBuilding Permit II II If If II Ilviolati.on Fee li H �) 11 IlViolatioa Investigation Fee II II I II Il Plan Check II II I II II IlPlumbing Fee I II II II I II II IlMechanical Fee I II II II I ( II II IlWoodstove Fee I () II II I� 'I II II IlBuilding State Fee I II I IlBuilding Valuation: II II TOTALI !� r II L� ,1 , ,!