HomeMy WebLinkAboutBLD97-00745 Final Second Mobile Home - BLD Permit / Conditions - 3/5/1999 ,
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Pl U I L_, E_) I M 04 FIE R M 1 T' FOR INSPECTIONS CALL 42.7-9670
BETWEEN 5pm AND Pam 427- 7262
BLO97-0745 PARCEL- :2`".3027500010 PLAT : D I V : BL_K : LOT :
JOB ADDRESS : NE 621 CREEK DEWA'FTO AD Bf-t_F A I R
OWNER : KEL-L.Y 830-0724
CONTRACTOR :
LEGAL : TN i OF SU/V 11200, S Of RI"AA CN 1FWAT10 NO
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CLASS OF WORK . , :N1-W BEDR : . 3 RAT11 : TYPf AMOUNT BY DATE RECFIPT TYPE A10001 91 DAlt 11FC m l
TYPE OF USE . . . . .MH STOR It I'll . . . . . . . . 1
OCCUP . GROUP , . . : 7 BL DG . HE F GH7 . . . 0 .0t t IAUDR ! 5.#f NJP 11)f i f 197 45414
TYPE OF CONST :7 FIREPLACES — . : 0 MHOF Y 155.09 NJP 09111191 45414
OCCUP . LOAD , 0 WOODS'LOVES ,. . - . : 0 STf f $ 4.11 NJP 09111197 45414 `
DWF1,L .UN i TS . . , 0 PARKING SPACES s N INC? 1 26.00 NJP 09111/97 411414 f
INSPECTION AREA : .1 `:HOREL.. I NE? . . . . :N IOTA[: 190.51 VAINA110". 01
..Firs�l�iCL1LFRv""2TJQ�CCA�RSS?SY�;F� :'.li�F.Ta:.'RS@!�ric l.C.S..:.'L¢Y 4."'�::i:Y::�"'�ST.'.P..G'i.'....Y':;•I
SE TBACKr____---_._. _..--_..-.-.. TO L.ETS> . . . . . . . . . . . 0 FUEL. TYPES _ - - -- BOILERS/COMP --- M013 1 LE H47MC=__.
FRONT . . ,N 1(40 . 0f t BATH BASINS . . . . . . : 0 0-3 PIP ,. : N
REAR . , . .S 999 .Oft BATH TUBS 0 3-15 HP . : 0 MODE 1. :CHti,.MP 1 ON
SIDE ( 1 ) `E 210 .0tt SHOWER; . . . . . . . 0 FURN 100K 13TIJ : 0 15 -:3Q; HP . 0 MAKE -
S1DE (2 ) .W 35 .Ott WATER HEATERS . . . . s 0 FURN >-100K BTU : 0 30-50 HP . s 0
SHRLINE .E 40 .0ft CLOTHES WAS'4*Rts . . : 0 FURN -- EIOOR : 0 504- tip , 0 YFAH
AREA - ___._.___.__:___._.__.. KITCHEN SINKS . . , . : 0 HEAT PUMP . . . . . . : 0 83
I OT SIZE . . . FI OAR DRAINS . . . . : 0 VENT SYSTFMS . . , q N F-VAP (;OOLFR�' : 0 1 ENC'TNs:•�".
BUILDING . . . . 140PIst DRINKING FOUNT . . : 0 VENT FANS . . . . . . : 0 HOODS . — . . . - 0 WIDTH . :28
BASEMENT ,'. . . OI ;1 I.AIINDRY TRAYS . _ , . : 0 DOMES I NC I N iO SFF? I At 44-
DECKS . . . . . . s Glut DISHWASHERS . . . . . . s 0 AIR HANDLING UNITS-- COMIR. . 1 NC I N .0 07983
GAR/CARP -7 Osf GARB DISPOSALS . . . : 0 , ram 10000 c•Tm . : 0 REI OC!REPAIk . 0
AT/EST . :? URINALS . . . . . , . . . . . 0 > 10000 rtus . : 0 OTHER UNITS . : 0
1.418C PI.M FIXTtIRFS . 0 GAS OIITL.FTS 0
rrarn�ss.�`..-�-c�emcs aorans:�r_,crs.�a+.-"rx>-. -..-nr"--r.r�aac-�csaxaa:ar_:x :_.:.x.-_ s.�::-c•ss�r.+vmctana+eazr�ecrmce�:c��cza:-ax:la---s_�x.s::.scx=.-^sx x.a.^r-=vab+cxs rsttacc.sa.:sace.vzi�•�.;a...�.,�aa�=ssrr_ns-six<s.a-:�::r-z-rnn.::
PROJECT OESCRIPTION:SFCONO MOBILE NONE ON 11 ACRE PROPERTY,
PROJECT 1.001100rfRON BftFAIR GO ON 016 RftfAIR HWY APPAOX 1110% TURN ffII ON BEAR CRrEM` AEM''.T10 RD GO APPROX 5 011ES PA';T fifENDF.Ht RU APPR9X 114 MIIF
PROPERTY ON LEFT CO TOO$ GAFF PPOPFRTI 'NAS .fENCf AR0UND, Ii.
THIS PFRNIT FFCOMES NULL AND VOID if WORM OR CONSIROCIIOM Ad11110RI EN IS NOT ('OMMFNCEO 1110I1 180 DAYS, OC IF CONSIRGCTION ON NORM IS SUSPENM D I•"?,, A'Pfit191)
OF 100 OATS AT ANY TINE Af(EN 1011 IS COMMENCFO. EVIOENCE Of CONTINUATION Of WORK IS A PROGRFS'� INSPECTION WITHIN THE 181 DAY PERIOD, FINAI 1NSPL(1104 MUST ME
APPROVti) BffORE 8111I0I0G dimf OC UPPED.
t
t -
OWNER OR AGENIc..__ 4- ' _.. _ Doll[ ,
PRWT, rove 131311>II COMPI I ANCI= TO ATTA4'.NFD r0N T I O IS RFOIs I VIA-
r
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date S — 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
PLUMBING Attic by OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by TIP, date by
2-7__r� _ yam - -dd _
MAS
ON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F F1M 1 -11- C (aN1') 1 1 1 ClN
Case No . : RLD97--0745
For i KEI 1 Y fiOHR
Page : 1
1 ) This npp I i ca ion Is suh j ttct t r:1uf f er and t �an�iscap i t:g reyti i r e meant s as est ab i i shed +irides
Mason Cot y rd1nanoe 1 <03 .038
X
f ) ' The use, handling and storage (,f hazardous materials or flammable and combustible
l i wi i ds in ke cress of 10 gal l or►s Is not a l l owed w i t hoot t he appr ova r of t he Mahon Count v
Fire Margh 1, l I
X.._
?� ) Proposed structure or anv portion thereof greater then 30" in height from grade line,
must malntaIn a to1nimum of 5 ' setback from all property tines , easements and 10 ' from
all County d State Road right of ways .
4 ) Approved per dimen�i o ions and setbaks on submItted JUNE 199-1 site plan .
5 ) PURSUANT FO t 994 ON I FORM BU i I D I NG CODF , SECTION 305(C ) AND SECTION 513 AtA. SITFS Mtlk,� F
HAVE APPROVED NUMBERS OR ADDRESSFS PROVIDED IN SUCH A POSITION AS TO Bt PLAINLY VISIBLE
AND t_EG I BI-F FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY RV 1 I r)1 NG
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REiNSPFCTION FUF RASFD ON RATEr IN TABLE 3A OF THE 1994 UNIFORM BUIIDING COUt- NIr.t. BE
ASSESSED IF OWNE' A/CONTRACTOP FAILS TO POST ADDRESS ON SITE: PRIOR TO REQUESTINt3
I NSPFCT I ONS . 4
X ��. ._____ ___ _ . . ____
f> ) RE OU I RED INSPECTION',; ( Footing i n spe(:.t i ran - prior to pour , Set - lip I nrpect i on- prior to
skirting F1nal Inspection--prior to occupancy ) I have received a oopy of the general
1 nfor mat l on end ru i de 1 1 nes-Mob i l e/Mantrtar.ture_d Housing -I nc to l l at i (ins Ilandout f or f
detailed descriptions. of all required Inspections on my mobile/manutaoture+d home I,
installation . i herebv assume a l l reE4pons i b 1 I I ty 'for the sohedu l i rill of the to o required
l
06/27/1997 . 14:05 3604791050 BUY RITE HOMES PAGE 03
r !
Permit No. _
MASH COUNTY
BUILDING PERFMT APPLICATION \�9
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
LEASE PRINT
I Orft�eAddress
r tiC R 11 h Phone 3b 0 8 3 0 - o -7 a9
Fire District e c9-
��..:. St zip 85—
Directions to Job Site ov.T OLD %l
!3s psf f f-r E r- 1 Q C"- A&V4I 9%, 3 V i%l K (;o ��SS Tbc�►.1 R.� 1 I k
Owner Mailing Address 5 s%v�as
City _ St Zip
Lien/Title Holder
Address 11,•o
City S .\U a.4_�_ l.fit_ St zip 8�
2 Contractor Name s 1 Contractor Reg#
Address x Expiration Date
City St Zip Phone
3 It septic is located on�prole�site, Include records.
Connect to Septic? Public Water Supplr�__Weld
Conned to Sewer System? Name of System D r
(11 residential, proof of potable water Is required) IM
M
f a I No.gAaQa__ ?s 00010 r JUN 2 7 1,,
J7
egal DescripWn ►e. ) 4 5r zr vr_ I Zoc3 , p t 4
5 Building Square Footage: (existing/proposod)
1 st FI 1f 0 0 ,D t Jt-- bffT- '
Basement. / Deck / _al!bedrooms_____f_a bathrooms /_
Garage / Carport / (Circle:Attached or Detached?)
Other so.
> Use of building / Describe work 6,4-1 h
wr./►v.,,..�..t�.r t�.ate! G� S�..n.
' Type of Job: New. �� Add Alt Repair Other
i MOBILEIMANUFACTURED HOME INFORMATION
Model Year t` yj . Make H"l oytWel_
Length 5-
,2. Width A _Serial No. 0 79 8 Z y
Ix 9edrooms._j_ Bathrooms -Type of Heat V o u4ux�-
Purchase Price S -, 00
Indicate by circling the applicable source If any wafer Is on or ad)aoent arty;
River Pond Creek Stream Wetland Lake Marsh Ssltwat easonal Runoff Other
06/27/1997 14:05 3604791050 BUY RITE HOMES PAGE 04
Show following on the site plan
Lot Dimensions '� Flood Zones
Existing Structures Fences • ✓ 5
Structure Setbacks Driveways ✓
Water Lines Shorelines ►-
Drainage Plan Topography ✓
Septic Systems ✓ ✓ Wells ✓
Proposed Improvements po p ements Easements ✓Eas �J
Name of Flanking Street Indicate Directional by (N, S. E. W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW S E PLAN BELOW
dwWrE OF fie- G/V �� C1l1ST�►1G r�pris�� �
/ *:V I �v�rOtr�
ji, . �� fie-^ ��
r ar�,7 N oy5 IL
d n �
NO
C T�ECy y S i„I I�EI. 1..9 1gc �.J/T,\ OL
INS V!.
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Poll
/,' v4,R✓
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
- f Approval
Planning: t
Environmental Health: s 7-97`"012 3
°t-tt-41
Building Plan Review
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 (I
Other J` Qo
Other
Other
=Buildingation: TOTAL FEE - �,
b. r
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 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 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 BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL UQF ONLY: Accepted by: Date:
06/27/1997 14: 05 3604791050 BUY RITE HOPAES PAGE 05
r
Plumbing Fixtures ($3 each) FPS MechanIgil Fixtures ($6 each)
No. _Toilets CIRCLE FUEL TYPE: Gas. ctric,
Both Banns Heatpump, Other
Bath "'�s jam. Units Fees
__Showers �� F BTU
__Hot Water Htr\\� _ Heatpumps
___Laundry Washer _ Vent Systems
__._Sinks � Spot Vent Fans
__Floor Drains jL Quilors/Compressors
_,_Laundry Basins — _HP
Dishwasher tkL Air Handlina Units
Disposal cfm#
__ Urinals Fire Prot_ecf_ion Systems
Auto, Fire Alarm Sys 50.00
_ d Fire Supp. Sys 50.00
Permit Basic F 16.00 Auto Sprink Sys 25.00
TOTAL Pj UMBING $ Ng, 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 15.0_0_
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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 AP ROVAL FROM THE BUILDING
THE BUILDIN EPAR M NT, DEPARTMEN .
X OWNt_RI�
---- X BY IF
DATE J DATE
4
>.$x„ y;afr,, Ld't +i f� r:.. ` `3..frj",tu, � .^' s'.... ..._�_— ,, �� •,
Maid: ,� .i<st y..•.: .'.,�i 'a:,C��:.•.,��;�:�^
FOR OFFICIAL USE ONLY: Accepted * £'
a _