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Home My WebLink AboutBLD98-01028 Cancelled Replace Mobile Home - BLD Permit / Conditions - 12/6/2001 MASON COUNTY Mason County Bldg. III 426 W. Cedar g P.O. Box 186 Shelton, Washington 98584 E-1 t.J i t_., D I NC P 1 -4 M t R 1 NSPECI' I ON ALL 42 BE'TWFEN Spi" AND Bum 427--7262 t3LD98-1026 PARCEL -223 76001060 PLAT : D I V : BLK z ptiAMIT ,1OF ADDRESS c 102 N€ SMtTt1Y FORGE LN B L FA I R OWNER : SUSAN SE .E1 572-3587 010 SY EXPIRATION CON TRACTOR . NULZ �U I EGAL : TAS N A 6 Of SORVEY VOI. 2 PG 116 NE 192 SNITIIY FOSSE !N DATE( OL.AS�; OF WORK . . :NEW BFDR : 3 BATOi 1 IIYPE ANOUNI 5Y DATE IfmlpI TYPE ANOINT 8Y 0AlE RECEIPT TYPF. OF "J'SF . . . , ..SF STORI4 S . . , . . . . : 1 - -�.��:_-a O(Xtjpm GROUP , . . :11:3 RLDG , HE I GHT . . . 4?O .Oft NIISF 3 115.00 SIG 1 W04198 1281 TYPE OF CONST . . c'7 F I REPI._AC,ES . . . . . 0 Ric 1 44-A0 111 11104198 48761 j OCCUP . 1.OAD . 0 WOODS'TOVI S . . . : % 0 ENCP I SA.A6 is 11104198 48161 DWELT .UNITS , . , . ; 1 PARKING SPACE`:; : 0 1118t 1 t75.09 It 11104198 48761 � INSPECTION AREA % 1 SHORFL. I NET . . - . rN STFE 1 4.50 11 111#4198 48761 "TOIAt: 446.6i VAIDLA110Wc 8 � I SETBACKS _. ._.__...___ _._.._.., TOILFTS . . . . . . . . . Y 0 FUEL TYPES----- --------- --- BOILERS/COMP_..._— MOBILE HOM£__ FRONT . . .S 100 .Oft BA-CH BASINS . . . . . . r 0 03 HP . r 0 REAR . . . .N 30 .0ft BATH TUBS . . . . .. . . . : 0 3- 15 HP . : 0 MODEL. :KIRK SIDE ( 1 ) .E '70 .Oft SHOWFRS . . .. . . . . . . . . 0 i UPN < 100K BTU : 0 1855- 30 HP . c 01 --MAKE--_. _ ...__ S 1 DE= (2 ) .W 200 .Oft WATER HEATERS . . . . : O TURN >=1 OOK BTU : 0 30-•500 HP . z 0 KENT SHRL. I NE .W 80 ,Of t CI-t1THF—S WASHERS , . : 0 I`URN F1_0OR . . . : 0 50 i- I-IP . s fit ARCA _ _...__-.. _. __ ,._. KITCHEN SINKS — 0 HEAT POMP . . . , . : 0 73 i OT S I Z1 . . : FLOOR ORA 1 Nay _ . . . . 0 VENT SYSTEMS . . .. z 0 EVAP COOLERS : 0 LENGTH r'7Q0 BUILDING'._ -, 00 DRINKING FOUNT _ : O VENT FANS . . . . . . ; 0 HOODS . . . . . . . 1 0 WIDTH . : 1 4 BASEMENT . . . . Olaf I.AUNDRY TRAYS . . , . .. 0 DOMES . I NC I N :O SE I At. 11- DE:CKS . . . . . . z Osf DISHWASHERS . . _ . ! 0 AIR HANDLING UNITS-- COMML . I NC I N ze GAR/CARP :? Osf GARB DISPOSALS . , . 0 < 10000101 cfm . : 0 RELOCIRE:PAIRc 0 AT1DT . :? URINALS . . . . . . . . . . . 0 10000 c tm . : 0 OTHER UNITS . : 0 M l SC PLM F I XTURES r 0 {VAS OUTLETS . : 0 x2.:..cr:7�=.x;.;a:..Tresv®arw.�-zc�sa.:+t-.-..c<.ra^.:.-s�:xr._"e:�r_aRa:ers saescl.avrtu-�^ar.'c:�.zt:rcrs:gxa:�......:u.�-.,r:n.a.s,.::;ra.::airsa++ru�srs.rur..+am.rxa-ar.�a":exr,�uL�:.,.:r=:,:.�ty.:•:�rm¢�-:xxe-r.:�:Y,r�:1�i:¢srrs--._-. :.-x.�'�:xrr.-..:r:�--�.¢:cr. PROJECT DESCRIPTION: lestall 1113 roplamlost ooDlle hoot PROJECT tOCA110110.5. NIIES 1`1001 00 REtfAIR R0, IiP OfWA110 H1), iEfl ON 81ACKS111H OR, LEFT ON ISI ROAD TO tffl, GO TO GA1f, GO RIGHT TO END 0 ROAD THIS PERMIT HECONES NULL AND VOID If WORK 01 CONSTIOCT104+ AUTHORIZED IS NOT CONNENCEB WITHIN t81 DAYS, Of if CORSTAUCTION OR WORK IS SUSPENOEO FOR A PERIOD _, Of 180 DAYS AT ANY TINE Af1fR WORT( IS CONNENCfO. EVIDENCE. OF v001T1NOATION Of WORM !S A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAI INSPECTION MUST BE APPROVFO BEFORE BUIt11116 CAN BE OCCUPIED, . j OWNER OR A61N1: DOE BIG PRNT, rtv+ 13 3t14! COMPLIANCE TO ATTACHED CONE)1TiON 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 date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 1'1!-I . SG.'� o•,/ L� `I- Z � _�� h� 1 6G e G� �� II I Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /0.2, -S eFo This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance + . t V Z: G.C- a� G / NIs2St 17S G L� c., U S s 1 2 .'i 3Y A r You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK �rCall for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department l3tlZ Date l Z — Inspector 1 *04 NUT ► 1PmM4VV T PrAh T A , Building Permit # �'L -iC�% MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job LocationThis structure structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance / l /�i�!/F�7 Vim.-: i /.3i= "f /''Miff C- ►y s c/}�r/ T l'L ( /'t You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection OK to IL ❑ This is not a complete in pection Department Date S /z y/= Inspector T�//t4r 1 moos V44T MOOV THI T A ,� ' Building Permit # MASON COUNTY - BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location io z- sr-, ; This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed belowmust be corrected to gain code compliance 4-j,,' f -fC-1 I(Qc 1---5 nE j 1G. /1 4 L n /O G - t�1� k is y�� U-. /• J�l G/\I/ n�t t� �. �,T �/� /'lG J� G�`� V!� �S f/Y�• ' �L fL ..5 42 as -/ -r a r ASS . ff You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK g Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department -A� Date / _ 2 6 - f f Inspector moos NUT MO *V T 1 - , TAU MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Cksp No . t BLD90-1028 Fort SUSAN SERVER Page : I 1 ) Approved per d imens i ons writ! sett)ack 4� on rev i sed F; I te p I an . set back from wet I and I q 80 feet . X 2 ) * The ose, hand I I ng and storage of ha/ardotis mal er I a Is tor f t ammab I e and comhust i h I e liquids it) excess of 10 gallons Is not allowed without the approval of the Mason County Fire Mar-Rha I 3 ) Proposed structure or any port lort thereof groater than 30" In he I ght from gr ado I I nf- , must maintain a minimum of 5 ' setback from all property lines AND EASEMENT LINES . X 4 PURSUANT 'TO 1994 UNIFORM BUIL.DING CODE , At SITES MUST HAVE APPROVED NOMBEHS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PI.AINI- Y VISIBLE AND I-EGIBLE FROM THE STREET OR ROAD FRONTING *THE PROPERTY . MASON COUNTY t3t11t-DING DEPARTMENT REQUIRFS THAT THIS BE COMPt.ETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABL-E 3A OF THE 1994 UNIFORM BUIlDING CODE WILL BE ASSESSED IF OWNERICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X........__- 5 ) THE FOUNDATION SYSTEM SHAL.L BE PLACED ON UNDISTURBED, NA-rivr - SOIL . 6) The approved p I of p I i-in i 9 requ I fled to be orr-s ite for 1 nspect 1 on purpc%! es if inspection is called fot� and plot plan Is not on site. Approval 1W1t-1 NOT be granted , In addition , a Re- I nspec-t I on fee I n the amount (it $42 00 per hotir (a) I n I mtom I hour ) w i I I be charged and must be co I I ected by th 1 9 department prior to any further Inspections being performed or al,')proval granted X MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 T} REOU 1 AFD I N:PECT I ONS ( r yot I ng I nspeot I or f or, t t up ijI on - pr I sk 1 rt 111 F i nra i Inspection-prior to occupancy ) . r i�civta I ece i vtlfa a copy of the i�v1irira I Information and Guidelines--Mobile/Manufactured Housing 1n9ta1I at: Ions Handout for detailed descriptions of all required Inspections on my Mobile/manufactured home Installation . I hereby assume all responsibility for the scheduling of these required inspections . if there required Inspections are not requested, inspected and signed off ( approved) by the Inspector In the prescribed order i understand that reinspeotion fees and an hourly investigation fee pursuant to the 15)94 UBC, Table 3A will be assessed i n addition to my original permit fees, to resolve arty questionable practices or, roblems that have been discovered . I further understana that this investigation will e scheduled as -time a I l owF, . Unt i I rerso 1 ut i on of rany l Ea I I problems no occupancy ( Final Inspection ) will be granted for the residence . OWNFR/CONTRACTOR ( indicata which ) Signature X 8 ) All mobile/manufactured home landings or decks must be freestanding ( self supporting) . The largest landinp or, deck permitted without drawings or a building permit Is 120 sq ft or less AND MUST be under 30. in height from surrounding rade . NO second story decks , or decks above 30" can toe built without a permit . Any I an3 i nq or deck that Is 30 of- more in height from walking surface: to finish grade requires a Permit . Any landing oi- denk that has 4 or more risers requires a hnndraII X C) Apppli can t. pravIded intormatIon t hit t indI (,at(Ad the unit had been recertIfIod bV l.. � I . Tfae tag numbgr according to the applicant is 119189A . Tag to be field verified . X - OCT-26-1998 12:58 ALFREDINTERWESTINSURANCE 2068768801 P.01 CQ OP X, � a1 TOTAL P.01 N �J 1 DepartmeT of Laabor&Industries 'r~,• n °��egT"rf�y ALTERATION PERMIT Factory Assembled Structures SectionJ Do not complete shaded areas INSTRUCTIONS: 1��•• Permmit# 1. Complete all spaces,including the signature box(marked with an X). Invoice# 2. Draw a map on reverse side of WHITE copy only. 3. Forward completed permit and fees to the nearest L&I office. See list on reverse. 4. Contact and schedule the inspection with the same L&I office within 15 days. Insignia# Owner last name first name Day time phone Date Ill ( s t:) i.{' - -- 10 P Address City 1 State ZIP Installer/Contractor/Dealer Phone Contractors registration number Address City State ZIP+4 Check the appropriate boxes in section A and section B. FEES A ❑ Commercial Coach B Alteration Inspection(check appropriate boxes below) $ Serial No. Air Conditioning/Heat Pump Electrical Elee teal Appliances Mobile Home ire SafetyTrans 1 serial C"' GasFurn ce (a(t/I`� S 1�•a4 rrel cy HUD o. Gas Piping Plumbing Structural ❑ Recreational Vehicle or Park Trailer Serial No. Wood/Pellet Stove — — Serial No. Plan Review RV Inspection — — — — — — — — — $ Model No.or Plan Approval No. gma Permit $ Reinspection — — — — — No. Technical Inspection — — — - — — — — — — — — - — — $ Note: This permit expires one year after date of purchase. (Non-refundable) Signature of applicant or authorized representative Make check payable to: Dept.of Labor&Industries X �. FEES DUE $ k . Department use only ❑''Request approved or ❑ Request denied 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. - i/ .. . . . . . . . . . . . . . . . . . . . . . . . ,�^, �J .i i , `� - -- - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - ❑ Included are forms required which must be completed and fees submitted before reinspection. Date t �, Area office 1 � r,to� Inspector Total pages F6 2-012-000 alteration permit 7-98 White- 1ympia Canary-Inspector G ractor Pi - r a r Goldenrod-Purchaser i i r t° S85036 - 54"E 1382 .85 t 345.71 345. 71 345. 71 345. 7i > a i .-4 ,O N w 1 tr't " I >1 v s 1 > _ 346. 37 _ _ 346. 37 34b . Y? _ 346. 37 U SCALE 1" 200• w I.egerd: - MO Rm 3 a � o = Set �" iron barrN o .. found property corner � Found monument - - o �,, c a r' r vl a a G7 - en o • f J SW Section corner o { 347.03 347.33 347.ri I i 3 Section 2-23-2W DNR Mon. N85�34' 27,. r 1388, _ ? Y PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION f 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 (� Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Susan M. Server Contractor Name 1.1yad Seager T r tv *i Mailing Address P.O.Box 674 Mailing Addres LL198528 City Allyn State Wa. Zip Code 98524 " City Belfair State�,}� ip ode Phone( Other Ph.(360 ) 8762442 Ph.( 7Qq Other PF..( Lien/Title Holder_ N/A Contractor Reg. ON 4064 G[9 Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic x Connect to Sewer System Name of Sewer System Well Water System Name of Water System Pr;vat-P WP11 PARCEL INFORMATION-12 digit Tax Parcel No.22302 76 /00050 Fire District Legal Description So.halfrecoru Site Address(Please include street name, street number and city) .E. mithy—Forge Lane, air. s-. 98518 Directions to site 7.5m6les from Old Bear Creek Store.Up DeWatto Rd. to black Smith Lake Rd left turn on Black Smith Lake..ftli>pt road to left. 2nd driveway with chain acroQs drivPora Will timber be cut and sold in parcel preparation? (Yes/No) Nn Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland x Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB Ne Add Alt Repair Other of Building Describe Work No. of Bedrooms No. of Ba oms S FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft B Deck Other sq. ft. Garage Attach Detached arport Attached Detached MOBILE BIOME INFORMATION-Make Kirk Model_ Kent Model Ye LengthiBe Width 14' Serial No. 4834 No. ofoedrooms 3 of B throo s 1 Type of Heat urc as Price $ 3, 000. � Replacement Uni ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCE THIN 1802aYXr6R IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WOR MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. r X Q�>L1��L Date m X v f� Date 1e IS 90 FOR OFFI AL USE BEYOND THIS POINT T Accepted Date % -4&ubmittal Amount Due �� UV Receipt No. DEPARTMENTAL REVIEW IKFWROVED I"D ' A er 10 N C 1 Building Department - t Occ Group Type Constr. Of QS Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ . .... ............ FEII*S Building Permit Fee Site Ihspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other { Violation Fee Pre-Paid at Submittal ( ) ..3.:i?}:4 is>'•'•';i;:y:yi::i:.;;:•:'rv'vii:;:i:4i:4i}i:•ii'+:iiiiii::•: .................. ""`''""'' TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name Susan Server PARCEL NUMBER 22302 76 00050 Date 10/8/98 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property II -� I I f-adjacent property line I I I I � I TRAMSFOWI> ,rt I I 1`o1e��eR � pwmp� � I I O c D vi J I ` adjacent property Ilne-� I fir, I f-adjacent property line SAMPLE SITE PLAN adja�nt property lined Fadjacent property line � D 30• �tz�saave 3�1 5E %J AL_ �• ti CREAK I \ IcI HOM L. I C.aaE u I j PrLo Pas an tic 1 sQp J I rF I R I VAGn,T I T D0.nPosCD R\ �__vv I \ T ACA=L&LTLJAAL 50 I 1 I I BO• I \\ I I I c.._.e-LL \ I I � I I /00' i ad c ; <—adjacent ro ert'line djacent propertyline TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE d1S+�«.ca, to d�at�.,Lc. to Slopm fic¢ If. ML Signature Date