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HomeMy WebLinkAboutBLD96-00278 Final Mobile Home - BLD Permit / Conditions - 10/28/1997 — MASON COUNTY Mason County Bldg. III 426 W. Cedar 1 P.O. Box 186 Shelton, Washington 98584 ` a LJ I L D I N EI P F- Ei WI I -V FOR t NSPECT 1 ONS CAE I 427-9670 BETWEEN 5pm AND Sam 427-7262 BL.D96-0278 PAROF E. :2.2:3027600050 PLAT - D 1 V : BLK : LOT - JOB ADDRE.SS : NE 102 SMITHY F ORGf' t-N F3EL FA I R OWNER : MATTHEW SPEER 276-6455 CONTRACTOR : LEGAL s TIS 5 A 10I FVNVFY VOI. 2 PG 116 1F lit S1iTRY FONT C LN CLASS OF WORK . . ;NEW BEDR : 3 ,BATH : ? TYPE tEIOHNl Ar OAIE RECEIPT �TPF ANOJNI 61 DA1E kEC.IPT TYPE OF U S F; . . . . :MH STORIES . . . . . . . . 1 -- OCCUP . GROUf. . . :? BLDG . HEIGHT , > : P! .Of 1' MNOF ! 158.08 KS Nil!I ZIOS 41673 FYPE: OF CONS+'T . . : FIRE:PLACES . . . . e 0 Siff F 4.50 KS O4117195 41673 QCi:l.11' . LOAD . . . . : 0 WOt)L)STOVES . 0 EHCP ; 26.00 KS 04117065 41673 DWELI. .UNITS . . . . , 0 PARKING SPACED : 0 INSPFCTION AREA : 2 SHOR1=LINL? . . . . :N TO)At ISD.58VALULAIEON: 3600O TOILETS . . . . . . . . . . : 0 FUEL TYPES- --_.___.__- RUII._ERS/COMP------ MOBILE HOME- - ERON f N 3S .Oft BATH BASINS . . . . . . : 0 , 0-3 lip . s 0 REAR - _ 3 280 .Of t BATH TUBS . . . . . . . . : 0 3--16 HP . : 0 MODEL :REDMAN - OE ( I > .E: 150 >011`t SH0WF"RS . . . . . . . . . : N FUPN < IfOOK BTU : O 15 -30 HP , : 0 MAKE.._ .__. .__. SIDE (2) .W 180 .oUt WATER HEATERS . . . . .. 0 FURN —100K BTUs 0 30--50 HP . : 0 6977 SHAL I NE.; . 0 -Oft CLOT11178 WASHERS „ . : 0 FURN -- F1,OOR . . : 0 50-11 tip . r 0 -YE Ak-. AREA -- - --__.__-_._...._-_ KITCHEN SINKS . . . , : 0 HEAT PUMP . . . . . . : 0 95 LOT SIZE— : FL_OOP DRA I N4 . . . . . . 0 VCNT SYSTEMS . . . : 0 F VAP COOL. ERS � 0 E.FNG'I H :t38 BUILDING . . . : 04f DRINKING FOI1NT . . - : 0 VENT FANS . . . . . . : 0 140ODS . . . . . . . s 0 WIDTH . : 14 BASEMENT . . : Osf LAUNDRY TRAYS . . . .. r A 0f)MFS . INCIN :O - `FHIAL# -- -_ DECKS , . . . . . . Osf DISHWASHERS ,. . . , . . : 0 AIR HANDLING UNITS— COMM1_ . INCIN :N 21200 GAR/CARP :': Osf GARB DISPOSALS . . . A <— 10000 nfm . : . A RE.LOClRFPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm , : 0 OTHER UNITS . r 0 MI SC PLM F f XT(IRFS r 0 GAS OUT I. ETS . : 0 PROJECT HOME F#OJECT LOCA110N3EAA CREEK DEV ITO ND 1.5 MITES 10 M ACK51111N IAKE Nk iffl 0I111; EST LOT IS 511111i FORGE IAND, , GO TO GATE 60 RIGHT f01,101 DkIVE1►.1 10 BACK 2 112- INIS PE1111 BICbMFS M111 AND VOID If WORK 01 C0N81690101 AUTHORIZED IS NOT COMMENCED NIININ ISO DAYS, OR if tONSIRUCIIPN 00 WORK IS 'USPFN0F0 r0lf A PERIOD Of 160 111YS KT APY TIME AFTER 1011 IS C011FNCFD, VVIVICF. OF CONTIN1fA11O1 OF 10111 iS A PA06RESS INSPECTION 111111 THE ISO HAY PERIOD, FIN0 INSPECTION MUST 8F APPROVED BFfONf RUILDIOG CAN Of OCCUPIED. {• OWNER OR AUN1: I S1�b4Pi1T, rev; 03/21111 COMPLIANCE TO ATTACHED 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 date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date ,12_2 Se.�� by% date by L J ►`'( i ci/-S� i�J e/� L t?r� 1� yQN O�^ �S 1'7 43 O y « 471`h'E `7 7 T� Building Perri # MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 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 I> iVow oo ties ©&19-1 Ty eolld ' �J.�T/13n� oaG�O 3z9 TO /�U� G yi T E�S cJCL G Eir�i h' You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK )4Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department ,/� L G,�;' Date /�-� - ,7 Inspector)�-C-- NnT i Mo vVr. T 1, T'Lo Building Permit # 6-0Z7 8 MASON (;OUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location , ,/ /c)Z SA,-44C J�O�JC ,lam L 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 1.) two ST 7 2 F S S S e. ►� - �-���6a y- �-�. `c ✓ aYi 16,--c-k rcG r I's is fnf 1 00 ova G voLAykd ,D royi o% ADO ea Jr"-yI 9 3) f-4,�at'G A k ell y wry D I lC- Dvc�su vac% 1, !�� l l CG•a c_�L� r���/ i`1�f 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 take corrections, items will be checked on next inspection ❑ OK to-S Department /tea Date / 7 1 Inspector M S 5 ■ *0 NuT ►sm Mo OV T 11411k/ T A 'OL Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location D This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: C + k- Items listed below must be corrected to gain code compliance 4 /f z- no -Aaacx-'�'- I c-+ 4 c-t, i J I I G rt�l r n cols f .,oar T D rt�J �L [ ICJ /eau C— T Lo- L-,, ,c% - jL e-re--- i TS 4 f ? 11 IGL�� �S Min M J T 000 s t Sa ( c6..r I n Q eZA.D a G rL113 -t JLJ :nti -41,x- I no You are thereby 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 ❑ OKto � Department Date /' Inspector �. ioo s MOO$' T 1 , T- 6oll Show following on the site plan ' ••-_�_,:....1 Civ+ roc /Q(-.oAllfl► Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways a 9 ` ()9 g Water Lines Shorelines Drainage Plan Topography � f �S � Septic Systems Wells � » OE T r S Proposed Improvements Easements 1 Name of Flanking Street Indicate Directional by (N, S, E, W) ' Name of Fronting Street in relation to plot plan r� APPLICANT TO DRAW SITE PLAN BELOW X �- - Q o ; �,�-�`� l.�ti � i � ,�' � ,b� e a99 3 684 jt r ' CID � n L CID APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW ! $ 0 _. 977TO 7V----------------- 0 099 " QZE T c IL Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-0278 MATTHEW SPEER NE102 SMITHY FORGE IN BELFAIR 09/16/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 03/20/96 03/20/96 KW BLDA100 Approved For Issuance / / / / 04/16/96 DONE KS 04/17/96 KS BLDA500 (F) Issue building permit / / / / 04/17/96 DONE KS 04/17/96 KS BLDA900 Telephone call / / / / 04/19/96 I RECIEVED A CALL FROM THE MOBILE HOME DONE LW 04/24/96 LAW INSTALLER, HE STATED THAT WHEN THEY WERE MOVING THE UNIT ON TO THE PROPERTY, THE GROUND CAVED IN FROM UNDER THE UNIT, UPON LOOKING AT THE PROBLEM THEY FOUND 4 SHIPPING CONTAINERS WITH TUNNELS RUNNING BETWEEN THEM. BLDB008 Variance Review 04/04/96 / / 04/05/96 The waiver was granted to allow the DONE PSD 04/OS/96 PSD issuance of the permit pior to drilling. the well provided the following conditions are met. 1)apply for well. construction permit 2) provide a letter froma well driller stating that the area is known for potable water and that the well driller has been hired to drill the well. If the well has been drilled and they need time to submit water sample, will need a copy of the well log. Then a condition, called water adeqaucy, would be placed on the permit. psd BLDB110 Struct 1 Plan Review 04/15/9 / 04/16/96 DONE TLG 04/16/96 TLG BLDB130 P1 ing Review 03/20/96 04/15/96 verified by site visit on 4-12-96 that DONE AHB 04/15/96 AHB existing drainfield is only 70 to 75 ft. from wetland edge and limits placement Se 1 P of mobile to 42 ft. from wetland edge; l placement site is uphill from wetland and would allow connection to existing vl / septic drainfield downhill from this site. AHB BLDB134 RLC ecklist Review / / / / 04/1 96 wetland to the north and west of N/A AHB 04/15/96 AHB building site. ahb BLDB135 Addressing / / / 03/22/96 DONE GMM 03/22/96 GMM BLDB200 Environmental Health Review 03 20/96 / / 03/20/96 septic permit expired 12-18-95, date HOLD JWT 04/11/96 JWT design approved by CAG need approved design. JWT BLDB200 Environmental Health Review 04/16/96 / / / / this system is installed awaiting final. DONE JWT 04/16/96 JWT Building permit can be released, no occupancy can be permitted until final is signed off by EH. JT ern✓ �:v�'Q-� 17ew�'� �2d 7,5 N'Ii/mot �a /ar c stm�fL� Z-k Rd w- Page No. 2 CASE HISTORY FOR CASE NO.: BLD96-0278 MATTHEW SPEER NE102 SMITHY FORGE LN BELFAIR 09/16/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDB210 Water Adequacy 03/20/96 / / 03/20/96 need bacteriological testing of water HOLD JWT 04/11/96 JWT results. JWT 4/4/96 A waiver was granted regarding water adequacy. See the notes under variance and see the waiver form which is in the tin bin under Speer. psd BLDB210 Water Adequacy 04/16/96 / / 04/16/96 Bacterilogical sample must be supplied DONE JWT 04/17/96 KS prior to occupancy. JT BLDC100 Inspection 04/22/96 04/23/96 04/23/96 NOT MUCH TO SEE, WHEN ABOVE GROUND IT DONE LW 06/13/96 LAW JUST LOOKS LIKE A CLEARED LOT, THERE IS A HOLE IN THE GROUND THAT I COULD SEE INTO, THERE APPREAS TO BE SHIPPING CONTAINERS IN THE GROUND WITH TUNNELS RUNNING BETWEEN THEM BUT I COULD NOT LOOK ANY FARTHER THAN THE ACCESS BECAUSE THE CONTAINERS ARE FULL OF WATER, ABOUT 4 FT. THE MOBILE CAN NOT BE SET ON TOP OF THESE CONTAINES, THE CONTAINS NEED TO BE REMOVED OR THE TOP OF THEM NEEDS TO BE EXPOSED THE TOPS OPENED UP AND FILLED WITH FILL, THIS FILL WILL NEED TO BE COMPACTED TO 90%-, THERE ALSO HAS TO BE HOLES PUNCH IN THE SIDES AND BOTTOM OF THE CONTAINS TO ALLOW WATER TO FLOW NATURALLY. BLDC100 Inspection 07/29/97 07/30/97 07/30/97 THE OWNER WANTED TO MEET WITH ME ON SITE DONE LW O8/07/97 LAW TO GO OVER NEW AREAS ON THE LOT WHERE THE UNIT COULD BE MOVED TO. BLDC100 Inspection 09/08/97 09/08/97 09/08/97 PRE SITE INSPECTION DONE. I MET WITH PASS LW 09/11/97 KW OWNER AND CONTRACTOR ON SITE TO GO OVER NEW LOCATION FOR UNIT. Page No. 3 CASE HISTORY FOR CASE NO.: BLD96-0278 MATTHEW SPEER NE102 SMITHY FORGE LN BELFAIR 09/16/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By BLDC200 MH Setup inspection 06/07/96 06/10/96 06/10/96 CORRECTIONS: FAIL LW 06/13/96 LAW 1. UNIT WAS LOCKED, THE SET UP MANUAL IS REQUIRED TO BE ON SITE FOR THIS INSPECTION. 2. NO APPROVAL WAS GIVEN TO SET THE UNIT ON TOP OF THE OLD SHIPPING CONTAINERS THAT ARE FULL OF NON-COMPACTED FILL MATERIAL, NO INSPECTION WAS CALLED FOR AS PER MY REQUEST WHEN THE SHIPPING CONTAINS WERE OPENED UP. I SPOKE WITH THE MOBILE HOME DEALER AND TOLD THEM THIS. A CIVIL ENGINEERS REPORT WILL NEED TO BE PROVIDED NOW TO LEAVE THE UNIT WHERE ITS AT. THIS REPORT NEEDS TO SHOW THE FILL PLACED ON SITE HAS A MINIMUM OF 2000 lbs. OF SOIL BEARING CAPACITY AND THE SHIPPING CONTAINERS WILL NOT HAVE AN ADVERSE EFFECT ON THE SITE OR THE MOBILE. 3. NO APPROVAL HAS BEEN GIVEN TO OCCUPY THIS UNIT. DO NOT SKIRT. Page No. 4 CASE HISTORY FOR CASE NO.: BLD96-0278 MATTHEW SPEER NE102 SMITHY FORGE LN BELFAIR 09/16/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDC200 MH Setup inspection 06/10/96 06/11/96 06/11/96 I MET WITH THE PROPERTY OWNER ON SITE FAIL LW 07/14/97 LAW MRS. SPEER, SHE POINTED OUT WHERE THE SHIPPING CONTAINERS WERE. SHE STATED THAT THERE WERE ONLY 2 CONTAINERS IN THE GROUND AND THE LOCATION WAS OFF TO ONE SIDE OF WHERE THE MOBILE IS NOW, ABOUT 10 FT. AT IT'S CLOSES POINT. SHE SAID THAT THE FILL FROM THE SHIPPING CONTAINER HOLE WAS PLACED ON THE OPPISITE SITE OF THE UNIT NEXT TO THE WET LANDS. I PROBED AROUND THE MOBILE TO CHECK FOR FILL, ABOUT 90* OF WHAT IS UNDER THE UNIT APPEARS TO BE EITHER UNDISTURBED SOIL OR COMPACTED SOIL. IN ONE CORNER 2 BLOCKS UNDER THE MAIN I BEAM ARE SETTING ON FILL ABOUT 18 INCHES DEEP, RIGHT REAR CORNER. THESE WILL NEED TO BE DUG DOWN AN SET ON UNDISTURBED SOIL. AN INSPECTION WAS NOT CALLED FOR WHEN THE CONTAINERS WHERE DUG UP AS PER MY REQUEST, IT APPEARS THAT THE UNIT IS SETTING ON SOIL THAT MEETS THE MINIMUM 2000 lbs. SOIL BEARING CAPACITY. I TOLD THE OWNER THAT I COULD NOT BE POSITIVE ABOUT THIS BECAUSE IT IS UNKNOWN TO THE BOTH OF US WHAT THE PREVIOUS PROPERTY OWNER HAD DONE ON THIS SITE AS FAR AS EXCAVATING GOES AND THAT IT IS POSSIBLE THAT THE UNIT IS SETTING ON FILL THAT OVER TIME COMPACTED IT SELF, IT IS ALSO UNKNOWN IF ANYTHING WAS COVERED OVER BY THE FILL LIKE STUMPS, BRANCHES ETC. Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD96-0278 MATTHEW SPEER NE102 SMITHY FORGE IN BELFAIR 09/16/97 1) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 2) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5' setback from all property lines, easements and right of ways. X 3) WATER ADEQUACY -- OWNER MUST SHOW PROOF OF SATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE RESIDENCE. X 4) Site Plan -- Approved per setbacks and dimensions of submitted site-plan, including 42 ft. from edge of wetland and away from drainfield. X 5) Temporary Erosion Control -- Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. X 6) POST ADDRESS -- PURSUANT TO 1991 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 REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 7) MOBILE/MANUFACTURED SPECS. -- REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy) . I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing Installations 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 these required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the 1991 UBC, Table 3A will be assessed in addition to my original permit fees to resolve any questionable 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(indicate which) Signature X 8) Mobile/Manufactured Landings/Deck -- All mobile/manufactured home landings or decks must be freestanding (self supporting) . The largest landing or deck permitted without drawings or a building permit is 36" x 36". Any landing or deck that is 301, or more in height from walking surface to finish grade requires a guardrail. Any landing or deck that has 4 or more risers requires a handrail. Any landing or deck larger than 36" x 36" must be permitted which requires structural drawings and a building permit application. This Installation Permit does NOT include any landing or deck larger than the 36" x 36" size. X I Page No. 2 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD96-0278 MATTHEW SPEER NE102 SMITHY FORGE LN BELFAIR 09/16/97 9) **CUSTOM CONDITION** -- septic system must be approved prior to occupancy 10) WATER ADEQUACY -- OWNER MUST SHOW PROOF OF SATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE RESIDENCE. X A To whom it may concern; I , Chet Loudin, dug up two sea land containers on the property in mason Co. ,of Matt and Jessy Speer. After trying to remove them, we decided they would not come out . We then ripped the tops off and observed drain holes in the bottom. Pallets were removed from inside. The containers were then filled with clean soil from the site. After some settling time, aprox. 1 week, top soil wus brought in from Belfair Sand and Gravel . Site has been leveled and is ready for Traylor to be brought in. If th&ir are any questions please call 360-275-0455 . Thank you. Chet Loudin MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P u-, n m i -v c. " N ri i -r i r.)N ,.zL,, Case No . % BLD96­0278 For : MATTHEW SPFFR 1 ) "I he use, hand Ing and ,;turaqe of haz"rJou4,3 materlals or f ialllftlabl s and combustible liquids In excess of 10 gallons Is not allowed without the approval of the Mason County Fire 144-r G h a I X 7 2) Proposed structure or any port lon thereof greater than 30" in height from gr ade I i ne must waintain a minimum of 5 ' setba4)k from all propertV fines , easements and right G+ ways 3 ) . OWNER MOw1 'SHOW PPOOF OF SATISFACTORY WAIF[), �,AMPtF PRIk)P fO TEMPORAPY/PFRMANFNT OCCUPANCY OF THE RESIDENCE . X 4 )_ Approved setbacks and dimenvions nt sub*it",d site-plan , inoluding 42 ft . from edge of wet janVrand away from drainfield . X 5 IemporarV eras lon oontrol moas,,uros misst be imp lemenled ttr) prevent water quality degrada-tion of adjacent waters or woti ands . X" 6 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECT- ION 513, A1.1_ SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PI.AINLY VISIBLF AND LEGIBLE FROM THE c;THFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING, DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPFCTION FEE , BASED ON RATES IN TABI. E 3A OF THE 1991 UNIFORM tall ILDmi CODF Wif-L BE ASSFSSED ! F OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS - X MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PR.444imeW skirting, Final Inspection-priot to occupancy ) . I have recelved a copy of tna General InforInVion and Guidelines- a I'st Mobile!Manufctured Houslog stallatlono Handout for detailed deser- 1ptions of fit ! r"quIred Inspeotlotis on #iV twobile/manufactured home Installation . I hereby at.;co.ime all responsibility for the scheduling of these requlred Ins ections . It these required inspect- I cans are not requested, inspected and signed ofMpproved) Ly the Ins r it sVeot�')r Its the prescribed order , I unde stRrid that re suection fees and an hourly invest iyation fek,.- pursuant to the 1991 USC, Talife 3A wtll be ansoseed In addition to m o y rlqfna permi I e ct t fe , s to resolve any questionable practlos oi, ,groblems that have been 11scovered . I further understand that this Investigation will e soheduled as time ali caws . Until resolution of any/ all problem no occpipancy (Firial Inspection ) will be qranted for the resldenoet OWNFR/CONTRACTOR ( indj .rate which ) 6lonature X 8 ) Al I mob le/mignufactured home landings or, dookik—must be freestanding 0-,elf s. uppurtinq) . The larpoSt landing or, deck permitted without drawin(is or a buildin(.1, permit Is 36" x • 36" Any landing or dock that Is 30" or Niore In heiLjht frotu walking surface to finish rade recloireg a quardr-01 , Arty l ;end in or deck tha t has 4 or more ri ! es.s requires a andrai ! . Any lending or deck farger han 36" x 36" mest be perm itted"whiCh requires structural di awirags and a bui Iding per-roit appI I cation . Th I r,, Installation Permit does NOT Include atiV landing or deck larger than the 33" x 36" size• , X —---------- 4) septic system must h4- approved prior to oocuparoV 10) OWNER MUST SHOW PROOF OF '.'.'ATISFAC'roRy WATER SAMPLE PRIOrR TO TEMPORARY/ PERMANENT OCCUPANCY OF THE RESIDENGF . Permit Not()qja�-7 MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT 1 1 #1 ner Phone# tk)� 6ite Address .`—• (� Fire District# n rt $ity St �� Zip Directions to Job Site 0-u o-� ZA _1 -5-+ t�--�i 1-Q S +n ACQC_X..S t`.l�� �-L. '-CL L2 r! Cl��r 1-� L� t_`t" 4 "a Owner Mailing Ad ess 50..E-kk- CuS D-boy-Q-' City St Zip Lien/Title Holder:5 M 3AVY• ly.• CltK3 Address -P•0 d 5104 3a City I l�Y`Q A,I St Zip #2 Contractor Name y0a"Its, Contractor Reg# n Vv Address 1 LPS O'1kQ Q jc-i CLi C-- Expiratign Date City LA St Lk)A Zip 73 Phoneme $ • a Sob #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply M Well Connect to Sewer System?_D Name of System n (If residential, proof of potable water is required) #4 cel No.aa 30"0l -=1 lg - D00 0,5 14c/l.Qf.�._ o� Tit Cp Legal Description So r � s r S5 e L t carte 4d-e a�r asp d�2 se ri +h e Q�S-1- 30 +- #5 Building Square Footage: (existing/proposed) ab W 1v.-"e2 a p&4e-- I t-e 1st FI / 2nd FI / 3rd FI / Loft / 5 Basement / Deck / #bedrooms / #bathrooms / Garage rport / (Circle: Attached or Detached?) Other sq.ft. / #6 Use of building PO&.k 't2X V- s-� Describe work 40 MD a_'V dd Se-+ wp w J -' 0-�01S #7 Type of Job: New _Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year 101 Make Model�Z-J Length 4- pWidth Serial No. cD 00 # Bedrooms 3 # Bathrooms_Type of Heat -G rC9-Q CLA-K Purchase Price$ 3 #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond ree Stream etland Lake Marsh Saltwater Seasonal Runoff Other Per + b09 I 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 Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW VA5 ' f-0 p,(D9 U� �CrrIA �Cr� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW 7I � a � C5 . b 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 I _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 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 TMENT. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold pproval Planning: 4qkgG , Environmental Health:,5e, c cz�cc sc 3 Building Plan Review Q Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other. Other Building Valuation: TOTAL FEE