HomeMy WebLinkAboutBLD97-0815 Mobile Home - BLD Permit / Conditions - 7/30/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 s U 1 L_ b i N cl P I_ F7 I'R I _I FOR INSPECTIONS CALL 427-9070
D3`10F BETWEEN 5pm AND Sam 427--7262
BL_D97-0815 PARCE:L. :320 27500-"4-+- PLAT a SHPLO 3 D I V : AI_K s 3 L.OT s
JOB ADDRESS : SE 430 Cj660ALCADIA RD SIIEL.TON
OWNER . HAROLD 427-0488
CONTRACTOR s WASHIN , ►1F CENTER ROD -6418-1113. .
LEGAL : SNELTOR NONE TRACTS SLKs 3 TO 111 -12 EI S 551'
., ^.;C:'9:tl:•�:s'x.'n:cC'2%nT.Y�P'>sA#4�. ¢:tS.i��34i'.1Y.`N]t:
CLASS OF WORK . „ :REP BEDR . 3 BATH s 2 TYPE ANOU01 OY DATE RECEIPT TYP# AMOUNT Rt DATE NECEIPTI
TYPE OF USF . . . . iMH STORIES . . . . . :1
OCCUP . GROUP . . s 7 BLDG , HEIGHT . . s O .Oft ENCP 1 26.08 KS 1713607 45040 �
TYPE: OF CONST . . s? F I REPI. ACES . . - - : 0 NHOf 1 155.01 KS 0113014T 45040
OCCUP L.t A1J . , . . : 0 WOKE}S f'OVES . . . . : D SIFE 1 4.50 KS 11130197 45940
DWE.,LL .UNITS .. . . . s O PARKING SPACES s 0 �
INSPECTION AREAS 2 SHORFI. INF? . . . . :N I TOTAL: i85.50 VA1,1107100s 1
SE:TBACKS.. _-._---•---__-__ TOILETS . . . . . . . . . . s 0 FUEL , TYPES---------- BOILERS/COMP----- MOBILE HOME—
FRONT . . .N 70 ,01t BATH ERAS I NS . . . . . . ; O s 0--3 HP . s 0
REAR . . . .S 5 .0ft BATH TUBS . . . . . . . . : 0 3- 15 HP . : 0 MODEL :REDMAN
SIDE ( 1 ) .E 150 .Oft SHOWER$ 0 FURN !. 100K STU : 0 1 5-30 lip . s 0 MAKE - -
S I DE (2 ) .W 85 .Oft WATER HEATERS . . . . ; 0 FURN •,100K BTU: 0 30--50 HP . s 0 7206
SHRL I NE . O .Oft Ct OTHE: 'WASHERS . . s x) FURN -- FLOOR . .. . : 0 50•11 HP . ,- O —YEAR_ ... ..._ ._..
AREA _.•.- .w._ ..__ ._._._ . _ KITCHEN §'INKS . . . , : 0 HEAT PUMP —< . . . . : 0 98
LOT SIZF . . s FLOOR ;D•RAINS . . . .,t s O VFNT SYSTEMS . . . ,, 0 UVAP COOLERS : 0 L.ENGTHi6C
BUILDING . . . : 1804 sf DRINKING FOUNT . . . s 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . s 0 W i DTH . :28
BASEMENT . . . ; LAUNDRY TRAYS . . . . : 0 DOMFS . INCIN !0 . SERIAL#----_,
DECKS . . . . . . . 09f;: S14WASHERS . . . . . . : 0 AIP HANDLING UN L TS-- COMML. . I NC IN :0 11824
GAR/CARP :? Osf GARB DISPOSALS . . . ; 0 <— 10000 oft . ; 0 RfVOC/REPAIRS 0
AT/DT . :? URINALS . . . . . : 0 10000 ctm . s 0 OTHER UNITS , s 0
1%A I SC PLM, FIXTURES : 0 GAS OUTLETS . s 0
C�St1A'6�'�1:ffisS'RUKCl."J:''A71�'.�:-".I.Yuri'ia':mrY.'.'.x'.yr.1xL::'•SA'it.'^Y:.�r il'<5'XC'�".iYT.'."[t,YR!-�.Rk}.¢5:2 ielTLs�Y4Mm1TM4RmiG..iAtPYAti'ak%X•�a;:xtC.-:istt'm'a•R.^.S:i'�Xvta.'I66'tlAlmL"Y:rL'c�2!vsW�4•'cCiI.+XAS:'3::t-:'3'.&S':3'.�R.^=.�U'+a]%S}:!,C+A:» TSQSSR`A;.C#C:C'S1VS424?TiA: p
PROJECT DESCRIPTION,IEPI.ACE 1108f1E HOME i
PR03fC1 LOCATION;NOY 3 SOUIH 14110 SHE1100 P) A110DIA RD TURN 1EfT 09 ARCADIA III FOLLOW, TO (MLIER RO., TURN 1Efl ON COLLIER 10911 RP601 ON OlD ARCAD?A AD, tit{
APPR07 114 NItf TURN 91001 AT 431 S.E. ARCADIA ROh .
THIS PEINIT DECLINES NUIt AND VOID If WORK. 01 CJOS1RUCTION AUTHORIZED IS SOT C04011 10 111CII 160 DAY1, OR IF CONSTRUCTION ON WORK IS SUSPENDED foR A PERIO9
OF 101 SAYS AT ANY TINE AFTER WORK IS CONKENCED, EVIQENCE OF CONIINUAIION OF NORM IS A PROQOIN'S INSPECTION WIININ THE 181 DAY PERIOD. FINAI. INSPECTION NUST BF
APPKOVED BEFORE 8910140 CAN Of OCCUPIED.
r ,
01NEh 1 AGEN1:� j� ;_,_ t'_ _. _ s >: '�-�di __,_.__._.__w___ _:_�a__. __...._._.__ .-___. . DATE: 30
1 ! PR revs 13131191 M COI►AP! i ANCE TO ATTACHED CONE) I .t IS REQ1j L EEET
L NT,
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbon
date by Gas Piping date _r� �l b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Finaldate '`�'
FRAMING by date by date by
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 by date by
4e.
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1. �� �.it�c�-�,�►-a ol.l �
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
,,,,ase No . i BLD97-0815
For . HAROLD SMITH
Page ! I
�Vbl ) This application is subject to Buffer and Landscaping requirements as established under
Mason County Ord inanco 1 .03 .036 .
2 ) 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 Colitity
Fire Marshal .
X
131, Proposed structure or any portion -thereof greater than 30" in height from grade line ,
roust maintain a minimum of S ' setbaok from all property lines , easements and 10 ' from
a Xj,l County and State Road right of ways .
4 ) PURSUANT 'TO 1994 UNIFORM BUILDING CODE SECTION 305(C) AND SECTION 513 ALL SITE,; MUST
HAV17 APPROVED NUMBERS OR ADDRESSES PR6VIDED IN SUCH A POSITION AS TO B� PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BOILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUII.DING CODE WILL BE
ASSESSED IF OWNEOCONTRACTOR FAILS 'TO POST ADDRESS ON SITE PRIOR TO AFOUESTING
INSPECTIONS .
X
5 ) REQUIRED INSPECTIONS ( rooting Inspection---prior, to pour , Set tipInspection-prior to
skirting Inspection-prior t 000upanoy) . I havq received a copy of the General
Informa .n and Guidelities-.Mobile/Manulaottired Housing Installations Handout for
detailed descriptions of all required Inspections on my mobile/manufactured home
Insitailation . I hereby assume all responsibility for the scheduling of these required
Inspections . If these required Inspections are not requested , Inspooted and signed
off (approved) by the Inspector In the prescribed order , I understand that reinspection
fees and an hourly Investigation toe pursuant to the 1941 UBC, Table 3A will be assessed
in addition to my original permit fees t rescilve anV questionable praoticet, or
1
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 by date by
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
75T
be scheduled as time at I owe; Until resolution of anytaii pror*lemr, no occupancy ( Final
Inspection ) will he granted for the residence .
OWNERICONTRACTOP( Indioate which) sigruiture X 7�7
6 ) All mobile/manufactured home landings or, decks must be freestanding ( self supporting) .
The largest landing or deck perm itfed without drawings or a building permit Is 36" x
36" . Any landing or deck that is 30" or, more In height from walking surface to finish
grade requires a (juai a-dr I I Any landing or deok 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 btillding permll application . 'This Installation Permit does
NOT Inolutie, anv landing or deck target, than the 36" x 36" slzk-
X
7 ) Use of the existing covered deck is allowed however, uport inspection, It will be at th�E-
inspector 's discretion to require correction to the existing structure It it Is deemed
to pose a life safety hazard In it ' s present condition or construction state . All
existing structures on site must he fully self supportin Carport Is required to
remain open on 2 or more sides to retain carport nlas,% iMati tan . I the oarport doev
not meet this requirement , field cerrections relating to fire wall requirements may be
deemed appropr I rate .
X
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
aRAMING by date by date by
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 -� by date by
tv rt R Tab [ l �I N► liJb paZ51 I �cc���
Mode: INQU Y REAL PROPERTY Auto Roll : OFF
Parcel # 2027 50 0�908 Rng 3 Twp 20 Sec 27 Tax Yr 2011
Taxpayer # SMI 2200 SMITH, EUGENE F T/P Chg Dt 4/25/2007
Title Owner Aiiiit 2200 SMITH, EUGENE F T/P Chg By LLT
Contract Owner # Loan #
Plat/Condo Type PL Code SHEL 0100 Blk 3 Lot Unit Dock
Description SHELTON HOME TRACTS Assoc M/H 30 05918
ELK: 3 Chg Dt 7/12/2010
LOT A OF SP #849 Chg By FDD
Chg Rs AS
FS 10162 :
Tax Code 0070 1 42 S P3 F4 L H1 Land Use 1801 LAND MH ON
Zoning Code Tax Stat TX TAXABLE Reval 4
Chg Rs F/P? Y Ac
Land: Improved Unimproved Timberland Total Land Improvement Total AV
Acres 304 3 . 04
Taxable 65, 000 65 , 000 120 ,505 185 ,505
Market
New/C 0/AV Mob Home AV 98505 Sub Cd Into
Sr Cit Cd A Reg Exmpt O/R Regular Taxable 74 ,200
Lien Date AF # As-Tx Yr App # Agr #
WINDOW
Command Keys : 5, 6, 7, 9, 12
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Perm, �o.
MASON COUNTY p°` G�
BUILDING PERMIT APPLICATION 6`'��
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
Ll P P�erce� Jr. — �acvs�ivfr�i—
#1 Owner f-tRra 6L4 &S 6rv,.t+ Phone#�36b� iI z6` ZZ Sit deess O 5: E • b(d (4{ccvz-Q c�- Fire District# of
7-
St-WA Zip 4®S6y
Directions to Job Site Hw -�-Lr j S L e-4D, :b2 A ccc-J i-1 QJ • Zc.r..
L.r,
4` ► �e _ "Z�.r.. �-�
Owner Mailing Address
City '5;A W4 C St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name W gTUX-1 v- _ cep f cy Contractor Reg#WASN Jk Co 7 70A
Address S C G ( L 4 r. o Expiration Date / / 7
City S ��fo St A- Zip 6 Phone# 36a- (o6 7
#3 If septic is located on project site, include records.C�e e
Connect to Septic?�Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 o. 3:� v9:7 - sa -e 'If o-c4 5
gal Description y-�hLLh//i t !JjZiL-k LOIL5 H-14
550" /79-5. P-6 o�y4- 84q
#5 Building S ua zotage: (existing/proposed)
1st FI1 / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building D scribe work
#7 Type of Job: New Add Alt Repair Ot*iwmw
#8 MOBILE/MANUFACTURED HOME INFORMATION a @ 9 n T rnm
Model Year�Make aM�Model 7�-0 6 U
La
Length Width_Serial No. It 8;LLJ JUL 10 JW7
# Bedrooms 3 #Bathrooms a Type of Heat IL(ccfr,�-
Purchase Price$ 7 0/ F013 HEALTH SERVICES
#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
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
LA 3 D
�x►stw� ----
EX[ST�N6
t�'Sef -- - ---
P4 D
/ EX►ST)A)6 d— �
�Sb P4pbsEl)
Ro wt E g 3
J
U)
W �ALE
QW.
Q� � TRIG r
o I t.4 igrca.-;ti .
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
,
S u� SKoP
Ho w�E
Old ArcAlict
R.0 a d-
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°} �r? E jnno X BY
DATE —7' 3""�?7 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
7 -1 y- 7
Building PlaryReview
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
GARY YANDO,DIRECTOR
oN.STA
M
A U U DEPARTMENT OF COMMUNITY DEVELOPMENT
z
S N PLANNING - SOLID WASTE- UTILITIES
�o N Y o~ BLDG. I * 411 N. 5T1 ST. • P.O. BOX 578
SHELTON, WA 98584 • (360) 427-9670
1864
DISCLAErIER/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.
Date (Parcel No. or Legal Description)
t
1
, � c
Pro owner's signatu otarized)
(or tounty may accepEthe signature of the owner's a orized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE(INDIVIDUAL)
STATE OF
COUNTY OF
On this day of , in the year , before me Notary Public,
personally appeared 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-
RevMb u onNotary's signature Sta
My Commission Expires:
LICENSED & BONDED IN: INVOICE 06485
MAIN OFFICE Thurston County 360 / 491-2900 �_
DATE
7225 Pacific Avenue SE Lewis County 360 / 736-8771
Olympia, Washington 98503 Pierce County 253 / 531-3049 TECHNICIAN
FAX 360 / 491-1990Mason County 360 / 426-6500 LOCATION
SEPAIC !ERVICE Contr. Lic. ASEPTPSP055MM CODE
BILLING MAP CODE
• • • •
NAME ��- (tihp�, can' fl�ry!� u�UfL�i NAME hO�� �A-) r�1
C t Y _., 5c7vc,�
ADDRESS - /}�.I r ADDRESS SE 4-1 PAYMENT ,
CITY S E!fpN STATE IAj{4' ZIP 95�;-SY CITY STATE k/-A- ZIP
WORK PHONE HOME PHONE WORK PHONE HOME PHONE -Z, 5-
CLEANED SEPTIC TANK: Approx Tank Size 42 Gallons Compartments ACTUAL
LIQUID LEVEL APPEARED: f ormal ElHigh ElLow ElFlooded SEPTIC TANK PUMPED Gal
UNCOVER TANK uN�✓a�
TANK CONSTR4-: Gravity
ION: Concrete El Fiberglass El Metal ❑ Plastic GUVIPL vP oR1.S/{7k � c.5 / b
SYSTEM TYPE ❑ Pressure ❑ Mound ❑ Sand Filter ❑ Other ADDITIONAL TRUCK TIME
BAFFLE TYPE:—yLconcrete El Plastic Olen t Fifte��/ ' BAFFLES INTACT: Yes ❑ No ep(aced ADDITIONAL GALLONAGE:
• OWNER COMMENTS - (.-
INFORMATION
GALLONS @ ¢
YEAR BUILT F l(CC o U l/
LAST DATE PUMPED
�CSC✓L Gxolwd /cA)
P.
�l �r 4 �r� r3,, 4z-s C o
GARBAGE DIS I 1' ;
❑YES No
NEXT RECOMMENDED 3 NW -7 �� -,8.
CLEANING
SCUM LEVEL I
i
ADDITIONAL . - b�
SUBTOTAL 6v
SLUDGE LEVEL /1
_ - — TAX
S TOTAL AMOUNT DUE --
z
97 98 TYPE OF
TAX PARCEL # ❑CASH $25.00
•• ❑CHECK NUMBER: RETURNED
CHECK FEE
NOTICE:our crews make every effort,to expedite a job where customer designates and the customer assumes all responsibility for damage inside the curb or ❑CREDIT CARD TYPE:
pro�rt line to property or persons,including but not limited to unmarked utility lines.
EXPIRATION DATE:
AUTHORIZED C� (,.��
SIGNATURE X NUMBER: ��❑❑❑��❑❑��❑❑�❑�