HomeMy WebLinkAboutMIS98-00360 Temporary Storage - MIS Permit / Conditions - 10/12/1998 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 -C3<:: V U, L- A N v ('30 C'j f-71 r" F- R M I I- rOR INSPFCTICONS CALL 427- 9670
MIS98-0360 PARCEL :223117500140 PLAT - D I V I Bt.Ks I-OT : L.
JOB AI)IjPFSS
APPI ICANT .- T110MAS
OWNE.R .- TVIOMM; A MCKFAN
LEGAL i T1 14 OF SLiNVEY VOL 3 P6 98
PROJECT D17SCR1PTION ,
temporary storage of mobile howt
PROJECT 1.13CATION .
HWY 3 '10 OLD BULFAIR HWY 10 SFAR ( Rt-rK DFWATTO RD TO TOONERVILLF DRIVE NEXT LEFT Al"11p
Et.FFNDAIIL PASS RD TO FNn OF TOONFAIVILLE OR BACK UP 2 LOTS LOT Is ON LEFT ,
PRO,)UGT NOTUS -
TYPF AMOONT BY PA I F R F CE I P I
h411SG 42 .00 1W 07110198 47649
TOTAI . 42 .00 —OWOFI OP AGUNT DA I F
illy-PINT, f eV c #4101192 COMPLIANCE TO ATTACHED COND11IONS IS
RuQU I RE'D
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 b
date by D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P IUZ. VA M I -I- C,CIO N 0 1 -T, 1 C3 N
Case No , t MIS98--0360
For : THOMAS A MCKEAN
Page : 1
1 ) PURSI)ANT TO 1994 UN I FORM BU I t D I NO GODF , ALA, 98 1 TF MUST BE MARKED W I TH APPROVED NUMB FPS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PL.AINI-Y VISIBLE AND I-EGIBLE FROM THE
STREET OR ROAD FRONTING THE 111POPFRTY . MASON COUNTY 130il.-DING DFPARTMENI RFOUIPES, THAT
THIS BE COMPLFTFD PRIOR TO GALLING FOR ANY SITE INSPECTIONS , A REINSPECTION FEE , BASED
ON PATFS fN TABI+ 3A 01' THU 1994 UNIFORM BUItDING CODE WILL BF ASSESSED IF
OWNER/COWMA FAIL.S TO POST ADDRESS ON SITE PRIOR TO REOUESTING INk;PECTIONS .
X
;2 ) this permit Is being isnued to the applicant to allow th.e temporary s1oraqe of I it I t;
mantifactured horne on his private property while an application for permanent
installation Is being proeesrzed ; by the MaGort County Building Department . T h I s (in 1 t I
not to be occupied . No utilites are to be connected . No permanent set lip Is to begin .
This permit Is val Id for- six-tvi (60) (Jays only . No extenslon!�; wl I I he granted . Any
violation of the ronditions of this permit or the denial of a permanent installation
perm i t w I I I reau I t- i n the de t er m I nat Ion that tars unit mtj, t bo removed from the property
at the oxpense of the owner ,
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) AL I. CONST V ",ON MUST MEET OR EXCEED ALL LOCAL CODES AND USC
R E Q . ,tF
X
4 ) CONSTRUCTION PROCESS TO FIF FIELD COAPUCT�W O D PUP MASON COUNTY HU i LD I NCB
DEPARTMENT AND, UNIFORM BUILDING COD �f
5 ) Approved a mefisions and setba(.4c, on submitted
S I
6 ) Proposed structure or portions...At Yeteof with kin projoction aver 30" in height frcim (bade
1 1 ne, must aja i nta i n a 5 ` a -.tl.i_�itainc:e between adjacent stru};tunes and that
furthest pro I e c t iori . X-1"
i
1611 NE TOONERVILLE
tt15-00130
l5'-G I/32" 92'-II 3/32" — —
48'-4IS/IL" 5, 0
lJ To
T. A. Mc KEAN
119 SOUTH WYCOFF AVE
DEVELOPED BREMERTON. WA 98312
AREA 218, ( 360) 919-2189
/ 5 ACRES ON NE TOONERVILLE DRIVE
/ MASON COUNTY. WA
/ PARCEL 422311 15 00190
NORTH 1 /2 SECTION 1 1 . TOWNSHIP 23 NORTH.
RANGE 2 WEST. W. M.
(DEVELOPED AREA SUPERIMPOSED REF50O.PLT
ON ACREAGE)
(SCALE: 1" = 125') [7/e/sa]
500'-0"
1101 NE TOONERVILLE
OR�N tt15-00150
N
Department of Labor&Industries r. 4 ALTERATION PERMIT
Factory Assembled Structures Section Do not complete shaded areas
INSTRUCTIONS: erm_lt 23800
1. Complete all spaces to and including the box with the signature X in it.
Invoice#
2. Draw map on reverse side of WHITE copy only.
3. Submit completed permit and fee to the nearest office listed on the back.
4. Contact and schedule the inspection with the office in which you submitted the permit Insignia#
within 15 days. w. «,
Owner last name first name Day time phone Date
..-IcKZAN ( ,gj) 479-2789 I
t; July 1996`
........... ........................................................... ..... .....................................1 .............
Address City s State ZIP
Installer/Contractor/Dealer Phone Contractor's registration number
........... ...............................__.............
Address C ry............
i State ZIP+4
Check the appropriate boxes in section A and section B. FEES
A $ ❑ Alteration Inspection(check appropriate boxes below) 39f)
Commercial Coach Air Conditioning/Heat Pump
Serial No. Electrical
Electrical Appliances
Ij Mobile Home Fire Safety
Serial No. Gas Furnace
Gas Piping
HUD No. Plumbing
Structural
Serial No.
FA (�
Recreational Vehicle or I,�J Park Trailer Wood/Pellet Stove — —
Serial No.`- Plan Review - - - - - - - - - - - - - - - - - - $70.00
RV Inspection - - - - - - - - - - - - - - - - $70.00
igma.Permit Model No.or Platt Approval No. Re-Inspection — — — — No $$Q QQ
Technical Inspection - - - - - - - - — — — — — — — $50.00/hr
Signature of applicant or authorized representative Make check payable to: Dept.of Labor&Industries
X FEES DUE $
De artment 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.
- - - - - - - -- - - - - - ',' '�_ •�,.,�/�pi!%i*R•IA•!lP•y,yfy�PYA1�AITA,���l�kf�.[.: . _., _ .._ _
- - -- - - - -- - -- .�"0.' ! / .... - - - - - - - - - -
- - . - - - - - - - - - - - - - - -
- - --- - - --- - - -
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Included are forms required which must be completed and fees submitted before reinspection.
Date Area office Inspector Total pages
F622-012-(M alteration permit 12-92 White-Olympia Green-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser
Draw map givingdirections to location on the WHITE COPY ONLY.
Address
City State 23P
N
W E
S
Department of Labor&Industries Offices
ABERDEEN EVERETT OKANOGAN TACOMA
415 W Wishkah Evergreen Way Business Center 1234 2nd Ave S 1305 Tacoma Ave S Ste 305
PO Box 66 8625 Evergreen Way Ste 250 PO Box 632 Tacoma WA 99402-1988
Aberdeen WA 98520-0013 Everett WA 98208-2620 Okanogan WA 98840-0632 (206)596-3814
(206)533-9300 (206)290-1346/1347 (509)826-7345
TUKW LA
BELLEVUE KELSO OLYMPIA 12806 Gateway Dr
616 120th Ave NE Ste C201 711 Vine St PO Box 44430 Seattle WA 98168-3346
Bellevue WA 98005-3037 Kelso WA 98626-2621 Olympia WA 98504-4430 (206)248-8240
(206)453-7048/7074 (206)577-2200 (206)956-5799
BELLINGHAM Effective Feb 1,1993 PORT ANGELES V 401 NE Fourth
10401 NE Fourth Plain Rd
2500 Elm St Ste F 900 Ocean Beach Hwy 1026 E 1st St Ste I Vancouver WA 98662-6302
Bellingham WA 98225-2732 Longview WA 98632-4013 Port Angeles WA 98362-4020 (206)696-6295
(206)676-2083 (206)577-2200 (206)457-2572
1-800-544-1509
SEATTLE WALLA WALLA
BREMERTON KENNEWICK 300 W Harrison St 1815 Portland Ave Ste 2
4841 Auto Center Way Ste 201 500 N Morain Ste 1110A Seattle WA 98 1 1 9-408 1 Walla Walla 99362-2246
Bremerton WA 98312-4379 Kennewick WA 99336-2607 (206)281-5400 (509)527-4437
(206)478-4926 (509)735-0100 WENATCHEE
SPOKANE 123 Ohme Gardens Rd Ste 203
EPHRATA MOUNT VERNON 901 N Monroe St Ste 100 Wenatchee WA 98801-9634
21 C Street SW 525 E College Way Spokane WA 99201-2111 (509)663-1713
Ephrata WA 98823-1895 Mt Vernon WA 98273-5500 (509)324-2568
(509)574-4608 (206)428-1350 YAKIMA
(509)574-2291
1716 S 10th Ave
Yakima WA 96QX-5789
(509)454-3769
i
FORM MUST BE COMPLETED IN INK Q_
PLEASE PRESS HARD PERMIT NO MIS U � �
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
i74�:::��ILCPPLICA
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
NT INFORMATION CONTRACTOR INFORMATION
wner THOMAS A. McKEAN Contractor Name
Mailing Address 114 SOUTH WYCOFF AVENUE Mailing Address
City BREMERTON State WA Zip Code 98312 City State Zip Code
Phone( 360 ) 479-2789 Other Ph.0 Ph.( Other Ph.(�
Lien/Title Holder SAME Contractor Reg. #
Address Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. 22311 / 75 / 00140 Fire District
Legal Description N 1/2 Section 91 • Township 23 N• Range 2 W• W.M.
Site Address(include street name and city NOT ISSUED YET
Directions to site: SEE ATTACHED MAP & DIRECTIONS. PROPERTY IS ON TOONERVILLE DRIVE BETWEEN
1611 and 1701 TOONERVILLE DRIVE.
Will timber be cut and sold in parcel preparation? (Yes/No) YES (COMPLETED: FPA #2404736)
Is your property within 200' of the following: Body of Water (Name) TAHUYA RIVER Saltwater
Lake River/Creek X Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs NOTE: DEVELOPMENT MORE THAN 500 FEET FROM RIVER
TYPE OF JOB New X Add Alt Repair Other Use of Building
Describe proposed construction MOVE SINGLE WIDE MOBILE HOME ONTO PROPERTY FOR TEMPORARY STORAGE
UNTIL BUILDING PERMIT IS APPROVED. 191-P j GVe,-ci6r) 124025
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The o er T
�{�e f, resents that the
information provided is accurate and grants employees of Mason County access to the abc�e .?ail� r�j t or review and
inspection of this project. Acknowledgment of such is by signature below: UUU��' I I i
1
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of CONTRACTOR'S AFFI%��T1 131rttt currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the contractor in the State of g n am aware of the
ordinance requirements for which this permit is issued and that all work ordinance requirements regulating the work for which this permit is issued
will be done in conformance therewith. No changes shall be made without and all work shal changes shall
first obtaining appro be made without
X Date 10 July 1998 X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date 1 bmittal Amount Due —` Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department /L, ' !1. �di�f7, a- ✓22 �-
Occ Grp Type of Cons � r�
'0 JU
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee i -)DO Site Inspection
Plan Review Fee Other
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEE S