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HomeMy WebLinkAboutBLD95-00088 Final Mobile Home - BLD Permit / Conditions - 7/27/2011 ' MASON COUNTY Mason County Bldg, 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3 I J 1 1. - 1 ) 1 N C-a P F_ Ft M 1 -Tt" FOH I NaPEC7 IONS is Al 1 427 96fO BETWEEN 5pm AND Sam 427-7262 BLD95-0088 PARCEL :2.231 1 7F00340 PLAT : D I V : BLK : JOB ADDRESS : NE: 320 PINT CAMP RD BELFAIR OWNER : DAV ID LOMAX 697-6379 ION � , CONTRACTOR : N I I nW LEGAL ,: 11 34 Of S01VFY VOI 4110-27 NE 321 P111' CAMP 10 pA CLASS OF ,WORK . . NEW BE DR : 3 .BATH : 2 TYPE A10041 BY DATE. RECfIP1 Tf ' 7 1 it) T F OF :USE . . . . :MH STORIES . . . . . 1 `( /,?_7 OCVUP . GPOUP . . . .? 8L1)C1-. HI" T GHT . . : 0 .0f t NNOF 1 100.00 111 06112195 39351 TYPE fOF 'PONST . ., :? FIREPLACES . . . . : 0 Siff 1 • 4.50 TO (16112195 39351 i OC I Y.•OAD . . . , : 0 WOODSTOVF5�: . . . : 0 ENCP 1 111.00 TO #6112/95 39351 DYOfi L'}} I�I.TS . _ . . : 0, - PARKING SPACES : 0 RIC 1 C .00 111 06112195 3935) I NS FCT ION AREA : 3 SHORELINE? , . :N TOTAt: 156.56 VAlUTA7109: 59715 . r ..'f�L':Sfl'i�'--TT:_��9�.'�'C`�OSY.24.E Ya .��f4t�eT::2sb'C:"�X�>i�S3L�[SY.�S11c� c� ! E S[ fAGh ' -__. _..�-_ _.__.-_._a. TO LETS . . . . . . . . . .. . 0 FUEL TYPES-----_ - - BOI LERS6COMP•----- MOBILE HOME-- FAON� � . .W 9 .Oft BA71i BASINS . . . . . . t 0 c 0--a HP . s 0 REAR :E: 5..Oft BATH TUBS . . . . , 0 3-15 HP : : 0 MODELiFLEETWOOD SIDE=. '. 1 ,N 5 '0ft SHOWERS — . . . . . .`1 . , 0 FURN < 100K BTU : 0 15- 30 HP . : 0 MAKE----,-- - 'I SIDE 1 S 5 .Oft WATER HEATERS . . . . , A FURN >-100K BT1.1 : 10 30-50 lip . : 0 WAVERIJ CP SHRL O .Oft CLOTHES WASHERS .. 0 F@RN - FLOOR . . . '0 t,0+ 11P . : 0 .--YEAR AREA - .l_w__-- -.. _._..: .___ KITCHEN SINfKG . . , : : ,' : 0 HEAT PUMP . . . . . . : 0 95 t LOT 7E . : a FLOOR BRAINS . . . . . : 0 VENT SYSTEMS . . . . 0 EVAP COOLERS: 0 LENQ111 :66 i RUIL NG . . 1848sf DRINKING FOUNT , 0 VENT FANS . . . . . ..: 0 HOODS . . 4 . . . . .. 0 WIDTH . :28 BASE i NT . . : QJsf LAUNDRY TRAYS . - 0 f30MES .. INCIN :O -SEf1IAL41---- DEf:K;, I. . . . . . . 0�"f DISHWASHERS . . . . , . , 0 AIR HANDI.1 NG UNITS— COMML . I NC 114 :0 � GAR l�AHP ;? Ws GARB DISPOSALS . . :. : 0 >- 10000 cfm . : 0 RI IOC/RE.PAIR : 0 ATl151 . :`? tJRINALS . : . . . , . . . .,a 0 - 10000 ofm . : 0 O�rHER UNITS . : 0 MISC PLM FIX1t1RES :"''< N GAS . OUTI..E'13 .. : 0 c-3•- -`---a xxc�rs:. -..rr+-=Zc::r•smm:ra:amasaaA:r�icyme�-z�.a•.ar;n-laeMa•Iv cls•�••.:semc-s+�xss.mzn.:.•:�:=s.�=•-s=axr�l.:.:rs:xs:s�."nsc=_:ssayr-:r.»».zv-.:--:r•.vass�amaxip'��a�^cze->Asa.-m-^s_rs-._r.-•c:xr-.•e�eaa�.�rsses�e:txex�:_. P10.JE0 OFURIPTION:10811F. NONf. PROJECT IOWK0#t NaRT1i ON OLD BftFAIR 111Y 10 DFIA110 RD-, 4 NILES, TURN tff1 ON OtMA110 AO, AND GO FOR 6.4 MI[Efi TO F1fFENDANt PASS R0, IURN I.ffl.• 60 1.2 MILES t0 S1©ES>AAY 'tUIN Ifff G9 .4 VItFS TO PINE CAMP RD, TURN LEFT 60 APPROx .35 111`ES PROPFITY IS 1,40 TEO AC116S TVA R1 EAST fRON NE 141 PINE CAMP S0. , q THIS PE$$NlT Br"814! Note. END VOID !1 WORK 9A CONSTRUCTION AO1110R1ZE0 IS TNIT C0911fNCED 01ININ 180 DAYS, OR If,.�ONS1.Rl1C 100 OR WORK IS S11rPfN@f/ FOR A ttR10D 4F I08 9Ar5 AT ANf f1.Ni 014 1091 IS C.OMNFNff.e. EVIOENCF OF CON'IktlATION Of IORK IS A P906RESS 1NS►E.CTIOM 1ITNIN 1`11INOf DA1 PERIOD. FINAL, 1NSPfCitOM APPROVED Wt,`F 613401'NB CAN Ff OCCUPIED, CrPEP OR rtJai: OLD PAMT r.4 : 1131al1Si COmPI- t F Td A FTfrr, ;D CON'3 f 7'I t1NS t S RfQdl f�tE"h i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date.SG--- 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 An,c by OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 11 I MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427=9670 CORRECTION NOTICE Job Location 320 j2in -e— J 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 Z. n S /L � 10154, /c C rP��. ��� �+-, �� X` e o� �Oc4, j; � LDn n e-j"o" k�-S !^t G` You are hereby notified that the above corrections shall be made BEFORE PR,qCEED1 INI+G WITH AqY FURTHER WORK 4�:s ��P�'s1 � c a Cy U G t c- - I—. P�a i C PJCJ1, l LCJ-,.2 q ^t (� h L /✓1 t�b i I ll C '+1 I'l it La rG � ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection 4o ❑ OK to Department Date 7- 3 9 � Inspector L� ■ so * No OT ► Mo OV T 1 TA MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location L.l)Rs.-- Cam* 8 8 20 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 2 3 C' 4-t 4-60 Prot) ;� 11:� kC-*--j l 1 e;�L► t i �� " .1 Z f--% A'al- e-Jznr /n e-,*._s ci?�n 4-v-- <5-s e-- e3-� -4nl- renge- ., cJ, C �-► You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK mall for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑OK to Department Date 22 - rS Inspector c--j ■ o* * NUT MOOV T 1 - , T' ,* q, MASON COUNTY BUILDING III 426-W. CEDAR SHELTON, WASHINGTON 98584 (360) 427=9670 CORRECTION NOTICE Job Location cc4r" e rs This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: no �- o * 4 , -/,- ,. / "5-P ciD retc��.cr,5 /� Z/ 31'/� S 1IW 7 d-8 S/,`ll Hcc� t �. Items listed below must be corrected to gain code compliance /, c, 7' fib /�� `�. i,,. r/LTI' n T Gam- /vtc✓� w � �/1 S f7 �� .art�..J -CJ— �"r�/_ r._./ --j S. O. ,moo � �or� .•-•� . �r- You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK all for re-inspection when corrections are made before continuing Make corrections, items will be checked on next inspection ❑ OKto Department /� s Date 7- L 5- —S's Inspector ■ 1004 No VT Fk Mo *V T F- T " ,�� MASON COUNTY Mason County Bldg. ILI 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PEF: I41 _r C- ON " 1 -r1C-11N ` Case No . , BLD95-0088 Fors DAVID L.OMAX Page : 1 1 ) The use, handling and storage of hazardous materials or, fIammable and combust Ible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal . r 2 ) Proposed struotore or any portion thereof greater than 30" In height from grade Iine must maintain a minimum of 5 ' setback from all property lines , easements and right o vs . .3 ) PURSUANT TO 1991 I)N I FORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALL S I Tf S 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 RF I NSPECT I ON FEE BASED ON RA-rES IN TABLE 3A OF 'THE 1991 UNIFORM BU l t D I N(:i CODE WILL RE ASSESSED IF OWNER /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING 1NSPEC-tiONS . 4 ) 41_1_ CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC AEQUIR,EMENTS 5 ) REQUIRED INSPECTIONS ( Footing Inspectlon-prior to pour , Set- up Inspection--prior to skirting, Final Inspection--prior to occupancy ) . 1 have received a copy of the General Information and Guldellnes--Mobile/Manufactured HousIng Installations Handout for detaIloci descriptions of all required Inspootlons on my mobile/manufactured home installation . I hereby assume all responsibility 'for the scheduling of these required inspections . If they;e required inspections are not requested, Inspected and signed off ( approved) by the inspector in the prescribed order- , I understand that reinspeotlon fees and an hourly Investigation fee pursuant to the 1991 UBC, Table 3A will be assessed in addition to my original permit fees to re-solve Fan, questionable practice-: or problems that have been discovered , I further, understand that this investigation will be scheduled as time a 1 I ows . Until resolution of any/ail problems no occupancy ( Final 1 nspeet i on ) will he granted for the residence . OWNFR/CONIRACTOR ( indicate which) Sinnatore MASON COUNTY Mason County Bldg. LII 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 6 ) All mob i l e/manuf ac tur ed houle land i ngs or del k s must be I r erstand i ng ( self support illy ; . The 1 a r(lest I aiid i n(I or deck perm it ted w i t hout drawl ngs or a bu I i d I rig perm i t i 4, 36" x 36" . Any landing or, deck that Is 30" or more in height from walking surface to finish grade requ i res a guardra i i Any l and i nq or deck that has 4 or more r• i raejrs requires a handra 1 1 . Any landing or deck larder than 36" x 36 " must be permitted which requires structural drawings and a lairiIdInrl permit ap II cat ion . this InstalIation Perm It does NOT Include any landing or deck larqer than the 36" x 36" size . 7 ) CONSTRUCT ION PROCESS TU BE FIELD CORRECTED AS ,RE OU 1 RE D PER MASON COUN1 Y BIJ I I.,DING - DFPARTMFNT AND UNIFORM BUILDING CODE 8 ) This permit i -; for the manufactured home only . No plans submitted for any garage . phis mear)s two sets of structural drawing and a seperate permit will be required for garage . 1 1 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT Dar I BLD95-00088 OWNER: DAVID LOMAX RECEIVED: 1/26/1995 CONTRACTOR: LICENSE: EXP: ISSUED: 6/12/1995 SITE ADDRESS: 320 NE PINE CAMP RD BELFAIR PARCEL NUMBER: EXPIRES: 12/9/1995 LEGAL DESCRIPTION: T 34 OF SURVEY VOL 4/19-22 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME NORTH ON OLD BELFAIR HWY TO DEWATTO RD, 4 MILES, TURN LEFT ON DEWATTO RD, AND GO FOR 5.4 MILES TO ELFFENDAHL PASS RD, TURN LEFT, GO 1.2 MILES TO SIDESWAY, TURN LEFT GO A MILES TO PINF CAMP Rn TI IRN I General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: ? Type of Use: MH Insp.Area: 3 No. of Bathrooms: 2 Occ. Group: ? Lot Size:O Deck: 0 Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: 0 Building:1,848 0 Valuation: Building Height: 0 Occ. Status: Basement:0 Manufactured Home Information Setback Information Shoreline&Planning Information Make:FLEETWOC Length: 66 Ft. Front: W 5.0 Ft. Shoreline: 0.0 Ft. Water Body: Rear: E 5.0 Ft. Slope: Ft. SEPA?: No Model:WAVERLY( Width: 28 Ft, Side 1: N 5.0 Ft. Shoreline Desig.: Year:95 Serial No.: Side 2: S 5.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Final Expired Permit TW 7/15/2011 $73.00 S120110001 Mobile home fee....` TW $100.00 39351 Building State Fee TW $4.50 39351 EH Plan Review TW $10.00 39351 RLC Checklist Fee TW $42.00 39351 Total $229.50 BLD95-00088 Please refer to the following pages for conditions of this permit. Page 1 of 3 CASE NOTES FOR BLD95-00088 1 CONDITIONS FOR BLD95-00088 1) 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) 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) 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 4) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS X 5) 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 6) 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 30"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 7) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 8) This permit is for the manufactured home only. No plans submitted for any garage. This means two sets of structural drawing and a seperate permit will be required for garage.X. BLD95-00088 Please refer to the following pages for conditions of this permit. Page 2 of 3 This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be i occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: BLD95-00088 Please refer to the following pages for conditions of this permit. Page 3 of 3 0° r o CONCRETE MECHANICAL MANUFACTURED HOME p a cn Date By 9 o Footings!Setbacks Gas Piping Ribbons D o �( C) Interior Date By Interior-Date By Date By 00 00 Exterior Date By Exterior-Date BY Set-up D Point load!Isolated Footings INSULATION Date By < Date By Data SLAB INSULATION By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type- Date By Date By Date By o.W.v DRYWALL Type_ Int.Brace Wall Date By CD Date BY Date By FINAL INSPECTION W mWater Line Fire Separation �//�� r Date gy Date By Date _ Z By / 1 s Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments CD co 0 1 0 O Q 0 7 N O S (D 1 3 v (o m 0 Case Activity Listing 7/22/2011 10:43:54AM Case #: BLD95-00088 1� Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated p BLDA010 Application received 1/26/1995 None 1/26/1995 KW BLDB135 Addressing 1/26/1995 None DONE GMM 1/26/1995 GMM BLDB134 RLC Checklist Review 1/27/1995 None DONE AHB 1/30/1995 TMJ BLDB130 Planning Review 1/26/1995 1/30/1995 None DONE MMS 1/30/1995 MMS BLDB110 Structural Plan Review 1/30/1995 2/3/1995 None DONE WLC 2/3/1995 WLC BLDB200 Environmental Health Review 2/3/1995 2/21/1995 None HOLD PSD 2/21/1995 PSD need approved design.psd BLDB210 Water Adequacy 2/3/1995 2/21/1995 None HOLD PSD 4/26/1995 KS need water adequacy application psd TURNED IN BY MAIL.ADDED TO THE FILE IN EH HOLD BIN. BLDB200 Environmental Health Review 6/1/1995 6/1/1995 None DONE PSD 6/1/1995 PSD Approved design.plot plans match.psd BLDB210 Water Adequacy 6/1/1995 6/1/1995 None HOLD PSD 6/7/1995 KW need to be apporved 2 party water system.psd BLDB210 Water Adequacy 6/12/1995 6/12/1995 None DONE CAJ 6/12/1995 CAJ water system approved BLDA100 Approved For Issuance 6/12/1995 None DONE TW 6/12/1995 TW Page 1 of 2 caseActivity..rpt 7/22/2011 Case Activity Listing 10:43:54AM Case#: BLD95-00088 1 Description' .. Assigned Done ate 1 Date Date 3 Hold Disp To By Updated Updated By Activity BLDA500 (F)Issue building permit 6/12/1995 None DONE TW 6/12/1995 TW BLDC199 Mobile Strip Footing 6/19/1995 6/20/1995 6/20/1995 None COND LAW 6/21/1995 LAW CONDITIONAL APPROVAL: 1.REMOVE THE REBAR STAKES FROM THE GROUND AND HANG BAR.OK TO POUR WHEN DONE. BLDC200 MH Setup inspection 7/12/1995 7/13/1995 7/13/1995 None FAIL LAW 7/14/1995 LAW 6.THE CROSS OVER DUCT NEEDS TO BE PULLED TIGHT AND SUPPORTED OFF THE GROUND.7.GLUE THE JOINTS TOGETHER ON THE PRESSURE RELIEF LINE OFF THE WATER TANK.8.THE MARRIAGE LINE CONNECTION HAS A GAP AT THE CEILING AND ROOF LINE,THIS APPEARS TO BE A FACTORY DEFECT.PROVIDE ENGINEERING FROM THE MOBILE HOME MANUFACTURE SHOWING HOW A PROPER CONNECTION CAN BE DONE AND HOW TO SEAL IT. BLDC200 MH Setup inspection 7/24/1995 7/25/1995 7/25/1995 None FAIL LAW 7/25/1995 LAW NOT ALL OF THE CORRECTIONS WERE DONE FROM THE LAST LIST,CORRECTIONS 1,2,3,4,5,7 AND 8 STILL NEED TO BE COMPLETED. BLDC200 MH Setup inspection 8/9/1995 8/10/1995 8/10/1995 None FAIL LAW 8/11/1995 LAW PERIMETER BLOCKS WERE SET AS PER THE FIRST CORRECTIONS NOT ALL OF THE PE ,SEE FRONT DOOR. BLDC200 MH Setup inspection 8/21/1995 8/22/1995 8/22/1995 None DONE LAW 8/28/1995 LAW BLDC210 MH Final inspection 8/21/1995 8/22/1995 8/22/1995 None FAIL LAW 8/28/1995 LAW CORRECTIONS: 1.ALL STEPS MUST BE THE SAME WIDTH AS THE LANDING 36 INCHES.2.PROVIDE A 36 INCH HIGH GUARDRAIL AROUND THE TOP OF THE LANDING AND DOWN BOTH SIDES OF THE STEPS.PROVIDE 1 HANDRAIL 34 TO 38 INCHES IN HEIGHT 1 1/2 TO 2 INCHES IN DIAMETER.TEMP.OCCUPANCY IS OK FOR 90 DAYS. BLDA560 Permit cancelled 3/9/1999 None DONE KW 3/9/1999 KW BLDA920 Miscellaneous Action 7/22/2011 None DONE DLC 7/22/2011 DLC Notified by owner that fee paid ut an inspection has not been scheduled. Has been scheduled for Wed 7/27/2011 -do 7.22.2011 BLDA510 Reprint Building Permit 7/22/2011 None DONE PIB 7/22/2011 PIB Page 2 of 2 CaseActivity..rpt Case ActivityListing7/6 ` 4:26:16P 6PM ir Case#: BLD95-00088 flo Assigned Done Activity Description_ Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDA010 Application received 1/26/1995 None 1/26/1995 KW BLD13135 Addressing 1/26/1995 None DONE GMM 1/26/1995 GMM BLDB134 RLC Checklist Review 1/27/1995 None DONE AHB 1/30/1995 TMJ BLDB130 Planning Review 1/26/1995 1/30/1995 None DONE MMS 1/30/1995 MMS BLDB110 Structural Plan Review 1/30/1995 2/3/1995 None DONE WLC 2/3/1995 WLC BLDB200 Environmental Health Review 2/3/1995 2/21/1995 None HOLD PSD 2/21/1995 PSD need approved design.psd BLDB210 Water Adequacy 2/3/1995 2/21/1995 None HOLD PSD 4/26/1995 KS need water adequacy application psd TURNED IN BY MAIL.ADDED TO THE FILE IN EH HOLD BIN. BLDB200 Environmental Health Review 6/1/1995 6/1/1995 None DONE PSD 6/1/1995 PSD Approved design.plot plans match.psd BLDB210 Water Adequacy 6/1/1995 6/1/1995 None HOLD PSD 6/7/1995 KW need to be apporved 2 party water system.psd BLDB210 Water Adequacy 6/12/1995 6/12/1995 None DONE CAJ 6/12/1995 CAJ water system approved BLDAl00 Approved For Issuance 6/12/1995 None DONE TW 6/12/1995 TW Page 1 of 2 CueActivity••q)t 7/6/2011 Case Activity Listing 4:26:16PM Case#: BLD95-00088 ot$ Activity Description Date 1 Date Date 3. BLDA500 (F)Issue building permit 6/12/1995 None DONE TW 6/12/1995 TW BLDC199 Mobile Strip Footing 6/19/1995 6/20/1995 6/20/1995 None COND LAW 6/21/1995 LAW CONDITIONAL APPROVAL: 1.REMOVE THE REBAR STAKES FROM THE GROUND AND HANG BAR.OK TO POUR WHEN DONE. BLDC200 MH Setup inspection 7/12/1995 7/13/1995 7/13/1995 None FAIL LAW 7/14/1995 LAW 6.THE CROSS OVER DUCT NEEDS TO BE PULLED TIGHT AND SUPPORTED OFF THE GROUND.7.GLUE THE JOINTS TOGETHER ON THE PRESSURE RELIEF LINE OFF THE WATER TANK.8.THE MARRIAGE LINE CONNECTION HAS A GAP AT THE CEILING AND ROOF LINE,THIS APPEARS TO BE A FACTORY DEFECT.PROVIDE ENGINEERING FROM THE MOBILE HOME MANUFACTURE SHOWING HOW A PROPER CONNECTION CAN BE DONE AND HOW TO SEAL IT. BLDC200 MH Setup inspection 7/24/1995 7/25/1995 7/25/1995 None FAIL LAW 7/25/1995 LAW NOT ALL OF THE CORRECTIONS WERE DONE FROM THE LAST LIST,CORRECTIONS 1,2,3,4,5,7 AND 8 STILL NEED TO BE COMPLETED. BLDC200 MH Setup inspection 8/9/1995 8/10/1995 8/10/1995 None FAIL LAW 8/11/1995 LAW NOT ALL OF THE PERIMETER BLOCKS WERE SET AS PER THE FIRST CORRECTIONS,SEE FRONT DOOR. I BLDC200 MH Setup inspection 8/21/1995 8/22/1995 8/22/1995 None DONE LAW 8/28/1995 LAW BLDC210 MH Final inspection 8/21/1995 8/22/1995 8/22/1995 None FAIL LAW 8/28/1995 LAW CORRECTIONS: 1.ALL STEPS MUST BE THE SAME WIDTH AS THE LANDING 36 INCHES.2.PROVIDE A 36 INCH HIGH GUARDRAIL AROUND THE TOP OF THE LANDING AND DOWN BOTH SIDES OF THE STEPS.PROVIDE 1 HANDRAIL 34 TO 38 INCHES IN HEIGHT 1 1/2 TO 2 INCHES IN DIAMETER.TEMP.OCCUPANCY IS OK FOR 90 DAYS. BLDA560 Permit cancelled 3/9/1999 None DONE KW 3/9/1999 KW Page 2 of 2 C&VActivity..rpt --------- I Permit No. MASON COUNTY BUILDING PERMIT APPLICATION q� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �LQ PLEASE PRINT #1 Owner A u I b L U r1 A Phone# L y 7 - 037 y dress �NE.31L f 1AJf C q1)J � Az- , 13�ia/R) Fire District# .2. Cty � � f�i I�c�ln� St L (A- zip 1�3�Zr'j Directions to Job Site Magri4 v,) o,Lb ,i3iF a-k ±A mT az4azn, R (qm' r( C9n rD/ "� �/ I'(L TU L LF�FeJI)AElL f 5lep T[11QAJ F7 C 1 �v7 H/ ES �O s/�fFS uJA�I L4c,T—b LlcG2n�'Llte• �onp_( a<T� Frt .NE 3511 OILe� 6AMP R G• Owner Mailing Address 222,q5 lVool-ru)R2 b A)L J City *-()(A St LIJR. Zip MZ2 R Lien/Title Holder Address W i i- mil' Clty St Zip #2 Contractor Name 4 k"As Ma 6'(e -Oz- nes • Contractor Reg#'1L-1uN-is 1140r0,ct 40%m Address Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?__)�_Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) 1 Description -r4 C// 3I/ of Su Q JNci /a F Zµ5 7/ df-� M.ASonJ do #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building i v-e. Describe work 7-v "-v e /,J r L.L7 z i a ALL y1 u/cF S #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year I4`14 MakeRFt-'W°"�odel_UAV,-9Ly�''0-6 - Length Width 2 6 ' Serial No. e # Bedrooms 3 #Bathrooms Z Type of Heat j5l ct-Talc. Purchase Price$ ��� -7!5 p1 #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 I Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways 1" 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 P�oioLi f r'�7ovOSE,- CucvE.�� � r 4 wE.LL 779' S1.14.4'EL) DRIVE 4J07".34 NE 320 Pik Camp P-W) MON A z M, ' '/VVY Yry � c o AJF.� 1 r� 1 1 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW �or�E ?e Gr�i.0iE - 1 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 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 PP• Fixed Fire Su Sys 50.00 _ Y 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 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 OWNI�'-' 7--i X BY DATE / - 2-3 - 95 DATE FOR OFFICIAL USE ONLY: Accepted by: Date: _______ DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review / ?F6 S epr�T . !v►N -(-"o �L Occupancy Group: R-3 Type of Const: -5-N Fire Marshal: Other: Special Conditions: AjQ It AN S Scf43,"17r FEES PqfZ- Zg7' iS -Nam Building Permit w� c- � 1N r:a is lT 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