HomeMy WebLinkAboutBLD98-00265 Final Mobile Home - BLD Permit / Conditions - 8/10/1998 1 MASON COUNTY
Mason County Bldg. III 426 W. Cedar '—
P.O. Box 186 Shelton, Washington 98584
E3 L,) 1 L_- 0 1 N 0A P 11 R M _T FOR I NSPi i I i CALL 42-f--961E1
BETWEEN 5pm AND Sam 42.7--7262
BLD99 --0265 PARCEL :223157590053 PLAT : DIV : BLK : LOT !
,JOB ADDRESS : 5230 NE ELFE NQAHL PASS RD BEL FA I R
OWNER : SAM GOMELY )253- 836-1371
CONTRACTOR :
LEGAL : 18 5 0 OF SURVEY 2112/41 D OF SP 11484
CLASS OF WORK . :NFW suE 3 BAT'I1 : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT RY DATF RECEIPT
TYPE OF USE . . . . :Mtt STAR IFS . . . . . . . . 1 _ M, :-_ r n .::: K:.r • � w: _ ��_ , .�,: :x
OCCUP . GROUP . . . :? BLDG . HEIGHT_ : O .Oft PRMT 1 160.00 1W 04/16190 46520
TYPE OF CONS'T :? FIREPLACES 0 Sift 1 4.50 TV 04116198 46820
OCCUP . LOAD . . . 0 W DSTOVES . . . . : 0 EHCP 1 50.00 TN 04116198 46820
DWELL .UNITS . . . : a P KING SPACES r 0 ADDR ! 5.00 TV 0406198 4682N
�f
INSPECTION ARFA : 2 SI OREL I Nf_? . . . . :N LIDAL: 219.50 VAtUTA11ON: 54240 ac..
SETBACKS- - _._.______.___ T41_ETS . . . . . . . . . . 1 0 FUEL 1-YPES-----.-.---.--- BOILERS/COMP----- _- MOBILE HOME:----
FRONT . . .E 1 25 .0f t bAr H RAS INS . . . . . . . 0 1 0- 3 HP . : 0
.REAR . . . .W 162 .0f t B44H TUBS . . . . . . . . . 0 3-15 HP . : 0 MODEL :PAt,.M HARE311
SIDE ( 1 ) .N 20 : 0ft SHOWERS , . . . . . . . . . . 0 FURN .:: 1O0K BTU : 0 15-30 HP . : 0 --MAKE -_-.
S I DE: ( 2 ) .S 51 .Oft WATER HEATERS . . . . : 0 FURN >-100K PTU : 0 30-50 HP . : 0 3042
SHRL. I NE .N 0 .Oft CLOTHES WASHERS - . : 0 FURN FLOOR . . . : 0 50•+ fit' . ; 0
AREA ---- -- _____ KIJCHEN, SINKS . . . . : 0 HEAT PUMP . . . . . .: 0 98
i LOT S17.E . - : FVOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LE:NGTH :48
BUILDING . . . : 1176sf D1(•4NKING FOUNT . . . : 0 VENT FANS . . . . . . s 0 HOODS . . . . . . . : 0 WIDTH . ,28
BASEMENT . . . . Osf LAUNDRY TRAYS . . . .. : 0 DOMES . INCIN :O -SERIAL#-
DECKS . . . . . . : 0:sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O 2584
GAIT/CARP :? 0;t GARB DISPOSALS . . . : 0 :— 10000 cEm . : 0 RELOC/RE:PAIA : 0
AT/DT . :? OR I A�L,S . . . . . . . . . 0 > 10000 cfm . : 0 OTHER UNITS . : 0
M I SC PL_M FIXTURES : 0 GAS OUTI_F TS . : 0
it :-s,_:��-.�.� :�.� �.--��,:,x..�.. ..�T_..�,.:.�_��._ �:.�---�-�--�-�� ,�:�.��x-:�:�.._..---�-�: �:�--_:�,_r��::.� �-�.Y�,�u:.�-:. ,�- ,�r:�:�-�;_•.,-..,���
PROJECT OFSCRIPTiON;MOBiLE HOMI � .
PROJECT 10CAT.1O0;IA1F 1AHUYA HWY 10 FFFENDAH D TURN RIGHT AND PROCFDE APPROX 4 MILES LOT ON RIGHT PFID REALTY SIGNS.
IRIS PERMIT BECOMES NULL AND VOID IF WORK 01 C$1STRUCT1,O11 AUTHORIZED IS NOT COMMENCED WITHIN 109 DAYS, OR IF COMSfRUCIIOM OR WORK IS SUSPENOEO FOR, A PERIOD
OF 160 OATS AT ANY TIME AFTER WORK IS CONMEIICFD. .fVIOENCF- OF CONTINUATION OF WOR9 IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAI IN321�,11411 MUST B1
APP80VEO BEFORI 81111.0116 CAN 6F OCCUPIED.
OWNER OR AGENT, �.r�_ �e�;( ..`.. DATE:
RL o PRMT, rav: A3131 f 91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date C./^Z-Y-`;�Q' by T/? 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 NAILINGr�� ,�
date by date by
Water Line FINAL INSPECTION
I
date by date by date by
V�---------
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE RM 1 T_ C: 0r141. r 1 T` I C7N �
Case No . : BLD98-0265
For : SAM GOMFLY
Page : 1
y
1 ) Approved per dimensions and setbacks on submitted site plan ._._ __.__._______.........___.. __.__.-
2 ) Temporary erosion control measures must he implemented to prevent water quality
degra �;, of adjacent waters or wetlands ,
3 ) Proposed structure or any portion 'thereof greater than 30" In height from grade 1 i r,e ,
must maintain a minimum of 15 ' setback frot.n all property I i nes , easements and 10 ' from
ay nt,
II CouY d State Road right of ways ,.
4) Provisions for surface/ subsurface drainace control must be impleme+tted with new
construction or development on site and MUST NOT adversely impact adjacent parcels .
Under the requirements of Mason Count Stormwater Ordinance either private ditches and
drains will meet requirements of the stormwater ordinance or prior approval will be
granted to use an existing utility and drainage easement dedicated for that specific
put^pose .
for further, information regardinci -this ordinance and the REQUIRI"MFNT to obtain an
ACCESS PERMIT for they installation/construction of a drigeway or access oonner,ting trout
a Mason County Road, Contact the Mason County Public Works Department prior to
construction at Ext 450 .
For any construction which is proposed to be located within ' 5 ' of a Mason County road
right of way, It is suggested to contact that office to review future planned work which
may affect your project. .
n ) the use, handling and storage of hazardous materials or, fiammable and combustible
liquids In excess of 10 gallons is not allowed without the approval of the Mason County
F ire Mir1 .
x._
6) A I I opproved p l ans are requ l red to be on--site for i nspeat i on purpose:. . If Inspection
i , called for and plans are not on site, Approval WILL NOT be granted . 1n addition , a
Re- inspection fee in the amount of $34 .00 per hoirr, (minimum 1 hour ) will be charged and
I
I
L,_----------- -- ----.-------- ------ -- ------ -- ------- -----..-------
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
approva i r nted .
X__.
7 ) PORSUANT TO 1994 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 AI. L SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Bt 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
RE I NSPECT I ON FEE , BASED ON RATES IN TABI,f 3A OF 'THE 1994 1.1N I FORM BUILDING CODE WILL. HE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
i NSPE( I Orhl
X
R ) Owner/ builder assumes all responsibility If drainfield oared Is
encumber d .
`J
9 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-- up Inspect: ion--prior to
skirting, Final Inspection-prior to occupancy ) . I have received a copy of the General
Information and Guldelines-Mobile/Manufactured Housing installations Handout for
detailed descriptions of all required inspections on my mobile/manufactured home
I nsta 1 I at i on . I hereby assume all responsibility for the scheduling of theses required
inspections . If these required inspections are not requested, Inspected and signed
off (approved) by 'the inspector In the prescribed order , 1 understand that ceinspeotion
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
e scheduled as time allows . Until resolution of any/Tali prpblems no occupancy ( Final
Inspection ) will he granted for the residence .
fo
OWN E R/CONTRACTOR( i n d i c.a t e which ) S i c1 n a t u r e X.
10) 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 quardrail . Any Iarrding 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 pei^mit application . This Installation Permit does
NOT include any landi,ng ,or deck larger than the 36" x 36" size .
i
k MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
11 ) ALL CONSTRUCTION MUST MEET OR EXCEFD LOCAL CODES . IF ANY QUESTIONS, Pt. EASE
CALL 1�C, OFFICE BEFORE CONSTRUCTION .
C
l
i
Palm Nampft" If No"The very '
best hom�-,for • • -
OPTION CORNER BAY
0 o UB/SHOWER (5)30-Yix53 WITH \
TUB/SHOWER � I.
I J W (5)30-V4x17 ABOVE
o
MASTER I lu DINING ROOM LIVING ROOM m
BATH FpEE R i < 8'-8 13'-6" r)
S A X X
i O O
FURN W/H
PLANT SHELF
ri OPTION BOX BAY
[� NICHE
Iv- It OPT
MICRO
PLANT SHELF
MASTER BEDROOM ,
BEDROOM #2 KIMIEN
PORCH
MODEL 3042
APPROXIMATELY 1120 SO. FT. REY FEATURES
MILLERSBURG,OR REV. 12/16/96
, Gourmet Kitchen. Covered Parch
l; '3� 07 � I Large Master Bedroom Walk in Closets
Spacious Living Room Utility to Bath Access
Because Palm Harbor Homes has a continuous product updating and
improvement process, specifications are subject to change without notice or
obligation. Likewise, the floor plan shown is representative only and may vary palm
from the actual home.Square footage calculations are based on nominal widths 04— I e
and all room dimensions area approximate subject to inciustr y standards.F.-values
PP 1 I I WAIN
may vary in compressed areas. Some transportation components may have COPYRIGHTC-.M BY PALM HARBOR HOMES,!NC. I�
been recyc!ea after close inspection for safety and appearance. .U.RIGHTS RESERVED NO�Q=
-L+ "�iLwm4-MIN
Permit No. T3l n y84 a"Zlo5
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PL E PRIN
1 Owner S M 5*vd Oit4 Phone# `.s� �5 "7/
Site Address n E I Rnd 'RoadFire District#
City St zipl�g 55A
Directions to Job Site 7f�K� ,*,eCA7'1Y f✓y Zr2 Z�--ZE11/f>RfrL rG�tT
Owner Mailing Address G'/ Z Zki►r' ��
City Ayj3 St 14 !1- Zips d
Lien/Title Holder
Address
City St / Zip
#2 Contractor N e !t/�uwiu i _,a, _ ._c, UBI # Zd/&IOf iF1
Address > //Lw5-2— Contractor Reg#/�i�lfl��titl3, cr,-r/>ti'
City %������� St�Zip Phone j'&cl . ,6V Expiration Date li3
#3 If septic is located on project site, include records.
Connect to Septic? r 5 Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
# Parcel No?C
Legal Description y Zlr'Z>4'0 GG S/"
#5 Building Square Footage: 1(7
1 st FI 2nd FI 3rd FI Lo Basement
# Be rooms #bathrooms 2-- Deck Other
e Carport (Circle: Attached or et ed?) �
#6 Use of building Acs104:-/T.i1-L- Describe prk S� J&3�
#7 Type of Job: New Add Alt Repair Other W 3 1998
#8 MOBILE/MANUFACTURED f IQME INFORMATION h v ,,�I HI�Ct l',EIVTE
Model Year MakesM Model G Z
LengthL� Width -).L9i Serial No. Ls?y
# Bedrooms 3 # Bathrooms Type of Heat E,% A,.
Purchase Price$
#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 /l/
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
�t ' Sz/ w J
� �tl q_ �
CIO
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
rruiL'�c:"
Plumbing Fixtures ($3.45 each] Fee Mechanical Fixtures ($7.00 eachq
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 17.25 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 17.25
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
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 X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Ap ov
Planning: t A,
Environmental Health:
Building Plan Review �S 0 X
/OD/ /o oa 6-0 o �`01,3
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
pD
Building Permit �(�o —
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee S�
Other
Other
Other
Building Valuation: TOTAL FEE