HomeMy WebLinkAboutBLD94-01845 Final Mobile Home and Deck - BLD Permit / Conditions - 7/13/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
R tJ I I. t ) 1 N C:- P 1= F1 M 1 T FOR INSPECTIONS CALL. 42 7-9670
BETWEEN 5pm AND Sam 427-7262
RL.D94-1845 PARCEL :2232_0500000q PLAT :L.API.O D I V : BLK : LOT : 9
.JOB ADDRESS : NE 80 PARK IN TAHUYA
OWNER : At-LEN G I LSON 698--9?64
CONTRACTOR - BUY RITE HOME'.'► 479-0795
LEGAL : LAKE CHRISTINE IST All RLK: tOT: 1 FS 15463 tK 461
CLASS OF WORK . . :NEW BFDR : 3 BAIH : TYPE ANOUNT BY DATE RECEIPT TYPE AMOUNT 6Y DATE RfuIP1I
TYPE OF USE — :MH STORIES — . . . . . : 1
OCCUP . GROUP . . .. :? SLDG . HEIGHT . s O ,Oft MHOF t {01.10 Nip 1i111195 3$156
TYPE OF CONST . . :? FIREPLACES . ; 0 STFE f 4.50 Nip 11l{1195 38156
OCCUP . LOAD . . . 0 WOODSTOVE S . . . . : 0 INC? ! 10.00 Nip 11 r 1 1195 38156
DWELL .UN ITS . . > . . 0 PARKING SPACES : 0 PLCK 11 6.51 NJP 61111195 36156
INSPEC F I ON AREA : 1 SHORE:L i NE? :. . . . :N ITOTAI : 121.00 VALULATION:
SETBACKS-- __._______.__ .__ TOILETS . . . . . . . . . . : 0 FUEL TYPES- -- __. _._-_ - _. F0fLERS/C0MP- - --- MOBILE HOME-
FRONT . . .S 10 .Oft BATH BAS, INS . . . . . . a 0 0-3 HP . : 0
REAR . . . .N ?O .Oft BATH TUBS . . . . . . . . ; 0 3-15 HP . : 0 MODEL :SKYLINE
SIDE ( 1 ) .E 10 .Of t SHOWERS . . . . . . . .. . . . 0 F URN < 100K 13T U t 0 15--30 Hr. : 0 -MAKE-- - - -
S I DF (2 ) .W 10 . 0f t WATER HFA1 ERS . . . . 1 0 FURN y-100K BTU : 0 30-50 HP , : 0 LEX I Nt.TON
SHRL I NE . 0 .Oft CLOTHES WASHERS., : 0 F'URN F"L_OOR . r . 0 5041 HP . ; 0 .-YEAR.-
AREA ----- ------------ KITCHEN SINKS . . . . : 0 HEAT PUNIP' . . . . . . : 0 95
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH :60
BUILDING . . . . 1680sf DRINKING FOUNT . . . . 0 VFNT FANS . . . . . . . 0 HOODS . . . . . . . . 0 WIDTH . :28
BASEMFNT . . . : Oaf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :OERtAL #- -
DECKS . . . . . . . Osf DISHWASHERS . . . . . . ; 0 AIR HANDLING UNITS- - COMMI. . 1NCINzO FACTO
GAR/CARP :? Osf GARB DISPOSALS . . . : 0 10000 afm . : 0 RELOC!RFPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 - 10000 r.fm . : 0 OTHER UNITS . : 0
MI SC Pl_M FIXTURES : 0 GAS OUTLETS — 0
.x=.."':��".�-BLS^..".:1Y..X'."R?9�'�"R.T.:.T-L'Y�"'/fS' ..�'S]fC4'.�11aTR.'LS.".:5:'GCE.4.4'4T,e.�.—.:J`.S'"-,+:�S:S.:'iZZST,'..".^i,.:4CtiT.,.e:2YtCG.'CIeY:.1RD.t�'&i:.>1V€S'&C.'.C='.. ,r„S..'KS "":..•^:-RZS'y-�CC'+:._._..C,..4..:._`!:R%C.T.Yt '^:-
PROJECT 6ESCRIPTION:NO6111 HOMT
PROJECT tOCATION:afLFAIN TAHUYA RD TR RIGHT AT LAKE CHRISTINE, TURN R16HI ONTO PARK IANE 211 DRIVEWAY ON RIGHT,
THIS PERNIT BECOMES NUIt AND VOID IF $OAF OR CONSTRUCTION AUTHOR17EP IS NOT COMMENCED WITHIN 181 DAYS OR IF CONSTRUCTION OR WORK 13 SUSPENDED FOR A PERIOD
OF 180 DAYS AT ANY TINE AFTER WORK 13 COMMENCED, EVIDENCE OF CONTINUATION Of WORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL IN,">PECTION MUST BE
APPROVED RFFORf 9011.01NG CAN RE OCCUPIED,
OWNER OR AGENT: �.r t.:'�, __ _.... OATf:OLD Pill, rev: B3 tl91r� COME i_ !ANL:E TO 'ATTACHED GOND t F!ONS 1 S RE:L1U!IiED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date ��7— 5 b L�
Foundation Walls date by Set Up
date by INSULATION date 7 —13 -5 ~ by L
BG/SLAB Insulation Floors Final
date by date by date — /3-- S by -�
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b
D.W.V. WALLBOARD NAILING b S./�-� • t
date by y
Water Line FINAL INSPECTION
date by date by date by
lJ� Oe,
ss n 1
S• Lr0►,i��/L +�cr�!`�,P�r �1�1�cS G.'1' �� ��4C o� ZSOc�In�< </��/' -Ji�C
Ur 1-e �c C�c,,-L i r e i L a 4 cs/J4 '�cr' 7�� _. L,c/ 7� /� f
7, cProL)'0 , j
4"1ts
V�� 'T� �✓�/ ^ � y P rG )!G!"C �' �1 GL L � Y S ✓I Y_yC / �B
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E R M 1 -T f: ca N r) I -r I CIO N
rase No . . RLD94-1845
Fcar AI tt'N GIl_SON
Page : i
1 ) The use , hand 1 i ng and storage of haznr,dou9 matey- i a I s or, f i ammab1 H and combust I bI e
liquids i n oxcess of 10 gallons is not allowed without the appr-oval or the Mason County
F I rP Marstoa I .
x
!
? } .�`rucaure must be soRt black 5 ' from all ut i 1 I ty and drainage easements , a total of 10 '
c
from a4%i property.. 1ines , or a varianoe must be obtained from the BuiIding Department .
:3 ) Prop sed structure or, any portion thereof greater, than 30" In height from tirade line.
must ,maintain a minimum of 5 ' setback from all property l i nes , easements and right of
ways
X
rw(� ,'-2 t'ckb4 W-7
(gLc Permit No.
Z426
MASON C UN Y
BUILDING PERMIT APPLICATION W. Cedar/P.O. Box 186, Shelton, WA 98584 427 9670/1 800 562 5628 ID
PLEASE PRINT
#1 Own CT ' Phone# 07
e Address iU ET 2D Q K li t n P Fire District#
City St_ /�4 Zip
Directions to Job ite 11/`
_ Q
Owner Mailing Address
City m e StZip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name Contractor Reg#daz i4-*osz/05
Address �35 Expiration Date_/ Z3 /
City St Zip Phone#
#3 If septic is located on project site, include records.
Connect to Septic?_�6 Public Water Supply 1�Well
Connect to Sewer System? Name of System
(If reside al, proof of potable water is required)
#4(); rcel No.;;223Q- S0 - 000/)
Legal Description _gyp
#5 Building Square Footage: (existingvoposed
1st FI / 2nd FI, / 3rd FI / Loft /
Basement / Deis #bedrooms / #bathrooms /
Garage / Carport / (Circle: Attached or Detached?)
Other sq.ft. /
1
#6 Use of building itc-1 CI Describe work
#7 Type of Job: New-7;K_� Add Alt Repair Other
#8 MOBILE/MANUF CTURED HOME INFORMATION
Model Year (4h Make5K ,�?CModel n ,176
LoC�
Length Width Serial No.
9
# Bedrooms # Bathrooms Type of Heat
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
w
Show following on the site plan
Lot Dimensions Flood Zones f
Existing Structures Fences 11•�/
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 I aX',+, .plan
APPLICANT TO D C _
� 00.001
T--I — — — — — — NO2! ��' L ONf103 1N3W3S� J,11�
'2i3N?!00 M3N -Gs
'3dld NO& „Z/t S �! o
03&n.LSI0 AlOve oNf10d
-
��kl�� 'f z NOW00V
v ,61 I l
SOON d0 311d ei
3 'fJ0 l4n03 d NO2ll „Z/l ON(10�
3dl
00'ZZ
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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 BT
_Hot Wate Htr _ Heatpumps
_Laundry Was _ Vent Sy ms
Sinks S 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 P BING $ No. h r
_ Ga Outlets
Wood, s, 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- TOTAL MECHANICAL $
MENCED. PROOF OF CONTINUATION OF WORK IS BY �$
MEANS OF A PROGRESS INSPECTION. O �'
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 PARTMENT. DEPARTMENT.
X OWNER X BY
DATE 7 l DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
-- - -— — -- --- -- ------ —-- -- — - ---'
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 0)(AI11' - Se�bc_c.,V S
Environmental Health: 00r, O K qF• UeNfiGio(t
-ildf,c OK ner' ("f3.�y��F lq^ W�-�, �1GL IJe►'ISyn
on i�io��jS'
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
II
Special Conditions: ,sxy" oce-e- Y,�) j Ca FEES
Building Permit 1 (p
Plan Check 6�
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE