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BLD97-00445 Mobile Home - BLD Permit / Conditions - 7/3/1997
MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 B Lf 1 T_- 01 1 N C-% P F= F? M I l ; UR INSPECT 1 t:N -..F,1 L 42 iiu70 BETWEEN 5pm AND Dam 44-7-7262 BLD97-0445 PARCEL :2231950009179 Pt.AT :WOPt_0 D I V : BLK , LOT s JOB ADORFSS : NE 2460 TA1TI.IYA Bt.ACKSMI Fil RD 1'AHt.IYA OWNER , I..ARRY NOR!_ IIN 1-106-759--2087 c',ET'NTRAC TOR LAZY ' 111011T' CENTF 14 ,- V.FGAL : ROOTER LAKE TRACTS TA 71 .JN.Jfi i'^L:SL�w.!'S+S_�F±ln':l.T•q�_X^`i'..�-Y-'T.iat':'A1'S]QA#"�^'>•..t^".J'.a..iIlC.^.��cyg3R�R'.3'iR"iLE'.••: . - C'SL'!'g4'��aL—.�..._. CLASS OF WORK . . :NFVW BE:DR : 2 BATH : 2F1YPE AMOUNT BY DATE V.FCFIPI I1YPE AMOUNT SY DATE RECEIPTI TYPE OF USE . . . . :MH STORIES . . . . . . . . 1 OCCUP , GROUP . . .. :7 BI.DG . HE I GHT . . : O .Oft MHOf 4 155.00 11 071#31,47 044950 TYPE OF CONST . . .7 FIRFPLACFS . . , . : 0 SIFE 1 4,56 if 07113191 044850 t OCCUP . LOAD . . . . : 0 WOODSTAVF S . . , . : 0 ENCP S 26.04 11 0716310 0448SO DWFI..L .LINITS . . . , 0 PARKING SPACES : 0 I NSO CT I ON AREA , i SHOREL. I NE 7 . . . :Y 1 110TAL: 10,56 VALM AT ION: 65113i ¢' - �2rrSl'7S�C.N9�1.::L'r2'.pt:.:.:^S3TYG�-'Trl[L'R4:�Fl6.IR9.�:L'3Y iMRl�Y9TL-N�:'S'-"JIR.'.^.�'.3:.'tiSZY�.'S.C102'.T•••t:�6Pi.SSg4..'o' SFTBACKS- -- -- -- _- - TOI I..ETC. . . . . : 0 FUEt_ TYPES- -._.. __ .,_.- BOILERS/COMP-- 1,40E I t.E HOME— FRONT . . .F 19 .Oft BATH ETASINS . . . . . . : 0 0-3 HP . : 0 REAR . — W 25 .Oft BATH TUBS . . . . . . . . t 0 3-16 HP , .- 0 MODEL. -MARI-E TTE SIDE( 1 ) .N 62 .0fi SHOWERS . . . . . . . . . . : 0 FURN < TOOK BTti : 0 15-30 lip . : 0 MAKF- SiDE (2 ) :S 10 ,Oft WATER HEATERS . . . . a 0 FURN >= 100K BTU : 0 30-50 HP . : 0 BROOKWOOD SNR1. 1NE .E 1�T .oft C!_OTFiF.S WASHERS . . r 0 FURN - FLOOR . . . : 0 50 tip . : 0 -YEAR--- AREA ---- _ _ _ . _..__. .___.. KITCHEN SINKS . . 0 HFAT PUMP . . . . . . : 0 97 LOT 'SIZE . , : FL OOR DRA INS . , . 0 VENT SYSTEMS , 0 FVAP COOLERS - 0 t.FNGTH 6 BUILDING . . . : 1493sf DRINKING ' FOUNT . , . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 W1DTH . :28 ERASFMENT . . . : Ost LAUNDRY TRAYS . . . . . 0 DOMFS , INCIN :O SFRIALII_ ._ .... DECKS . . . . . . . 08f DISHWASHERS . . . . . . ; 0 AIR HANDLING UNITS-._ COMML. . INCIN :O FACTO GAR/CARP :? Off GARB DISPOSPL S . . . . 0 `: 10000 otm . : 0 PEI OC/REPAIR r 0 AT/E)T . :? URINALS. . . - , . . . , . : 0 > 10000 0ftt'► . : 0 OTHER UNITS . : 0 MISC PLM rIXTURESs 0 (SAS OUTLET`. . : 0 .—"•"••�•^-•• T.JKM'YNgF"SSgCPtYnOPaa•-4C:'rJ:.W^..a_CrL�'S.O-2et�'nCr..ec'2GwaL"mx.R.tiCa:^SAP.^.T,4."a':A."onC+F•..aGL..:GIs'•.tav,7.....s`-.xtR_Y�':.i: yT.:�z'.s��'Y.'r'::'AS9.�-,'.w.i"•e..:A46m✓'.:F#C'aM.•-^.+'.'SAcs1.'�-"-H.4ffM:s't':3�vrar,..c5.'n.t'.n_-Y�a::..:.:Y+_�r,v9.�sSWc'a.s4".a.Y.z.'-�-. .ROlEt<T DESCRIPTION�MOaItF HONE F10JECt tOCaTION�BEtFAfB 3"" MItEw TURN OFF TO HAVER AND lAK'E 10010 STAY 'UN ND 8 illlE'� PAST AAVEN tAKF, 49 will T TURH LEFT TO NEXT STOP TURN RIGHT PROPERTY 14 11IE OA AIGNT. His PER011 REC0ME5 NVtl AND VOID IF WORK ON f.ONSTRU£TION AUTHORl7ED is NOT COMMENCED 111HIN 1E0 PAYS, 08 IF CONSTRUCTION OR 100 IS !USP(NDED FOR A PERIOD �F t80 GAYS AT ANY TIME AFTER WORK IS CONNEOCED, EVIDENCE OF CONTINUATION OF WORK IS A PR08RES1 INSPECTION WITHIN FNF )8! DAY PERIOD FINA! 11SPECTIO11 MUST RE PPROVFD RE.FORF R011DINa CAN AE OCCUPIED. 111ft OR AGENT: �"--- t - tl _...._.._ _. ._.._ ._ __._. __..�__.._. DAIEs I.O. PRAT, rev, 631 t 19 c:OMPL. I ANCV TO. ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date le,?— 7 77 b 17 Foundation Walls date by Set Up c/ date by INSULATION date L' 'L� / 7 by T1 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 I Building Permit #�l7-�`/�S MASON COUNTY BUILDING III 426^ CEDAR SHELTON, WA5HINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 2 6Y6y 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 / s 2� nf You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK a Call for re-inspection when corrections are made before continuing Make corrections, items will be checked on next inspection a OK to— ZOE Department 13&0 Date h5P - Z g � Inspector 72zf /t�IAry " ■ ioo O NUT ism Mo *V T Imulk T ,� Building Permit # MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Z yG6 T�/tvs-� B6-K-IC5-117i771 rro 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 Ao psi /f lo�F s� 211 w4 G Says S )c'e>,fm•s S ,� G off 3) CC �F7•✓ Uvj F©i?� TO LVLL I����%/f q9/S6 6 69, To 3 IS 7 ,r7 dvio� SiT/_= D�.�i✓ — ��' cr��-�JI� /�/.3r'vT �SF_r,a,�c� f'�oM �.�I.�cc You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ),Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to Department Date / - Inspector. ■ 10041_0 *T MO VV 1 T' ,u MASON COUNTY Mason County Bldg. III 426 W, Cedar P.O, Box 186 Shelton, Washington 98584 ,Case No . s 8L.D97 -0445 For - LARRY NORL. I N Page , t 1 ) The undersigned property owner- ics eware of the uncertainty recarardim(.i Mason Countv ' �: 'Development regulations created by the Growth Managment Hearings Board ' s Order of Ootobe+r 2 , 1996, and in consideration of Maeon County 's wi l l ingneess to proceed with proce.9s i ng of applications which might be 3ffeo ted by the Order , the undersigned rop"rt y owner hereby agrees to waive any I aw3u i t , act i,on , or claim for damages raga i n�,t a5on County which ma arise out of Mason County 's actions in acceptance, processing andfor issuance of �u% permits or approvals ( hereinafter "pe-rmitting actions" ) , which damages are attributable to the County 's decision to take permitting actions despite the risk that changes to the County 's development recyulation;, might later make the ounty '%� perwittinq rac;tions invalid . 2 ) This application is s>erb jest to Buffer and Landscaping requirements as establ i sheo finder Masson Couiety Ordinance 1 ,03 ,03f . 3 ) They use, handling and storage of hazardous matey i a l t. or flammable and combustible :. 1.i qu l ds In excess of 10 p a l 1 onu is riot a l l oWesi without the approval of the Mason Coun t y Fire Marshal . ti 4 ) Proposed strut:}++..iree or any portion thereof greater than 30" in heluhi from grade line, must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from 1l Countv and State Poad right or ways . 5) The proposed project roust be consistent with all applicable pr l i c l es and other provislons or the Shoreline Management Act , its rules, anti the Mason County Shoreline star P!Aou am . - - - ---- - ------- -- - - - MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 6 ) The app i i oan-1 acknow l edges t hat th t , 11 �.-E ment was t Led , „ tam L i ;Ai r :,.. i, s - proterti n easures wiil not be required for protnotion of the facility . ..._..W_-- __-----.._.. _-- ......._.____,— - 7 ? Ap proved per d i mons i ons and setback:; on subm i fit d site plan . Shoreline setbantr sha I l be 19 feet from the edge of Wooten Lake . Et ) Subject to vomment s of Shoreline Pre.- Inspection of it -�2-98 < ;) 1-1 RSUANT TO 1944 UNIFORM BUILDING CODE , SECTION S05(C ) AND SC C'T l()N 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 FRONTIN(B THE PROPERTY , MASZON COUNTY BU! LDING DF PARTMENT REQUIRES THAT THIS BF COMPLETED PP 1 OR TO CALLING FOR ANY SITE I NSPECT I ONS . A ftE 1 NSPECT I Off FEE BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BF ASSESSED IFOWNEAICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING � INSPECTIONS . 10) REQUIRED INSPECTIONS ( Foot t ng Inspect ion-•pr I or to pour , Set-up I nspeot i on prior In skirting, Final Inspection--prior to occupancy ) . I have reoeived a copy of the Grneraal i information and Guidelines-Mob to/Manufactured Flousing Instal lat ions: Handout f(it, detailed descriptions of all required inspections on my mob I l e/mantafacttsred home instal l at i on . I hereby assunip a I I responsibility for the sc.hodu i i nq of these rentr l r ed Inspections . If these required Inspections are not requested, inspected and oigned off (approved ) by the Inspector in the prescribed order , 1 understand that reinspection fees and an hourly Investltatian fee pursuant to the 1991 I)BC , Table 3A will be assessed in addition to my oriUinaI permit fees to resolve any questionable practices or problems that have been discovered . t further understand that this Investigation will be scheduled as time allows . Unt I I re-so i tit i on c;f any/a I I prob I ems no occupancy ( F i na 1 Inspection ) will he granted for the revsidenoe OWNER;CONTRACTOR ( Indirate which ) Signature 1 1 ) A ' ' e/manufar,ttrreel home 1 and i nccl�s or, decak is must be freest and i ng ( elfss supporting) . T Est laodi ► g or deck permitted without drawings or a building permit is 36" x 3 landing or deck that Is 30" or more In height from walking surface to finish luires a guardrail . Any landing or deck that has 4 or more risers requiram!: a Any landing or, dock larger than 36". x 36" must be permitted which requires � T MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 A i, iw i Permit No. MASON COUNTY BUILDING PERMIT APPLICATION q%A a�`� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 ,Qj O PLEASE PRINT vv #1 Owdr ,044-ke-nI Q Phone# -2'J49� Tity e Address /�/E -24 Le Ta hu! cc, u�K.�m 4-h woad Fire District# c�- 7-191: u,;4 St '4/0 J 6 Zip 5586 Directions to Job Site oQwj /G vAJJ'AlYai.1 11 A✓J it. f J t v o T Owner Mailing Address(�) ,,,.� �L.✓Tx� /I V-J �.aD, Ac City &VQ4-Lu4 StW�k+- Zip W221 Lien/Title Holder Address City A St Zip #2 Contractor Name Z Contractor Reg# Address 4i-VI C ^.,C/461,fAJ .E Expiration Date City St— Zip 5/3 ' Phone# XY?-'2J V-Yo,000 #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) # arcel No. Legal Description XPT.7 g 4V-ycV2-,J gAZ ALNG /1LsT 6�/ /Z G &X ✓vo1A.tQ n/ �t9 JNT #5 Building Square Footage: (existin ropose 1 st FI /y-73 / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms/ #bathrooms Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building / i/.1.•,✓c-E Describe work�/ cc� /)L 'It-z'J G #7 Type of Jo(Newt Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year ! l�17 Mak - /G,-Model!SZ 2 -Vc.,,-4 Length Width .2 S� Serial No. �i1Cf�G�t�ti # Bedrooms # Bathrooms Z Type of Heat JflL� Purchase Price$ &f2-30,`- w•Vf #9 Indicate b circling the applicable source if an water is on or adjacent to subjectproperty: Y 9 PP Y 1 1 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 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 4A�cx in relation to plot plan APPLICANT TO DRAW SITE PLAN BEL r 1 CJ ` APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.25 each Fee Mechanical Fixtures ($6.50 eachl No.�iToilets CIRCLE FUEL TYPE: Gas, Electric, vBath Basins Heatpump, Other _-"ath Tubs No. Units Fees ! Showers / Furn BTU Hot Water Htr _ Heatpumps Laundry Washer Vent � y aZ Vent Systc%rns 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 16.25 _ 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 16.25 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. 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. DnEPART MENT4 X OWNER X DATE DATE —e'77151792 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: u 516 C Environmental Health: D. CO�Anw4nL Building Plan Review 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 �N L). H&72 Other Building Valuation: TOTAL FEE