HomeMy WebLinkAboutBLD97-00237 Mobile Home - BLD Permit / Conditions - 4/22/1997 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
EISL.) 1 U., " 1 N `:a PU% 1-41`rl 1 'IE FOR INE;PECT IONS (:At I_ 42t-•96t0
BETWEEN Spot AND Sam 427-7262
BL097 0237 PARCFL 12 , 32050Pt0OS4 PLAT :L APL.O R f V : 61-K : l.Or : 54
JOB ADDRf:'S r NF fit RHODY UN TAHIJYA
OWNER : RUSSEL.I. SCANT ON * 275-7208
CONTRACTOR ; MARY PI 11104VI-i f k14l. 5fiflfl
LEGAL : LAVE CHRISTINE tST ADD RINs 1011 54
a,::::xsr.,a.^c^raxsasar••wa,s,mr�.amcrxarr..m:a•e.�r.:s carse. :x.:. ecn�.m^trtisu�=^r.r:.;.x extaH.:.:;� :ar^ss-.�s..a:a:,m+s�a::.m�;.-mse^.
CLANG OF WORK , .NrW REDR : 13 .RATf1 : TYPE ANOUNT Ili DATE RfCEiP l'!PE tiN9UNt AY DATI R4CEIPT
1 YPF OF USE . . . . sMH PT011 1 v e;
OCCUP . GROUP . . R3 RL.I)4 . IIF f GHT 0 .Olf t NHOf F 155.f f MC 44122197 44304
TYPE OF CONS I, :FIN f f RE"Pt ACF.S, 0 Siff # 4,50 9S 04/22197 44309 i
OCCUP . i OAO . 0 WOODSTOVES . . . 0 ifHCP # ?6.81 lft 44;22/97 44388
DWFII .UNITS - , . . 0 PARKING, SPACES : N
INGPFCTION AREA 1 S14OPFI INE7 . . . . ;N � �iO1Rt: 185.5N VALUTA� IONs 4'/40
�xrepaxr:rwcssx'rax?aa::s^:_a�.^sa:9».ru 7-iWe+tx-s^- •roc-•:rn�«.�t-c�.zc ns^xsvv.;•�ar•.X r.s¢:s.�z s-:�.�•r..e.�r.W'a.x,:r
SFTRArKS----__ _._ .--- .__. ._ TOILFTS . . . . . . 0 FUEL TYPES - __. .__ .._ ._.__ 801LERS/COMP -- - MORILF HOME---
FRONT . , . N 10 Ott PATH RAS I NS • 0 t 0- 3 RIP . : 0
REAR 175 .Oft RATH TUBS . , . . . . . . . 0 3- 15 HP . .. 0 MODE I_ ,MARI.ETifE
SIDf`. ( 1 } .E" 10 ,0.1' 1 SH«WFR`3 . . . . v4 I"Ijf?N - IOOK RTtl : 0 15 30 HP . ; 0 - MAI(.
SIDE (2 ) .W 10 .0ft WATER HEATFRS . . • 0 FURN >-100K STU : 0 30-50 HP . : 0 9502
SHRL I NE . 0 0t t Cl OTHES wttSAIFRS . 0 f URN -- FI.0011 , . : 0 t;0,4. lip . : 0 YF'AR. .
AREA - .____._ .._"_ --.--.__._.....r KITCHEN SINKS . . - . : 0 14EAT PUMP . . . . . . : 0 97
I. Of S 1 IF . : : FL OOR DRA t NS . . , : 0 VENT SYSTEM,`= . , . > 0 L VAP COOI-ERS ; N 1 f NGTtt 48
81!1 L D I NG . : 1280s r DRINKING FOUNT , 0 VENT FANS - . , 0 HOODS — _ . ;. . . . < . : 0 WIDTH . :27
BASFMFNT . , . : 0 s t I AONDAY 'i-RAVE; . r 0 DOMES . iNCIN :O .;ERIA1 �
DECKS . - - . : , s Osf DISHWASHERS . , . . , . : G AIR HANDLING UNITS— COMMI . I NC I N sO
GPR:`GAIIP :1 ORf (;APE'. fat SPOSAI !. . t;i -;— 10000 i:flts . 0 RFIOCFRFPA ITt : 0
A ( Z Of .. :7 URINALS . . . . . . . . . 0 > 10000 aftn < : 0 0("HER UN I T'S . : O
141 `",C PL.M F I XT11RF . s 0 NAS 00it I"TS : r 0
+ :ax 's....-'�r'av c2S.�,X.r.+-.-e-Zea'•.�.r1::.:c..-sz_ra1�:.T:-r:.u:TP-�:G::�rsa1%:k'a-Cs.star%a�?-cs3a.>:n:zx-s�cma..c�-Sr..v^�3="cx.7.x-.s..x..:.•ra.2.�.:�'t�.:.ct-c^L'Y..Tae�".�^...-.cc'2+;z.4wia-attar_'9"Kxr.,'a:..�-.ssxY.;.s.x"-.:v�A-¢err.�;•.•...r...s� a-.1:1:...�f::t.2^'.:A:.:a sr.�» 1I
PROJECT DESCRIPTIOA:1lOti1F HONF
PROdit'T LOCATIC11:fOH01 NTN VITN 1010 its IAK4 CHRISTINE PC, rott01 LAKE Cf!AINT1114 RD t0 RHODY 1A#F, THE 101 IS 15k, AT THE END (if IHT iA11f.
THIS PCRN11 6FCO1fS 101A AND rain If 1011N OR 014STRUCTIO11 AUTNORIZED iS NOT CtiNNfNCf.n 11)i110 181 t1AY , Of if CONSTRUCTION OR 80111 13 SUSP(NAEB FOB A PERIOD
Of 180 IIA'i.3 AT ANY TINE Afff) ORN IS 00II MCER. fVIDENCf (if C0N11NUATiON Of 1�IRlt 15 A PPOCRFS4 INSPECTIAN 11THIN THE i80 DAY PERIOD. fINAI INSP(CiiON NUST 811
APPROVED BEFORE DUILAIN6 IN OrCUPIE D
OIINf R OR
flL0 PLANT, rev; 910,6119 '� COMP1 IANC41 t i ATTACHED CONDI IIt1N'S IS REQUIRED
_i
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date -5- 7 by G�
Foundation Walls date by Set Up
date by INSULATION date - - by
BG/SLAB Insulation Floors Final
date by date by date by l
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
4
I
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P V It 1\4 1 -T C: 0 1114 t ) I T I C4 N
('ase No 131-D97-0237
For R1jS"717i,L SC"ANI ON
Page 1
1 ) 1 tie titiderf, I ane,j proper t y o%npr I t e-. aware o 1` t he tirio&r to I tit rqtsrdlnq l4a-�;011 County '
dove I opmen 1: . regulatlon!�! created by the Growth Manafjment Aeaerings Board 's , Order of
04"'tob"r 2 . 1996, and Its (--c-jnsidoratloii of MaE�on County ' s williponess to prol.,--eed Witt)
prrmessinq of application-3 which might bo affected by the: Order , the undersigned
PrOpOf'ty Owner hereby a(4f`(--PS to WRIVP Hny lawsuit , aotion , or olalm for damages Npjinr;t
Mason Count,V which may air lse out of Mason County 's ant lt.)iis In acceptance, processing
aridlor Issuarive of such permits tit- approvRls ( here inkfter .1 permittiliq actions " ) , whioll
damiAget- are attributable to the CoutitV ' -, decision to take permitting actions decpite
th 0 t, k that to the CountV ' -,,-, development regulations miqht later, make the
tout perin I t t I nf-j act I ons I fiva I I d
X
M011 I X�fe
h i I I va I ion is r i1t) eot to Psi 1- 1 er arid I a odsoeto I nq reqtiluements as e:-itabl Ished under
Masor 0) V Ordinatice 1 .03 .036 ,
X
The use iand I i nq and storage of hazat-dous m-iterlal �; or flammable anti combust ible
I I qu I d es In xct4<- s of 10 qalnric,- Is riot allowed withrout the appr(,t,al of the Mof,,riii Coisn-tv
F I re J1
X
Pr pofed structure or ariv por Lion thereof (ireater than 30" In helpht front tirade I in(- ,
"IU9 t MaAhtain a ininimum of 5 ' setback trot,it all property lines , easements and 10 ' from
all C and State Road riotit of ways .
X
Stri-oct ur a m i'i--,t, he set hack ', ' from al I tit ! I i t y and drainage ea cements , a total of 10 '
fro") e- ► property line. or a vAriance must he obtalnAd from the B(illding Department .
X
1 (7,n (,-o n t r o I me a,,;u r e s must he I mr, I em e n t J to preverit water qua itV
de era adjacent waters, or wetlands .
►
,"t a
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) Approved per d1 menjIoits and s&t:back s on submitted sIt (a plan . X
el ) PURSUANT TO 1994 UNIFORM BUILDING CODE . SECTION 305(C ) AND SECTION 513 , ALL SITES I-AUST
HAVE APPROVED NUMBERS OR ADDRFSSES PROVIDED IN SUCH A POSITION A`; TO Bf PLAINLY VISIBLE
ANO LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . 1:4ASON COUNTY BUILDING
DF PARTMFNT RFQU 1 RF S 'THAT THIS BE COMPLETED PRIOR TO CAI L I NG FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE;=, 1994 UNIFORM BUILDING CODE WILL BE
ASCESSFn F OWNER/CONTRACTOR FAILS TO POST ADDRf S8, ON S I TF PRIOR TO AF.GUEST I NG
I NSPE r''C
X._._
9) At t. V IUCI- ION MUST MEET OR F'XrF_F.D ALL LOCAL. CARES AND UBC R F OUIRFMENTS
X
10) RFpil l RFO I NSPUCT I ONS ( F•oryt i ra(4 I nE, pe of i or,- pr i car• to pour , Set up Inspection--prior to
sk i rt i n f i na 1 1 nspect i on-•pr- i or to occupancy) ,. I have received a oo y of this General
I of ormav I .n rand Gu i dee 1 i ne= -Mo b I I e/Ma rtuf ae.tttrer! Hour; i ng I nrta I I at i ont; landout f or
detailed descr i pt I onn of all required Inspections can my mobile/manufactured home
Installation . I het ebV a>sumo to I I re=spons I b i I i t y for the G,vhedij I I ng of these requ i red
Inspections . If t_hese required i nspe (.t I ons are not requested, Inspected and signed
off ( appr ovori ) by the► I nspect or in the presc it i bed order , I understand that re 4 ngFseot i can
fees and an hourlV investigation fees pursuant to the 1991 UBC , Table 3A wi l i be assessed
In addition to Say original permit 'fees to re-a+ lve any que.-;tionablee pract lees or
roblem4s that have been discovered , I further understand that this Investigation will
e scheduled as time as I I o*s Unt i 1 reso i ut i rn of any/ ra 1 i problems no oncupartoy ( F I naa I
1 niipent I on ) w i I i be granted f or the res i desnce . r
OWNVII ICONTRAt 1 Or-; ( i rid i crate wh I cJh ) I onature X. ._._
11 ) Ai I mob 11e/martuf act ured home I and Ings or docks munt be freo->t.andinq ( se If ;at. pporting1, .
7hFs i tarete <t 1 Fand i nq or, deck permitted w i t hotit drraw 1 rtci5 or, ri building permit Is 36' X
36" Any l and i nq or deal; that is 30" or more In height from walking surface to finish
grade requires as guardraa i I . Any l :°and I nci or deok that has 4 or, More riser-9 rfaqu i ref; a
handra I I Any landing or- deck larger than 36" x 36" joust he permitted which requires
st.rur.turH draawinq : and a building pet•mit :application . Ihis InstalIatlon Perin It rioe,,
NOT i ra a any landing or deck larger than they 36" x 36 " size .
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
D1ti 1"ARI At h1 i AND UN 1 t ORM 1w 1 1_1)1 W, 01.)F
r
'+ e
� r
GARY YANDO,DIRECTOR
�oN.STA
A U N DEPARTMENT OF COMMUNITY DEVELOPMENT
SN
N T ci PLANNING -SOLID WASTE - UTILITIES
Y y BLDG. I • 411 N. 51 ST. • P.O. BOX 578
of o rasa SHELTON, WA 98584 • (360) 427-9670
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance, processing rocessin and/or issuance of such permits or approvals (hereinafter"permitting
actions'), which damages are attributable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
- 5- ` � ? 23ZC -So GCoS�f
Date (Parcel No. or Legal Description)
roperty owner's tore(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
f ► /
STATE OF I, �1�,,1 -YT,, 4
COUNTY OF �'JGsr i,7
On this � day of�, in the year I<d ; before me Notary Public,
personally appeared personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal.
-For County use only-
Reviewed by applicant on
(Date)
Notary's signature
My Commission Expires: Staff Initial:
Permit No.
MASON COUNTY �p
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 61 wrier Phone# ,�(o0 - 7---5- -1 Z07
ddress ,J F G,1 E 4o A64 1 n Fire District oZ
ity Tah��.,, - - St moo., Zip �18SBg
Directions to Job Site Fo t t a' � Mkr, yll Ax. Arc, L k= L 1nr,'isV\rA- c-A
L-k C_1^r'1C-A►"— `CK , �'1n o \ny-
Owner Mailing Address ,nJ E 7 3o [ L,r,
City ,AL' a St [ • ,,—Zip `CBS-K's
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name IM o.-r k JP I1.-r�tr"\'� Contractor Reg# t�L�Mn'C(BoSs P
Address 5602 A!?uindd< r&4 Expiration Date_/__LG /_11-
City V"5 � f, St 0 Zip 92 39 K Phone
/# ZU( -19BLI- g'S
#3 If septic is located on project site, include records. /azI H W � [
Connect to Septic? Public Water Supply_ Well D
_
Connect to Sewer System? Name of System
(If residential, of of potable water is required) 1AAR 0 6 1997
#4 rcel No.,Z-1.SZv �j _C
al Description L�,/C� C V,r;s ',rw I c c� ��-� �Q� L"�#� � _RV
c" T ��
#5 Building Square Footage: (existing/proposed)
1st FI 1'2-'90 / 2nd FI 3rd FI - Loft
Basement / Deck / #bedrooms 3 / #bathrooms Z /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building /, Describe work MoA,,- )ao�
W►�� 1-� �c��yme-ka o✓\ o�- � r�/io/' S�cSfe. �"fG1 a Pik Se�,
#7 Type of Job: New X Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year I q 9 1- MakeM"r L4-- Model
Length Width 7.�0"Serial No.
# Bedrooms—# Bathrooms 2- Type of Heat F ,,4--r(c.
Purchase Price$ H-2 , qqO
#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 Otherc Bn
L
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 in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
\c,
E
y
ti
2z \ \ 0
r^'
b J
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Ll
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
Toilets CIRCLE FUEL TYPE: Gas, Electric,
Ba asins Heatpump, Other
Bath Tubs No. Units Fees
_Showers Furn BTU
_Hot Water Htr Heatpumps
_Laundry Washer _ Vent stems
Sinks pot Vent Fans
Floor Drains Boilers/Compressors
Laundry Basins _ HP
Dishwasher Air Handling Units
_Disposal _ cfm#
Urinals No. Fire Rgtection Systems
_Other _ _ Auto. Fire Al rm Sys 50.00
r
Fixed Fire Supp. ys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
r
TOTAL PLUMBIN-G $ 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 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 QYHPARTM NT. - DEPARTMENT.
X OWNER X BYE-g W-4444,M=w���
DATE DATE
FOR OFFICIAL USE ONLY: Accepted b Date: �, /��
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: - Ole(
Environmental Health:
Building Plan Review f1Dot,p C4ND crfoN Fort- !O' svr 8. W��--
txt- VAACAA1(-gt Lj-!?
Occupancy Group:(L-3 Type of Const: SrJ
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
Other
Building Valuation: TOTAL FEE �.