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HomeMy WebLinkAboutBLD92-00726 Cancelled Mobile Home - BLD Permit / Conditions - 11/25/1997 MASON COUNTY PERMIT j6 Mason County Bldg. 111 426 W. Cedar NULL & VOID BY 9)SPIRATION DATE 11-2 -72 BY RIA P.O. Box 186 Shelton, Washington 98584 7 <a a 7 OLD92-072b P A F, I t ; 2,':3,e IF,4 4 tl t 0 H 0 11 1 1; 1 V : ITI ti, A0H Nt t4HI HISSI[ON CRFFK RU HFLFArR 61? tAN BALDWIN I!,-- 4 i fog i II I if It/7 St fit 141 7 of st oil$ fS 14414:3 09 ON) I IA A1t00111 by #Alf WItipi 111PE A101101 By DAlf RF(ftpt 4 SO to 118!11�441 '114 It` I 0ilif- 1 1. tIN I 1 0 I L0 I A 1 44 VAIR1.111161: # fill I I i P" " t timli, M o H I 1 1, Hilmi tj pl, so J` mmf)f 1 1 1 H1 14 i y I lit' C 1 0 0 I o0e it I (1 0 1 111' mAt f. 1 1004 WA I F P HI f 0 1 It 0 10 11 l, 1..0 I "t I Ill\N I 1 Batt 41 r..N ► tit, -11 i 1! 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IL B-Jj4uiw6 CAN ".rvpltv OWNER OR 01N. - CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date- by Gas Piping date b toundation Walls date by Set Up date by date 9-���9a by INSULATION BG/SLAB Ir0ation Floors Final date by date b date by MI FRANG Walls y FIRE DEPT. date by date b date by PLUMBING Attic y OTHERPEi� Groundwork date by date by UL1G:$ /�j?�✓�D D�1 %hiP-�JJ D.W.V. WALLBOARD NAILING . date by date by Water Line FINAL INSPECTION date by — date by date R,6ckI YYA o)--/ y t a NAME ON PERMIT ReA043 �UA't��t,c� {,� DATE OF PERMIT PERMIT NUMBER TjL_0Cl 2— .-D`j 2(P TYPE OF HEAT Washington State Energy Code 1 Ventilation and Indoor air Quality Code SET-UP INSPECTION CHECUIST FOR MODULAR HOUSING n'64 � 6 - a3 0FA Note: (q )3 Ll M_t�q) `J- (0)( 1q This checklist is not comprehensive: other code requirements may apply. This checklist can be used by local by building departments for modular homes built to the 1991 Washington State Energy Code (WSEC) and inspected in the factory by the Washington State Department of Labor and Industries (L&I). Ground Cover: 6 mil, black Ventilation: Ventilation in crawhspacc must be a minimutn of one square foot of free ventilation area (without louvers) per three hundred square feet of crawlspace area, or a passive radon vent pipe must be installed. Note: UBC regulations may require more ventilation. Pipe Insulation: Cold and hot pipes insulated to R-3 in unconditioned areas. Floor Insulation:No damaged or missing insulation; if floor insulation is done on-site, R-value installed is consistent with NLEA form. Ducts: Where appropriate, crossover ducts are properly joined, sealed, and supported- Duct insulation is in place and in good condition. If duct insulation is installed on site, insulation value shall be R-8, or according to NLEA form. Marriage Line: Sections are properly aligned, and sealed or gasketed with appropriate materials (a non-porous material;-suclr as a foam.sill seal) to-limit infiltration. .—Anze: Check for batts moved and not replaced during sct-up.Loosc fill insulation is of uniform depth. Baffles displaced during set-up or transit are properly reinstalled. Doors: Check doors to ensure that they close and latch properly. Notice to Local Enf orcement Agency gency Form (NLEA): ?hc NLEA has been renewed and the items listed have been inspected. 11117N 1 L MASON COUI= BUILDING PERMIT APPLICATION &-I-PZ-012Co PLEASE PRINT : #1 Owner Phone# QS - SZcTg— Site Address -NLIf- 1 ( M C--eA _ City 'e st `Zip 465Z-6� Directions to Job Site_ Mile- <<p Owner Mailing Address e'). Cit �t- St �. Zip 2 Z€� Lien/Title Holder 7cj —n75© Address City St Zip_ #2 Contractor Name Contractor Reg" Address Expiration date_ City St Zip Phone #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply-. Well______ (If residential, proof of potable water may be required) #4 Parcel No. 7 Z�Z� -�^�(C'P Legal Description LT -2- rA 1 IkQCT C)(U.r;.0 .: rS #5 Building Square Footage: (axisting/proposed) 1st Fl &- 2nd Fl / 3rd Fl / Loft / Basement / Deck 1 L'LL/ #bedrooms #bathrooms Garage / Carport / (Circle: Attached or Detached?) Other sq ft / #6 Use of building Arc ► Er-a Describe work I y P '� 'S r�t<;r�-: G��:c\•= �� c� -r,..� �F�a u Eck #7 Type of Job: New Add Alt_ Repair Demolition Woodstove Re-Roof Bulkhead Other v e MOBILE ROMR MFORM.ATION Model Year Make ctlbeeTY Model Length fs Width l Ser4al No. "Bedrooms Z:- #Bathrooms Z-- Type of Heat A(k 449 Any water on or adjacent cc property: salcwacer lake river pond wec'_and seasonal ru .c fr ocher_______ �aN Shaw allowing an the site plan Lot Dimen_sioas Flood Zones Existi:g -�Ersctures Fences s Stricture Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems wells Proposed T rovements Easements Name ag" Street Scale: Name or tz' �ti.aq Street Date: APPLICANT TO DRAW S= pLM BEL0 If APPLICANT TO DRAW TOPOGRAPHY PROFILZ 9EL0 I D1 ,=binq jxt,,,-es l52 sac ) moo roo Na. Toilets Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP 5 . 00 Sot Water Ht= 3 -15 H, 6 . 00 Laundry Washer 15-3 0 'Ho Sinks 30-50_H Floor Drains 50 + gp � Laundry aad Basins No. Air Hling Unit Dishwasher <� 10000 cfm. 7. 30 Disposal > 10000 cfm. 7. 50 Urinals Other Other Evan Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUM MG $ Domes . Incin. _ Comma . Incin. Reloc/Repair 6.00 Mechanical Fixtures Gas Outlets X 2 . 00 No. Fuel Types Wcodstove Separate Furs < 100R BTU 6 . 00 Other Furn >- 100K BTU 6 . 00 Furn - Floor 6 . 00 Permit Basic Fee 10 . 00 Heat Puams 6 . 00 TOTAL MEC3ANICAL $ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT A==T fE AFTER WOR_Q IS COMMENCED OWNERS AFFIDAVIT CONTRACTORS AFF=Av= I CERTIFY THAT I AN EWVT FROM THE REQUIREMENTS OF THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 AND AM AWARE IN THE STATE OF WASHINGTON ANO I AM AWARE OF THE OF THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK OOME WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FRCM THE BUILDING DEPARTMENT. DEPARTMENT. X OWN-SR X BY OATS OAT' Return permit to: Department of General Services 426 W. Cedar/P.O. Box 136 , Shelton, WA 98584 427 -9670/1-800 - 562 -5628 FOR OFFICM;LL USE ONLY: Accepced bv: Dace : FOR OFFICE USX ONLY Approved coed Mold Approval Planning: Enviroae�t"` Health: _ �,�,� c tcc,o;�S MT Building Plan Review: Occupancy Group: Fire Marshal : Other: ir— FEES Ilspecial Conditions : II IlSite Inspection I II II II I _ II II IlBuilding Permit II �- II II II II IlViolation Fee I if II II II I; I II II IlViolation Imrestigation Fee I II if II I I II II IlPlan Check I II II II I I II II IlPlumbing Fee I II II II II --;I II II Mechanical Fee I II II If I I II II IlWaadstove Fee I II II II I , I'i I I IlSuilding Stace Fee IL71II I I II9L�ld�;q valuation: II II ILTOTAL. Ll