HomeMy WebLinkAboutBLD95-01274 Mobile Home and Deck - BLD Permit / Conditions - 9/14/1995 MASON COUNTY'
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
FIt (J I I- 0 1 N C4 P F- R M I I- FOR INSPECTIONS GALL. 4?7-.9670
BETWEEN 5pm AND Sam 427-7262
BLD95-1214 PARCEL -223255007006 PL.ATzMIPL0 -7 DIV : B L K 7 1.()T - 6
0013 NF- 140 STEELHFAD DA N BU t.FA I R
OWNER : TRINA MIDDLETON 275-4958
CONTRAC' fOR : RAINIER GFNERAI. CONTRAC-IORS
LEGAL - MISSION CREEK RLK.- I LOT- 6
CLASS OF WORK :NEW BEDR : 3 SATHr 2 Typt AMOUNT BY DA7f RtCE,IPT TYPE A10001 By DATE RECEI 11
TYPE OF USE . . -4;T-m rt 'STOR I ES . . . . . . . : 11- 11��,-,-_=-- --U—M:,-Ilm - ., I
OCCUP . GROUP , Z ? BLDG . HE GHT . ---0 .0f t SHR 1 42.00 kip 09114195 40231
TYPE OF CONST . i7 FIREPLACES . . . . `O #Not t 140-00 NJP 09/109S 40231
OCCOP I OAD . 0 WOODSTOVFS . . . . : SIFF t 4.54 NJP 0911095 40231
PWEL L ON I TS 0 PARKING SPACFS :Y 0 INC? $ 10.00 Nip 0911419S 40731
INSPECTION ARFAt I S L HORE I NE? 156.50 VAIVIAIIOH, 52840
.r ]
SETBACKS TOILETS — . . . . 40 FUEL SOIL.ERS/COMP------ MOBJLE HOME.—
FRONT —W "xi .oft BATH BASINS — — . . 0-3 HF . -. 0
RFAR — —E 140 ,0ft BATH TUBS . . . . . . . . % 3-15 HP — 0 MODE[ sFLEETWOOD
SIDE ( I ) N 10 .01ft SHOWFRS — . . . . . . . . r 0 FURN 100K BTU : 0 15-30 HP — 0 MAKE .--.--,,-
SIDE (2 ) .S 5 .0ft WATER HEATERS . . . . : 0 FURN --100K BTUi 0 30-50 HP . : 0 WAVERLY
SHRtINF .F 140 .Oft CL OTHE S WASHERS 0 FURN - FA-OOP 0 $t 0,1,. HP , : 0 -- YFAR - - -
AREA KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 95
LOT SIZE4 . - FLOOR DRAINS . . . . : 0 VENT SYSTEMS — . : 0 EVAP COOL-FR,., t 0 IFINIGTHt56
BUILDING . — 1600sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . 0 HOODS , . .. . . . . . 0 WIDTH . t28
BASEMENT . . - r O�,!f I AUNDRY I RAYS - , . . 0 [*)OMF-, . INCIN -0 RI AI
DECKS - - - 24sf DISHWASHERS......; 0 AIR HANDLING UNITS-- COMML . INCIN ;O
GARICARP ;7 Obt GARB DISPOSALS . . . .- 0 <- 10000 otm . 2 0 RFL0C/RFPAIR ; 0
AT/DT . -? URINALS — . . . . . . . . 1 0 > 10000 cfm . t 0 OTHER UNITS . : 0
MISC PI FIXTURFSi 0 GAS 01111 F1 S . 0
PRO•IFCT DESCRIPTIO111iVORItE HONt AND DECK
PROJECT IOCAIION.IAKE HWY 100 TO NISSION tOffK 90 GO fffl, FO[tOW IIIISS160 CREEK 10 IND GO IFFT AND CROSS fRff# 00 NO SIfftHfAD OR PROPFRII IS ON ft)(a),
THIS PE1111 OCCONES NUtt AND VOID IF WORK 09 CONSTRUCTION AUTHORIIED IS NOT COMMENCED WITHIN 180 DAYS, OR If CONSTRUCTION OR WOOF 13 SUSPENDED FOR A PERIOD
OF 100 DAIS AT ANY TIME AFTER WORK IS CONVENCID. witici or CO#1INUAJION Of WORK IS A PP06AFS9 INSPECTION WITHIN THE 184 PAY PERIOD. FINAL INSPECTION MUST Bf �
APPPOVFO BEFORE gUltOING CAN BE OCCUPIED.
OWNER OR AGtNT: DAlf Lj
81.0-1`9111 rev. 43 31 COMPLIANCE TO ATTACIIIED CONDITIONS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date /-Z Z- 5 S- by L✓
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date by �j, 10, �� 1
date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
-2,5— 5
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F. F-1 M I -T- C—, (7>N L3 I -t' I (:) N
Case No . BI-D95-1274
for TP INA "IDDI FlON
Page : 1
1i The proposed project merit be oorisis-lont with a I Lapp 1C.'able 0 1 1 C I es and ot her
prov I s ions of the Shore I i ne Management Act , Its ru I es , and 4e Mason County Shore 1 1 no
Master Program .
X
2 ) All uIverts aionti road shaii bra mairan itied in e u to ensure a a prpetity t enre that drirsage will
"
I not overflow .
X
3 ) Temporary erosion control measures must be Implemented to prevent water quality
degradation of adjacent waters or wetlands .
X
4 ) Apprry'ved per Ite -plan showing adequate setbacks from vueek , road and property
I I nes
X
5 Pr op6sed structure or, tang port I ori thereof great ear than 10" In he I ght from grade I I ne,
must maintain a minimum of 5 ' setback from all property lines , easements and right of
way F•
6 A I I approved p I anu, are requ I red to be on-,,:; I te for, I rispect I on purposes . If inspect Ion Is
called for and plans are not on site, Approval WILL.
NOT be granted . Ira addition , a
Re- I nfpect I on feet I n the amount of $30 .00 per hour (m I ri imum I hour ) w I I I be charged and
must be collected by this department prior to any further inspections being per-formed or
approval granted .
X
44-2L,-
7 ) PURSUANT *TO 1941 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 AIA- SITFS MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Fat PLAINLY VISIBLE
AND L.EGIBLF FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY Fitt ILDINAO
DEPARTMFNT REOUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTICAN FFF BASED ON RATES IN TABUF 3A OF THE 1991 UNIFORM RUIII)ING CODE W11A, BE
ASSESSED IF OWNEA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESITING
I NSPFCT I ONS ,
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
, I I T F% 1411 , 1 1
REQU-I,.REMENTS
X 7
9 ) REQUIRED INSPECTIONS ( Footing inspect ion--pr i or• to pour , Set--up I nvpect i on--pr lot to
skirting , rinal inspection-prior to occupancy ) . I have received a copy of the General
Information and Guidelines-M obi le/Manutaotured Noun= ino InstaIIations Handout for detailed
descriptions of all required Inspections on my mobile/manufactured home Installation . I
herobv assume all responsibility for the scheduling of there required inspections . It
these required inspections are not requested, inspected and signed off ( approved) by the
Inspector in the prescribed order , i understand that re i nspect r on fees and an hotir ly
investigation fee pursuant to the 1991 UBC, Table 3A will be assessed in addition t`} my
original permit fees to resolve arty questionable practices or problems that have been
discovered . I further, understand that this investigation will be scheduled as time
allows . Until resolution of artylail problems no or.cupancy ( Final Inspection ) will tie
granted for the residence ,
OWNER/CONTRACTOR( indicate which ) Signature X.__.�_�
10) All mobile/manufactured home landings or decks must be freestanding ( self supporting) .
The large_=t landing or deck permitted without drawings or a building permit it-, 36" x 36" ,
Atjy landing or deck that is 30" or more In height from walking surface to finish grade
rRquires a guardrail . AnV landing or deck that hay} 4 or more risers requlrep. a handrail .
Any • 1 and i nq or, deck larger, than 36" x 36" must be permitted which requires structural
drawings and a building permit application . This lrrstallation Permit does NOT include
any landing or deck larger than the 36" x 36" size .
X.._
t i } Changes to approved hu l !cling plans that effect cc7mp l i ancc� to the 1991wPa sh i ncltorr State
Energy Code, 1991 Ventilation and Indoor Air Quality
Code, the Uniform Building Code and/or Masan County Regulations must
be approved by Mason County prior to constructionX
12') CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REOU1RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x __�W-
Permit No. f
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 w I Phone# ( � Z�15 yQ��
'te Address Fire District#
ity St I),-)A Zip
T
Directions to Job Site
r-n i ssi n
Owner Mailing Ad ss
City V--C�J a 1K St55n Zip
Lien/Title Holder i )rA g J an ni(i- 0 iCAc
Address Gn
Clty St Zip
#2 Contractor Name ontractor Reg#
Address - _Ci c� Expiration Date LJ 4
city Y 1(llrl�� Sty 1 Zip c5 )Phone## � (�2
#3 If septic is located on project site, include records.
Connect to Septic?��Public Water Supply Well
Connect to Sewer stem? Name of System
(If residential, proof of potable water is required)
# rcel No.l? ?�Zh� -
egal Description SSim CynfF L SSA hciad I a I
#5 Building Square Footage: (existing/proposed)
1st FI 1 1 p(lC) `2nd FI 3rd FI k3 ) k/ Loft��
Basement Deck 0/#bedrooms_/ #bathrooms /--,Q
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building f i h Um C, Describe work
n
Y)byYI
#7 Type of Job: New _Add Alt Repair Other
D (�
#8 MOBILE/MANUFACyRED HOME INFOR ATION na�, L� l�j ►�
Model Year JCiS Make I �Jq ac [Vqo
Length 1 . Widths Serial No. 2 $ 19�j
# Bedrooms�9 # Bathrooms Type of Heat c �'j- l
`4E�
Purchase Price$ �Lj L 1 H SEF?VI1,�ES
#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
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
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 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 %00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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 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 DEPARTMENT. DEPA MENT.
i
X OWNER X BY
DATE DATE '
`.
FOR OFFICIAL USE ONLY: Accepted by: / Date: C
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: tr�itf(j,�l
Environmental Health:
r
Building Plan Review X
t
Occupancy Group: Type of Const: 5-
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit D dV_
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee —�L
Other Qvc �z�.ZHs
Other
Building Valuation: TOTAL FEE