HomeMy WebLinkAboutBLD95-0992 Final Mobile Home - BLD Permit / Conditions - 9/13/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 L-) i L. L-) i N 0 P 11~ H M I T FOR INSPECTIONS CALL 427- 9610
BETWEEN 5pm AND Sam 427-7262
B1.095--0992 PARCEL t223305000235 PLAT :HAPL0 D I V : BI_K : LOT :
JOB ADDRESS : NE 1701 TAHUYA BLACKSMITH RD TAHUYA
OWNER ; JOHN GARBE 377--922.3
CONTRACTOR : GORST LAND DEVELOPMENT 373-5001
LEGAL : NAVEN LAKE It. 235
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CLASS OF WORK . < :NEW BEDR1 3 BATH : ti TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY OAI£ RECENT
TYPE OF USE: . . . < :MH STORIES . . . . . . . : iz �: .
OCCUP . GROUP . . . :7 BLDG . HEIGHT . . 1 0 .Oft [MCP I III.## KS 0T/28195 39795
TYPE OF CONST . . ^? FIREPLACES. . � . : 0 MHOf 1 100.00 KS 07/28195 39795
OCCUP . LOAD . . . . t 0 WOODSTOVES . . . . 1 0 STFE f 1.50 KS 01118195 39/95
DWELL .UNITS . . . . t 0 PARKING SPACES : 0 I
INSPECTION AREA c 1 SHORELINE? . . . . tN 101A1 : 114.50 VALULATION: 5800,
SETBACKS------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES-- ------ BOILERS/(;OMP---- MOBILE HOME--
FRONT . . ,F 5 .Of t BATH BAS I NS . . . . . . : 0 0-3 HP t 0
REAR . . . .W 65 .Oft BATH TUBS . , . . . . . . : 0 3--15 HP . 1 0 MODEL :FLEETWOOD ,
SIDE:( 1 ) .N 5 .0ft SHOVVERS � . . . . . . . . . 1 0 FURN -_ 100K BTU : 0 15--30 HP . : 0 _MAKF_._._---..
S I DF (2 ) .S 5 .Oft WATER HEATERS 1 0 FURN >-100K BTU : 0 30-50 HP . 1 0 GREENH 1 LL
SHRL I NE . O .0f t CLOTHES WASHERS . . : 0 FURN - FLOOR . . . . 0 50-1 HP . 1 fb
AREA ----------------- KITCHEN SINKS . . . . 1 0 HEAT PUMP . . . . . . : 0 96
LOT SIZE . . ., FLOOR- DRAINS . . . . . t 0 VENT SYSTEMS . . . : 0 FVAP COOL.ERSt 0 LENGTHs66
BUILDING . . . : 18489f DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . . 0 WIDTH . 128
BASEMENT . . . : O4.f LAUNDRY TRAYS . . . . : 0 DOMES . I NC I N tO -SER I AL#--- - -
DE:CKS . . . . . . t OSf DISHWASHERS . , . . . . 1 0 AIR HANDLING UNITS-- - COMML . I NC I N t O 2.152.4
GAR/CARP .? 00 GARB DISPOSAL.S . . . . 0 <— 10000 c:fm . . 0 RFLOC/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . . 0 > 10000 ofm . : 0 OTHER UNITS . ; 0 _
MISC PLM FIXTURES : 0 GAS OUTLETS . : P1
?ROJ[Cf DESCRIP1101tNOSILE HOME
PROJECT IOCA11ON:NO0I0. 00 FROM PELFAIR 10 BfLfAIRiTAHUYA 10 GO RI 10 NILES TO HAVEN LAKE SION LAKE DRIVE GO LEFT ARE FOH OW 112 MILE 10 JANOYA RIACKSMIIN RO
6O RIGNI 1/2 NIIE TO PIOPEITY ON LEFT.
THIS P[RNIT BECONEE NUII AND VOIO if WORK OR CONSTRUCTION AUTHORIZED IS NOT CONIF1119 WITHIN IRB PAYS, OR It CONSTRUCTION OR WORK IS SUSPINPEO FOR A PERIOD
OF 101 BAYS AT ANY TINE AFTER WORK IS COMMENCED, EVIDENCE OF CONTINUAIION OF WOIK IS A PROGRESS INSPECTION WITHIN THE 160 DAY P111OO, FINAL INSPECTION MUST BE
APPROVED BEFORE. BU11DiNG CAN BE OCCUPIED.
OWNES OR AGENTI.1�_, DATE►- _
61011111, raP: 15131191 COMPL_ I ANCE TO ATTACHED CONDITIONS IS REQUIRED
I
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by. Ribbons
date by Gas Piping date - 5 5� b L
Foundation Walls date by Set Up
date by INSULATION date !2x-C' by L,�
BG/SLAB Insulation Final L
Floors
date by date by date J-/ S by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date b S 3- 5
date b y
D.W.V. WALLBOARD NAILING �--J
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 31-0 qS- D 9q 2.
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
Zin.S lr. I/ �G�e_ c� Acr /�In C- G,-)1_'0 ,'e7s4 4,4Z:� .
3 �n l/ Oo�CS
�•�e- . nn
r
r¢,e 4 1,v� zlrijoa✓' 116sjIfFilapr -boar;e-j-, GLC.GS S fall
You are hereby notified that the above corrections shall be made BEFORE
PROCEEDING WITH ANY FURTHER WORK �s
OCall for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
Department $l�
Date S _ �'- S Inspector LJ
. oo $ PuT flu"'-, T 1 , T' ' ,%
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P Fi M I -V C, 01 N F) 11 -Ir I C�N '---
Case No . : BLD95-0992
For : JOHN GARBF
Page : I
The use, hand Ing and storage of hazardous materials or f lammable and combustible
liquids In excess of 10 gallons Is not allowed without the approval of "he Mason County
Fire Marshal .
X
CVi_) Pro ose(i struotijre or any portion thereof qr"ator than 30" in heiqht from grade I Iiie ,
MUN maintain a minimum of 5 ' setback from all property lines , easements and right of
ways ,
X
PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECT-ION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLF
AND l.f7r, ISLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODF WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR "TO REQUESTING
INSPECTIONS .
X
REGUIRED INSPECTIONS (Footing Inspeotlori-prior to pour , Set-up Irispoction-prior to
skirtin , Final Inspection- rior to occupancy ) I have received a co V of the General
Informafion and Guidelines-go�)blle/Marititactur�ed Housing Itistallations Nandout for detailed
descriptions of all required inspections on my moblielmanufactured home Installation . I
hereby assume all responsibility for the scheduling of these required Inspections . if
these required Inspections are not requested, inspected and signed off (approved) by the
inspector, In the prescribed order , I understand that reins ection fees and an hourly
investigation fee pursuant to the 1991 UBC , Table 3A will te assessed In addition to itiv
original permit fees to resolve any questionable practices or problemn, that have been
discovered . I further understand that this Investigation Will be scheduled as time
a I I ow: . Ontil re,,iolution of any lall problems no 000upancy ( Final lnspe(�tlon ) wil ! be
granted for the residence ,
OWNER/CONTRACTOR ( I n d I c at e which) Signature X
All mobile/mant.ifactured home landings or decks must be freestanding ( self support ! ng) .
The lar g . t I s 36" X 36" ,
jest landing or dock permitted without drawings or a building parml
Any landing or deck that io, 30" or more in height from walking surface to finish grade
MASON COUNTY
fMason County Bldg. III 426 W. Cedar
RO. Box 186 Shelton, Washington 98584
I
requ i r,e s a guilt tj :a i ; Ah'V 0 11 i n� lai kit'toE d rt"t ti';:' a 1. i q.ot i I ,;ti:1 �v'(40 1 ! ":> "i 1Z-sIldI 'l k e
And landing or deck larger than 39i" x 36" must be permitted which requires structural
drawings and a bu i i d i nca permit app l i cat i chn o This 1 nsta l l at i on Form i t does N07 include
any landing or deck larger than the 36" x 36" size .
fie._.
placement of structure must comply with standards setforth per 116G sec . 2907
regard i nq descend i ng and/or ascend i nq s 1 apes .
Permit No. 60 ql"2 U'Iq a�
MASON COUNTY
BUILDING PERMIT APPLICATION PLEASE �
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 p�0 ���
INT r C� vv
#1 ner r 1 Phone # 77— 7vZv
ite Address nE ►'101' Q '; f� Fire District#
City g St WA _ Zip
Directions to Job Site fto Cy .
id-
Owne ailing Address
City St�=Zip f
Lien/Title FAIder
Address `
City St Q)-A Zip 8
#2 Contractor ame /!+ Contractor Reg #cTe/2!;rMewZ
Address Expiration Date<✓Cc le -1
City C- �" E St UJA Zip ?' Phone
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Co=idential,
to Sewer System? Name of System
proof of potable water is required)
# arcel No.
Legal Description
V
#5 Building Square Footage: (existing/proposed)
1 st FI 2nd FI / 3rd / Loft /
Basement / # bedrooms % #bathrooms /
Garage / Car le:Attached or Detached?)
Other sq. ft. / --
#6 Use of buildin Describe work l/►�s �
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make FLl Model�2 Q
�
Length Width_Serial No.
# Bedrooms # Bathrooms_9. Type of Heat—SLA.",'CT c.�
Purchase Price $ `i , .)ek,G
#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
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: S��Y(� yQ_ rn Z 5e bra L4/6AM G.� �YJS
��xt_Q. 1►v�c '7/Z
V II
Environmental Health:
_(gam
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
Other
Building Valuation: TOTAL FEE
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. UaLta Fees
_Showers _ Furn BTU
_Hot Water Ht _ Heatpumps
_Laundry Wash Vent Syst ms
_Sinks _ Spot Vent ns
1
Floor Drains B it r / r
_Laundry Basin 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 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- 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 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. DEPARTMENT.
X OWNER X BY
.'Y&� J44&
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
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 Indicate Directional by (N, S, E, W)
Name of Flanking Street Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
ID
oss? e
01
WO(-C,
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
100 too'
r L,a-r
LDo
p4T
C- TAHWYA/g1A(!XSMvrIA -�►