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BLD92-0452 Cancelled Mobile Home - BLD Permit / Conditions - 9/24/1999
• MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 . . . . . . . . . . . PERMITt If-4 t 1, IAMf ,i M1101) I.; if, .'4.> 1 01D By E PIRATION ilil I ;.:i,j I lip t4UL & �qG t3y D AT E I till I '- I-A I— if i N III;If Oil 1 1 llj,.jj I I i;',o i I; I I!f kih''111 I! I fit ti if I t A I I tj A I i f IisvN P Of. 0 A V 1:9 4 411 IAHUfA 4 A t AIIH RP A P p p if 11 110 t AI I A A N t Amp V If I r+ If woi 0 (O',T4111' 1 100 Jifi(litl&)'UP I . NtIl I Allot#11 t.0 411 H I Of Int OW. f1p It 1 0 It I I ;I# at 11"pt I is 0, f 14 1 J? )j J, ffAf of Iff 110fj f I f00.11`11(f IF 11 1 1 Of of I It f i 0 9 11#14 A f I flo o f wit R I Ia A PRoiski II'ipFiIItIN Qf flifift 19f I �q ('At ff Willi' I 10 A I p it V II If A R IF 6"ItafA A At off"flip If If OLD—PRIII , rev: 0�fi 3 1 If i I L 0 14 P L, t A Ill C 1: 10 Al *1 AC Ht�11 C OND1 I I 014S I'S HIL-OUL11170 '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 by 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 t y { � NAME ON PERMIT DATE OF PERMIT 2 (-J Z, PERMIT NUMBER W S,D TYPE OF HEAT Washington State Energy Code 1 Ventilation and Indoor Air Quality Code SET-UP INSPECTION CHECKLIST FOR MODULAR HOUSING SDC: 10 S 13314 ►J rA Note: I G u (^ <'Tt'o o C)iD 50 x (t) 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 crawlspace must be a minimum 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, cross over 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, such as a foam.sill seal) to-limit - infiltration. _attic: Check for batts moved and not replaced during set-up.Loose 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 Enforcement Agency Form (NLEA): The NLEA has been reviewed and the items listed have been inspected. 1211731 Washington State Energy Code - Ventilation and Indoor Air Quality Code MODULAR HOUSING SET-UP INSPECTION PROCEDURES Background The Washington State Department of Labor and Industries (L&I) performs Washington State Energy Code (WSEC) plan reviews and inspections in the factory for modular homes subject to the Uniform Building Code (UBC). Although many of the WSEC and Ventilation & Indoor Air Quality Code (VIAQ) requirements are inspected by L&I, some items can only be inspected on site, and therefore, may fall within the jurisdiction of the local building official. The Notice To Local Enforcement Agency (NLEA) Attached to each modular home inspected by L&I is the NLEA, which provides the local enforcement agency with information pertinent to the site inspection. Often, a modular home is shipped to the site before some items normally inspected by L&I are completed. In these cases, the L&I inspector fills out the NLEA form and lists items not inspected at the factory. For instance, when a manufacturer ships a modular home before floor insulation is installed,the NLEA form will indicate the R-value of the required floor insulation. The local building officials' careful review of the NLEA form is an extremely important part of the modular housing set-up inspection. Damage Incurred During Transit Sometimes a modular home may be damaged during transit. Although L&I is the building code authority for the home until it arrives at the building site,often no L&I inspector will see the home after it is delivered. If the local inspector discovers any damage incurred in transit, L&I should be nodfied as soon as possible. (Contact Dan Sevcik at 206-664-0548.) Authority of the Local Building Official The local inspector has the authority and responsibility to inspect any work done by the set-up crew. Some of the work to be inspected will be listed on the NLEA form Frequently, however, the set up crew may damage or alter work previously inspected by L&I. The local authority does not have the authority to inspect work already approved by L&I, except those specific items altered by the set-up crew. For example, if attic insulation is moved out of place by the set-up crew, the building inspector may require that the insulation be properly replaced, but may not require that the attic be insulated with batts of a higher R-value than approved by L&I. The WSEC Set-up Inspection Checklist RCW 19.27A.035 requires that utilities provide an "owner at the dme of construction payment" for WSEC homes (only electric resistance heated homes 2000 square feet and under qualify for the payment). Some utilities may ask for verification of a local jurisdiction set-up inspection prior to making a payment for modular homes. On the reverse side of this page is a sample of a WSEC Set-up Inspection Checklist for Modular Housing that may be accepted as adequate verification by the local utility. t 2A 7i9 l I BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 /J 427-9670 DATE ISSUEDx PERMIT NO.&U)e(Z-L 4,-50. NAME MAILADDRESS CITY SSTATE ZIP PHONE OWNER JcieS G�j .S oIC' KC h4"d b'76-w v-9 DIRECTIONS T� TO JOB SITE hI E c W A- ml��s ©�j ��-C1� ow S; 0,hjI&-914 a.+ LEGAL I NUMBER ^ 33c) —75- 000go IDESCR] &L i -4 a 30.- a3 l�t�r cue NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR SE USE OF BUILDING `L'S I �epc e CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK SC'f u DESCRIBE [ WORK 5tAp 1 - IO Sc ,Di BEDROOMS DECKS CARPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING. NO.OF STORIES BASEMENT ATTACHED 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 TOTAL SQ.FT. 5,La FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT X SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRATION LAW RCW .27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WH d THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE T EWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAINING APPROVA OM THE BUILDIN DEP?TMENT. APPROVAL FROM THE BUILDING DEPARTMENT. XOWNER L ^'` `DATE C; ZL ` XBY DATE vf FOR OFFICE USE ONLY DEPARTM T APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS EE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CON ITIONS BUILDING GROUP MDbl le, PRE-INSPECTION t SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL BY CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 477-°�,n PERMIT VO. NA.mE .:it-A00 c» CITY&STA TE ZIP PHONE OWNER L !-bad S yao 1 EL PR i S .r0Rckar d 9'7Z-24 WC16fn4 0 1 C 8 a c 7 c at ,lam L E'J L NUMBER S 33o-7s_cxbrei 0E5c;; & L IndiCa'e `✓elCw: r^ Pro;e-,' linr - :i;,d dimens- ,5. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building & septic system setback distances from all property lines & easements. Indicate North O Well and water line. O Saltwater, lakes, rivers, streams, wetlands, drainage. In Circle O Arach copy of septic system"as built" or septic permit approval. O Indicate topography profile of property and structure on reverse side. -RWI I I I I I l i ►L ! I F-1 1 1 1 1 1 ! 1 1 1 1 -�-f- �- __ � _► _ I I I I I I I i t I I I I I I III ► I I I I I I I I l l l l l i l l l l l l l l l l l l l l l l I I I I I I I I I I I I I I I I III IIIIII I I I I I0/'9 ISM !° 1 1 1 1 ( I 1 1 1 1 1 1 1 1 1 1 1 1 1111111 1 I I I I I I ` - ��S- � � �� �� �� �. i 0 v:r 5(�N 0R�i1 14, r PLf i I t I HAvc Qu Lot f/RVFJ�� i i I I Tq y/ I STATC— I i I i i i