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HomeMy WebLinkAboutBLD95-0768 Final Mobile Home - BLD Permit / Conditions - 6/21/1996 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F LJ 1 L- I-) E N C, E' F. " m 1 -T FOR I NSPEC't I ONS CALL 427--9670 2_q8 BETWEEN 5pm AND 8am 427-72032 BLD95-0768 PARCELJOF,23307700010 PLATi DIV : BL.K : LOT : JOB ADDRE'SSr NE HAVFN LAKE:. DR TAHUYA OWNER : RALPH HERTH 275-3848 CONTRACTOR : L FGAt_ : TO 1 OF 31RVEY 6182 CLASS OF WORK . . :NEW 13FDAt 2 BATH : 1 'TYPE AVOUNI BY DATE RECEIPT TYPE ANOUNI BY 0A.E RECEIPT TYPE OF USE . , . . :MH STORIES . . . . . . . r t OCCUP ., CROUP . . . :? 81.1)G . HE I GHT . . r 0 .Oft NHOF 1 11i.D1 KS 63127196 41531 TYPE: or CONST .. . :7 F I REPLACES . . - . r 0 STFf 1 4.51 KS 13127196 41531 OCCUP . LOAD . . , r 0 WOODSTOVES . . . . r 0 fHCP 1 26.00 KS 1301196 41531 DWE:LL .UNITS . . . . : H PARKING SPACES - 0 INSPECTION AREA : 0 SHOREL. INE7 . . . . rN Ah 00-54 VAIUTATIONr7ne4piF •se.-'17.0 ::,L�sGmgps�-� r. . SETBACKS-- ---_-- - - TOILETS . . . . . . . . . : 0 FUEL TYPES-- ---- --- BOILERS/COMP-- -- - MOBILE HOME--- FRONT . . . 0 .Oft BATH BASINS . . . . . . : 0 : /ELE/ I lr 0-3 HP . c 0 REAR . . . . 0 .Oft BATH TUBS . . . . . . . : 0 3_.15 HP . : 0 MOT)EI rBROOKDAL.E SIDE ( 1 ) . 0 .Oft SHOWERS . . . . . . . . . . . 0 FORN a 100K BTU , 0 15-30 HP . : 0 -MAKE . - - - S 1 DE(2 ) . O .Oft WATER HEATERS . . . . r O FURN x►=100K BTU : 03!r'-S0 HP . r 0 SHRL I NE: . 0 : cDl't. CLOTHES WASHERS . . % 0 FURN -- FLOOR . . . r 0 50-+ lip . G3 YEA!"., --- AREA - --•________ .._ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 71 LOT S 17E . , : FL60R nPA I NS , . . . . . 0 VENT SYSTEMS . . . r 0 EVAP COOLERS r 0 I-ENGTII %6'0 BUILDING . . . r 0s110 DRINKING FOUNT . . . : 0 VENT FANG . . . . . . : 0 HOODS . . . . . . . 1 0 WIDTH . 02. BASEMENT . . . r 0sf LAUNDRY TRAYS . . . . . 0 DOMES . I NC I N :0 --SE R !Al DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HAND1_ ING UNITS - - COMML . IN( IN :O GAR/CARP :? Osf GARB DISPOSALS . . . r 0 -:- 10000 nfnl . : 0 RELOC/REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . r 0 :> 10000 Cfm . : 0 OTHER UNITS . , 0 MISC PLM FIXTURESr 0 GAS OUTLETS . r N ate.:. sa:�-z+a:.�r-s.;s:�e+a�.a,a.,:r..�r�ma-...._.........,r._._,.r.�..._.._a.seee�.cc:x.-sa:s-�+e,.-z:.ma,-:�atsw,.M�r.+x�.,_:��c- - .•mac.-ti,�x•n.-:r. . PROJECT DESCIIPTlORrNO61tE HOME PROJECT IOCATION01AVE4 I.AKf, [URN EEF] Al 619UP Or NA11BAxfS, 60 11010 11AW11 IAKT OR. DRIVErAY IS ON 1t11 S1Df AND GOES UP A Hitt HAVE Of APPEICANT IS VA1KE0 ON SIGN, THIS PE1MiT RfCONfS NULL AND VOID If WORK 01 CONSTRUCTION AUTHORIZED IS NOT COVIENCfa 01010 IB1 DAYS OA If CONSTRUCTION OR 1019 IS SUSPENDED FOR A PERIOD Of 11D DAYS AT ANY FINE AFTER 1019 IS CONVINCED, EVIDENCE OF CONTINOA7104 OF 1911 1- A PROGRESS IHS!'RT104 NIiNiN THE 181 PAY .)ER100. FINAL. INSPECTION RUST BE APPROVED BEFORE BUIIDING CAN BE OCCOPIED. .^ r + ( =11.L %NNER OR A6fN1: � ' 3L1 PINT, rev, 41"31191 COMPLIANCE TO ATTACHED &NDITIONS 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 (o- l�— `!L 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 (✓ / i date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 PE ftM 1 `f' C; C-1NC7 1 T i C% N "Ci Ca°ye No , B1.095-0768 For- x RALPH HFRTH Page . 1 1 ) PURSUANT TO 1991 IINlFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513, ALL. SITES MUST HAVE APPROVED NUMBERS OR AnDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LE01BtE FkOM THE STRErT OR ROACH FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE 1 NSPECT I ON FEF , BASED ON RATES IN TABLE 3A OF THE 1991 UN I I-ORM BUILDING CODE W i i :. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING NSPI`UIONS ' XC 2 ) The use, handling and stoma ey of hazardous materials or f l amiriab i e and cnmbust i b l e liquids in excess of 10 galyons Is not allowed without the approval of the Mason County Fire Marshal . s LP-1 —` 3 ) A -i NSTRUCTION MUST MEET, OR EXCEED ALL LOCAL CODES AND IIRC REQUIREMENTS . X . A ) REQUIRED INSPECTIONS ( Footing Inspection• prior to pour , Set-u inspeotion-prior to ;skirtin Final Inspection- prier to ocoupancy) . I have received a copy of the General Informa ion and Go deline,--MobliR/Manufactured Housing Installations Handout for detailed descriptions of all requlrrd inspections on my mobile/manufactured home installation . 1 hereby ;assume all responsibility for 1 ho sohedu l i ng of these r•e,qu i red Inspections . If these required Inspections are not requested, inspected and signed off (approved) by the inspector In the prescribed order , 1 . understand that reinape3ctlon tees and an hourly Investigation fee pursuant to the 1991 UBC, Table 3A will be assessed In addition to my original permit feet to resolve any questionable praotices or• problemn that have been discovered . I further understand that this investigation Mill be scheduled as time allows . Until resolution of any/ail problems no occupancy ( Final Inspection ) will be granted for the residence . OWNER/CONTRACTOR( indicate which ) Signature X. ��_________..___-_.______.___. M 'i ) All mob i 1 e/manufact;ured home landings or decks must he f reestmnd i ng (self supporting) . � Goa u � � s o l r N � � U f E Z • + c ,o N� D'a 4 r" PALPH HEP.T'H PAGE A-I 0 3/2 0.2"'199 S 22: 4 6 .1. — ALTERATION PERMIT , p pWncnt of LAtIOT V'liictory Assc-fflt1!eYJ L)ko notcompIc-tc shaded nri2v, FN STR U_ UIC,NS: 2 3 1, Complete all SpaLES to and including the box with the signature X in it. 2. Draw map on reverse side of ,v m fi,copy only. 3. Submit completed permit and fee to the nearest office listed on the back. 70 4. Contact and.whedult the in�p­-Oon with the office in which you submitted the permit within it,da-; name rirst flame Daly lirne photle Date ..................... ... .......................... ... ............Address i .. ...... ............................ ......... .. Stale ZIP Phone ilumhef .... ........... .... ........ ... ........I...... ............................. ............................................................... A(id. City stait Zil`�4 Check the appropriate boxes in section A and section B. A Alteration Inspection(check appropriate boxes belo' S7S,(X) Corimrrcia!Coach Air ConditioningfHe',it Pump f'lectrical Electrical Appliances Mobile home Fire,Safety tias Furnace nal No Gas Piping HUU do Plumbing Structural woc4?e1let Stove — — Rtwreation2OVchic!.- ,)T Park Trailer Plan Review $'10.(X) RV Inspection - - - - -iiaTlrrsmu- - - - - - - $70.W $50.00 Re-Inspecdon.- — — — — IN,. j Technical inspection - $50.,00/hr j*-idel No or Plan AT-f-T,%A!No, Si nature of_iL`pphc'-a­n1 r.,r Make check payable in: Dept.of Labor Industries Xt FEES DUE $ De 'Lment use orly ►,q Request approved err Request denied because of specific vlotations of Washington rules stud regulations. Violation!; /nitist he corrected and rein%pection requested within 10 days for recreational vehicles and 20 days for mobile homes and contmerci2i ccaches of the notice of violation date. (This does not apply to technical inspections). It is unlawful to offer for We, rent;or lease 9 ny-non-comply ing,mobile home,commercial coach or recreational vehl T . . . . . . . . . . . . . . . . . . . ---- - - - - - - - - - - - - X A" . . . . . . . .. . . . . . . vt . . .. . . . .. . - - - - - - --- - -- - - - - . . . . . . . . . . . . . . . . . - - - - - - - - - - - - - - - - - -- - - - - ­ . . . . . . . . . . . . . . . . . . . included,ire forms Tcqillrk-,;I ;,ri must tie,-pMlCtC4iakdfats submitted before li,6147=1ion Total Inspectoy" - ,'-�, 7 -k,' .,( a I � / f '� , Office F622 912-Qfwi altefation rx.­ 92 White.-Olympia 0,rcer.-Con LT-ac,ior Canary-Inspector Mink-Pw-ebaser Cyoldenrod-Kir,;hawr mlSq,rJ "C) 300S Permit No. • Tr64Q I10M on Dcrm14 MASON COUNTY _ -R'UDq� BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT ` , #1 canerNo� t-1kr Phone# Site Address n N,al.�h LCLVE Z)f • Fire District# City �"Cahu�a 2q(5 St LOP Zip q%s;as Directions to Job Site kAzocn LG.K,� -�'up-n k. 4 OQ.� c�r�3� or tYYl1 kbox-es r. n IffAi Owner Mailing Address SaM E City St Zip Lien/Title Holder Address :^ City St Zip #2 Contractor Name Contractor Reg # Address (OZZ Expiration Date City St Zip one # #3 If septic is located on project site, include records. < Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System ` �J (If residential, proof of potable water is required) #4 ` arcel No -_ �1 Irl_- Legal Description -'V'- ,47 400/04 r lQ lQd #5 Building Square Footage: (existing/proposed) 014 1st FI / 2nd FI / N 3rd FI / Loft / Basement / Deck X #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building �1 Describe work #7 Type of Job: New _Add Alt Repair Other #8 MOBILE/MANUFACTURED OME IN ION Model Year �� Make ode Length I pO Width IQ Serial No. # Bedrooms _# Bathrooms 4 Type of Heat E1VCJl5A C-• Purchase Price $ #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 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 k4 � 2C� ,moop�W t t "61 le In Ccnkr awf 16+-, \V wel l �av `9 Q1' CIc� ro oi-hQr s+ruciur-c A+�'ffi►s to La prc. �+mE 061 C1 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW �I� 1 r ,Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other B Tubs No. Units Fees _Shower 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 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 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 DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE Wq� FOR OFFICIAL USE ONLY: Accepted by. Date: .` `f T —I— DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: ss Environmental Health: lsg- vljuq-�/ k r, "SA V-)P- yd / V�I G,r -�Q ( 3 2� I Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES �1.54�(`(1 D7►��� 8 N L Building Permit 100 Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee e _ 00 r Building State Fee © Other Other Building Valuation: TOTAL FEE