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Home My WebLink AboutBLD95-0642 Cancelled Mobile Home - BLD Permit / Conditions - 1/6/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar 11v P.O. Box 186 Shelton, Washington 98584 V F?. V) 1 L. ►-*) 1 N (3 1 `1 FOP �11;IlF^T I OW r f7--S63�70 HE"I,. k 5pm AND 4'17--726d' — BLD95--0642 PARCEL :2233 1 5 1 00033 P1_AT :COPLO D I V . ILL JOB ADDRESS : NE 121 PINE TREE PL TAHUYA kRMI+ T OWNER : ROX I FAULKNER 275--5669 NULL & VOID BY EXPIRATION CONTRACTOR : DATE �O'�� BY LEGAL : {�01.1.11fS LAKE 12 TRACT SA FS 05489 6K 469. CLASS OF WORK . . -NEW REDR :C�+3 .BATH : 2 ITYP' AMOUNT BY DAZE RfCEIPT IlYPE ANOUNT BY DAlf RECEIPT TYPE OF USE . . . t M11 STORIES . . . . .. • , 1 1 ..xs;:,.._.sr.'. __ �.w..is---n=rw�.zxr�;.�.2^-c>.=crra�r.�.�s;..aa..ca...._:.-;.=.�-_'ccsz.s.•.m.�sz-�sc..:a:. 00CUP . GAOt)P . . . :? BL.DG . HEIGHT . . : 0 .Of t RLC 1 41.00 NJ? 1111719 40818 f TYPE OF CONST . . s? F I REPI_r10ES . . . .. : 0 ENCP t 10.00 NJP 1112705 40910 OCCUP . LOAD . . . . : -0 WOOD STOVES . . . . s rn � I�RNT S 140,00 NJ? 1112?195 41816 { DWEL..L. .UNITS . . . . : 0 PARKING SPACES : 0 10Ft 3 4.50 KIP 11127195 4081D INSPECTION ARL:A : 1 SHORFLINE? . . . . :? } !OTAL: 156.50 VAIULATION: Oi inza,�xw^.xa�.sr—^�en,^..ass'n¢:.2s ^.z':•_ �rssz.aa=vice.��•.�:m�exr-�c:K::aws:-xarc�....�^.s�z::�.:.ss.?:,� TOILETS . . . . . . . . : 0 FUEL TYPES-__-.._..._. __._ BOI LFRS/COMP-- -- MOB I LC HOME:-_m FRONT . . .E 415 ,,Ott BATH BASINS . . . . . . . 0 : s 0-3 HP . : 0 REAR . . . .W 50 .or is BATH TUBS . . . . . . . . s 0 3-- 15 HP . : 0 MODEL. :PAC I F I CA SIDE ( 1 ) .N 5 <Oft SHOWERS . . . . . . . . , . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 - MAKF-..-_. ._w S I DE (2) .S 5 .0f t WATER HEATERS . . . . s 0 FURN >-1 OOK BTO : 0 30-50 Hp . : 0 69 SHRL I NF . 0 .Oft CLOTHES WASHERS . .« 0 FURN - FLOOR — : 0 50.1- HP . - 0 AREA KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 69 LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYYTE:MS . . . : 0 EVAP COOLERS : 0 IFNGTH :50 BUILDING — s 1 Ol2 0sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . , s 0 HOODS _ . . . . . .. 0 WIDTH . :?_O BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :Id -SERIA1.1w- DECKS . . . . , . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCINsO 756E+9 GAR/CARPS? Osf GARB DISPOSALS . . . : 0 <- 10000 atm . : 0 REL.00/REPAIR : 0 1 AT/DT . :7 URINALS . . . . . . . . . . 1 0 > 10000 c:fm . : 0 OTHER UNITS . : 0 M I SC PLM FIXTURES : 0 GAF; OUTLETS , : 0 PROJECT 0lSCRiPTiON:NOBlLE PROJECT LOCA11O1:FRON BEIFAIR TAKE NORTH SNORE AD TO DfIFAIR TAHUYA AD VP O AD ROSS TAHUYA RIVER BRIO4[ , TAKf SECOND PAVED iirmfit Bum TO to[[INS LAKE ENTRANCE. TAKE COLIINS LAKE ON TO THE RIONT ANOUND TO PINE TREE PLACE, THIRD ORIVE ON LEFT, THIS PERMIT AECONfS NULL AND VOID If WORK OR CONSTRUCTION AUTHORIZED IS N01 CONNENCEA WITHIN 180 DAYS OA If CONSTRUCTION OA WORK IS SPSPENDED IOR A PERIOD Of 180 MATS AT ANY TINE AFTER HONK IS COMMENCED. EVIDENCE Of CONTINUATION Of WORK IS A PROGRESS INSPECTION WITHIN THE 100 DAY PERIOD- FINAL INSPECTION NUS1 BE APPROVED BEFORE BUILDING CAN BE OCCUPIED. OWl4 'OR A&ENT: f 0ID-,PANT, rev i 03131191 COMPLIANCE TO ATTACHED COND i 1 ONS IS REAU i RED 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 Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by I date by L�. L, 't(� f�X / Y.C�_ _S �� C U L_ c=, --------------------------------- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Gase No . ► BLO95--Ob42 # For : ROXI FAULKNER Page i 1 1 ) Sub ect to conditions of Resource Lands and Critiea1 Arens (RI..C ) Checklist notification le , X 2 ) The uFe, hand) i ng and stora a of hazardous matey i a l s or f l arnmab l a and combust i b i e Iiijulds in excess of 10 qaI ons is not allowed without the approval of the Mason County FIre arshaI . X 3 ) PreapoeNci struoture or- any port Ion thereof greater 'than 30" 1rt height from grade I1no , must, raa I ryta I n a p4I n imum of 5 ' setback from a l l property l i r►es , easements and r i ght of X 4 ) The mobi le ha►ne may riot be rented out and can only be u d )by farni�t memo rs unless the Col I i n:� Lake Water system I s brought Into comp l i ance . X 5 ) PURSUANT To 1991 UNIFORM BUILDING CODE , SECTION 305(C ) ANT) SECTION 513 At_t S i Tf;S MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO Blk PLAINLY VISIBLE AND LEGIBLE 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 hF1NSPECTION FEF BASED ON RATES IN TABLE 3A OF 'THE 1991 UNIFORM BUILDING CODE WILL. BE ASSESSED IF OWNE /CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPV' IONS . 6) REQUIRED INSPECTIONS (Footiact Inspection--prior, to pour , Sect -up Inspeotion prior to skirting, Final inspection-prior to occupancy ) . I have received a dopy of the General I nforma i on and Gu i de I i nes- Mob i l e/Manufacturetid Hous I nq I nsta 11 at I ons H4ndout for del a i l ed descriptions of all required Inspections on my mobile/manufactured home Installation . 1 hereby assume al I respons I bi I I ty for the schedu I I ncg of these re:qu i red I nspeot I ons . If these: required inspections are not requested, Inspected and signod off ( approved) by the Inspector In the presc.:r i bed order , 1 understand that reI ns (vest i on fees and art hour 1 y investigation fee pursuant to the 1991 UBC , Table 3A will te: assessed in addition to my origi.nat permit fees to resolve any questianab1e �rac�tices or problem, that have been discovered . I further understand that this inves Igation will be scheduled as time MASON COUNTY Mason County Bldg. III 426 W, Cedar allows . Unt i 1 up-sic) P.O:-A 8ox ,146,Shelton„WashingtQn Qt8584;.,-,, ect i on ) will bc, granted for the res idert _� . OWNERICONTRACTOR( indicate which ) Signature X OL ? ) All mobile/manufactured home l and t nc�s or decks must be freestanding ( self supporting ) . The I arciest I and I n . or deck perm i t teed w i t hotit drawings or a building permit Is ;36" x ;3r" . Any Iandinst or deck that is W' or more in height from walking surface to finish grade requires tt c}uardra 1 1 . Any t and i ng or deck 'that has 4 or move r I tiers regu I res a handra 1 1 . Any binding or deck larger than 36" x 36" must be permitted which rev ices structural draw. rg and a iau i i ci i r►c� permit app i i cat i on . This 1 nst e i l at i on Perm i t doe8 NOT Include a INnd i ng or dt3e;k i anger than tine 36" x 36" size . I �. Page No. 1 CASE HISTORY FOR CASE NO.: BLD95-0642 R6XI VAULkNER NE121 PINE TREE PL TAHUYA 04/24/96 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 05/09/95 05/09/95 KS BLDA100 Approved For Issuance / / / / 11/27/95 DONE NJP 11/27/95 NJP BLDA500 (F) Issue building permit / / / / 11/27/95 DONE NJP 11/27/95 NJP BLDB110 Structural Plan Review 05/15/95 / / 11/27/95 Pending L&I approval cph DONE TLG 11/27/95 NJP aPPROVED 10-24-95 BLDB130 Planning Review 05/10/95 / / 05/15/95 DONE MMS 05/15/95 MMS BLDB134 RLC Checklist Review / / / / 05/12/95 DONE HRF 05/15/95 TMJ BLDB135 Addressing / / / / 05/11/95 DONE GMM 05/11/95 GMM BLDB200 Environmental Health Review 06/07/95 / / 06/08/95 Return to Bldg. when done please for DONE PSD 08/21/95 PSD review of the L&I cph As per conversation with Brad banner and Mark Tompkins, the mobile home may only serve family members, unless the water system is brought into comliance. see custom condition. psd BLDC200 MH Setup inspection 02/14/96 02/15/96 02/15/96 PART APPROVAL: PART LW 02/16/96 LAW 1. VENT THE DYER TO THE EXTERIOR, SMOOTH WALL METAL PIPE NO SCREWS. 2. VENT THE WATER TANK PRESSURE RELIEF LINE TO THE EXTERIOR, CPVC. TEMP. OCCUPANCY OK FOR 90 DAYS AFTER STEPS ARE PROVIDE AT EACH DOOR. BLDC210 MH Final inspection 04/22/96 04/23/96 04/23/96 CORRECTIONS: FAIL LW 04/24/96 LAW 1. THE PRESSURE RELIEF LINE OFF THE WATER TANK CAN NOT BE A HOSE, USE CPVC PIPE. 2. ALL EXTERIOR DOORS NEED TO HAVE A LANDING 3X3 FT. WITH STEPS, GUARDRAILS WILL BE REQUIRED IF THE LANDING HIEGHT EXCEEDS 30 INCHES ABOVE GRADE. ALL WOOD TO BE PRESSURE TREATED. THE PORCHES NEED TO BE SELF SUPPORTING. 3. VENT CRAWL 1/150. Permit No.IlJ'' )t-o6 Q MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT r #1 Ow r x-� ) i!Aa.Lgo 2 Phone# 3 6 0 Oe Address /�E J l �ZnIC i,E' �L Fire District#T-A&I ✓,4- St Zip 985� Directions to Job Site _!eom 0 A-1- �4t e TR,t' AbP-7, St v �2 k� !b FA 1 4 f=D l C�eS�' l�tuy�ll- �.�r/'I��&ACD 6z' At4 c cs&'c-eN? Pzyeo Owner Mailing Address 20 a x City St Zip Lien/Title Holder R Ain C- /---5 r1 41 nl 9W- Address Clty St Zip #2 Contractor Name f-ia lJ RI)RL4 Aine Contractor Reg# Address e r2 f `I�Q• 7 9 Expiration Date City go eSf- btJA!; St Zipff.337 Phone# *2V��{� #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System D'9-Dc-S V es r-g ad (If residential, proof of potable water is required) N VT- 27� S� LGF,�D #4 rcel No2�331 -51- 06033 egal Description 4-Or 3:3 OF Cpt.4-0;e0s A&A �Y'u #5 Building Square Footage: (existing/proposed) 1st FI / / oo Sqt,2nd FI / 3rd FI / Loft / Basement-- / Deck"`- / #bedrooms.3 #bathrooms _/y?-- Garage / Carport — / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building RP!5C Vr V rr5)-L Describe work Do 4,f A- 5 M rK P-A F,E S'5 Q41(J rA4- /bNo mv) C4'4- #7 Type of Job: New !/' Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year /71,f Make�Model_kJ �f b''o Ls< Length .SD Width QZ� ' Serial No. '25 L S y R- # Bedrooms # Bathrooms , Type of Heat Purchase Price $ ZQ 00 #9 Indicate by circling the applicable source if any water is on o adjacent to 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 I Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Ba asins Heatpump, Other UC%;0P 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. Protection Systems _Other _ Auto. 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 �OO )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 ORD]NANCE 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 BUILDIN DEPARTMENT, DEPARTMENT. X OWNER X BY DATE 3/a /�SJ DATE FOR OFFICIAL USE ONLY: Accepted by: ISt : DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: VMS Environmental Health: o ()Ws 14.pvn� o�,�, _ ust f �� I� Vkw16-sL l Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit AQo< 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 Department of Labor&Industries ALTERATION PERMIT Factory Assembled Structures Section r�/� (/ Do not complete shaded areas ennit# a INSTRUCTIONS: 117 7 7 1. Complete all spaces to and including the box with the signature X in it. 2. Then draw map on reverse side of WHITE copy only. Invoice# 3. Submit completed permit and fee to the nearest office listed on the back.- 4. Contact and schedule the inspection with the office in which you submitted the permit Insignia within 15 days. Owner last name first name Day time phone D to . 1 u/7 "'x. n1� r4... .---......4../. ...... ... .. .�. ........... W.e. .---------- --- ......... Address / ( )/ 5 z1P Contractors registration number Installer/Contractor/Dealer/ �.11. Phone � / ....... . .. ... l/p /Yi ( ) .............i............b..../......... ' f �..------..........-----•--•-------•-.......:...... .................................................. Addrgss j" City State ZIP+4 Check the appropriate boxes in section A and section B. FEES A B Alteration Inspection(check appropriate boxes below) $75.00 Lj Commercial Coach Air Conditioning/Heat Pump Serial No. Electrical Electrical Appliances Mobile Home Fire Safety Serial No. Gas Furnace Gas Piping HUD No. Plumbing ,} Structural Wood/Pellet Stove — — serial No. Recreational Vehicle or ❑ Park Trailer > Serial No. Plan Review — — — — — — — — — — — — — — — — — $70.00 RV Inspection — —— —— —— — — —- —— — — — $75.00 Original Permit Model No.or Plan Approval No. Re-Inspection— —— —— No. $50.00 Technical Inspection — — — — — — -— - $50.00/hr Signature of appli ant or authorized rep sen tive Make check payable to: Dept.of Labor&Industries FEES DUE $ Avio ar e t use only Request APPROVED o Request DENIED because of Specific Violations Of Washington Rules And Regulations. ations Must Be Corrected And Reinspection Requested Within 10 Days For Recreational Vehicles And 20 Days For Mobile Homes and Commercial Coaches of the notice of violation date. (This does not apply to technical inspections). It Is Unlawful To Offer For Sale,Rent,or tease AnX Non-complying Mobile Home,Commercial Coach or Rec eational Vehicle. , . . ... . . . . .. . . . . .. . . . . .. . . - -- -- - - -- - - - - - - - - - . . . . . . .. . . .... . . . . . - - - - - r . . . . . .. . . . . r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- - - - - - - - - - - - - • • -- • - - - -• - - - - - -- - - - - -- - - - - - - - - - • • - • - - - - - - - . - - . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . I - - - - -- LjIncluded are forms required which must be completed and fees submitted bi fe inspection. CDate Area office� '{{ nspect Total pages 11`✓—, F622-012-000 alteration permit 12/91 White-Olympia Green-Contractor Canary-Inspe or Pink-PurchaKer Goldenrod-Purchaser Department of Labor&Industries ALTERATION PERMIT Factory Assembled Structures Section Do not complete shaded areas INSTRUCTIONS: ennrt 23,617 1. Complete all spaces to and including the box with the signature X In it. Invoice# 2. Draw map on reverse side of WHITE copy only. 3. Submit completed permit and fee to the nearest office listed on the back. _ 4. Contact and schedule the inspection with the office in which you submitted the permit Insign;a# within 15 days. O er last name irst name Day time phone Date . ... F , ✓,� coda) ?s... ................ 9 3.. a 9s...... Fx.................................. state ZIP ..naaress IoL I c;ty cJ +f- ��N� �� Installer/Contractor/Dealer Phone Contractors registration number Address ) City State ZIP+4 98337 Check the appropriate boxes In section A and section B. EEES A $ -A ration Inspection(check appropriate boxes below) $75.00 Commercial Coach Air Conditioning/Heat Pump Serial No. Electrical Electrical Appliances Mobile Home Fire Safety Serial No. Gas Furnace Gas Piping IIUD No. Plumbing -Structural enal No. Recreational Vehicle or ❑ Park Trailer ood/Pellet Stove — — ^ Plan Review — — — —— —- - - — — —— — — —— — • $70.00 seriatNo• RV Inspection — — — —— — — — — — — — — — — $70.00_ pffgmaUennit Model No.or Plan Approval No. Re-Inspection— —— —— No ? $50.00 . Technical Inspection — _ - — =-— — — — -— $50.00/hr Sign e f applicant or au zed representative Maki check payable to: Dept.of Labor&Industries FEES DUE $ De artment ute only Request approved or ❑Request den led because of specific violations of Washington rules and regulations.'Violations must be 'corrected and'reinspection requested within 10 days for recreational vehicles and 20 clays for mobile.homes and : commercial coaches of the notice of violation date. (This does not apply to technical inspections). It is unlawful to offer for sale, rent,or lease any non-complying mobile home,commercial coach or recreational vehicle. .. . - _ Y. h III Included are forms required which must be completed and fees submitted before reinspection. Date Area office Inspector Total pages 0 F622-012-000 alteration permit 12-92 White-Olympia Green-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser