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Home My WebLink AboutMIS95-0313 Conditional Intallation - MIS Permit / Conditions - 1/6/1999 t i MASON COUNTY Mason County Bldg. III 426 W. Cedar �- a P.O. Box 186 Shelton, Washington 98584 M 1 ES Cr F 1._ L A N D C1t U F' E= R M 1 A FOR INSPECTIONS CALL 427-9670 MIS95-03113 PARCELx223315100033 PLAT :COPLO DIV $ BLK : LOTi JOB ADDRFSS : NE 121 PINE: TREE P1., TAHUYA APPLICANT : ROXI FAULKNE:R 275-5669 OWNER : ROXI A FAULKNER 275-5669 LEGAL : C1LLIIS LAKE 12 TIACT 33 FS 19111 EK 1/1- PROJECT DFSCRIPTION : PERMIT COLLINS LAKE DR ARROUND TO PINE TREE. PL , THIRD DRIVEWAY ON THE LEFT NULL & VOID I3Y EXPIRATION DATES BY PROJECT LOCATION : "CONDITIONAL INSTALLATION PERMIT" PROJECT NOTES : THIS PERMIT IS TO ALLOW LEVELING, BL-OCKING, AND SETUP OF THE MANUFACTURED HOME IN ORDER TO COMPLY WITH HUD STANDARDS . NO OCCP . IS GRANTED. TYPE: AMOUNT BY DATE RECEIPT M"SG 15 .00 KS 05/09/95 39016 f a ad TOTAL : 15 ,00 OWNER OR A a NT [)A 113—fill, rev: #4111112 COMPLIANCE TO ATTACHED 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 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 by date by D.W.V. WALLBOARD NAILING 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 PERM ! "i C� C3NU 1 T ! C� N � Care No . : MIS95-0313 For : ROXI A FAULKNER Page : 1 1 ) PURSUANT To 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION s13 , ALi SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND I. EG1FILE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BOIL-DING 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 CODE WILL, BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REOUESTING INSPOT10 X] 2 ) This permit is being issued to the applicant to allow the, temporary storage of this manufactured home ( assembled after June 15 , 1976 ) on his/her private property while an application for permanent installation is being processed by the Mason County Building Department . This unit is not to be occupied . No utilites are to be connected . No permanent set up is to begin . This permit is valid for sixty (60) day�i only . No extensions will be granted . Any violation of the conditions of this permit or the denial of a permanent installation permit will result in the determination that the unit must be removed from the property at the expense of the owner . -----------------------_._ ----.------------ ----- — MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 3 ) THIS PERMIT IS ALLOWED TO SET, LEVEL AND BLOCK THE MANUFACTURED HOME IN ORDER TO COMPLY WITH HUD STOIDARDS, THIS PERMIT IS NOT ALLOWED TO OCCUPY FOR OCCUPANCY .. 4 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND LIBC REQUIRE MEHTS x.w.1 5 ) Proposed struo, ure or any portion thereof greater than 30" In height from grade line, must maintain a minimum of 5 ' setback from all property lines , easements and right of ways ,_ 6) ALL CONSTRUCTION MUST MEED OR EXCEED LOCAL CODES . iF ANY QUESTIONS, PLEASE. CALL. THIS OFFICE BEFORE CONSTRUCTION . X 7 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTE-D-AS RE0 IRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 M 1 S C E L_ 1_. A N 17 C3 U w-` P E R M I -T FOR INSPECTIONS CALL 427-9670 MIS95-0313 PARCEL t2..23315100033 PLAT tCOPLO DIV : BLK : LOT t JOB ADDRESS : NE 121 PINE TREE PL. TAHUYA APPLICANT : ROXI FAULKNER 275-5669 OWNER : ROX i A FA"LKNER 275-5669 LEGAL t ".41LI/S LAKE 12 TRACT 33 FS 15419 /K 110- PROJECT DESCRIPTION : COLLINS LAKE DR ARROUND 10 PINE TREE. PL , THIRD DRIVEWAY ON THE LEFT PROJECT LOCATION : CONDITIONAL INSTALLATION PERMIT PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT MHSG 15 ,00 KS 05/09/95 39016 TOTAL : 15 .00 OWNER OR AGENT TE. 113 ?111, rev: 14111192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF F1; Rd 1 11' C0NC3 1 `t' 1 C) NE-3 Case No . : MIS95-0313 For : ROX1 A FAULKNER Page ; 1 1 ) All approved plans are required to be on-site for inspection purposes . If Inspection Is called for and plans are not on site, Approval WILL NOT be granted . 1n addition, a Re-- inspection fee In the amount of $30 .00 per hour (minimum 1 hour ) w i i I be charged and must be collected by this department prior to any further inspections being performed or approval granted . 2 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALL SIT-us MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE 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 REINSPECT1ON FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BC ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REOUEST16IG INSPECTIONS . i X `..' 3 ) This permit Is being issued to the applicant to allow The temporary storage of this manufactured home ( assembled after June 15, 1976) on his/her private property whiles an MASON COUNTY NS� Mason County Bldg. III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 app 1 i (,at i on for permanent installation Is being processed by the Mason County B+a 1 1 d i ng Department , This unit is not to be occupied . No utiiites are to be Connected . No permanent set up is to begin . This permit is vallO for sixty (60) days only . No extensions will be granted . Any violation tit the conditions of this permit or the denial of a permanent installation permit will result in the determination that the unit must bR r em�S�Pd from the property at tho expense of the owner . 4 ) This permit is being issued to tho applicant to allow the moving of this mobile home onto his/ tier private property to perform the necessary corrections to this unit to bring It into oompliance with HUD Standards , and get the unit recertified by the State of Wash Ington Department of Labor and Indi4str1es . This unit is not to be ocoupled . No utilities are to be connected to the unit . No permanent set up Is to begin . This permit Is valid for sixty (60) days only . No extensions will be granted . Any violation of the conditions of this permit or the denial of a permanent installation permit will result In the determination that the unit roust be removed from the property at the expense of the own r I _� MASON COUNTY MIS Wr03i.3 ' 1 MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT F #1 Owner ^ Phone# 34;o. 2.75- 4 62 Fire District# Site Address �� i2 f .�j 3-,ef L C',1LL[NS LAB ZCity��41-iL Mail Address f?, ?, 1221, city LFAZA rA/A • St Zip Applicant on Phone# Applicant Address City St Zip Directions to Site: CDur-,✓S I--A,Cf_ P/Z fiA1W-NQ 5N4 #2 Parcel No. .2 3 1 -�- DDC�.j 3 Legal Description �-oT 33 616 Q'(-' #2 A_--49eWO TA2 1,/-/, 01' #3 Indicate by circling the applicable source if any water is on ad'acent o the property site: saltwater lake river creek stream pond wetlan seasonal runoff arsh other #4 Pr 'ect Start Date Project Completion Date #5 Us of Buildiing �v`/ Describe proposed con ction a'o 7 'Depending upon the type of permit,a floor plan and plot plan may be required. 'This permit is valid for 180 days from the date of issuance. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON- MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT- ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE- FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPART NT. MENT. X OWNE X BY DATE S DATE Show following on the site plan ' Lot dimensions Flood Zones Existing Structures Fences Structure Setbacks Wells Water Lines Shorelines Drainage Plan Easements Septic Systems Name of Fronting Street Indicate directional by Proposed Improvements Name of Flanking Street N, S, E, W etc. LOT PLAN AREA V FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD Building Fire Marshal Other Special Conditions Fees Permit Fee $ Plan Check Other Other State Building Fee TOTAL DUE $