HomeMy WebLinkAboutBLD2001-01066 MFG Home - BLD Permit / Conditions - 11/1/2001 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY Phone: (360)427-9670, ext. 352
DEVELOPMENT
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
not$ Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT
BLD2001-01066
OWNER: ERVIN LAPLANTE 426-1566
CONTRACTOR: RECEIVED: 10/9/01
SITE ADDRESS: 7513 W SHELTON MATLOCK RD SHELTON ISSUED: 11/1/01
PARCEL NUMBER: 420181390030
EXPIRES: 5/1/02
LEGAL DESCRIPTION: TR 4 OF N1/2 E1/2 E1/2 SW NE TR D OF SP#1842
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME W ON SHELTON MATLOCK RD AT 6.5 MILES ON LEFT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.:
Type of Use: MH Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 16 No. of Stories: 1 Occ. Load: Building:
Valuation: $7,000 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:LANDM Length: 40 Ft. Front: N 20.0 Ft. Shoreline: 50.0 Ft. Water Body: CREEK
Rear: S 43.0 Ft. Slope: Ft. SEPA?: No
Model: Width: 28 Ft. Side 1: E 104.0 Ft. Shoreline Desig.: Not Applicable
Year:1982 Serial No.: Side 2: W 25.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Ki w 1 WWI !t175 nn 575R9
Planning Site Inspection Ranh 1ni11vn1 AM nn 5777R
Building State Fee nnFr` 1ni19m1 4td c;n r,777R
Mobile Home Issuance neFr 1n/19/n1 R175 nn Fi777R
EH Plan Review r.Fw 1nmrvn1 Rsn nn fi777R
Total $474.50
BLD2001-01066 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2001-01066
CONDITIONS FOR
BLD2001-01066
1) This application is su ject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X ( .
2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X�
3) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project.
X 71�
4) Proposed structure 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 10'from all County and State Road right of ways. X
5 The new house shall maintain a 50-foot setback from the type IV stream on theproperty.
YP
X
6) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor fail to post the address on site prior to requesting inspections.
Xt-
7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
8) The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot plan is not on site, then
approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour(minimum 1 hour)will be charged and shall be collected by
the Building Department prior to any further inspections being performed or approvals granted.
BLD2001-01066 Please refer to the following pages for conditions of this permit. 2 of 3
9) Matlock is designated with a 351b snow load rating. The owner/agent of this permit acknowledges that if the unit permitted under this permit does not
meet th commended snow load rating, there is a potential for failure due to weight accumulation beyond that of the design criteria.
X 'Y1�
10) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all
responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the
inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the 1997 UBC, and will be assessed in
addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that this
investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which)Signature X
11) Applicant has indicated this is a replacement unit. Prior to Mason County allowing any occupnacy of the new proposed unit, the existing unit which is
on-site and is being replaced MUST be removed from the parcel. X� -
12) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck allowed without drawings or a
building permit MUST be under 30" in height from surrounding grade. NO second story decks, or decks above 30"can be built without a permit. Any
landing or deck that is 30"or more in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires
a handrail. X
13) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including
installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be
clearly marked in the installation instructions.
14) All property lines shall be clearly identified at the time of foundation inspection. X
15) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordinances and building regulations.
X
16) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevented action from being taken. No more than one extension may be granted.
X
17) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
c
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building can be occupied.
OWNER OR AGENT: DATE:
BLD2001-01066 Please refer to the following pages for conditions of this permit. 3 of 3
PERMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION 11�� CONTRACTOR INFORMATION .}.
Owner rZT Contractor Name t 6e e1 etm►,y ec�
Mailing Address /` /J /2d Mailing Address
City L-&, StatedJ/f Zip Code 9$Sk4 City State Zip Code
Phone(34,0 )Lla4-/54L Other Ph.( ) Ph.( Other Ph.(�
Lien/Title Holder '.5 a,"e. Cke-v 9*"k Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Conne t to Sewer
System Name of Sewer System Well ,,0/ Water SystemName of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 4I!/30 1 ce / _/ GQ7 ire District
Legal Description
Site Address(Please include street name, street number and city)'157.3 0. -S),&Lf ►77 2
Directions to site L M J 1 R '
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work �� �f/ 1. Y1?Ab�I f�o.�Dc_ t1a��ra- 5r•-►5�� �.JcLS �ur+v� �..�^t
No. of Bedrooms 't No. of Bathrooms—,.9 SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make L #4AJDM Model Model Year 9 2
Length J40 Width A Serial No. No. of Bedrooms,_No. of Bathrooms
Type of Heat Purchase Price $ .OD + Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
'�1
X ��7 x i--z,a, Date /f. V_ 0/ X Date
FOR OFFICIAL USE BEYOND THIS POINT
y�Accepted by J1G� Dat� ( Submittal Amount Du� S• Receipt NS_�-� D
... .........
DEPARTMENTAL'REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr. /0
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical &Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name L &..r1 f r1 b 3 e(-%RCEL NUMBER 4 3o1 S 13 R0030 Date je -
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property lined I I Fadjacent property line
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<—adjacentadjacent ro ert line-� property line
SAMPLE SITE PLAN
adjacent property line
4 _ Fadjacent property line
so- raescRVE _,�3o-,,1
SEASG u AL. I tt�� 77IICC L _�PT1L_ i.
Moen 6
I Houses
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adjacent property line-> ; 1 i Fadjacent properfy line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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A SHORT SUBDIVISI
ON OF A PORTION Short Plat Noi.� L:
OF THE EAST HALF (E 2) OF THE Appr ed
SOUTHWEST QUARTER (SW4) OF THE v
NORTHEAST QUARTER . (NE4) OF
SECTION (18) , TOWNSHIP (20) Dire for o Gener Services
NORTH, LkIlGE (4) WEST, W.M.
PARCEL No . 42018 13 00000
Seller : Howard A. Schmidt
W 7515 Shelton-Matlock-Brady Road
Shelton, WA 98584
(206) 426-5195
FA/S RMENT
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SCALE: 14 20L
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WARNING. Mason County has no responsibility
to build, improve, maintain or
otherwise service the private roads
contained within or providinb service
n the
to the property i
described
short plat . �� —rj[A6F,
SURVE'/ •r SIMPSGoM1'ANY (3EP(ilNC�S
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