HomeMy WebLinkAboutBLD2017-00302 Final MFG Home - BLD Permit / Conditions - 10/3/2017 0
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Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext.352
Mason County
615 W Alder St
Shelton, WA 985
1834 RESIDENTIAL BUILDING PERMIT
BLD2017-00302
OWNER: CRK INVEST ENTS RECEIVED: 4/17/2017
CONTRACTOR: LICENS EXP: ISSUED: 6/28/2017
SITEADDRESS: 1900 NE MISS N CREEK RD BELFAIR EXPIRES: 12/28/2017
PARCEL NUMBER: 223255003021
LEGAL DESCRIPTION: MISSION CRE BLK: 3 LOTS: 21-22
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW MFG HOME WA-3 N, CONT ON NE NORTH SHORE RD, R ON NE MISSION CREEK RD, L
TO CONT ON NE MISSION CREEK RD, R TO STAY ON NE MISSION CREEK
RD
General Information Construction&Occupancy Information Square Footage Information
No.of Bedrooms: 2 Type of Constr.: VB
Type of Use: MH Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: 1 Occ. Load: Building:1,279
Valuation: Building Height: 16 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:FLEETWOC Length: 48 Ft. Front: W 25.0 Ft. Shoreline: Ft. Water Body:
SEPA?: No
Rear: E 40.0 Ft. Slope: Ft. Shoreline Desig.: NotA pp
Model:EAGLE Width: 27 Ft. Side 1: N 100.0 Ft. licable
Year:2017 Serial No.: FLE210OR1 I Side 2: S 20.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Manufact. Home Submittal AMP 4/17/2017 $264.25 S3201700000001
EH Plan Review AMP 4/17/2017 $210.00 S3201700000001
Planning Review Fee AMP 4/17/2017 $205.00 S3201700000001
Manufact.Home Issuance SLC 5/16/2017 $264.25 S3201700000001
Total $943.50
BLD2017-00302 Please refer to the following pages for conditions of this permit. Page 1 of 6
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3 Bedroom 2 Bath - 1,279 Square Feet
®2017 FLEETWOOD HOMES INC.ALL RImportant:Because we continually update and mocWy ar products.it is i
SHOW OPTIONAL FEATURES.AN iniformadon owvtmkwd herein may very I'Mm eactualhome
IGHTS RESERVED -_ of Ttte YEAR ,� � ,,,
2010-2016
We build.Dimensions are norninsilliangth and wkRh maiNktrements are ftorn exterior wall to exterior
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z pecific information'Wut the home you select.
colors.materials,specifications.features and models.Please check with your retailer for
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Apo oov� MASON COUNTY COMMUNITY SERVICES 81dZ01-7- oo_3oz
PERMIT ASSISTANCE CENTER: Pet'tnaAt No,
•BUILDING*PLANNING•PUBLIC HEALTH•FIRE MARSHAL R
i 615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone
AP"` 17 217
- Belfair.(360)275-4467•Phone Elma:(360)482-526906
_.._
85
BUILDING PERMIT APPLICATION 11t1('A1d+ r' �
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 4 5y h M bockek. gib A c Ftk4 TyV&.,'PAeo NAME:SI-W Coivst&tc c 74 obw L L C
MAILTG AD RESS: SSItele,&Ve Il / '-C. MAILING ADDRESS:/ss37 S,d.✓ey �Za/S,ctl
CITY:Koizt QActfA" STATE:_Z :,7N:3 6 7 CITY: Poe r 12,ec STATE: &J,9 ZIP: 903 6
PHONE#1: R6 0-S, 7 i -i8,93 p y PHONE: AS* fit,�-d'S9S CELL:
PHONE#2: Yd 6- Gal f T ; EMAIL :
EMAIL:_t tm i S,eo r e CP Q o L , c o rn L&I REG# o C L 9 54s z-N EXP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME fJ o c AL EMAIL C r t4- not-ts 62!.23c Q' C.oM
MAILING ADDRESS Coo CITX/ozr c^ ie fil STATE E. A ZIP JLJ67
PHONE 31&o - 87i- CELL__
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) -SD- 03 oast _zoimi ni nimin
LEGAL DESCRIPTION(Abbreviated) 4-f c,21 x.2.2 61-k 3 M;.Ss,o,y FI
Co 'W.A
SITE ADDRESS�pt1 ,st/E fs.`C/Y C Re 2.K Rd CITY agLEa 1 le, (,tli4
DIRECTIONS TO SITE ADDRESS R,a 44 'C c 'o iv GA' ad _ Fd 1l o u j -f o 46 d a F fh
ct - L asCt 4o V-5 e
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ❑
IS PROPERTY WITHIN 200 FT OF THTLI FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ IY RIVECREE19 LI POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑
TYPE OF WORK: NEW [r ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Gte.)_ rges,'cle,tcC
IS USE: PRIMARY V SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg) V YES(Part[s]of Bldg) ❑ NO ❑
DESCRIBE WORK
SQUARE FOOTAGE: (propose+existing)
I ST FLOOR 1a sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq. ft. Attached❑ Detached.❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
y( MAKE MODEL Fes) YEAR 20 1 LENGTH Z/Q
WIDTH a7 BEDROOMS .2. BATHS 2- SERIAL NUMBER FLED-le) og 19113 r9 B
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC FkK SEWER❑ / NEW❑ EXISTING [+�
PLUMBING IN STRUCTURE? YES [t,]/ NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permittapplication becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF.INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.OB.42)
C
SigrpTCre of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH