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Home My WebLink AboutSFR - BLD Permit / Conditions - 8/8/2000 Inspection Line(360)427-7262 MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 IF, RESIDENTIAL BUILDING PERMIT BLD2000-00818 OWNER: JAY EMDE 432-1152 RECEIVED: 07/05/2000 CONTRACTOR: SITE ADDRESS: 1352 E SHELTON SPRINGS RD SHELTON ISSUED: 08/08/2000 PARCEL NUMBER: 420122190001 EXPIRES: 02/08/2001 LEGAL DESCRIPTION: TR 1 OF SP#2413 E 1350 SHELTON SPRINGS RD PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME SHELTON SPRINGS RD W .7 MILES PAST HIGH SCHOOL ON RIGHT General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: Type of Use: SF Insp. Area: No. of Bathrooms: 1 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 11 No. of Stories: Occ. Load: Building: Valuation: $1 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make MINMN Length: 56 Ft. Front: S 110.0 Ft. Shoreline: Ft. Water Body: Rear: N 134.0 Ft. Slope: 100.0 Ft. SEPA?: Model: Width: 14 Ft. Side 1: E 192.0 Ft. Shoreline Desig.: Year:1977 Serial No.: 091-12277 Side 2: W 100.0 Ft. Comp. Plan Desi .: Urban Growth Area Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal KLW 07/05/200 $175.00 53834 mile Home Issuance TLG 07/13/200 $175.00 54219 13@11ding State Fee TLG 07/13/200 $4.50 54219 EH Plan Review CEW 07/14/200 $50.00 54219 Planning Review Fee KS 07/19/200 $38.00 54219 Total $442.50 BLD2000-00818 Please refer to the following pages for conditions of this permit, 1 of 3 CASE NOTES FOR BLD2000-00818 CONDITIONS FOR BLD2000-00818 1) This application b" c to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 2) The use, han ing and storage of hazar aterials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X It 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 whic pr osed 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 w affect your project. X 4) Proposed s cture or any portion thereof greater than 30" in height fro a 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) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES 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 REINSPECTION FEE, BASED ON Tr AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS PO ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 6) HE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 7) The approved plot plan is required to be on-site for inspection purposes01fn cti n i c ed for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hi um hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X BLD2000-00818 Please refer to the following pages for conditions of this permit. 2 of 3 8) 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 practi or,problems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of a60, 1 roble 's no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 9) All mobile/manufactured ho la dings or decks must be freesta ding (self supporting). The largest landing or deck allowed without drawings or a building permit MUST be u db, 0" 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` o i height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. X 10) The installation permit Zall 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 spe 'fled by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. 11) All property lines shall be clearly identified at the time of foundation inspection. X 12) This applic ion is approved as a replacement unit. The mobile home which it is r lacing MUST be removed from the site prior to final occupancy being ted. X 13) O er/builder assumes all responsibility if drainfi Id/reserve area is encumbered. X 14) All upland areas disturbed or w creat d by onstruction activities shall be seede , vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 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 any time after w is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before buil i g an a occupied. OWNER OR AGENT: DATE: BLD2000-00818 Please refer to the following pages for conditions of this permit. 3 of 3 PERMIT NO.: BLD`�"� MASON COUNTY O 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 INFORMA_TIION CONTRACTOR INFORMATION Owner ✓ %h _l�.s 10 Contractor Name Mailing Address /3 �Oi. T/a,l ., i��n� f Mailing Address Cit Stateu' Zi Code '�,r City State Zip Code Phony O W Other Ph7d',O 7• Ph.( Other Ph.(� Lien/Title Holder ee4v^p Contractor Reg. # Address Expiration A A ' " ,e SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septi EziStin Sep Ic : .- Confleot to Sewer System Name of Sewer System We,I Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. Fire District F Legal Descriptiod-f�`7*' '�« /(/ cr`f �(/�/ Qc w, Ox A Site Address(Pleas inc yde street name, street �u f?ey nd c' yy 7 S t D4recUo s to site IeC ; A!1 Will ti ber be cut and sold in parcel preparation? (Yes/No Is your property within 200' of the following: Body of Water (Name) �Q/+� Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or at Bluffs r- PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ 71 TYPE OF JOB New Add Alt Repair Otfte Use of Buil i g 0 De cribe Wor No. o edr ms 3nEZN:o% of B rooms SQUARE FOOTAG 1st Floor d FI r 3rd Floo Loft Basement Deck Ot er q. ft. Garage _Attach Detached'- C rport c —Alta Detachee MOBILE HOME INFORMATION-Make A/AIMAV Model / /r Model Yeak777 Length.'_ Width /el Serial No. O 9/L / �7 7 No. of Bedrooms�No. of Bathrooms_ Type of Hea�tc urchalse Price $ O Replacement Unit ?(Yes/No)rC S Installer Name / xllwd Certification NoAVX1,0V S O,!r Vd' 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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 conformanceAere ' .j No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. % first obtaining approval. X Date �u X Date FOR I OFFICIAL USE BEYOND THIS POINT _� j Accepted by J Dat 00_ Submittal Amount Due/ Receipt No�"'�3 DEPARTMENTAI"'REV(EW ROVED DENIED CONDITION copEs Building Department I Occ Group Type Constr. Planning Department 4A0 Environmental Health Department Public Works Department i Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other 2�� Wood/Gas/Pellet Stove Fee Other J Violation Fee Pre-Paid at Submittal ( j ) ... TOTAL FEES -4 A UST BE COMPLETED IN INK .EPRESSHARD MASON COUNTY PROJECT SITE INFORMATION • Case No. • Name \,14 y � PARCEL NUMBER �/� �� Ja/Date �` Q 0 0 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 line- I I Fadjacent property line I I I I I I I I I I I I I I I I I I I I � I I I I I I I I 1 I I I I I I I I I I 1 I I I I I I I I I I adjacent property lined I I Fadjacent property line SAMPLE SITE PLAN adjar�nt property lined Fadjacent property line D 30" �a�saave 30 ,, I CREEIG \ 1 P fi Mona tr i GnSEiu �I ii a us a I j PrLOPast0 s¢:4 ptic I 1 , I , VAC/1rvT I fi CPAMAa6 I 00.oPosCD �F SO -� I � T A6R ZCLLLTu.RAL I , � I 80, I I I I � c....cLL I I � /00. -� I I L•a�G.LL I I A I adjacent property lined Fadjacent properf�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 dlatnr.ce. to � ru�tt,�Yt S1opa. to¢ to dL L � Signature Date CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b _ Foundation Walls date b Setup I date by INSULATION date - ZJ by BG/SLAB Insulation Floors Final date by date by date by FRAMINf; Walls FIRE DEPT. date by date b PLUME',ING date by Y Groundwork Attic OTHER date by date by D.V,'.V. WALLBOARD NAILING date by date by Vlater Line FINAL INSPECTION date by date by date by mad s��/ �o cJ g- 23 - oy 4 1 fl 3 .•v arm_ �+,-- as!c�� , 6` Q `