HomeMy WebLinkAboutBLD2000-01020 Manufactured Home #3 - BLD Permit / Conditions - 8/18/2000 Inspection Line(360)427-7262
NoMASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
t RESIDENTIAL BUILDING PERMIT BLD2000-01020
OWNER: GORDON PLANCICH 432-1020
CONTRACTOR: SP���e 3 RECEIVED: 08/10/2000
SITE ADDRESS: 1700 E SHELTON SPRINGS RD'�'1 SHELTON ISSUED: 0
PARCEL NUMBER: 420013300060 EXPIRES: 02/18/200/18/2001
LEGAL DESCRIPTION: SW SW SW EX TRS 1-3 SEE SURVEY 8/66
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME HIDDEN HAVEN MOBILE HOME PARK
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck
Type of Work: NEW Fire Dist.: 11 No. of Stories: 1 Occ. Load: Building:
Valuation: $18,500 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make REDMAN Length: 66 Ft. Front: E 8.0 Ft. Shoreline: Ft. Water Body:
Rear: W 5.0 Ft. Slope: Ft. SEPA?:
Model:REDMAN Width: 14 Ft. Side 1: Ft. Shoreline Desig.:
Year:1994 Serial No.: 11820143 Side 2: Ft. Com . Plan Desi .: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 08/10/200 $175.00 54233
§@Ading State Fee TLG 08/15/200 $4.50 54313
Mobile Home Issuance TLG 08/15/200 $175.00 54313
EWPlan Review CEW 08/17/200 $50.00 54313
Planning Review Fee KS 08/17/200 $38.00 54313
Total $442.50
BLD2000-01020 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-01020
CONDITIONS FOR
BLD2000-01020
1) The use, handling and storage of hazardoy�rpaterials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X t
2) MOBILE HOME PARK SETBACKS SHALL BE 15' FWTHER STRUCTURES, 10' FROM PROPERTY LINES AND 5' FROM RIGHT-OF-WAY AS
PER MASON COUNTY ORDIANCE#118-91.x
3) 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 RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X �/,(p
4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
5) The approved plot plan is required to be on-site for inspection purposes. If inspection is called 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 hour(minimum FjQur)will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X P
6) 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
d 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 probl o occupancy (Final Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
7) 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 i ei t from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers
requires a handrail. X
8) 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. Ae
BLD2000-01020 Please refer to the following pages for conditions of this permit. 2 of 3
9) All property lines,shall be clearly identified at the time of foundation inspection. In the case of Mobile Home Parks, the space or lot lines shall be clearly
markedX
r
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 work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before b ilding can be occupied.
OWNER OR AGENT: DATE: �f�/id C)
000-01020 Please refer to the following pages for conditions of this permit. 3 o BLD2 g p g p f 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 CONTRACTOR I O M TI
Owner �� Sr Contractor�0/nhc+�� S Contractor Nam
Mailing Address r66fimelgWr / ilinq Address
City State/A[4_ Zip Code ity State Zip Code_Shy /1k�g _
Phone(, p�! �—Other Ph.(36o Ph. Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration 7 / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic 4., Connect to Sewer
System Name of Sewer System\t ,DU k-'~\ V\"\4kz j r'l 11•P Well�i _Water System Name of
Water System -VAP
PARCEL INFORMATION-12 digit Tax Parcel No /C,145/ Fire District
Legal Description —
Site Address(Please include street name, street number and city)
Directions to site f_� 001, ,lae,t<-)i 1 , I )C Sic
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
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make &&brNA11 Model Kicbm a Model Year
Length Width'/�� Serial No. /�a-149 ! /�No. of Bedrooms�_No. of Bathrooms
Type of Heat urch se F�rice $ Replacement Unit ?�No)
Installer Nam 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-I certify that 1 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 a that I m aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for wh th issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No Changes hall be made without
approval. first obtaining approval.
X Date
/F 0 0 X � Date
FOR OFFICIAL USE BEYOND THIS POINT
GU
Accepted by Date Submittal Amount Due /o'� Receipt No. /
DEPARTME[VTAI REVII»:W ROVE DENIED '' C4NDITlaN GOQ 5
Building Department
Occ Group Type Cons
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Va4tation $
FEES
Building Permit Fee S 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
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date _ ` by Gas Piping date b
Foundation WaNs date by Set Up �
date by BG/SLAB Insulation INSULATION date by
Floors Finale
date by date b date
FRAMING y FIRE DEPT.
date by Walls
PLUMBING date by date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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