HomeMy WebLinkAboutBLD2002-00202 Manufactured Home #49 - BLD Permit / Conditions - 3/7/2002 Inspection Line
MASON COUNTY DEPT. OF COMMUNITY (360)42 7-7 2 6 2
DEVELOPMENT
Mason County Bldg . 3 426 W . Cedar P.O . Box 186
Shelton , WA 98 4M1SIDENTIAL BUILDING PERMIT
BLD2002-00202
OWNER: DAURRA HADSELL 426-2623 RECEIVED: 2/27/2002
CONTRACTOR: LICENSE: ExP: ISSUED: 3/7/2002
SITE ADDRESS: 1 700 E SHELTON SPRINGS RD SP 41 SHELTON EXPIRES: 9/7/2002
PARCEL NUMBER: 420013300060
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 AT END OF SPRINGS RD ON RIGHT
General Information Construction & Occupancy Information Square Footage Information
�.. No. of Bedrooms: 3 Type of Constr.: V-N
Type of MH Insp. Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 1 1 No. of Stories: Occ. Load: Buildinq:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
M akFLEETWOOI Lenqth: 66 Ft. Front: W 10.0 Ft. Shoreline: Ft. Water Body:
Rear: E 5.0 Ft. Slope: Ft. SEPA?: No
Model:BROADMOF Width: 14 Ft. Side 1 : N 17.0 Ft. Shoreline Desig.: Not Applicable
Comp. Plan Desi .: Urban Growth Area
Plumbing FIRtu' reS Mechanical Fixtures FEES
Tyne Tv n e Type By Date Amour Receipt
Mobile Home ui lnr 7 77/)nr 41 QA rn 1;Reoa
Mobile Home Issuance 'Dni 71)nr C10A rn rstrI1 o
Building State Fee iDni J 771)nr ee cn Cf2F.1 a
Planning Review Fee oar a nnr ciQ nn CRG10
EH Plan Review rrlu 711 nnnl ¢,7c nn rati1 a
Total $506.50
BLD2002-00202 Please refer to the following pages for conditions of 1 of 4
CASE NOTES FOR
BLD2002-00202
CONDITIONS FOR
BLD2002-00202
1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X-------- -------------------
" 2) The use, handling and storage of hazardous materials fl mmable 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 suggest contact that office to review future planned work which may affect your project.
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4) Proposed structure or any portion thereof greater than 30" in height from grade line, s aintain a minimum of 5' setback from all
property lines, easements and 10' from all County and State Road right of ways. X------------------------
5) Approved per dimensions and setbacks on submitted site plan. 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
asse ,� owner and/or contractor fail to post the address on site prior to requesting inspections.
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7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X_ W-------------------
3) 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 (refer to current fee schedule, minimum 1 hour) will be charged
and shal Ilected by the Building Department prior to any further inspections being performed or approvals granted.
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BLD2002-00202 Please refer to the following pages for conditions of 2 of 4
9) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy).
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.
OWNER/CONTRACTOR(indicate which) Signature X___ _________
10) Applicant has indicated this is a replacement unit. Prior to Mason County allowing a o cupnacy of the new proposed unit, the existing
unit which is on and is being replaced MUST be removed from the parcel. X--- ---------------------
1 1) This permit is for the placement and i st Ilation of the manufactured home only and does not imply approval or review for any other items
indidcated on the plot plan. X______ __________________
12) Proposed structure or any portion thereof greater than 30" in height from grade line t maintain a minimum of 5' setback from all
property lines, easements and 10' from all County and State Road right of ways. X__ _______________
13) Proposed structure or portions thereof with an projection over_J� height from grade line, must maintain a 5' separation distance
between adjacent structures and that furthest projection. X---
14) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason u y Building Inspector shall be made prior to requesting additional inspections.
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1 5) 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 296-1 50M-655. Support
configuration shall be clearly marked in the installation instructions.
16) All property lines shall be clearly identified at the time of foundation inspection. X___ ____________________
17) 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 Comet s being non-compliant with Mason County ordinances and building regulations.
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18) 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.
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BLD2002-00202 Please refer to the following pages for conditions of 3 of 4
This permit becomes null and void if work or construction authorized is not commenced within 1 80 days, or
if construction or work is suspended for a period of 1 80 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 building can be occupied.
OWNER OR AGE DATE:--------------
BLD2002-00202 Please refer to the following pages for conditions of 4 of 4
PERMIT NO.: BLD !i�'� ��C��
MASON COUNTY ITO
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 INFOEMATIQN
Owner~ A-C� �Li— Contractor Name _ / / .b.�LJ,
Mailin Addre s OD S t rsn, Mailing Address
city ►1 State WPZip Code City State Zip Code
Phone( D ) G Z3Other Ph.(56A ) 27-503 Ph.( Other Ph.L_____)
Lien/Title Holder S A-/r+G Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
ARCEL INFORMATION-12 d' it Tax Parcel No / % Fire District
Legal Description W w
Site Address(Please inclu e street me, street nurober and city)
Directions to site V F N o `,E c
42>e- n v,
Will timber Ile cut aild sold in parcel preparation? Ye
Is your property within 200' of the following: Body of Water (Name) MIA Saltwater
Lake River/Creek Pond Wetland Seasonal Punoff Stream Slopes or
Bluffs
PERMANENT RESIDENCEd SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms Z SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORM TION-Make uzvAp Model rP4 Irv-0rc- M Year
Length (Or Width � Serial No. No. of BedroomsAv—zbpo. of Bathrooms
Type of Heat r Purchase Price $ 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-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
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
r approval first obtaining approval.
Date off- X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Dat ubmittal Amount Due, , Receipt No.
I
DEPARTMENT REV W� APPROVED DENIED ' CONDITION COPES 1
Building Departme
Occ Group - ype onst .
Planning Department
Environmental Health Department
Public Works Department
i
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee 1 NA !o 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 ( Ct` ' )
TOTAL FEES
FOtM MUST BE COMPLETED IN INK
oiASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Names U A �-t �Q J PARCEL NUMBER Date
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 , E-adjacent property line
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adjacent property line-) I I E-adjacent ro ert line
SAMPLE SITE PLAN
adjacent property lined I p 3io' _ E-adjacent property line
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CREEIG AL_ fi Norm c _tt9T1c._
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adjacent property line- ; a~. ; E-adjacent prope4y 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
r�rL�r�
dra -t to
Slops f-c¢
nature Date
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i Tao S/ S/r;,Abl 10 r 3 O
Tr-Lr `7LG- Y � NG�
5 ' THESE PLANS MUST BE
r ON THE JOB SITE
FOR INSPECTION.
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WaCj
APPROVED
z 0 o MASON BUILDING INSPECTOR
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= o CHANGES SUBJECT TO APPROVAL
~ DATE
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SiDEYARD SETBACK
All stnrdums, or any portion thereof, greater
than 30-inches in height above grade must
qS X 10 maintain a 5-toot setback from property lines
and easements and 10-feet from all county
and state road right of ways. Structures shall
inclide roof overttiangs, gutters, decks,
purr:;,,es, meci:inicat equipment, etc.
i MUST MEET ALL CURRENT
WASHINGTON STATE CODES
SC A L
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Planning
Mason County Bldg. 1 411 N.5th
P.O.Box 279 Shelton,WA 98584
(360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968
"QUEST FOR BUILDING PERMIT EXPEDITION
NAME: 0�
MAILING ADDRESS:
PARCEL NUMBER:
LEGAL DESCRIPTION:
SITE ADDRESS:
REQUEST DUE TO: MEDICALLY NECESSARY FIRE DAMAGE
EXPLANATION OF HARDSHIP: -{�( 1 �e •lJ.� �ta ZP �
MUST INCLUDE SUPPORTING DOCUMENTS THIS MAY BE A LETTER FROM A
DOCTOR, INSURANCE CLAIM REPORT OR REPORT OF FIRE DAMAGE FROM
APPROPRIATE FIRE REPRESENTATIVE .
I (WE) UNDERSTAND THE INTENTION OF THIS FORM IS TO DETERMINE AND
DOCUMENT JUSTIFICATION FOR EXPEDITION OF A BUILDING PERMIT TO ALTER
OR RECONSTRUCT A RESIDENCE ON THE ABOVE NAMED PROPERTY.
SIGNATURE OWNER/AGENT�G G`
OFFICIAL USE ONLY
REQUEST DENIED FOR FOLLOWING REASONS)
REQUEST APPROVED . DATE:
I GNATURE
`i OF COMMUNi 0PMENT
�COF RITE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
�&,te by Gas Piping date b
Foum ation Walls date by Set Up
date by INSULATION date
by
BG(SLAB Insulation Floors Final x
date by date by date 'e� 111 l by
FRAMING Walls FIRE DEPT.date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
data
WALLBOARD NAILING
D.W.V.
date by
date by
FINAL Line NAL INSPECTION
date by date by date by
110 s r vu r 3S, 6, , E I�
s23& 14- �
u �I q0o �tF-, C 1� �a 81f�
i