HomeMy WebLinkAboutBLD2001-00430 Manufactured Home #301 - BLD Permit / Conditions - 5/29/2001 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2001-00430
OWNER. D ARLENE PENNOCK
RECEIVED: 05/09/2001
CONTRACTOR: ISSUED: 05/29/2001
SITE ADDRESS: 80 E BLEVINS RD NORTH SP 301 SHELTON EXPIRES: 11/29/2001
PARCEL NUMBER: 420013300040
LEGAL DESCRIPTION: S 543.65' OF E 1/2 SW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME TO HWY 101 NORTH PAST FAIRGROUNDS RIGHT ON SHELTON
SPRINGS RD, LEFT ONTO BLEVINS RD N GO TO OFFICE OF
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EVERGREEN MOBILE ESTATES
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.: 11 No. of Stories: 1 Occ. Load: Building:
Valuation: $6,000 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make FLEETWO Length: 56 Ft. Front: N 70.0 Ft. Shoreline: Ft. Water Body:
Rear: S 15.0 Ft. Slope: Ft.
SEPA?: No
Side 1: E Ft.
Model: Width: 28 Ft. Shoreline Desig.:
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Year:1986 Serial No.: ORFL2AF42 Side 2: W 22.0 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 05/09/200 $175.00 56234
b@flding State Fee MEC 05/15/200 $4.50 56401
Mobile Home Issuance MEC 05/15/200 $175.00 56401
EF€Plan Review CEW 05/17/200 $50.00 56401
Planning Review Fee GBM 05/22/200 $38.00 56401
Total $442.50
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BLD2001-00430 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2001-00430
CONDITIONS FOR
BLD2001-00430
1) 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
contra ,,y�ost the address on site prior to requesting inspections.
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2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
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 in the amount of$47.00 per hour(minimum 1 hour) will be charged and shall be collected
by the 21=artment prior to any further inspections being performed or approvals granted.
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4) 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 I occupancy (Final Inspection) will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
5) 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 mi R IV h!!t from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers
requires a handrail. X
6) 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.
7) All property lines shall be clearly identified at the time of foundation inspection. X 4%�e
8) 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-co njrith Mason County ordinances and building regulations.
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BLD2001-00430 Please refer to the following pages for conditions of this permit. 2 of 3
9) 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
permi d ave prevented action from being taken. No more than one extension may be granted.
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10) All upland areas disturbed or newly, edp construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting).
11) This application 1 e Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X 1
12) The use, handling and storage of hazardous mor 1 mable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
13) 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 ma f�eur project.
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14) Proposed structure or any portion thereof greater than 30" in height from gst maintain a minimum of 5'setback from all property lines,
easements and 10' from all County and State Road right of ways. 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 work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before buildin n be o cupie �p
OWNER OR AGENT: DATE:
BLD2001-00430 Please refer to the following pages for conditions of this permit. 3 of 3
Building Permit # MASON COUNTY
J
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location S,�g� ,30/ � :_ %C�y«s ,� .v6C/c�
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
fund: Items Listed below must be corrected to gain code compliance
/AySu Tia(/ jt r 7-P 1Z A L 774>0 /-✓r-
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P*j jA741-t:--q G-0d
c ,lam ice'/✓vim A! /�4-7 ui r�s /�s �l l�.
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
,zeLGI- ie-,a-L f�,lsr ;.ocl /�6A-,�'C I - 2-7- Zoo)
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to—5%ee/e 7' /4,6Mf /
❑ This is not a complete inspection DepartmentLi�cl/��
Date G'`�/ Inspector
5044 minT MOAV THIN-- T A
PERMIT NO.: BLDUV I-0
MASON COUNTY
BUILDING PERMIT APPLICATION 5I�
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
APPLIC it1T INFO MA N CONTRACTOR INFORMATION
Owner i" a Onf, Contractor Name �`�
Mailin dd ss Mailing Address
City State Zip Code City State Zip Code
Phone(.340 —oZ0/Zther Ph. / Ph.( Other Ph.(�
Lien/Title Holder A-4kig., Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Co n ct to Sewer
System Name of Sewer Syst m Well Water SystemName of
Water System
PARCEL INFORMATIO -12 di it T x Parcel No. / Fire District
Legal Descriptio
Site Address(Plea e i Jude street m street umber and city)
Aff
Directio o site Q/
Will timber be cut and sold in parce prepara on? (Yes
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 Model M X _6Xs Model Year
Length Width _Serial No. ,'tS�No. of Bedrooms c2 No. athrooms
Type of Heat Purc ase Price $ Replacement Unit ? es/ o)
Installer Nam ertification 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-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 than es shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
ap ro ^� first obtaining approval.
t Date 5 / X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date' > - Submittal Amount Due / / Receipt No. ,
DEPARTMENTAL' VIEW APPROVE DENIED CO CC1.17E ..
Building De nt
Occ Grou T e Constr.
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
II nn n Case No.
Name/4)AW f Diefedc- Pennock PARCEL NUMBER g2�/-33'004'f0Date 5�--7- d/
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 properties1ron shorelilne, or within 100 feet of adjacent property line.
adjacent property line- , Park park , <-adjacent property line
61.Jrrc. u
I Cabl e
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adjacent property line-� I Fad'acent property line
SAMPLE SITE PLAN BIe-V-hS
adjacent property lined 3i0' _ Fadjacent property line
i D 36- raEscRve 3�1
-SEA w/AL_ I L _�PTSL
CRaF{� I 7 HOM tr I
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I 14— 60' olt /SO
VACANT i I GARAc.2 \ ,�
30 I i
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80,
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adjacent property lined ; a~. \i <-adjacent properl�y 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
d1 s+a"c-a. to
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A;Starce. to
Slops. fic¢
dis+anaQ
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Signature Date
Etc Ego V
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by RR)bona
date by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.' date by date by date by
PLUMBING Attic OTHER
Groundwork
d date by
ate b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date J G by kj,v I date by
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