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Home My WebLink AboutBLD2001-01253 Manufactured Home #308 - BLD Permit / Conditions - 1/7/2002 Inspection Line (360)427-7262 soMASON COUNTY DEPT. OF COMMUNITY Phone: (360)427-9670, ext. 352 DEVELOPMENT Mason County Bldg. 3 426 W. Cedar P.O. Box 186 ;$ Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2001-01253 OWNER: PETER PENNOCK RECEIVED: 12/10/2001 CONTRACTOR: ISSUED: 1/7/2002 SITE ADDRESS: 80 E BLEVINS RD NORTH SP 308 SHELTON EXPIRES: 7/7/2002 PARCEL NUMBER: 420013300040 LEGAL DESCRIPTION: S 543.65' OF E1/2 SW SW PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME HWY 101 N PAST FAIRGROUNDS RIGHT ON SHELTON SPRINGS RD, ELFT ONTO BLEVINS RD N GO TO OFFICE OF 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: 1 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 11 No. of Stories: Occ. Load: Building: Valuation: $5,000 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make: Length: Ft. Front: S 26.0 Ft. Shoreline: Ft. Water Body: SEPA?: No Model: Width: Ft. Rear: N 5.0 Ft. Slope: Ft.Side 1: E 18.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 11.0 Ft. Com . Plan Desi .: Urban Growth Area Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Ki w 19/1n/9M T175 nn 57QRn EH Plan Review r.Fw 19/19/9nn (zrn nn FA1QA Mobile Home Issuance KAFr. 19/17/9nn T175 nn 5A14A Building State Fee UPC,. 19/17/9nn ,ta rn 5A14A Planning Review Fee KC 11919nn9 vis nn SA1Q2 Total $442.50 BLD2001-01253 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR • BLD2001-01253 CONDITIONS FOR B LD2001-01253 1) This application j Oject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 2) The use, handling and storage of hazardous materials or flammable 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 suggested to contact that office to review future planned work which may affect your pro (zt.n X ,}i 4) Proposed structure or any portion thereof greater than 30" in height froz?rye 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) 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 X ntf@ctq�fail to post the address on site prior to requesting inspections. 6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 7) 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 tthe TP Department prior to any further inspections being performed or approvals granted. BLD2001-01253 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 practices or problems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of ar�(;aJ}'�roblems no occupancy(Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which)Signature X C�j��/l'' 9) 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 dec is 30" or more in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. X 0 10) 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. ,Q 11) All property lines shall be clearly identified at the time of foundation inspection. Xf/U 12) 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-compliant with Ma ¢aunty ordinances and building regulations. X � / 13) 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 forA period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit hol prevented action from being taken. No more than one extension may be granted. 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 anytime 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 n be occupied. / OWNER OR AGENT: DATE: f—7-0 BLD2001-01253 Please refer to the following pages for conditions of this permit. 3 of 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 INFORMATION Owner Y Contractor Name � L�- Mailing Wd&e Mailing Address CityState Zip Code City State Zip Code Phone( 6D) -ZOIZOther Ph.( _}-- Ph.( Other Ph.( Lien/Title Holder 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_)!L_Name of Water System ' es PARCEL INFORMATION-1,2 digit Tax Parcel No. 1 / Fire District t� %. Legal Descriptio - j 1 6 Site Address(Plea include stre t na , street number and ity) Directions to site Will timber be cut an sold in par e preparatio (Ye Is your property within 200' of the following: Body of (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 INFOR%ION-Make Model Z Model Year Length �4- Width Serial No. 01 Z No. of Bedrooms � NBathroorn Type of Heat `c. Purchase Price $ Replacement Unit ?(fe 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-1 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 changes shall be made without first obtaining Ishall be done in conformance therewith. No changes shall be made without approval k'9 first obtaining approval. X t:!yt� Date /Z r —0 X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL'<REVIEW APPROVED DENIED ' CONDITION CODES Building Department Occ Group Type 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 nn f� Case No. NameP<kr 9f Nelf4w- P-Wl o:0-L PARCEL NLIMBER42601-33r00090 Date /Z- zf-o/ 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 W 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- , , f-adjacent property line I I I I I I I 50� Sr 1 � � I I I Ark I U fiW I I Pk I Cgwl� X Con 1 I I 13 I � I I Ir I I I ad acent property lined <-adjacent property line N SAMPLE SITE PLAN adja t property lined _ _ _ E-adjacent property line I D 30' �RESCRvE 1 _ Pc�__ - CREEK I c J I I Honer \ I G na P ew� ]I I F �. I HGus4 PROPottD smpt:c 1 - I I4— 6°' I R I VACl.NT � T c.ArtAa� \ I i o I \ �\ T A&R=LLL71WRAL I I I , I \ I I I � c- -aLL 1 I I I x� /00 I I tA--UU I adjacent property line--.) Fad'acent ro ert 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 d1S+anca. +o shruti-LsNe- diSt.rGG to 51opd �-o¢ i dis+a�am 4e t Signature Date • Peter and Darlene Pennock • 80 E#201 Blevins Rd. N Shelton,WA. 98584 360-426-2015 Fax 360-426-1568 EVERGREEN MOBILE ESTATES November 29, 2001 Mason County Building Department Building III 426 W Cedar St Shelton, WA. 98584 Re: Permit application for 80 E Blevins Rd N, #308 Dear Sirs: Peter and Darlene Pennock the owners of Evergreen Mobile Estates have purchased a 1983 manufactured home. This mobile home will replace a mobile home that has been removed. There has been a mobile home in this space since sometime in the 70's. The mobile home that was in the space was a two (2)bedroom and the mobile home we have purchased is also a two (2)bedroom. Existing septic and water systems serve this space. This is an existing space and has been for many years. Peter(who is a licensed septic pumper) pumped the septic in March of 2001. Peter is the manager of the water system and we have done all the required water tests. Please call us if you should have any questions and need additional information. Sincerely, Peter and Darlene Pennock Owner/Managers Evergreen Mobile Estates _..... ::::................._,,....._._...... _......__.........................r....,............. ............................................................... ...:..............................._....,,....:...:.,.............................. ........:...:.....,,...:e.F..,.......r..,u,.,,, c............ ::.....:.....r............._...._..............__:.,..,...,.:.....................r..!.....,.....:..:....:.rr..n :rr,::r: !:!:::::-:::!!!!u!!!!::t!tt!t!:!!:!::!rru;:::::!!!::!gr:i"I;;i2 i !::,,::,:, r:::::::_::.:rl. 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I,; 1 .: � I 0 t m I CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons by Gas Piping date b date " Foundation Walls date by Set Up ` date by INSULATION date Z -fU'Lid by BG/SLAB Insulation Floors Final - date by date by date'5 ' Z)O Z by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Attic Groundwork date by date b WALLBOARD NAILING D.W.V. ate by date by d Water Line FINAL INSPECTION date by date by date by Z' Z It M r