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BLD2000-00299 Mobile Home #413 - BLD Permit / Conditions - 4/14/2000
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 PPI Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2000-00299 OWNER: DARLENE PENNOCK 426-2015 CONTRACTOR: RECEIVED: 03/16/2000 SITE ADDRESS: 140 413 E BLEVINS Rd NORTH SHELTON ISSUED: 04/14/2000 PARCEL NUMBER: 420013300040 EXPIRES: 10/14/2000 LEGAL DESCRIPTION: S 543.65' OF E 1/2 SW SW i { PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME TO EVERGREEN MOBILE ESTATES, PAVED ROAD, 13TH SPACE 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: $5,000 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: 52 Ft. Front: N 14.0 Ft. Shoreline: Ft. Water Body: li Rear: S 44.0 Ft. Slope: Ft. SEPA?: Model: Width: 14 Ft. Shoreline Desig.: Side 1: E 21.0 Ft. Year:1981 Serial No.: RS9626 Side 2: W 5.0 Ft. Com . Plan Desi .: Urban Growth Area Plumbing Fixtures Mechanical Fixtures FEES Type Qtv Type Qtv. Type By Date Amount Receipt Mobile Home Submittal KLW 03/16/200 $175.00 52892 fvftile Home Issuance TLG 03/17/200 $175.00 53176 l ENdin State Fee TLG 03/17/200 I 9 $4.50 53176 Environ. Health Plan CEW 04/11/200 $50.00 53176 15194 ig Review Fee TW 04/13/200 $38.00 53176 Total $442.50 BLD2000-00299 Please refer to the following pages for conditions of this permit. 1 Pf3 ' CASE NOTES FOR BLD2000-00299 i i CONDITIONS FOR BLD2000-00299 1) 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. 2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X__203A� 3) 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 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. 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 an p blems no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 5) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck permitted without drawings or a building permit is 120 sq ft or less AND 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 tha s or more risers requires a handrail. X �/30r more in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 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) Proposed structure or portions thereof with a roPje over 30" in height from grade line, must maintain a 5' separation distance between adjacent structures and that furthest projection. X 8) MOBILE HOME PARK SETBACKS SHALL BE 15' FFjM QiHER STRUCTURES, 10' FROM PROPERTY LINES AND 5' FROM RIGHT-OF-WAY AS PER MASON COUNTY ORDIANCE #118-91.x 0 BLD2000-00299 Please refer to the following pages for conditions of this permit. 2 of 3 9) The use, handling and storage of hazardcj�s,rn rials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X ( LL�NI I 10) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 44 11 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 of r work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before ildin an be occupied. ' �l OWNER OR AGENT DATE: BLD2000-00299 Please refer to the following pages for conditions of this permit. 3 of 3 Building Permi # 3 MASON COUNTY G BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance / ---; nh 3 5 i`'ws cG C��,�.-vG .D•� ,�� Wi95r,EO cln/✓J�C f�/c�a� /VU i4l/C how (�2 Ti E 0 b0j<).ys- �' NG Lq�vO���i T CA2 1�)00 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date Inspector moos NOT M40V THImmah T A Rai PERMIT NO.: BLDQ 299 MASON COUNTY 3—I 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 Ar-PLIrkANTINFORMA ON CONTRACTOR INFORMATION Owner Contractor Name Maili ddress Mailing Address Cit Siatii&Al Zip Code City State Zip Code Phonea..0) Other Ph. 1� Ph.( Other Ph.( Lien/Title Holde Contractor Reg. # Address Expiration SEPTICfWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Co n ct to Sewer System Name of Sewer System Well Water SystemXName of Water System f PARCEL INFORMATION-12 digit Tax Parcel No. "V0700i / _/ Fire District Legal Descriptio 10 ©r Site Address(Pleasp include street name, stree n tuber and city) Directions to site Gr P 3i -24 Will timber0be cut and sold in parcel preparation? (Ye /N Is your property within 200' of the following: Body of Water(Name) Saltwater. Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other of Building Describe Work � � A e1�n�� - No. of Bedrooms I No. of Bathrooms_ SQUARE FOOTAGE-1st Floor2A2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORM-Make odel t Model Year 8/ Length Widt Serial No. o No. of Bedrooms�No. Bathrooms Type of Heat Purchase Price $ Replacement Unit ? e 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 cha es shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approva 2, first obtaining approval. P-4;,� IX Date / X Date FOR OF I CIALUSSE BEYOND THIS POINT L Accepted by I� Dat�/- —D P abmittal Amount Due / / Receipt N�0O DEPARTMENTAL!REVIEW KAP ROVED ENIED CONDITION CODES Building Department t� � ^ �ddftw- -4d, � L� Occ GroupType Constr. / Planning Department C� 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 Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) ':'>' TOT F S FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Nam P'` Case No. 64'.'W PARCEL NUMBER V0601 33 000 1/0 Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences G 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 11W DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent pr perty line- I E-adjacent property line b I I L4 4 40 Ila � �c S s MTylJ rf UJa�W ll ad'ace t roline-) ' I E-adjacent property line SAMPLE SITE PLAN adja�nt property lined 3zO _ _ Fadjacent property line I 17 30• r lz, Ci v& 3641 ,�.� J AL I a L CItEEv I' C fi Ham t I I � GnaeN I PrioPosan sapttc �I .4 , I rf— VACANT 1 GA1tA&4 3o I / I PNOP0300 So �I \ AbR=LLLTtLlLAL I 80 I I I , i I ` I I I /0o' I \ I I I L,._.eLL ' I I ' I I I I I I I adjacent property lined <—adjacent 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 d15t�.,cm to ruttt.�Yt A;St'3►,Le. f. d i1�3nLQ. J-� . 1 i 4ignature Date vil roof, Peter and Darlene Pennock 80 E#201 Blevins Rd. N Shelton.WA. 98584 360-426-2015 Fax 360-426-1568 E-mail dpennock@westsound.com VE >::: "... IN' ..........ltxv .......... RE ........................................ .. ....... . ..... ............. .. .. ......... March 13, 2000 Mason County Building Department Building III 426 W Cedar St Shelton, WA. 98584 Dear Sirs: Darlene Pennock the owner of Evergreen Mobile Estates has purchased a 1981 <`iEta1e home. This mobile home will replace an older mobile home that has been pdAe.d"Do Not Occupy". This is because the mobile has not been set up according t .ccle There has been a mobile home in this space since sometime in the 60's. The tnbb le home that was in the space was a two (2)bedroom and the mobile home we h urchased is also a two 2 bedroom. Existing septic and water systems serve ( ) hsPThis is an existing space and has been for many years. se if you shoul d have ve anyquestions an d nee d additiona l inf0 informat ion. Slneerely, Peter and Darlene Pennock Owner/Managers Evergreen Mobile Estates . . . .