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BLD2001-00665 Manufactured Home - BLD Permit / Conditions - 8/20/2001
Inspection Line 360) 27- 262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427(96704ext7352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 ( Shelton, WA 98584 �T RESIDENTIAL BUILDING PERMIT BLD2001-00665 OWNER: DON GAVIN CONTRACTOR: WASHINGTON HOME CEN RECEIVED. 7/10/01 SITE ADDRESS: 1470 E SHELTON SPRINGS RD ISSUED: 8/20/01 PARCEL NUMBER: 420122200180 EXPIRES 2/20/02 LEGAL DESCRIPTION: TR 18 OF NW NW SEE SUR 18/136 PCL 2 OF BLA#96-73#636014 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME SHARED DRIVEWAY WITH 1470 E SHELTON SPRINGS RD General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 3 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: Occ. Load: Building: Valuation: $101,500 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make REDMAN Length: 60 Ft. Front: S 120.0 Ft. Shoreline: Ft. Water Body: Rear: N 100.0 Ft. Slope: Ft. SEPA?: No Mode1:4603 E Width: 28 Ft. Side 1: E 120.0 Ft. Shoreline Desig.: Not Applicable Year:2001 Serial No.: Side 2: W 40.0 Ft. Comp. Plan Desi .: Urban Growth Area Plumbing Fixtures Mechanical Fixtures FEES Type Qi" Type Qty. Type By Date Amount Receipt Mobile Home Submittal KLW 7/10/01 $175.00 56735 ENcling State Fee MEC 7/20/01 $4.50 57151 Mobile Home Issuance MEC 7/20/01 $175.00 57151 @"Plan Review CEW 8/6/01 $50 00 57151 Planning Review Fee RAM 8/14/01 $38 00 57151 Total $442.50 BLD2001-00665 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2001-00665 CONDITIONS FOR BLD2001 -00665 1) This application is ct to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 2) The use, handling and storage of hazardous m I 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 ffect your project. X 4) Proposed structure or any portion thereof greater than 30" in height from grad(;4,ka 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) Owner/applicant must obtain a separate permit for the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to placement of the tank. 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. re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contractor fai X �st the address on site prior to requesting inspections. 7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 8) 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 of be ranted. 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 Buildi rtment prior to any further inspections being performed or approvals granted. X BLD2001-00665 Please refer to the following pages for conditions of this permit. 2 of 3 9) 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 e s no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 10) 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 mor ' ht from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. X 11) 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. n 12) All property lines shall be clearly identified at the time of foundation inspection. X 13) 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 wit s n County ordinances and building regulations. X 14) 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 p d action from being taken. No more than one extension may be granted. X 15) Subject to conditions of Aquifer Notification letter. 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. E idence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before buildi c be occupied. OWNER OR AGENT: DATE: BLD2001-00665 Please refer to the following pages for conditions of this permit. 3 of 3 _c s hs- Redman Model 4603E, 28' x 60' Homes, Inc. . ft. ,3 Bedroom 2 Bath 1640 s Silverton, Oregon q Typical Rid edale exterior shown on the left.The exterior of your selected floor plan may vary.Consult your retailer - ' to find out more about exterior options and features. 00 = 00 4 Floor plan dimensions are approximate and are measured from outside wall to outside wall.Due to contlnuous product improvements,features and specifications are subject to change without prior notice. '( Nl5 E09 aF 'ry 4c "F�IpPEs7 LNTRY ---- / BEDROOM#2 - - ' i� UTILITY; LIVING- ROOM I1' B•r13 T 17*-9'x16'-tl' MASTER BEDROOM - 13'-2'x14'-1' I - n ------------ N —— — — OPT ok WM BATH BATH BEDROOMS KITCHEN. _ -- to-u r9-4' OPT ALCOVE 1W , FOYER - - - rs SWWM l a ° ° LOD I T ol= AL (3 E R rt I c(F "- G la t/c www.washhome.com S4-1CL-Zod � �� � g5t3 + 1 ' h .0NN •.l vvater Lines I upugrapnv II 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 line4 Q-' E— � 280"oi I adjacent property line _ �(O WELLS W 1'rM I g loo' or EITHER 5le PT C TAN 1� Nods ®. �'t JIt N I �Qp2`f.0 �RIr1 1-- $ETar1cK Cr 1AN�A FAe- LL i87 J Ait iA 4,ti yo I ® S r p T I c AREAS I , I Q n (o a� u) II RzvTfeT+-46 SE ?deleK ti \ 4 `�n`r�REx IS H61 4e1CKL adjacent property lined ` <-adjacent property line \\s Nel1hbors Nfi►GHr3,*R.5 SAMPLE SITE PLAN G. Hoos� adjar�nt property line-) 32-0 _ _ E-adjacent property line I ' v 30 �a,�scave 3�1 Saco. A L �• ti fi ,L _:ag zC_ I iv I Iowa I j -,* C. 6-b 1pI 1 - J VAC.Ar,T I C.A1A A[.6 -5o I z4P0 CD / I\ A6RLCULlr-AAL SO .. I I'-40 -� I 1 \ I I � I 31 I , i I Rs /oo' —aLL I , I I I L.�+GLL I adjacent property line- ; I R c \; Fad'acent propert � 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 dI5+nr,cgL14 fin rutttiY e d;a-ta ,Le. t o Slopes -r'n dii+ar.�a. t o �t PERMIT NO.: BLD � � f 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 OwnerON k 7A IcI` M• 61Adld Contractor Name , nA 4ey Mailing Address k L44 S irr Mailing Address ' City ' AG& v State s(A Zip Code 018S0 City State Zip Code Phone(3i, �1-94 Other Ph.( Ph.( Other Ph.( Lien/Title Holder hlo Qf,4- / SANttE AS agaV Contractor Reg. # Address II Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well's Water System'r&_Name of Water System Alot/E '�� PARCEL INFORMATION-12 digit Tax Parcel No. 1 / ,A / 00 Fire District Legal Description Site Address(Please include street name, street nurpber and city) YI 0 L Directions to site %Lh4A0g�J :E)_ w,4 �_ 114148 E7l.! r, Yel Will timber be cut and sold in parcel preparation? (ems/No) dO Is your property within 200' of the following: Body of Water (Name) 0 Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE© SEASONAL RESIDENCE❑ TYPE OF JOB New__e Add Alt Repair Other Use of Building ft I C Describe Work AJAA�jt o a ra xdr 1 -Wpm fito No. of Bedrooms_i2No. of Bathrooms_SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other S Garage Attached Detached Carport Attached ached U — MOBILE HOME INFORMATION-Make REJ)N1�N_Model 4603 C" Model Year 200 1 Length bap' k Widths '_Serial No. No. of Bedrooms No. of Bathrooms 2 Type of Heat bla stai- GAS Purchase Price $ 101,500 Replacement Unit ?(Yes/No) 1110 Installer Name Af#SWIA16 IrdA/ 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 whicli,this permit is issued and all work conformance there th. No chap es shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. p first obtaining approval. ' X Date 1 Q X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by f l�1:�A{ Date ,f;-' *,' Submittal Amount Due Receipt No. 20 DEPARTMEN VIEW ROv D DENIED CONDITION CODES Building Department Occ GroupT 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 ;4 i{ j :f y Y, vvarer Lines I upuyrapnv Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System j DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- I ---'— ��280,oi � Fadjacent property line I_.--- W I T M l iJ SET N Pf C -rAtt 40 I p I / I 1 t J" R r{ N `+-r_r_. p iiL 0 PC)S 1) " IFII:L� Vim^ I (r1ANuFAtTt� iZ� a 1 H ' Wf t_t- � ;• Vo ►2o.4q i ® SEPTIC APEFIS I , N a� UJ tl �TfcT��d S fs T t3f1GK �TJ*ti, i/ `GR NI?tst48or�� adjacent properly lined I '4� // % (--adjacent properly line s ":"Neltkhors NE161-113,0R5 SAMPLE SITE PLAN SePt�a +icu3�= adjacent property line-) aLo' _ Fadjacent property line D so' 1 !!! .�EASp y AL, 3c,41 � ! c I HOMQ 1. CReEK I r% I iioc,ua � 4 (�\ I > Pr%o POSLD ! I VA CA q,T I 'F MA � I I PRoPwcO I �k T A&RULL�r,.nA� So I IF—40 v0• I I 1 • 1 . '�--80• --mil I t t.—eLL I I 1 I /00 —� j I L.•��GL!_. I I I \ R I J SCQA adjacent property line-) , ! It-. in, c \; Fad'acent property 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 dtst�..ca, to ruLt(-�Y� a drat�rLc +o Slopm �-o¢ dl�+anca_ to � I —J FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION IDbrJ K 4 QtIRNICL M, GAJ �I '/20i1 , S22 00180 Case No. Name 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 line4 I , Fadjacent property line I , I I I I I `Vf-k,,- e d- I I I , I , I , I I , I , I 1 , I , I I I 1 , I I I I I I I I I I I I I I I I I I I I t adjacent property line4 I ' Fadjacent property line SAMPLE SITE PLAN adjar�nt property lined 3io- _ Fadjacent property line v so �>z�cave I a SEASo w/Al_ i• ti ,� _Y'PTSL__, CREEK I fi HOM t I .GrsdE� I H O ct 1 G_ 1 j Prio Posen snpti -�I 1 1 fit I R I VAGn,T I T GArtna� \ I I PM1nPmCO 'k �\ � nsaseLL�ru..ra�� So � I 1 R I \ i r I I � I \ /00 I I I , I I I adjacent property lined ; I c ; E-adjacent properf�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 d19+A"C_AL +v ructtiYt &stak"cc tc Slopm t c¢ to AL n r7 q /P/ Signature Date �PS0%% rAT4$ p MASON COUNTY 4 MoC Department of Community Development s N = Planning Division, P O Box 279, Shelton,WA 98684 'g N Y �,o~ (360)427-9670 1864 NOTIFICATION OF AQUIFER RECHARGE AREA August 03, 2001 !_ DON GAVIN E. 1470 SHELTON SHELTON SPRIN. lq+3 4-01( SHELTON WA 98584 Case No.: BLD2001-00665 Parcel No.: 420122200180 Project Description: MANUFACTURED HOME Dear Applicant: The subject property is located within an Aquifer Recharge Area. The owner of any site within a designated Critical Aquifer Recharge Area as identified in the Mason County Critical Aquifer Recharge Areas map, on which a development proposal is submitted, must record a notice with the Mason County Auditor. Once the Title Notification is recorded with the Mason County Auditor's Office, a copy of the notice is to be submitted to the Mason County Planning Department. This copy is required prior to the issuance of the Building Permit(s). A form has been attached for your convenience. Please complete,sign, record and return the form to this office as soon as possible to avoid delays in the processing of your permit. Please be prepared to pay $8.00 for the first page and $1.00 for each additional page at the time of recording. Also included for your referral is the Critical Aquifer Recharge Areas section of the Mason County Resource Ordinance. Please contact me at (360) 427-9670, ext. 295 if you have questions. Sincerely, Pam Bennett-Cummi g Land Use Planner Mason County Planning Department TO RE�C ` 1737315 Pagel I of 1 SC B. 0 Mason2CO.mWA3TP Return To: C� OWE h "'T ASSISTANer r FR TITLE NOTIFICATION OF AQUIFER RECHARGE AREA DATE: O , o e / OWNER NAME: 6/4 ng,/ A t/� W" C- MAILING ADDRESS: f 417v / 1 f `d rS t� i- reyy PARCELS: 4�a - Do 19'0 LEGAL DESCRIPTION: (ABBR.FORM:QUARTERIQUARTER,SECTION,TOWNSHIP, RANGE,PLAT, LOT& BLOCK) NOTICE: This property lies within a Critical Aquifer Recharge Area as defined by Chapter S.52 Mason County Code. The property was the subject of a development proposal for 13Lz 2bot - 0o6(05 application number flied on _�T�I (date). Restrictions on use or alteration of the property may exist due to natural conditions of the property and resulting regulation. Review of such application provides Information on the location of a critical aquifer recharge area and the restrictions on the site. A copy of the plan showing the aquifer recharge area is attached hereto. GRANTOR(S): LAST FIRST MI GRANTEE: PUBLIC