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BLD2001-01210 MFG Home - BLD Permit / Conditions - 3/11/2002
Inspection Line MASON COUNTY DEPT. OF COMMUNITY (360)42 7- 7 2 6 2 11 DEVELOPMENT 010 Mason County Bldg . 3 426 W . Cedar P.O . Box 1 86 Shelton , WA 98 WMIDENTIAL BUILDING PERMIT BLD2001-01210 OWNER: JESSE FENTON 427-9268 RECEIVED: 111201200 CONTRACTOR: LICENSE: ExP: ISSUED: 3/11 /2002 SITE ADDRESS: 5230 W SHELTON MATLOCK RD SHELTON EXPIRES: 9/1 1 /2002 PARCEL NUMBER: 420167500050 LEGAL DESCRIPTION: TR 5 OF SURV 14/108 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME 6 MILE OUT SHELTON/MATLOCK RD DRIVE ONTH RIGHT General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: Type of MH Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 16 No. of Stories: 1 Occ. Load: Buildinq: Valuation: $44 900 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information M akFEETWOOD Lenqth: 68 Ft. Front: W 80.0 Ft. Shoreline: Ft. Water Body: Rear: E 230.0 Ft. Slope: Ft. SEPA?: No Model: Width: 28 Ft. Side 1 : N 300.0 Ft. Shoreline Desig.: Not Applicable Comp. Plan Desi .: Inholdina Plumbing h2tures Mechanical Fixtures FEES Tv o e Ty o e Type By Date Amour Receipt Mobile Home v1%A/ ,, ¢,7c nn r7Q7r, Building State Fee ^"Fr >> I'M ¢e cn CQC,A) Mobile Home Issuance Rnrr ,, (71 n( a,7c nn r QrA) EH Plan Review rnu Z 171)nn' ¢7c nn CQFd7 Planning Review Fee VIZ QIQi')nn' ¢QQ nn c9r,a') Total $467.50 BLD2001-01 21 0 Please refer to the following pages for conditions of 1 of 3 CASE NOTES FOR BLD2001-01210 CONDITIONS FOR BLD2001-01210 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 contractor fail to post the address on site prior to requesting inspections. X-rL_21------------------------- J 2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. XCN____________________ 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 Building Department prior to any further inspections being performed or approvals granted. X__ �------------------------- 4) Matlock is designated with a 351b snow load rating. The owner/agent of this permit acknowledges that if the unit permitted under this permit does not meet the recommended snow load rating, there is a potential for failure due to weight accumulation beyond that of the design criteria. X_ --------------- 5) 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. OWN ER/CONTRACTOR(indicate which) Signature _1_______________ 6) 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 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_;E_ --------------------------- 7) 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. BLD2001-01210 Please refer to the following pages for conditions of 2 of 3 8) All property lines shall be clearly identified at the time of foundation inspection. X__ ------------------------ 9) 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 Mason County ordinances and building regulations. X 'E-C— ---------------------------------- 10) 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. X__�--------------------------- 1 1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1 .03.036.X__EdC_-------------------------- 12) 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_1-v __________________ 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 may affect your project. X 14) Proposed structure or any portion thereof greater than 30" in height from grade 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_E< _')_________________ 1 5) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Charell Holcomb, at (206)427-9670, ext. 450. X-_z=:��_---------------------- 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 . 22 O W N ER O R A� JT: ------------------------------ DATE: k�LCAI;_;l----------- BLD2001-01 2 1 0 Please refer to the following pages for conditions of 3 of 3 CONCRETE MECHANICAL MOBILE HOME Fbod.,V-Suck date by Fab" o Gas pspkg date by F;MdaJon Warts date by Set UP I date by date INSULATION Final hsularion Bti/SLAB b(WeyFI °rs date (,(13 Uz ° �� by FIRE DEFT. FRAMING Wars date by date by date by OTHER PLUMBING Attic Groundwork date by to by WALLBOARD NAILING D.W.V. date by date by FINAL INSPECTION Water Lino date by date by date by 51.36612- iM H �.-4 p E,W L" 52Q -a 5 J--z � � ,� /3/0 102 F,Ja l D� �o ���► lvz J1 - i r 1� . r 1 , Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Ro(. 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 PEQ"r) ©nJ WAT4t 4fAD- L kA v / -a' A oko 3 aoul R-s' A 1Q4P' l You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ roake r re-inspection when corrections are made before continuing corrections, items will be checked on next inspection 4,ek to , kll!', ❑ This is not a complete inspection Department L . 1 0611"r Date hc)z n� Inspector Z k � ■ *0 :P1lT MOAV THI - T A Building Permit # 2001 o MASON COUNTY eta BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Sd3o St�AoN - Ih► hus-k �\d. 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 Ad 1m)s m„Mr,&ns Q ,hzw ,�,, Accqas A oa ho,N\Q- . a w 1 %1A(A-0— c`� I�AdiQ i A5"LAT76ry 985 f Y1� l,Qd Foluj /°f c.Qfs 44A, t 0 DkAA 10 R 9401Q, 4i;(2 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 ErlMake corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department :&J'I&Aq Date /I/ a Inspector moo * NnT MOAV THIV--- T A ,� .,* _ 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 INFORMATEPN� CONTRACTOR INFORMATION Owne -� �- Contractor Namea Maili�p Addr S VOID Mailing Address City.V tate Zip Code City State Zip Code Phone y, — they Ph.( Ph.( Other Ph.(� Lien/Title Holder _5r:0v7,0_, Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic „Existing Septic Connect to Sewer System Name of Sewer System WellWater System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel N . /Z_/ Fire District__Z6 Legal Description /O Site Address(Please include treet name, str et number nd ) Directions to site r .v Will ti er be cut and sold in parcel preparation? (Yes/No)_ o 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 INFORMA ON-Make odel Model Year Length Width y Serial No. No. of Bedrooms _�No. of Bathroom Type of eH at Purchase, Price $ Replace ?(Yes/N 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-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 t'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 approval. / �)lfirst obtaining approval. X - Date 1 t// X ADDate, FOR OFFICIAL USE BEYOND THIS POINT Accepted b�� Dal � V�Submittal Amount Duj� U Receipt DEPARTMENTAL EVIEW 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 Name� C ,,�y�Case No. �SS� etl PARCEL NUMBER y�Ol " 75 6n �aO SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan C 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 E-adjacent property line ( I I � � I � I I ,)yan el 1 / ( I L , I I I 1 I adjacent properly line If I (p I E-adjacent property line 11 cc i i^Oa /�Ci S SAMPLE SITE PLAN .acdj�a�t property line- iIIII � D1 firf-3 LO6o0' 30• �suR�a—ve_-I�S_O__, a�o--�,,IIII FadjacGHeOan,dt,E proper ty line gEA.n%JAl_ �8T J K C I. PRP. S¢Qt.C. VTAC-Aki fi c.AMAC.-4 30 , !i CM1oPasco Soy—� T A&RSLu.LTLL XAL I , 1 I • / i � �---80, —mot /00' I \ I I \ I � �- •eLL I \ I /00' I adjacent property lined i \i E-ad'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 dtst�..�Q to di�t'arcc.610pm -rc¢tc dt�+snaa_ tD Signature Date FLEE7WCOD. 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'I.N.N.NN.�/►p.l \fNL.�.IH.Nff �NfNfi ..H.f.NNf..1■H.H ��NN.Nrf....A■1 2.IV -___ --1fNL- maim fii..r.NN.fi�.iffl 'u.mm��iNNfN.fY 9.lNm.N.. u.mmi WNNNa.1A ir....mmf/ H■WW!.gNNliffp �`..Nf.HfH.. I��WN..NNNIN� R�N.fNfN.H.N..I H..N■NN.NifHf.tl NfiN.HNf./Hii■.i p..L.NN.NNli.iN.N. N!lHN.N....f.Nfl Ii.W.NN■NNfifitl.Nf NfNfNf.N.iH..ifl H..1.ff..N it.�Nt Nf.NH.iH..N.N.1 nAMrSNW �..../f. NL\ N./q/N..f.H.fH■ .NtfN tN! LO INNf.gif.f..fN.fH. BEPROOM RETREAT LIVING 'II I..Nt ■I NN■ 1.�� i../ qH../. .N.p N■ N. .p■ aifiri N nlrl Hiffi■iti.l Nf.lt ■q.l glgf.H...f.H.N■ H■f.....N. ./f- ■N■flNllHN/.././N■H■ ■■■f.f.N. NIN.ilt ■'LpN.Nffiq.../ ■.HNi.NNNN./pWALK ■4.//....f■Nrr.. ■.HN.N.NN■N.l1 • I!■...N■■f..H.N. ■.N.i.N.NNN.i\i �GfH�Al.NN.Hfffq.q. ■fN.NNl.�■N.li ■Nr►NNl.rr.NN...N.N/ ■.NN..N�.N..N M■1 Y.W.NW..N■N� ENTRANCE :• saw T T/. Z + Manufactured Housing instd1ation Certification Department of Community, Trade and Economic Development Office of Manufactured Housing T Awarded to ........... Brian R. Dickason f4" for successfully passing the _ Ri Installer Recertification Examination. - Issued July 27, 2001. Ray T'7 Price Assistant Director, Manager, Housin Division Off ice of Manufactured Housing WASHINGTON STATE WAINS0088 08131104 COMMUNITY, TRADE Certification Number Expiration Date ECONOMIC DEVELOPMENT Building Foundations for the Future m 11/06/2001 14:49 FAX 360 748 6884 WA HOME CENTER LOT 1 r LOT #3 to002 DFPAR'tMPNT OF LABOR AND INDUSTRIES . REGISTERED AS 'PR0Vfb9D- M[r LAW.:.AS:- CONST CONT GENERAL kr,' n t(y+p rry yL cQ �j- M 11�N�r ASV -,�• l AA WASH ,NGTON..110ME CENTER INC ; P; �O r'tfOX:.176 CHEHALIS WA 98532 F625,052-000(8191) I ' FREGISTERED'.AS *PROVIDED BY LAGS AS NST CONT GENERAL i REGIST....-# - EXP. DATE Cc0l.,..•,WAS9IHC0770A 03/19/2,002: EF.FECTIVE;. DATE• ;•; -:09/O1./1993 W4SH.INGTON,HOME CENTER- XNC, -, P_.0.. BOX::Y 7 6- :� �► , t,, - t. E CHEHALISr'WA:-4 98532. + (14 Signature ^ Issued by DEPZ;:T 18 T 80R AND INDUSTRIES w� i' F625-052-000(8/971 f: a�r.aa2-d i?� IIII.,I..i..il!lIIlIIIIl,1(III !!IlI1, 4. e ( !