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MASON COUNTY DEPT. OF COMMUNITY PhonpeC(360)427(96704ext7352
DEVELOPMENT
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
P Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT
BLD2001-01066
OWNER: ERVIN LAPLANTE 426-1566
CONTRACTOR: RECEIVED: 10/9/01
SITE ADDRESS: 7513 W SHELTON MATLOCK RD SHELTON ISSUED: 11/1/01
PARCEL NUMBER: 420181390030 EXPIRES: 5/1/02
LEGAL DESCRIPTION: TR 4 OF N1/2 E1/2 E1/2 SW NE TR D OF SP#1842
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME W ON SHELTON MATLOCK RD AT 6.5 MILES ON LEFT
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.: 16 No. of Stories: 1 Occ. Load: Building:
Valuation: $7,000 11 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make:LANDM Length: 40 Ft. Front: N 20.0 Ft. Shoreline: 50.0 Ft. Water Body: CREEK
Rear: S 43.0 Ft. Slope: Ft. SEPA?: No
Model: Width: 28 Ft. Side 1: E 104.0 Ft. Shoreline Desig.: Not Applicable
Year:1982 Serial No.: Side 2: W 25.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Ki w iniorni A17r,nn 57r,A9
Planning Site Inspection RAKA iniiimi t7n on 5777A
Building State Fee KAFr. inii9mi ca;;n r,777A
Mobile Home Issuance KAFr. in/191N A175 nn 5777A
EH Plan Review r.Fw lnilsinl !.sn nn 5777A
Total $474.50
BLD2001-01066 Please refer to the following pages for conditions of this permit. 1 of 3
i CASE NOTES FOR
BLD2001-01066
0
CONDITIONS FOR
BLD2001-01066
1) This application is su 'ect to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
2) The use, handling and storage of hazardous terials 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 project.
X '1t-
4) 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
5) The new house shall maintain a 50-foot setback from the type IV stream on the property.
X
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. 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 contractor fail to
address on site prior to requesting inspections.
7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 22292_-
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 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 Buildiw; Department prior to any further inspections being performed or approvals granted.
BLD2001-01066 Please refer to the following pages for conditions of this permit. 2 of 3
i
9)— 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 th commended snow load rating, there is a potential for failure due to weight accumulation beyond that of the design criteria.
X
10) 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 problems no occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
11) Applicant has indicated this is a replacement unit. Prior to Mason County allowing any occupnacy of the new proposed unit, the existing unit which is
on-site and is being replaced MUST be removed from the parcel. XT }y��__-
12) 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
13) 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.
14) All property lines shall ber clearly identified at the time of foundation inspection. X �J�
15) 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
16) 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
17) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 2_
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 can be occupied.
OWNER OR AGENT: / , �_ DATE:
BLD2001-01066 Please refer to the following pages for conditions of this permit. 3 of 3
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