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Home My WebLink AboutBLD2000-00122 Storage Mobile Home - BLD Permit / Conditions - 2/15/2000 Inspection Line 360) 27262 MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427(6704ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 l RESIDENTIAL BUILDING PERMIT BLD2000-06122 OWNER: SCOTT JOHNSON 426-7064 CONTRACTOR: RECEIVED: 2/10/00 ' SITE ADDRESS: ISSUED: 2/15/00 PARCEL NUMBER: 420182490001 EXPIRES: 8/15/00 LEGAL DESCRIPTION: E 112 SE NW, S OF MATLOCK ROAD PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME STORAGE ONLY- MOVE TO PROPERTY TO REPAIR FOLLOW SHELTON MATLOCK RD 7 1/2 MIELS TO CORNER OF FIRE DAMAGE HIGHLAND RD IN DAYTON, LOT PAST INTERSECTION 300' ON LEFT. General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: Type of Use: ? Insp. Area: 2 No. of Bathrooms: 2 Occ. Group: Lot Size: Deck: Type of Work: ? Fire Dist.: 16 No. of Stories: 1 Occ. Load: Building: Valuation: $42 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make REDMOND Length: 66 Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: ModeI:RIDGEDAL Width: 28 Ft. Rear: Ft. Slope: Ft. Side 1: Ft. Shoreline Desig.: Year:1998 Serial No.: 11825323AB Side 2: Ft. Comp. Plan Desi .: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty Type By Date Amount Receipt Plan Check Fee KLW 2/10/00 $42.00 52668 Total $42.00 BLD2000-00122 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR 13LD2000-00122 CONDITIONS FOR BLD2000-00122 1) Proposed structure or any portion thereof greater than 30" in height from d � e, must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State;Road right of ways. X 2) This permit is being issued to the applicant to allow the moving of this mobile home onto his/her private property to perform the necessary corrections to this unit to bring it into compliance with HUD Standards, and get the unit recertified by the State of Washington Department of Labor and Industries. This unit is not to be occupied. No uti ities are to be connected. No permanent set up is to begin. This permit is valid for sixty (60)days only. No extensions will be granted. A Violation of the conditions of this permit or the denial of a permanent installation permit will result in the determination that the unit must ed from the property at the expense of the owner. X 3) 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 POSTADOIR_ESS ON SITE PRIOR TO REQUESTING INSPECTIONS. i X 4) he approved plot plan is required to be on-site for inspection purposes. If inspection ' 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 ( ini 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 5) Applicant acknowledges that in the process of applying for a permanent building permit that the mobile home unit may need to be relocated to comply )thout and Critical Area Ordinances. 6) and areas disturbed or new c y construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 7) A LETTER OF EXEMP N OR A PERMIT FROM LABOR AND INDRUSTIES MUST BE SUBMITTED BEFORE A PERMIT FOR PERMANET PLACEMENT CAN BE OBTAINED. x BLD2000-00122 Please refer to the following pages for conditions of this permit. 2 of 3 This permit becomes null and void if work or const ion 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 commenc . Evi ence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be o pie OWNER OR AGENT: - DATE: (,c� BLD2000-00122 Please refer to the following pages for conditions of this permit. 3 of 3 MASON COUNTY PERMIT NO.: BLD BUILDING PERMIT APPLICATION ' 426 W.Cedar/P.O.Box 18 ,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Ima 360 482-5269 Seattle 206 464-6968 APPLICANT INFORM CONTRACTOR INFORMATION Owner o Jo hNSw— Contractor Name Sew-F Mailin Address -7 ( Lv , D d—S11�3 12 3 Mailing Address City State A Zip Code �,Sf City State Zip Code Phone GO 0(o4 Other Ph.0 Ph.( Other Ph.(� Lien/Title Hold r ----- Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic ?C Existing Septic Connect to Sewer System Name of Sewer System Well_>!� Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No.4ZQ 4 f"o Fire District Legal Description Site Address(Please include street name, street number and�cityy) Directions to site EOJIv J 5 r�koLT - nA#-7-,Q-.k- o-A` ej I" D�4-- — LrO T- P'►s r f.J�Ydt rt r+1 3o0 Of-' C4-�-r- Will timber be cut and sold in parcel preparation? (Yes/No)_�t_ Is your property within 200' of the following: Body of Water (Name) N b Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work—N. r f �/ ? rn( r1_G[ l Y� .� c� ',yroo fore r/ No. of Bedrooms 3 No. o Bathrooms_ Z SQ A E FOOTAGE-lit Floor 2nd Floor nle 3rd Floor Loft Basement Deck Other scl. ft. l S-QU Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make 1 Model del Year Cl k Length Width—Serial No. t 3Z S At' N . of Bedrooms No. of Bathrooms Z Type of Heat c, Purchase Price $ Replacement Unit ?(Yes/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-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance I 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 shall be done in conformance therewith. No changes shall be made without approv I. first obtaining approval. X Dat /Onn 4!. , L X Date FOR OFF dIAL USE BEYOND THIS P INT Accepte by�� Dat,ZZ bmittal Amount Due L12 � Receipt NaS •^ ,L;g!(gZ DEPARTMENTAL. REVIEW APPROVED ;.DENIED CONDITION CODES Building Department � Occ GroupType Constr. IzTry,U to Planning Department Ehvironmental 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 ( ) TOTAL FEES