HomeMy WebLinkAboutBLD97-0426 Mobile Home - BLD Permit / Conditions - 7/7/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Let LJ I t.... t.a f f-J 4:1 FA E: 14 I'uI i t I on i id i Ley i I tj;q,, i�.s
BETWEEN" 5pin AND Sam 427--7262
BI._D97--0426 PARCEL :3t3035001026 PLfrtiAYPLO 1 DI RI h : 1 �++1
JOB ADDRESS : N 90 A'YO DR t � I.. I WAUP PERM1
OWNER - W I LL I A 206-•334i-041 1 NULL & VOID Y EXpIRATION
CONTRACTOR :
I.,E GAL c AYOCt BEACH 8141 1 1.0T: 26 r, DATE �t Uv RY
CLASS OF WORK . , :Nk=tV SEDRi 2 NA1'M : 1 fYFE AMOUNT RY DATE RECEIPT iYFF '�+ 8Y DATI NECF4Mi
TYPE OF USE . . . . :MH STORIES . . . . . . . .fV1 �.P�_ max, �R�R.�P ��: I. ,__ '__4
OCCUP . GROI.IP . . . z? BLDO . HEIGHT . . ,: 0 .Oft ADDR $ S.00 Nip 07t07197 l�UL V ID BY EXPIRATIdN
TYPE' OF CONST . . :? F I REPI..AGES : 0 Pic It 44.00 NJ? 07107194 jUU
00CUP , LOAD . . . . : 0 WOODSTOVE S . .(fie : 0 FRI F t 62.00 NJF 0116091118f 1
D1kFk4L .UNITS . . . z 0 PARKING SPA , 0 NHOf f 155.00 NJF 07?07191 44867
" 'INSPECTION AREA : .3 SHOREt.. INF? . ./1-�yjy�)-. Y ITOTAt: VALULA11011!
i.
SETBACKS---_ ______.__.___ TOILETS . . . . . ('-. _ : 0 FUEL. TYPES----------.__—.- BOILERS/COMP-- _ -- MOBILE HOME-
5 .0ft BATH !'A:i I NS . . . , . .. : 0 0_.3 HP . z 0
�v REAR , _VV 30 .Oft, BATH TUBS . . . . . - z 0 3-15 HP . : 0 MODEL :FLEETWOOD
` S I DE 11 ) .N 25! Oft $11OWERS . . . . , AQ . s 0 FURN I OOK BTU : 0 15--30 lip , z 0 MAKE
S I DE (' ) .S 25 .Oft WATER HEAT! : 0 FURN >-100K BTU : 0 30-50 HP . s 0 `iANDPO I NTE
SI4RL INE . 0 .Oft GLOTHFS WASH . S . 0 FURN Ft OOR . . : 0 50-11 HP . : 0 YFAR_. ,... _.._
k1IWA ....___ ______._____._._ KITCHEN SINtR:�,�^ a tin HEAT PUMOP . . . ... . : 0 92
LOT S 17 . . : FLOOR DRA 1 N`, . . . 0 VENT SYSTk1�1S_ - ,e 0 FVAP COOLERS ; 0 LENGTH , (A
a" BUILDING . . . : 643sf DRINKING FOUNT . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . 0 WIDTH . : 0
BASEMENT . . . : ([sf LAUNDRY TRAYS . : . . .. 0 DOMES . INC }N ;O IDERI At,#
DECKS . . . - :. : 04,qf D I St-IWASHERS f�� . . : 0 AIR HANDL. 1 NO UNITS— COMIAL . i NC I N :0
GAR/CARP :? Oaf GARB DISP{)SAV's . . . . 0 10000 orm . , 0 RELOCiRUPAIR - 0
AT/DT . :? URINALS . . . . : 0 > 10000 cfm . r 0 OTHER U41TS . . 0
M I C FBI M F I I RIES z 0 OAS OUT L1a'T'S . 4 0
::u:ICA.J..R'ti:�.^.C?I3TM?-:S'3'YS'Z:IXi lTtL`33i+�ffi^.f>)3J'F"1GA.4FtK'"."NR:4eC1C.'A;sYF"'C'13�1T:C':'SSY.Y�.'SJK.'x231f'isi'�F}y�5.wt:',SCiVYt±.'..1i. �".$':bYt�Jrr:^Td:'�Jb�'.:�1•-,.eiti.a`.':$+�.t�IGx R'T'LFJ..may,9tlikYCA.432F' .+:2'.:Ts'..4�'A!%�RTn..tpE.O"lf:L"11P'S;6V!'.L't��ai:' ':�'.:m'F4Y�A":P�"�ViieYZ..GY..:'P:.':.M9t9kS.:.:a R^:^,^'9eE.�•:-.
F�nJ�cr D�scN1FT1oN,NORiLE 610'ME
PROJECT t0CA1IOMzAFFROY 10 NIIEs NORTH Of-tiOOOSFORT ON 0.$Ift, A-YOCK O.EACH IS I.00AIfD ON 114 11AST SIDIy t1F HNE 101, IVAN 10T0 iKE f 101111Y INOO HWY 101 AND
NA9F THE FIRST R16al TDIN ON AYOCK 8EAC.1 DRIVE, LOT 15 t. TED FIVE LOTS BRAN 04 R10NTJOT` 28 A . .
THIS PERMIT BECOMES Nutt AND VOID 1f 1011t OR C.O STROCTION HTNt1Ri?E11 is 401 COMMENCED WHOIN 181 DAYS, #0' IF COIISTRUCTION OR 11011 IS S1ISPFNDFD FOR A P1N1OD
Of 180 RAYS AT ANYTIME AFTER WORK IS.C-OMMENCEIf. 'EVIBENCE Of GQN 1NUATION 6`F 1�0K '13 A P906RESS INSfr 109 WITHIN THE I80 DAY PfFIOO, FINAL INSPECTION MUST H-
AFPROV,fo BEFORE BUILDING m BE afcuf1f:D.. -
O1NF A AGEN1z DA1Ez " . _.... .:. ._
BiR�PAMT, t tv z 0313 t 191 COMPI.. }ANCg k ATTACHE D CONDITIONS IS REGIII I NED
CI :
CONIbRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
ate by Gas Piping date b
oundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
f7' Z _9 / �2e 1nCAeG� ! me-+ Il 1) 9k -I-2> sk,114
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
rase No . i BLD97-0426
For i W I I_l- I AM JOHNSON
Pages 1
1 ) 1 he undersigned property owrior is aware- 0'r the unoer to i my regardi nq mason t oeanty ` ;
development re it ,
at i ons created by the Gi owth Managment Hearings Board 's Order of
October 2 , 199 , and Iry consideration of Ma€:on County 's wi l l In9nAs; to proceed with
processing of applications which might be affected by the Order , then undersigned
property owner hereby agrees to waive aiiy 1 aw�.0 i t action, or c I a im for damages aga i ns t
Mason County which may arise out of Mason County '; actions in acceptance processing
and/or Issuance of such permits or approvals ( hereInafter "'permittIn(j actions " ) which
damages are attributable to the County 's decision to take permitting actions despite
the risk that changes to the County ' s development regulations m i rrht later- make. the
J County 's per, fitting actions invalid .
X __.�N _._. ..__.._..___.
2 ) I h i s application i s sut�,l s?ct to iluf for ntid Landscaping require}ment r; as etitabl i shed tinder
Mason County Ordinances 1 .03 .036 .
A.
X
3 ) The use , handling and story a of hazardous materials or flammable and combustible
liquids in excess of 10 gal?ons is not allowed without the! approval of the Ma on County
Fire Marshal .
X._
4 ) Proposed structures or, any portion thereof greater than 30" In height from grade line,
most maintain a minimum- of 5 ' setback from 611 property I ? nes, easements and 10 ' fro»►
all County M State Road right of ways .
5) Apt, I I cant aok now I edges that th I u dove I opment I s stit) lent to po I i c I es and regulations of
Mason CountA Comprehensive Plan and Devo l opment Regulations .
6) Proper :Pd structure sha I 1 be set 40 ft from existing 'TYPI= IV WATER CREFK . Hervogetat i on
of cleaved areas d i ong the banks of creek will be r,eagti l red to avoid potent i s l water
� l -
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X__
7) Subject to of i t i ona of Resources lands and Critical Areat� S 14C) Check t i st not i f i cat i on
letter .
X.
r
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 U I L D I N G P E R M I T FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND 8am 427-7262
BLD97-0426 PARCEL :323035001026 PLAT :AYPLO 1 DIV : BLK : 1 LOT : 26
JOB ADDRESS : N 90 AYOCK BEACH DR LILLIWAUP
OWNER : WILLIAM JOHNSON 206-334-0411
CONTRACTOR :
LEGAL : AYOCK BEACH BLK: i LOT: 26
CLASS OF WORK :NEW BEDR : 2 .BATH : 1 ITYPE AMOUNT BY DATE RECEIPT ''TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . :MH STORIES . . . . . . . :0
OCCUP . GROUP . . . :7 BLDG . HE I GHT . . : 0 .Oft ADDR $ 5.00 NJP 07/07/97 44867
TYPE OF CONST . . :? FIREPLACES . . . . : 0 RLC S 44.00 NJP 07107/97 44867
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 EHIP $ 52.00 NJP 07/07/97 44867
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 MHOF $ 155.00 NJP 07/07197 44867
INSPECTION AREA : 3 SHORELINE? . . . . :Y TOTAL: 256.00 VALULATION: 16000
SETBACKS-------------- TOILETS . . . . . .. . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . .E 5 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . . .W 30 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : FLEETWOOD
SIDE ( 1 ) .N 25 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE (2 ) .S 25 .Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 SANDPOINTE
SHRLINE . O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 92
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 648sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC/ REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:MOBILE HOME
PROJECT LOCATION:APPROX 10 MILES NORTH OF HOODSPORT ON HWY 101 , AYOCK BEACH IS LOCATED ON THE EAST SIDE OF HWY 101 , TURN INTO THE COMMUNITY FROM HWY 101 AND
MAKE THE FIRST RIGHT TURN ON AYOCK BEACH DRIVE, LOT IS LOCATED FIVE LOTS DOWN ON RIGHT LOT 26
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. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BUILDING CAN BE OCCUPIED.
2!1:R R AGENT: / DATE:
8L0_PRMT, rev: 03131/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P E R M I T C ONO I T 1 O N S
Case No . : BLD97-0426
For : WILLIAM JOHNSON
Page : 1
1 ) The undersigned property owner is aware of the uncertainty regarding Mason County 's
development regulations created by the Growth Managment Hearings Board ' s Order of
October 2 , 1996 , and in consideration of Mason County 's willingness to proceed with
processing of applications which might be affected by the Order , the undersigned
property owner hereby agrees to waive any lawsuit , action , or claim for damages against
Mason County which may arise out of Mason County ' s actions in acceptance , processing
and/or issuance of such permits or approvals ( hereinafter "permitting actions " ) , which
damages are attributable to the County ' s decision to take permitting actions despite
the risk that changes to the County 's development regulations might later make the
County ' s pu tting actions invalid .
X G►�f�
2 ) This application is subject to Buffer and Landscaping requirements as established under
Mason County Ordinance 1 .03 .036 .
X
3 ) 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 X&�
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
X I I Countw State Road right of ways .
5 ) Applicant acknowledges that this development is subject to policies and regulations of
Mason Coun Comprehensive Plan and Development Regulations .
X
6 ) Proposed structure shall be set 40 ft from existing TYPE IV WATER CREEK . Revegetation
of cleared areas along the banks of creek will be required to avoid potential water
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
x
7 ) Subject to co itions of Resource Lands and Critical Areas ( RLC ) Checklist notification
letter .
X
Permit No.
MASON COUNTY I V
BUILDING PERMIT APPLICATION (�a
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 v
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
#1 w
rier jZIWP,&A A. ToN,d5g.►..� I Phone# o)O6 - 33�- Oy I
`:,: 10 , e S Pl J� :ire District#�
City GILL/6✓�uP St AIA Zip
Directions to Job Site 4.*P✓ry /a /NI ic£j Ale,12.7! c)e //k1J T vc cz /o/
,4Y4 C,< /S SioE /J lr y /U/ Tl/2,u icy ry
TIV- �'��t�9t�Ni/y F?u�1 /�l�f' /U/ +yo it-l�LC- Xl�2ST R1,1W Tz,�-1
v" Af'��i� armor / �f ��; /s �� � F/vE 1vis &Vc/
Owner Mailing Address 1 and 8 a 6 74 Pt- d•E
City 2AVC S. LJA► Stoll Zip ftd 58
Lien/Title Holder SAS A s r9 ✓�
Address
City St Zip
#2 Contractor Name �umjo\ Q Contractor W@#
Address Expiration e
City St Zip Phon
#3 If septic is located on project site, include records. _
Connect to Septic? Public Water Supply Well Cn oo
Connect to Sewer System? Name of System
CO-
(If residential, proof of potable water is required) _<
n
# rcel No.�30 3 - so - O/oo�6 M
Legal Description Maces &19kcH Scl�T�i✓i��rx� LvT o�6 � � C
#5 Building Square Footage:
1st FI & 64g 2nd FI 3rd FI Loft Basement
# Bedrooms #bathrooms Deck I Other
Garage Carport (Circle:Attached or Detached?)
#6 Use of building s7 l _ _ Describe work
Wes_
#7 Type of Job: New Add Alt Repair Other
#8 ow
Model Year Make 66nu)c-,i�>Model 5Auai�.yrC a49a l_
Length Width Serial No. l q a 97
#Bedrooms-# Bathrooms I Type of Heat 6Ccrioc-
Purchase Price$ /6,000 . eo
#9 Indicate by circlin the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
so'
S;/44hE u►T.0
C�
3,4
f�'to�►t tiEi�cH -2 uE
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
f9"
Aoc� e
Plumbing Fixtures($3.35 each) Fee Mechanical Fixtures ($6.75 each)
No. Toilets _ CIRCLE FUEL TYPE: Gas, Electric,
th Basins Heatpump, Other
Ba6,Tubs No. Units Fees
_Showers`\ Furn BTU
_Hot Water Ht _ Heatpumps
_Laundry Washer Vent Systems
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ cfm#
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 _ uto Fire SSE Sys 35.00
TOTAL PLUM61NG $ No. Othe
Gas Outlets
Wood, Gas, Pelle tove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE y iy-97 DATE
FOR OFFICIAL USE ONLY: Accepted by: (- Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
cApproval
Planning:
"I
Environmental Health:
Building Plan Review A
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit ---
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other 19461 rem
Other RLe- Qom , DD
Other N U F I L-TN .00
Building Valuation: TOTAL FEE