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COM2002-01300 Final MFG Home - COM Permit / Conditions - 1/13/2002
Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY Phone- (360)427-9670, ext. 352 DEVELOPMENT L _6 Z Mason County Bldg. 3 426 W. Cedar P.O. Box 186 ,( �T Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT OWNER: JASPER HODGE RECEIVED: 9/30/2002 CONTRACTOR: SOUTH SHORECONST LICENSE: SOUTHSCO16NL EXP: 3/1 3/2004 ISSUED: 10/11 /200 SITE ADDRESS: 3381 NE OLD BELFAIR HWY BELFAIR EXPIRES: 4/1 1 /2003 PARCEL NUMBER: 123094200030 LEGAL DESCRIPTION: TR 3 OF NW SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME At corner of Old Belfair Highway and Bear Creek Dewatto Road. Access from driveway on Bear Creek Dewatto Road. 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.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: Buil ing Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make:MODULINE Length: 48 Ft. Front: W 92.0 Ft. Shoreline: Ft. Water Body: Rear: E 10.0 Ft. Slope: Ft. SEPA?: Mode1:4483X Width: 28 Ft. Shoreline Desig.: Side 1: N 72.0 Ft. Year:2002 Serial No.: Side 2: S 76.0 Ft. I Com . Plan Desi .: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty, Type By Date Amount Receipt Mobile Home Submittal Fee KLW 9/30/20(S194.50 60702 Building State Fee DLC 10/1/20( S4.50 60883 Mobile Home Issuance Fee DLC 1011120($194.50 60883 Planning Site Inspection RAM 1017120( $70.00 60883 EH Plan Review ADR 10/8/20( $75.00 60883 Total $538.50 BLD2002-01 300 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2002-01300 CONDITIONS FOR BLD2002-01300 1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 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--------------------------------- 4) 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----------------------------------- 5) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour) will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. 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 contractor fail to post the address on site prior to requesting inspections. X -------------------------------- 7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X---------------------------- BLD2002-01 300 Please refer to the following pages for conditions of this permit. 2 of 4 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 qn site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, 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-------------------------------- 9) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. 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(i nd icate which) Signature X------------------------ 1 1) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X-------------------------------- 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) Placement of structure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes. X----------------------------- 14) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X--------------------------------- 15) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. X--------------------------------- 16) All property lines shall be clearly identified at the time of foundation inspection. X---------------------------------- 17) 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---------------------------------- BLD2002-01 300 Please refer to the following pages for conditions of this permit. 3 of 4 1,8) 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---------------------------------- 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. OWNER OR AGENT: ----------------------------------------------- DATE: -------------------- BLD2002-01 300 Please refer to the following pages for conditions of this permit. 4 of 4 w o o CONCRETE MECHANICAL MANUFACTURED HOME Footings / Setbacks Date B y Ribbons Date By Gas Piping Date/-G --/8'- ci By T' o Foundation Walls Date B y Set-up Date By INSULATION Date / -2. By -� . B G / Slab Insulation Floors Final Date By Date By Date 3 Z By, FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION N Water Line Date By , ' Date BY ;.. Date By -ti n i ���' GG �%��c T/1 N r d O � o � 0 W r - p r- o CONCRETE MECHANICAL MANUFACTURED HOME 0 i" Footings / Setbacks Date By Ribbons 6 G, Date By Gas Piping Date By 0 o Foundation Walls Date B y Set-up Date By INSULATION Date By B G / 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 WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By :2 Date By Date By 0 C m 0 0 cn m cn 0 8 �y a W o �7' O � O � N � i O � w ''d O � O 0 Builds :%rmit # © Z �'� MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location I �/�ye /` �GD�i_= i y � �� 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 /7��C" ��'✓Ly �C..C��cJ,�O /�!/.ec�7/�C.�7 ' [, tit f n.cl��¢L� Ll y - jig 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 Make corrections, items will be checked on next inspection iK-G Nab--�-�i�� 69k ❑ This is not a complete inspection Department Date _ q?,-© Z Inspector moo * A44T 'I Mk *V TH10ft TAL ,*' Building Permit # MASON COUNTY r BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 81 0 C C I This structure has been inspected b Mason Count Building Department p Y Y 9 p and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected toLgain code compliance ` `4 CL I J ! r1 i T .Zn 1 C► H 1 02e'1 this e- ✓ s F� �1 - 7. 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department lam; Date Inspector C--� ■ *0 Ak *T MOOV THI - T A ,%X Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 3381 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 O'n ► G 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date - Z 2 7—" Cv— Inspector y ■ ok s :JOT MOOV THIT---- , T A ,� BuildingPermit # 62 -c MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Locations This tru t r s c u e 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 .12 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department y Date - - 8� ' Inspector ■ *k * :JnT MOOV THIN- TA ,k � PERMIT NO.: BLDO MASON COUNTY BUILDING PERMIT APPLICATION q�Z� 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 Owner 5, Contractor Name h h Mailing Addre JMailing Addre r City f State Zip Code City el �c.� S��t��te Zip Code Phone( Other Ph.( ) Ph.6e� 2 7•4 'dOXt h er Ph.(qGo ) Lien/Title Holder Contractor Reg. # ,Je_a r' S Cd/to /VAC. Address Expiration E SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 di it Ta Parcel No. � � / / �'Od 2� Fire District Legal Description u�- IV `~ Site Address(Please include street name, street number and city) K Al 30 ©A Directions to site < ,-P G e-A ts�' Will timber be cut and sold in parcel preparation? (Yes/No) n. 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 INFORMATION-Make u o Model Model Year r{ Length _Width Serial No. No. of Bedrooms_' No. of Bathroo ..-� Type of Hea PWrchase 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 ORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owneR� hat the information provided is accurate and grants employees of Mason County access to the above described property an r v w and inspection of this project. Acknowledgment of such is by signature below: STP OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am curr4e 4r ed as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington anAftkl��77��,,aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for whic F%iQPA4a I work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith..No changes shall be maithout approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT_ Accepted by Date n�, Submittal Amount DueI�Lj61, Receipt No. DEPARTMENTAL'R OIEW APPROVED DENIED CONDITION CODES Building Department 1� Occ Group Type Constr. �J-� — — do— QOII Planning Department c) Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee " 1 -` / Site Inspection Plan Review Fee Sa EH Review Fee Plumbing& Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee N Pre-Paid at SubmittalIF ( ) TOTAL FEES Michot-L F G nay r)E l av H t.,Lbt/L+- / X Xtt.. X xX aA4r 1 nE5 J xxxx xx x xx n, o / a ran c K v i f L•i siq (4 , F rc rL Y, L 1 r) _ pn\nE- T°rn-Pat' n=1 �ennmc�— (�r .J XX rro� 338U Otcl BE)Fouv HWLI CC�,rrOLL E E JC�YtL t tic, ethuO \\nE 55st t'0,,4,I -P,I-I r, , , 4---- r � _ � Q �1'L2 v � �. y J ✓1 S S n vv\L(DC,,n to G� 4100010 4100020 LJ i 4100030 3 `) P.r t, / /i,.11 In.III \ r cl 4100160 � r ,l .I'o i 1 U 4 100�' ' �,C_^ 4 100 140 1! 4200020` 1 r 041 4 r �,C 1. 420006 O ! 420006 1_ ' ] 00 Q � NI C • V 112 INT 4100 � / frl,i . �rf r ; i('•.� UO 150 4100 4200070 1 '+ 4030 Z2 4100080 r t�` '` I ' �t' N 3 4100150 I, F1 r ty 4200220 �\(� (m 14) 4190 4 l90 7 190,lAn ( �460 `�( 10007 I11, v SR Sp 431 nn I I• r. rf l• . �I�00 4200 0 �+ �230 160 !1 419oO60 ��/y�1 ,I� �, �• 1 4200 00 1 , t I SP 431 4300150 \ ` 4490000./ t1E� k, \I� . m F. "R. 11J1111b nEbU �\ 4490030 t :"rj t)n 3ucr�t c� _ 4300140 r , 4400020 I I 4490 7590020 4300 190�r C/. I nC n� 070 12L / 4496 . 060 4300270 4400 I ! Q10 14490050, J 1�•1 C , I � RECEIVED �J SEP 2 6 2002 426 W; CEDAR STi Moduline Presents_ Millennium RE . 4483X ------ 1� IY9 L/!HS a� —L_1 -'µ RYL— - — - — - - -- - - iWl,tuM tug 'cost! ._ ILTI-(ITY_- - -�41, - - 'o rL_ KITCHEN ,�- - _ - - - - BATH- -- - - D ININ C ARE _ EILRO i ' MLh _ IRr[R PASS UMI MASTER_BEOROOM LIING V ROOM -12' .5 x 1 s' a" -9 .IS� BATH ��QROOM�3 4" 10'-2•'.10•-1o" 1 OPI A[o1[Ite MIL�ENN,IUM,_R,E,._1483X 3 8EDROOM, 1 BATH, UTILITY 17'-4"x48'-O" APPROX. 1311 S0. TT. Nf W"OAR 160yi IIR'V'I'1h1lw,Il uMl SI r1U1U IO nW.,l i MODEL 4483X 01/16/2002 RECEIVED MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT SEP 2 7 1002 F;j Planning Mason County Bldg.1 411 N.5th 426 W. CEDAR ST3 P.O.Box 279 Shelton,WA 98584 (360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 REQUEST FOR BUILDING PERMIT EXPEDITION NAME: rJ RS P� 2 D. �ST� L� A M • I-Foa�c` MAILING ADDRESS: P, O , B O X -j 0 9 I� PP- VIEwJ, LjA - cf654 (o PARCEL NUMBER: / 1 Q q �, a ()00 ,30 LEGAL DESCRIPTION: fJ-rAJ Or- T- q I_ iQW kM d I P 3 SITE ADDRESS: 332 1 fj. bi . OL,(i) 96LI'A_12< f-'b -l( A C!- F I �-6525i REQUEST DUE TO: MEDICALLY NECESSARY_ FIRE DAMAGE EXPLANATION OF HARDSHIP: ,) 0 5 TO 05 CF n A R CH R i r 15 - ► n\i L,v i I"e &C Esan la- Ltti67 .s-raiRs . w6 u g :Ft ti �, vito�-- /Al A- rRA iz,4-2 ck)i n-1 Si t- p5 F=6K THE a..Ad i --2 % mio,am r1lu - p�9 kK II f'XPt4) E- D -7D HgLle r460S,t , 1vi- 9. L. 1Uf� C3L� AS SaoA) A -5 � ss� e�� . -0 <fL111 l AJA-r< frA IP-5 -- MUST INCLUDE SUPPORTING DOCUMENTS, THIS MAY BE A LETTER FROM A DOCTOR, INSURANCE CLAIM REPORT, OR REPORT OF FIRE DAMAGE FROM APPROPRIATE FIRE REPRESENTATIVE . I (WE) UNDERSTAND THE INTENTION OF THIS FORM IS TO DETERMINE AND DOCUMENT JUSTIFICATION FOR EXPEDITION OF A BUILDING PERMIT TO ALTER OR RECONSTRUCT A RESIDENCE ON THE ABOVE NAMED PROPERTY. SIGNATURE OWNER/AGENT OFFICIAL USE ONLY REQUEST DENIED FOR FOLLOWING REASONS) REQUEST APPROVED. DATE: SIGNATU- I TOR I' COL I DEVEL PMENT �,e u - R E R 4 Z& CELST - i t _ _ I , 1 ILI� + i i TOP RAPHY PROFILE: Direction: Scale:. Approval: for office use Building Permit number: - 30 Building: 11r, Planning: Owner/Applicant: Date of t _ � _ � application: Env. Health: Parcel Number: