HomeMy WebLinkAboutBLD2000-01379 Cancelled MFG Home - BLD Permit / Conditions - 1/19/2001 Inspection Line (360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
i
RESIDENTIAL BUILDING PERMIT BLD2000-01379
OWNER: STEVEN EWALD 360-649-0074
CONTRACTOR: RECEIVED: 10/23/2000
SITE ADDRESS: 59 NE DUSTY RD BELFAIR ISSUED: 0 /20/200
PARCEL NUMBER: 123097590040 EXPIRES: 5/20/2001
LEGAL DESCRIPTION: TR 4 OF SURVEY 10/130
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME OLD BELFAIR HWY TO DUSTY RD NEAR BEAR CREEK TURN SOUTH
FOLOW DUSTY RD LEFT AT FORK IN ROAD, CROSS WOOD BRIDGE.
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 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: Occ. Load: Building:
Valuation: $1,500 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make SUNRISE Length: 66 Ft. Front: W 222.0 Ft. Shoreline: Ft. Water Body:
Rear: E 96.0 Ft. Slope: 32.0 Ft. SEPA?:
Model: Width: 14 Ft. Side 1: N 315.0 Ft. Shoreline Desig.:
Year:1979 Serial No.: ore060617 Side 2: S 273.0 Ft. I Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 10/23/200 $175.00 54900
Eff Plan Review CEW 10/24/200 $50.00 55104
Address Fee GMM 10/26/200 $15.00 55104
Building State Fee MEC 10/31/200 $4.50 55104
Mobile Home Issuance MEC 10/31/200 $175.00 55104
Site Inspection MEC 10/31/200 $47.00 55104
Planning Review Fee AHB 11/13/200 $38.00 55104
Total $504.50
BLD2000-01379 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-01379
CONDITIONS FOR
BLD2000-01379
1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
—A
2) OWNER MUST SHO t
OF OF SATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE
RESIDENCE. X
3) This application i bj �tt Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
4) The use, handling and storage of hazardou ter'als or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
5) Provisions for surface/subsurface drain a a 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 op ed 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 whic aIffect your project.
X
6) Proposed structure or any portion thereof greater than 30" in height fro rade 'ne, must maintain a minimum of 5' setback from all property lines,
easements and 10'from all County and State Road right of ways. X
7) 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 S AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAIL jPOST ]DRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X
8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
BLD2000-01379 Please refer to the following pages for conditions of this permit. 2 of 3
9) The approved plot plan is required to be on-site for inspection purposes. If in tion is 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( 'mu hour) will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. 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 roblem that have been discovered. I further understand that this
investigation will be scheduled as time allows. Until resolution of any/all s o occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
11) 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" %�'
ore�oeight from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers
requires a handrail. X
12) 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.
13) All property lines shall be clearly identified at the time of foundation inspection. X
14) Placeme structure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes.
X
15) Approved per dimensions and setbac s on submitted site plan. X
16) All upland areas disturbed or newl cr at y construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
This permit becomes null and void if work or construction authorized is not comm nced within 180 days, or if construction or work is suspended for a period
of 180 days at any time after work is ommenced. Evidence of c uation of ork is a progress inspection within the 180 day period. Final inspection
must be approved before buildin pied.
OWNER OR AGENT: DATE:
BLD2000-01379 Please refer to the following pages for conditions of this permit. 3 of 3
i
C( NGRETE 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
BC✓SLAB Insulation Final
Floors
FRAMING te 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
Z-�f-G'/ � , • , � Des 7--�,
1
I
Biflding-Permit # _ iL-i c-a0 MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-967000RRECTION NOTICE
�
Job Location i,w ��> �ys�y lf'e
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
fou, nd: Items Listed below must be corrected to gain code compliance
422
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7" C G
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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 G'� Inspector T� .
■ �« � No *T Mo *V T 1 T A
PROPE-RT L�Nt;
TO WELL
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PRo ERTy L i u E 384'
PERMIT NO.: BLDl
MASON COUNTY
BUILDING PERMIT APPLICATION �a�za
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 Contractor Name -
Mailing Address Mailing Address
City o-i State Zip Code q c& k City State Zip Cod-e
Phoneca� ) 4 M'),-/Other Ph.( Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_)Existing Septic Connect to Sewer
System Name of Sewer System r)oG( 7 A-,-'Well _Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 3 /?L/ GDlow ire District
Legal Description O
Site Address(Please include street name, street nu er and city
Directions to site % "7-0 D& E
C'
Will timber be cut and sold in parcel preparation? (Yes/No) AC)_
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 $VpfijG,._ ',Model +Model Year 19n
Length 6(, Width i ( Serial No. No. of Bedrooms3 No. ohrooms
Type of Heat `Purchase Price $ /SoC Z° Replacement Unit ?(Ye*
(Ye No
Installer Name Certification No. �; � i�
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 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
approval. J first obtaining approval.
X `� - l� Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No
DEPARTME RIaV W APPROVED DENIED CONDITION CODES
Building Departme
Occ Group Type Const .
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
oU
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
c� Case No.
Name 6we'- /� ST'�V.er1 �J PARCEL NUMBER 6 2-30 G 7.S�G Cc W) Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
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 I Fadjacent property line
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adjacent property line- ' ' E-adjacent property line
SAMPLE SITE PLAN
adja�nt property line4 3Lo- _ _ Fadjacent property line
D 30' r1�`SCRvEI
SE.A_So.J AL
CREE{G i \ A fi MOM tr I
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adjacent property line4
; \i Fadjacent 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
d15tAnGa_ to
ru�tL�Y�
51opa tc¢
dts+ar,ca.
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sigh6ture Date
fi
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SCALE 1 " = 200 '
SR 3
4100120
4100010 S /0/135
4100020
S l!/l33 4100121
---- - - - - - --- UN ON
4100030 RI VER
4100110
42 0000
40 4100040 4100160 4100130
10 1
4200060 4200020 y 4100
4200061 0 041 4100140
I/2 INT. EA, n O p
°o a 4100
OHO 4I00 100
4200 4031 ISO - -
030
4100080
4200220 z_a;r-1 4100150
4190
4190 190,
ISO I kot2 4100090
4200
SR 3 161 3 4100071
00 spi
r 4230 4200 a2-70
160 4190060 4100070
4200
180
4300150 \ \ 3 SP 431
4490000 7590010
�\ 4490030 \�
4300140 \ \\ \
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4400020
4490
P I 070 7590020
1 4490 '
L 060 �� 7590
4300270 I / 030
4400
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14490050 /
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7590040
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FOR REFERENCE USE ONLY
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170 SE Walker Park Road
Shelton, WA 98584
Phone(360)426-3395
• Fax(360)426-1455
Arcadia Drilling Inc.
October 27, 1998
Mason County Department of Health Services
PO Box 1666
Shelton, WA 98584
ATT: Stephanie Kenny
Dear Stephanie:
Arcadia Drilling has been contracted by Mr. Ronald Lampley to drill a well at
Arcadia Road,Notice of Intent#W130384. According to well logs in the
area, we anticipate an adequate water supply at approximately 180'.
Due to scheduling conflicts, Mr. Lampley would appreciate having a
building permit issued contingent upon a satisfactory bacteriological
sample before occupancy.
If you have any questions, please do not hesitate to call me.
Sincerely,
Monte Hicks, Drill Operations Manager
We Help Keep Washington , , ,
Green