HomeMy WebLinkAboutBLD2000-01312 Final MFG Home Replacement - BLD Permit / Conditions - 6/6/2001 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
S ton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2000-01312
OWNER: ROBERT MCBRIDE 357-4470
CONTRACTOR: RECEIVED: 10/05/2000
SITE ADDRESS: 61 SE ARABIAN RD SHELTON ISSUED: 10/20/2000
PARCEL NUMBER: 319104290240 r EXPIRES: 04/20/2001
LEGAL DESCRIPTION: TR 24 OF E1/2 SECTION TR 4 OF SP #1078 SE 61 ARABIAN RD
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME REPLACEMENT START KAMILCHE RD TURN L AT KAMILCHE POINT RD TURN R AT
BLOOMFIELD RD TURN L AT ARABIAN Z BLOCK ON LEFT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 4 No. of Stories: 1 Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make KENTWOO Length: 70 Ft. Front: S 85.0 Ft. Shoreline. Ft. Water Body:
Rear: N 140.0 Ft. Slope- Ft. SEPA?:
Model:1976 Width: 14 Ft. Shoreline Desig.:
Side 1: E 49.0 Ft.
Year:1976 Serial No.: KW4572 Side 2: W 263.0 Ft. _ Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 10/05/200 $175.00 54764
€"Plan Review CEW 10/06/200 $50.00 54902
Building State Fee TLG 10/06/200 $4.50 54902
Mobile Home Issuance TLG 10/06/200 $175.00 54902
�%fting Review Fee GBM 10/17/200 $38.00 54902
Total $442.50
BLD2000-01312 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-01 31 2
CONDITIONS FOR
BLD2000-01 31 2
1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
2) 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 POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X ill,
3) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 90
4) The approved plot plan is required to be on-site for inspection purposes. If inspection 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 (minimum 1 MI.
ill be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X �
5) 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 al—I proums no occupancy (Final Inspection) will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X 77
6) 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 22ilh from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers
requires a handrail. X
7) 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.
8) All property lines shall be clearly identified at the time of foundation inspection. X
BLD2000-01312 Please refer to the following pages for conditions of this permit. 2 of 3
' . ) This permit is for the manufactured home only. The 16x16 building shown on the plot plan adjacent to the MH is not permitted and has not been
approved. „As�eparate permit will be required. The 12x20 shed also requires a separate permit.
X '/ ' l
10) Occupancy of this unit will not be granted until the MH unit which it is replacing, has been removed from the parcel. Any occupancy of the unit without
approval from this department will be considered a violation and punishable as setforth in MCO 45-99.
X JIM
11) This application is ub' ct to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
12) The use, handling and storage of hazardous at rials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
13) 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 afjectyour project.
X �1�
14) 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
15) All upland areas disturbed or newly created by 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 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 buil ing can be occupied. �\
WNER AGENT: LLDATE: C ` 20--CC
BLD2000-01312 Please refer to the following pages for conditions of this permit. 3 of 3
I - —
CONCRETE MECHANICAL MOBILE HOME
' Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date b Set Up
date by %�S ZOOt by &'•����
BG/SLAB Insulation INSULATION date
Floors Final
FaRAMING te by date by date -ZMI by
Walls FIRE DEPT.
date PLUMBING by date by date by
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
�b� 4 i v4 4- 1r-- r
b-b-2001 /ter H 4L f��ssco
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s PERMIT NO.: BLD `�/�
MASON COUNTY
BUILDING PERMIT APPLICATION
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 INIF�� MATION CONTRACTOR INFORMATION
Owner �UgAe >fZ'�� i�r� .Z✓:-;r'.� lzdjl. . Contractor Name
Mailing Address //ff6-? 5/ate c4e+..t Mailing Address
City Tic">. State wii Zip Code HISS-/ Z_ City State Zip Code
Phone(?-,4.o ) A -y,ti7oOther Ph.( Ph.( Other Ph.(
Lien/Title Holder ,rI& fir Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing eptic Connect to Sewer
System Name of Sewer System Well A Water System Name of
Water System
rn. c' cl ' �t_a 7 77 I[ Z TA cQ 77
PARCEL INFORMATION-12 digit Tax Parcel No. O z Fire District#44
Legal Description T .S
Site Address(Please include street name, Areet number and city) 12 !
Directions to site 4,, -7-ZA rri
Will timber be cut and sold in parcel preparation? (Yes o)
Is your prpperty within 200' o the following: Body of W (Name) ) Saltwater
Lake Ill River/Creek Pond Wetland Seasonal Runoff Stream_/Slopes or
Bluffs
PERMANENT RESIDENCE 4 SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
wQ
Describe Work -
y' No. of Bedrooms_?,N". of Bathrooms Z.. SQUARE FOOTAGE-1st Floor 2nd qoor
' 3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make K&r,+ _J Model /1--1 7(s Model Year 1?7 G
Length _ C) Width Serial No. KW!,/-j-7ZZ No. of Bedrooms 2-No. of Bathrooms _ -
Type of Heat �f,e c.. Purchase Price $ •I
j - Replacement Unit ?(Yes/No) 3e
Installer Name -rW I4#*►Z ti -A Certification No. Oo ZS'a Y Z 6 Z,O
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. ¢I first obtaining approval.
X �`c�" .�" tL W
� �\" Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by- -� Dak2::'''` L. Submittal Amount Due L-S Receipt No. 45 �
DEPARTMENTAL.'.REVIEW PROVED DENIED'' CQNDIT1tJN CQDf�S
Building Department A k CC#-Jv f? l7bCoNO .<< _ -7 6 aN �>
Occ Group Type Constr. TFA( Ptr17E w/Mrllvr�F,k7cr�FQ Dgif vF
Planning Department 11
Environmental Health Department
Q
Public Works Department
Fire Marshal
Valuation $ f ��
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
V
Case No.
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O'cy
Name �fsl�'�rf.�r/c/�- PARCEL NUM ,3
BER ///0 4'� %MZ y-0 Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicgtiong N, S, E, W in relation to the
site plan
Lot Dimensions Fences NOR114'
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 --- //9.Qy, �� Fadjacent property line
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SAMPLE SITE PLAN
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adjacent property line-� ; I f i <-adjacent propert�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
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
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Case No.
Name 1 Obt-et0'106 lc' —We-JPj;,,,VsPARCEL NUMBER 31y1O' � y0P?qb Date /U—;?. �dd
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences N1
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topographv
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 lined I 1Ig,-4H Fadjacent property line
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SAMPLE SITE PLAN
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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
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1.slope direction arrows point
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2.scale proportions refers to
use of an engineer's scale with
number of feet-per-inch in
C�Q �•33 parenthesis.
,q--►2���►.E � • LUX DESIGN -_
On-Site Septic Systems
SCALE: PPBOYED 8Y: DRAWJ
e DATE REVISE
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