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Home My WebLink AboutBLD99-0186 Mobile Home - BLD Permit / Conditions - 3/31/1999 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 RU I L- 0 I EIS 4G P F R M I -T- FOR INSPECTIONS CALL 427--9670 BETWEEN 5pm AND 8am 427-7262 fAVT BLD99-0186 PARCEI- -. 123174100040 PLAT - DIV : BLY, - pf.94 JOB ADDRIESS % 2060 NE OLD DELFAIR HWY BELFAIR 010611 OWNEPt JAMES LEWIS oov� � CONTRACTOR DEMIENO 275-6155 LEGAL .- TR 4 Of If SF 11 21511 016 81-LFAIN HWY CLASS OF WORK . . :NEW BEDR4 2 .BATH : 2 TYPE AMOUNT BY BATE I[Cflpy [TYPE ANOINT By UAIF RECEIPT TYPE OF USE _ . ;MH STORIES . . . . . . . i 'I OCCUP . GROUP _ t7 BL.DG . HE I GHT . L 0 .Of t MRSIF f 175,111 KW 03123199 1388 TYPE OF CONST . 7 FIREPLACES . . . . , 0 ENC? $ 51.01 k1ly 83131199 49918 OCCUP . LOAD — 0 WOODSTOVES . . . . : 0 1H9L $ 115.00 NJ? 113131199 49818 DWELL .UNITS . . . 0 PARKING SPACES : 0 $if[ 1 4,51 Nip 41131199 49818 INSPECTION AREA : d"'—' SHORELINO . . . . s Tel TOTAL; 4 04 611 VALVIA1101a 49 111110 SETBACKS-------- TOILETS . . . . . . . . . . : 0 FUEL TYPES- -- -, - - --- -- BOILERS/COMP----- MOBILE HOME FRONT . . .N 28 .Oft BATH BASINS . . . . . . : 0 s 0-3 HP . : 0 , REAR . . . .S 15 .Oft BATH TUBS . . . . . . . . : 0 315 HP . : 0 'MOREL :FLEETWOOD SIDE ( 1 ) .E 50 .Oft SI1OWE AS . . . . . . _ g 0 FURN < 100K BTU , 0 15-30 HP . t 0 -MAKE---------- SIDE (2) .W 5 .0ft WATER HEATERS . . . . : 0 FURN 10OK BTO : 0 30 50 HP . : 0 COUNTRY SHRLINE .N O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR — . ; 0 50+ HP . . 0 -YEAR- - --- -- AREA KITCHEN SINKS . . . . 1 0 HEAT PUMP . .. . . . . : 0 98 LOT SIZE . . ; FLOOR DETAINS (11 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTHt48 BUILDING . . . : 0qf DRINKING FOUNT . . . , 0 VFNT FANS . . . . . . : 0 0 WIDTH . :28 BASEMENT . . . . Osf LAUNDRY TRAYS . . . . , 0 DOMES . INCIN :O --Z3ER , AI_ #-- - - -- DECKS . . . . . . . Osf DISHWASHERS . . . . . . ) 0 AIR HANDLING UNITS-- COMML . INCINiO GAR/CARPi? Osf GARB DISPOSALS . . . : 0 <- 10000 offfi . t 0 RFLOC/REPAIR : 0 AT/L)T . :? URINALS . . . . . . . . „ . : 0 > 10000 offfl . 1 0 OTHER UNITS . : 0 MISC PLM FIXTURESi 0 GAS OUTLETS . t 0 P90ittT DESCOIF!I014081tt H oil ?AQjfcT LOCAIIONjFRON Bf1fAI;. OLD BEtFAII 41Y AROP7 3 MILES 6FfORE E-EAR VPf1W DIVAT14, TRIS PERMIT BECOVES NULL AND V4i0 IF WORK 00 CONSTRU0101 AUTHORIZED 18 NOT CONNEACtO 111411 ISO DAYS, 00 If CONSTRUCTION 01 WORK IS SUSPENDED FOR A PERIOD Of 180 DAYS AT ANY TINE AFTER WORT( IS COMMENCED. 1VI0fNCF OF CONIINVA11011 Of #Olt IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD, FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN If. OCCOP118. T, rev! 4301191 COMPLIANCE TO ATTACHED CONDITIONS IS REGUIRED 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 v 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 2. �osf �d r�sC 2 will �� /=�L C c TZ:f> !T sii� % MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P F— tl 1\4 it —r 4C C".)N U) 1 —11— of 0 N C-, Case No . : BLD99--0186 For : JAMES LEWIS Pages I I Approved per dimensions and setbacks on submitted site plan . 21 Temporar erosion control measures must be implemented to prevent water quality dogradatyon of adjacent waters or properties . Silt fencing must be installed and Mainta.1ned until upland vegetation has become established . X 3 ) Acce%sory dwelling for, occupancy by family ivietsibers . X —4- 4 ) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a tali nImum of 5 ' setback froin all property lines . ea,3ements and 10 ' from all Cpupty and State Road right of ways . X i I zf 5 ) Proposed structure or gortions thereof with an projection over 30" In height from grade, line titust maintain a . se,oarstlon distance between adjacent structures and that furthest projection . X__L 6) This application is subject to Buffet, and Landscaping requirements as established under Mason Cqunty Ordinance 1 .03 .036 . X 7 ) 'The use, handling and story e of hazardous materials or flamniable and combustible liquids 11) excess of 10 gallons is not allowed without the approval of the Mason County Fire Ma�rs al . X 8 ) 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 � LU Ul � -oMkM � E 0 § z z a § uj K 2 0 = E La LLI a ; a 2 ° ] a ® ° 3 ° ■ 2 0 2 a � k 3 2 a k ■ 2 � k � ® \ 2 5 § j � 7a \ \ mot 2 � 2222 \ a 5 � 2 � � � � MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 purpose . For further information re-garding this or d ! , h:�d th; . , ,a NT to obtain an ACCESS PERMIT for the installation/construction of a driveway Or access connecting from a Mason CountyRoad, Contact: the Mason County Puhlic Works Department prior to construction at Ext 4 o . - for any construction which Is proposed to be located within 25 ' of a Mason Countv road right of way, it Is suggested to contact that office to review future planned work which May affect Your pro jeCT . X 9) Owner/builder assumes all responsibility It Grainfield parea Is encumbered . X 10) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SOCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BUILDING DEPARTMrNT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CqNTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 11 ) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL X 12) The approved plot plan is required to be on--situ for inspection urfoses . It Inspection Is oalled for and plot plan is not on site , Approval NOT tie granted . in addition , a Re-- inspection fee In the amount of $42 .00 per hour (minimum I hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval Qranted . X 13 ) REQUIRED INSPECTIONS ( Footing Ins ectJon-prior to pour , Set-up Inspection--prior tt,� Skirtin , Final Inspection-prior �o occupancy) . I have received a copy of the Geneval Informa?1on and- Guidelir)es-Mobile/Manufactured Housing Installatlon's Handout for detailed descriptions of all required Inspections on my mote ile/manufactfired home Installation . I hereby assume all rospons i b i l i ty for -the scheduling of the,, e required Inspections . It these required Inspections are not requested, inspected and signed 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 by date by date by Walls FIRE DEPT. date by date by date OTH by PLUMBING Attic ER 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 off ( approved) by the Inspector in the prescribed order , ! understand that reinspection fees and an hourly investigation flee pursuant to the 1994 UBC, Table 3A will be assessed In addition to my original permit fees to resolve any questionable practices or �+roblents that have been discovered . 1 further understand that this investigation will be scheduled as time allows . Until resolution of anytall problems no occupancy ( Final Inspection ) will be granted for the residence . OWNER/CONTRACITOR ( indicate which ) Signature X.__,w`f_j 14 ) All mobile/manufactured home landings or decks must be freestanding ( self supporting ) . The largest landing or deck permitted without drawings or a building permit is 120 sq ft or less AND MUST be under 30" in height from :_:ur rounding grade . NO second atom 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 th t rhas 4 or more risers requires a handrail . x l ' ?ti 15) Placement of structure must comply with standards set�-or h per, 1994 UBC Chapter 1R regarding descending and/or ascending slopes . X� s ' � 16) Proposed structure or pportions thereof with an projection over 30" in height from gr-a" line, must maintain a 5 ' separation distance between adjacent structures and that furthest projection . X.�TM___ Case No . , 8L099-0186 1 1CONCRETE MECHANICAL MOBILE HOME iFootings-Setback date by Ribbons ,date by Gas Piping date b Foundation Wails date by Set Up date by INSULATION' date by BG/SLAB Insulation Floors Final date by 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 PERMIT NO.: BLD MASON COUNTY 3 Z 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 INFORMATION CONTRACTOR INFORMATION Owner 3tqs-nP,S 3 Avnw Ge s,f-f Contractor Name Otel4P o Mailing Address ►7. E- WO 60 old ► ,l w^ fti Mail' g Address 7d City kl-k- State Wr ,Zip Code 98.s2 City r w". State LAIA, Zip Code Phone(36() — 3 ther Ph.( ) Ph.(3&0 ) 37 -Sad Other Ph.(� Lien/Title Holder 7LO, aOAX Contractor Reg. # ParSn OgBL —Address—A, fbcw Alm G IS Expiration��/_Z/�� SEPTIC/WATER SYSTEM INFORMATION Connect to New Septic Existing Septicr Connect to Sewer System Name of Sewer System Well--X Water System Name of Water System PARCEL INFORWTION-12 digit Tax Parcel No. IC43 10Q0 Fire District Legal Description h-AC;f' N OF ,F, yy o f S, E. 711 0 F -St.-._j7 T,wft R Site Address(Please include street name, street number and city) 11,)I:, a0(00 Cid, _l�/z.... Directions to site From l l�ri�� Oid Aied ,,,y, /%.,.,� 6A,0., l� 3 ti„ika,, 6z4yince lSur- o e,k- Will timber be cut and sold in parcel preparation? (Yes/No Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoffs Stream Slopes or Bluffs 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 Model Crx*hbV %& t t, Model Year /99Y Length 1/9 Width�Serial No. 1 -7 No. of Bedrooms �• No. of Bathrooms ` Type of He— at L&c t� Purchase Price $ J,97V 0. Pp Replacement Unit ?(Yes/No) V12S 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 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. first obtaining approval. X Date X 61� Date3'//'/lacy FOR OFFICIAL USE BEYOND THIS POINT Accepted by hDate '`I Submittal Amount Due Receipt No. DEPARTMENTAL.REVIEW AyqqkVED DENIED'» CONDITION CODES Building Department Occ Group Type Constr. Q�� (0: �I Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES . .. Building Permit Fee Site Inspection Plan Review Fee 1 r�C, 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 ( ) T OTA FEES i PERMIT NO.: BLD [ C/�� 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 INFORMATION CONTRACTOR INFORMATION Owner ,l 1,,r,,;,,� Lei= Contractor Name �� •� ^ Mailing Address t°?_ E. ;1'040 �V- Maili g Address F,C1 & N')�J0 City_ tAd r-ri,k% State II A, Zip Code City rerrr. State Zip Code Phone( )_a2r-"339t7Other Ph.( ) Ph.( 3&0 373--5EU Other Ph.( Lien/Title Holder"TU1, J50r.fo,14eT Contractor Reg. # &QrS I J.C, � i,I Address 0, t r;Or Expiration_ /� 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 digit Tax Parcel N Legal Description r" C- 0 OF 6 ` tJ t Si e Address(Please include street name, street number and cit Irections to site t r Will timber be cut and sold in parcel preparation? (Yes/No 40 Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoffs Stream Slopes or Bluffs 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. ara e Attached Detached Carport Attached Detached 1111I1O "Iwo*WPO�tMATION-Mak e Model Model Year Length Width _Serial No. E/ No.'of Bedrooms No. of Bathrooms M16;,, 1 Type of Heat "/¢wc 1 r f it Purchase Price $ LIY,9700, ao Replacement Unit 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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. first obtaining approval. X Date X Date ` >` FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED COND I TJO W CODFS Building Department Occ Group Type Constr. Planning Department Environmental 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 ( ) � ...................'' is 3z` < # %i ? ' � ?:;>:<:>::::;«:>::. TOTAL FEES :.v:.» FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name LP.,i_ PARCEL NUMBERio130-4 i—OA0yD Date 2-1 -99' SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions `� ;, Fences '� /V Existing Structures Driveways Structure Set 8Pcks Shorelines LAI Water Lines Topography's Well Location (including adjacent) Drainage Plan Names of Streets ',' Easements'Names of Fronting Streets Septic SystemJ II s DRAW SITE PLAN BELOW Included a ens if o�oreline or within 100 feet of adjacent property line. adjacent property line- it 1 P T i <-adjacent property line 6 0�t4 y TA 7 fT I ! r I 9 I # ' I n o t a— — 1 rya' 1 gag qT 1 E.t'1 rr fir, rr Y"9�. I 3•T" la I ' I adjacent property line-> I �'r' oo I <—adjacent property line aa� SAMPLE SITE PLAN adjacent property line-> 32_0' _ _ E-adjacent property line D 30" rRFSCRve- Tyr 3�1 I 7Ic Cf2EE1G \ I to I HOM t i Gnaeu ]I I F �• I �ecua I j PROP cste snPt:c � 1 I IF— bo' VACAhiT VM1nPosCD A&-R=L.LrwnAL So I 1 80 I � I 1 i /DO" I I \ I c"•cLL I I 1 I * /00' I adjacent property line-� Fad'acent 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 dt s+A"C_a. to ru.�tL.�Yc_ O di'S't'O v+LL }'G SIOpa toa /� dis�anaQ. � > CrrX6 ram) Ignature Date