HomeMy WebLinkAboutBLD2000-00466 Cancelled Mobile Home - BLD Permit / Conditions - 1/17/2001 Inspection Line (360) 27-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427 96704ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2000-00466
OWNER: JACQUELINE HOUCK 360-275-9867
CONTRACTOR: FUTURE HOMES 360-479-4663 RECEIVED: 04/26/2000
SITE ADDRESS: 700 NE NEWKIRK RD BELFAIR PER AJT SUED: 07/17/2000
PARCEL NUMBER: 123213190031 0{C jay EXPtRAll IRES: 01/17/2001
LEGAL DESCRIPTION: TR 3-A OF NE SW, TR 1 OF SP# 1393 NV d
L5 BY --
PROJECT DESCRIPTION: DIRECTIONS T&,AT9-
MOBILE HOME FROM BELFAIR LEFT ON OLD BELFAIR RD RIGHT ON NEWKIRK ROAD
TURNS TO RIGHT 1/2 WAY DOWN ON RIGHT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: SF 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: $51,990 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make LIBERTY Length: 66 Ft Front: N 90.0 Ft. Shoreline: Ft. Water Body:
Rear: S 154.0 Ft. Slope: 70.0 Ft. SEPA?:
ModeI:MILLENNIU Width: 27 Ft. Side 1: E 97.0 Ft. Shoreline Desig.:
Year:2000 Serial No.: Side 2: W 55.0 Ft. Comp. Plan Desi .: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qtyw Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 04/26/200 $175.00 1865
bNding State Fee TLG 05/08/200 $4.50 BELFAI
Mobile Home Issuance TLG 05/08/200 $175.00 BELFAI
IWning Review Fee AHB 05/23/200 $38.00 BELFAI
Environ. Health Plan CEW 06/01/200 $50.00 BELFAI
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Total $442.50
BLD2000-00466 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
• BLD2000-00466
CONDITIONS FOR
BLD2000-00466
1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
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
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
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
61)/ It is recommended that the owner/agent stake the proposed location of the placement prior to setting forms or the unit and contact this office for an
on-site inspection to check compliance for setbacks from ascendingslopes. When calling for inspection, indicate that it was a condition of the permit
P 9 P �
approval.
X
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
8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
BLD2000-00466 Please refer to the following pages for conditions of this permit. 2 of 3
' 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
g
rantaj. In addition, a Re-Inspection fee in the amount of$42.00 per hour (minimum 1 hour) will be charged and must be collected by this department
4 '
prior to any further inspections being performed or approval granted. X
I
,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(indicate which) Signature X
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 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
All property lines shall be clearly identified at the time of foundation inspection. X
3) Placement of structure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes.
V 1 X
Approved per dimensions and'§etbacks on submitted site plan. X
I� All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
V" fencing or straw matting). X
This permit becomes null and void if wo r 10ristruction authorized is not commenced within 180 days, or if construction or work is suspended for a period
of 180 days at any time afteriwork is c me9ced. Fvidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approve' re in can ogbupied
OWNER O AGENT.
v' DATE. C
BLD2000-00466 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 7 ZG_ b
Foundation Wa'lS' date Set Up
�y,,��y�l
date _ by INSULATION b date F' 6--�DOO by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT. .
date by date by date by
PLUMPING OTHER
Grou:idwork Attic
data by date by
D W WALLBOARD NAILING
date by date by
1 Water Line FINAL INSPECTION
date by date by date by
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dt ��d/l �'/ Cfj` GC-
100,
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f- 10 0 P' l Its U Q Q 12 14 w.1C
1 J, kEF� a�or�tss Nun- s3�►�s 5 rg#r,E r d Naysj' _
Ner-1.) pow-chi s . A►zcKs, Gx -\I0 -Q S A10 r ®OeA- 30 -fC-k -
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Building Permit # 1 ' MASON COUNTY
BUILDING 111 426 W. CEDAR t
SHELTON, WASHINGTON 98584
(360) 427-9670
ORRECTION NOTICE
Job Location I Ck 7�r� i/?/t )?,P
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
1 %/L 1ye- '6,6 Z2 z'�'�/�n-T'.�'/'
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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 �'c'z
dv
Date �- Z c/ Inspector ?'/
10 * N44T MovV T 11 - , TA& LOM
Building Permit # 2-e
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 7�
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
i %IOU/O,t GZl'ii/ri:� %��.0�'"�� «^'/Y<v/c'..✓
do
TIJ a�i7ny�0-� 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 l 2 Inspector T2
■ i0« 0 No VT 0i Mo *V T 1 LT A 01 M
PERMIT NO.: BLD OM_a ►(k"
MASON COUNTY
BUILDING PERMIT APPLICATION �1
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 E 11cg u�AL Contractor Name ��-lIg�"
Mailing Address c, 61r, j�_Czl s�� 11►� N t'+y_ Mailing Address
City pep, ram, State_.ta, Zip Code QT1 9� City Psiagh . State 1,1Ca Zip C de +Iy�_
Phone(2,o #111!,�TOther Ph.(O,�-11n_q'� Ph.( J then Ph.��_)
Lien/Title Holder J A W L,-4-14 -410A`M Contractor Reg. # FV-ry We"I e_--,r,=:&
Address ' Expiration�j_/ /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic�Existing Septic Connect to Sewer
System Name of Sewer System Well x,�__Water System Name of
Water System t az
PARCEL INFORMATION-12 digit Tax Parcel No. 12321 I Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)_ p
I Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms. 2�,_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��L_�l_`�,► tti Model Year
Length LOR a Width 24,0_t " Serial No. . � No. of Bedrooms ;z., _No. of Bathrooms_2�_
Type of Heat Q 6S_ Purchase Price $_r.t. Gcl ii;;:� Replacement Unit ?(Yes/No) t�r�
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:
I
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 regulat)ng the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be dorfle i cdr9formapce therewith. No changes shall be made without
approval. first q i appr val.
I —
X Date Xl Date
4
FOR OFFICIAL USE BEYOND THIrr POINT _
Accepted by "* Date .l i !tSubmittal Amount Dtie I / Receipt No.
OEPARTM.ENTAL'REV W= P oVE RENTED CfJNDITION CO;D S
Building Department A �'
Occ Group Type Constr. �d�dti.dd� mh 7�Q c
Planning Department x p � coved
Environmental Health Department I
Public Works Department
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 ( )
T T O A FEES
PERMIT NO.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 • '.
Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPL NT INFORMATI CONTRACTOR INFORMATION
Owner ! Company Name-
Mailin A re 7 1l n `' !� ��` Mailing Address
City State 1,t Zip Code..," City State Zip Code
Phone 'iM 1e2Q 1 k->1S Other Ph?ld' l5-l7 12� Phone _— Other Ph.
Lien/Title Holder Contractor Reg. #—_ Exp.
E mail address E Mail Address
—
Drivers Lie.# DOB Drivers Lie.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description -
Site Address (Please include street name, street number and city)9w n
Directions to site
Is property within 200'of Saltwater. Lake River/Creek Pond
Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPG— Natural Gas_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs HeaSpot
Vent Ft
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other parry in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by`��y Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
I Case No.
NameJA -C QuEt-Ir4C [ QJC V PARCEL NUMBER V212I •C10b3 t Date 2O 2 >Oo
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 10 d'acent property line.
adjacent property line4 I I Fa cent property line
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adjacent property line- I I E-adjacent property line
SAMPLE SITE PLAN
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adjacent property line
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adjacent property lined ; I s°. ip. \; <-adjacent ro ert'line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
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degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
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