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Home My WebLink AboutBLD2000-01451 Replace Mobile Home - BLD Permit / Conditions - 1/4/2001 • Inspection Line (360)427-7262 MASON COUNTY PERMIT ASSISTANCE CENTER Ph ne: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2000-01451 OWNER: HAROLD BOLIN CONTRACTOR: RECEIVED: 11/14/2000 SITE ADDRESS: 1675 NE OLD BELFAIR HWY BELFAIR ISSUED: 01/04/2001 PARCEL NUMBER: 123177690030 EXPIRES: 07/04/2001 LEGAL DESCRIPTION: TR C-1 OF SURV 1/52 TR 1 OF SP#1800 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPLACE MOBILE HOME 1 1/4 MILES FROM QFC OLD HWY LEFT SIDE, SIGN IN DRIVEWAY TOM NEWMAN CONSTRUCTION, SITE ON RIGHT SIDE OF ROAD. 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: R3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: Occ. Load: Building:0 Valuation: $60,000 J . Building Height: Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make REDMAN Length: 48 Ft. Front: S 145.0 Ft. Shoreline: Ft. Water Body: SEPA?: Model:MILLCRES Width: 41 Ft. Rear: N 48 i.0 Ft. Slope: Ft. Shoreline Des Side 1: W .0 Ft. g.: Year:1998 Serial No.: 25115 Side 2: E 100.0 Ft. Comp. Plan Desi .: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal KLW 11/14/200 $175.00 2055 §§ding State Fee MEC 11/15/200 $4.50 55386 Mobile Home Issuance MEC 11/15/200 $175.00 55386 fining Review Fee KS 01/04/200 $38.00 55386 EH Plan Review KS 01/04/200 $50.00 55386 Total $442.50 BLD2000-01451 Please refer to the following pages for conditions of this permit. 1 of 3 .. CASE NOTES FOR BLD2000-01451 CONDITIONS FOR BLD2000-01451 1) 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 zJ 2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. XJ� 3) 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 on site, then approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour (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 e2-7 4) 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. OWNER/CONTRACTOR(indicate which) Signature X -z! J6 5) 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 A-' 7 7. 6) All property lines shall be clearly identified at the time of foundation inspection. 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) Applicant has indicated this is a replacement unit. Prior to Mason Cormty allowing any occupancy of the new proposed unit, the existing unit which is on the site and is being replaced MUST be removed from the parcel. BLD2000-01451 Please refer to the following pages for conditions of this permit. 2 of 3 9) wJI 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 26 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 O AGENT: � �j/I6 /�,.tl �yy»,,,, / DATE: O BLD2000-01451 Please refer to the following pages for conditions of this permit. 3 of 3 CnNCRLh'F_ MECHANICAL MOBILE HOME Footing--'iet`ack date by Ribbons dAte by Gas Piping date — 9-C}l b Foundation Walls date by Set Up date by INSULATION date by B'.a/SLAB Insulation FlooFinal c� date by date by by date �� / ^� / by ' 1 FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by /fir/' J l AppUCANT NAME: BUILDING PERMIT CHECKLIST SITE ADDRESS Dev. ext 291. If site address has not been issued refer the customer to Community (41 FIRE DISTRICTS uded in the application information. Refer to map locate at counter. Please make sure the fire district is ind DIRECTIONS TO JOB SITE Needs to be as complete as possible (i.e. major roads, is house on left or right side of road, etc.). Be sure to read or clarity (Landmarks, signage, owners name on mailbox, etc.?). LIEN/TITLE HOLDER Who holds the mortgage (Bank or name of private owner holding contract)? CONTRACTOR REGISTRATION # AND EXPIRATION DATE be able to research expiration information if This information needs to be provided. The Building Department may Z boxes, either the applicant or the contractor. customer does not know it. We must have a signature in 1 of theEl SEPTIC RECORDS Application must be filed and paid in full. New systems must have test holes dug prior to submission and Septic A B WATER COMMUNITY PRITE SEPTIC EXI ING DESIGN APP. DEV REMODEL NEW STATUS IS THIS A REPLACEMENT UNIT? YES NO IF SO: MASON COUNTY BUILDING PERMIT APPLICATION SECTION 1/5, BUILDING SQUARE FOOTAGE, MUST BE FILLED OUT COMPLETELY. AND: SECTION 96 MUST CLEARLY STATE, 'REPLACEMENT UNIT" PARCEL #/L.EGAL DESCRIPTION MICHECK PARCEL NUMBER FOR PARCEL FLAGS1111 Parcel # must be included. If number is not available contact Addressing at Ext. 291 BUILDING SQUARE FOOTAGE verify whether it is attached Clearfy show existing square footage and that of which is proposed. If there a garage, Y or detached. Include square footage information for mobile homes.(ie. 10X20=200 square feet.) USE OF BUILDING �ouse, designate if it is commercial. Residence, garage, greenfEl DESCRIBE WORK Q.e. mobile home addition, addition to a house, etc. . .) TYPE OF JOB Verify appropriate boxes are marked. WATER ADEQUACY ND BACTERIAL For new residences and mobiles. PRIVATE WELLS MUST HAVE WELL LOGS OR CAPACITY TEST „off TEST. If they are on a public water system, check for signature to verifythat the system is not on the State's of compliance list' 1 MOBILE HOME INFORMATION factory order I'In mobile home serial 9. If unit was Verify appropriate boxes are marked. If factory order, please put assembled prior to June 15, 1976, refer to procedures handout for 'Obtaining Installation Permits for Mobiles assembled Prior to June 16, 1976.' Q FLOOR PLAN Manufactured/Mobile homes require a floor plan of the home be submitted. Q FEE DUE A fee of 4175.00 is due when application is accepted. This is half of permit base fee of $350.00. SHORELINES/CREEKA E-TlANO if property is within 200 feet fnciuding adiacent properties) of Shorelines/Creek/VJetlands, tr9 must be complete. If none of time conditions are present please enter "na" or "none'. El SITE PLAN DRAWING MUST SHOW THE FOLLOWING: • LOT DIMENSIONS ' DRiVEW,AYS • EXISTING STRUCTURES t SHORELINES 4 STRUCTURE SETBACKS ` WELLS • SEPTIC SYSTEMS ` NAME OF FRONT STREET PROPOSED IMPROVEMENTS * EASEMENTS • NAME OF SIDE STREET ALSO PLEASE MAKE SURE DIRECTIONAL IS FILLED IN ON APPLICATION IF PLOT PLAN IS ATTACHED TO PLANS OR IS NOT ON CARBON FORAf' (3) TDREE PLAIN PAPER COPIES ARE,REQUIRED. TOPOGRAPHY DRAWING If property is fiat write "flat" on the topography section. If house or structure is near a slope or hill, drawing must reflect this. This should show an accurate side view of the property. PLUM BIN G/MECHANICAL This form must be completed for any structure with plumbing and mechanical excluding mobiles/mo u ars. OWNER OR CONTRACTOR AFFIDAVIT Owner or contractor must sign affidavit statement and date it. (� ACCEPTED BY 3 or use date Whoever is accepting permit information must sign your initials and date form on the bottom of page stamp and initial on back of permit. PRINTS Need three sets of prints unless it is a stock plan. For stock plans, we only require one copy. Commercial proiects require four sets of plans. El WSEC & V & (AG CODE Required for all residential,additionsdand stoves are commercial �mi d as primary systemuildings. Energy Code r)plWi do`w schedule tmust be OMP'�ut Verify heat source (no wo Pe Term and reflect what appears on submitted building plans. If applicant has decided to go with the PUD in a Long Super Good Cents program, we require a copy of time signed agreement with the utility. ROAD ACCESS PERMIT If you will be accessing your driveway from a County road, contact the Public Works Department in Mason County oval. Building 1, 427-9670 extension 450. Access from State Highways requires Department of Transportation app Contact office (206)895-4753 (Port Orchard). Checklist.2 December 17, 1998 2 Trish Redman Home Presents • S.0 1937 pq ham. -_s - Model 4483 1968 Sq.Ft.• 3 Bedrooms•2 Baths 9443 � UJ:UTY MASTER BEDROOM FAMILY ROOM ?: II� I K!TCHEN I --�' t.03 BATH l 70'x5. DINING ' 10,037 III I - - 7c7c `J I I' :VING ROOM BEDROOM N2 BEDROOM g3 x FOYER'; 8xt "i 13'03' 11'.13' + PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION 11-� 426 W.Cedar1P.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 INFORMATI N Owner Contractor Name Ja#wpf- Mailinq Address t1,615 OLQ 02- fAJf1JWV Mailing Address City q,rA)o F 1.19 tate_J0 Zip Code WAII City State Zip Code Phone(? Other Ph.( W - � Ph.( Other Ph.0 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 Well,_,_Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. f 3!'/ / 71. / 2 Fire District .�I Legal Description 16iCe _ Site Address(Please include street name, street number and city) C Directions to site w,,z i-f (TOAA r Wi I 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 Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ., SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work I x C" r C-+t ) n eu� No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st FI or 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make ZOWT Model odel Year Length a .. Width Serial No. No. of Bedrooms�_No. of Bathrooms__ Type of Heat Pu chase Price $ �� Replacement Unit ?(Yes/No) Installer Name Certification No. w 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. �f first obtaining approval. X Date V X Date -y� FOR OFFICIAL USE BEYOND THIS POINT . Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL» REVIEW APPROVED DENIED CONDITION CODES Building Departmentfa 111,7 .O "'f "'"'r, - r, G '/r0 Et er Occ Group Type Constr. ►f T av calloa�jsf Pt4 Planning Department Environmental Health Department Public Works Department I Fire Marshal 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 �t� Case No. / �J'�J ! �L�� PARCEL NUMBER del/ f o Date (p P/V Name _ 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 �S 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 li e—> I I Fadjacent property line I � I I � I 2 —look Tb I �6 I I W adjacent property lin 4 I I E-adjacent property line SAMPLE SIT adjacent property line-� 3io- _ _ _ Fadjacent property line D 36' FREscRvE 3�1 2F wJ AL I CREEK \ I fi HOMt i .GaSEt•.1 ]I i�o us a I j Frio Pos�D Sept:c I 1 , I I VAGn,T I c.nrt�c cs I % I 30. I /i Its I p0.oPosCD So' T ,46ftsCu.Lh�.0.AL I 1 I I \\ 80, 31I I � I I I \ I ,_ .e.LL I I I I I /00. adjacent property line-;� ; Ate. \; <—adjacent properf�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 FLAT -s�1Br�� d15t�r.GQ fin rutt(.a.Yt LtIl d�at�.,cc to Slops. �'o¢ d11.+anaQ 4o a Si nature Date