HomeMy WebLinkAboutBLD99-0366 Final Mobile Home Replacement - BLD Permit / Conditions - 10/27/1999 -Z-7
MASON COUNTY
Tom_
Mason County Bldg. Ilf 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Ey U I L D T N CA PERM I .`r FOR INSPECTIONS CALL. 427-9670
BETWEEN 5pm AND Sam 427--7262
BI_D99--0:366 PAPCf_'L. : 123292200081 PLAT : D I V : BLK : LOT
JOB ADDRESS :a 1€ 2. HE FERN VVY BELFAIR
OWNEII : W I LL I AM KENNEDY 275--6257
CONTE'A CTOR
LEGAL: Il T!2 SE HN N1
';LASS OF WORK . , tREP 13EDR. 2 .BATH : 2 ITYPE AMOUNT BYTMTM DATE RECEIPT TYPE AMOUNT BY
� RECEIPT
TYPE OF USE — zMH STt')1 I CS . . . : . . . _.
OCCUP . GROUP . . . :7 BLDG. HEIGHT . O.0f.t All SF 175.09- YA .05110109 5010
TYPE; OF CONS'T . . :I FIREPLACES . . . . : 0 1111.1131, .I 175.00 KS 05120199 DELfAIR �
OCC►IP . LOAD . . . a , 0 WOODSTOVEES . . 0 STfE F' 4.50 KS .05120199 BELFAIR
DWELL .UN I TS . . . . : 0 PARKING SPACES : 0 E11CP $ 50.00 KS 05/20/99 BF[FAIR
INSPECTION AREA : 2 SHOREL_ I ME? . . . . :N PIRS 1 39.00 KS 05120199 BELFAIR {TOTAL: 442.50 VALULATION.-
+•_•��va�+v^.,,^...^^•�.:-.�r:yrars:-..:::tea-.^�.:-..•^�.:-..�.;re�,...rs...'J•r.�,..=.^ �.,,:xz-..—.::c--:.�^c:r�.-_r..�r,:-c^-._.ra w--
SF'FL�ACK TOILETS . . . . . . . . . . : 0 FLIEL: TYPES------------ E OI LERSICOMP-._-- MOBILE HOME—
FRONT . . .W 30 .0'ft BATH BASINS . . . . . . : 0 . a 0-3 1.1P , : 0
REAR . . . .0 250 .0ft BATH TUBS . . . . . , 0 3-16 lip . : 0 MODEL ;L I BEERTY
SIDE ( 1 ) .N 120 .Oft "SHOWERS . . . . . 0 1=URN < 10 r0K BTU ; 0 15--30 tip . : 0 -MAKE----__..-
S 1 DF (2) .5 400 .off t WATER HEATERS . . . . : 0 1=URN. >=1001< ETU : 0 30-50 HP , : 0
SI-IRL INEE .N O .Oft CLOTHES VVASH'ERS . . : 0 . TURN - FLOOR . , . n 0' 50-3_ lip . ; 0 --YEAR---- --
APEA __.M -___________._._ .KITCHEN..SINKS . . . . ... 0.. HEAT PUMP . . . . . . . EIJ 80
LOT" S I ZE . F'L:.00FI DRAINS . . . s } .VENT SYSTEMS0 EVAP COOLERS : 0 L E:NGI1t :es
BU I LD I NG . . . : Osfi DRINKING .FOUNT . , . a - 0 . VENT. FANS . . . . . . . 01. HOODS . . . . . . . . 0 V4.1 DTI1 . : 14
BA SE:tulENT . . . . 0s i LAUNDRY TRAYS . , . . . 0 DOMES I NC I N sflf SE I' I A L 1--- -
DFCKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR IiANDL I NG UNITS--- COMML . I NC I N .0
GAR/CARP :? Osf GARB DISPOSALS . , . : 0 <= 10000 0TRl . < 0 RELOC/REPAIR : 0
AT/DT . :7 URINALS . , . . . . . . . . : 0 > 10000 afm . a 0 OTHER UNITS . : 0
M I SC PL.M FIXTURES : -0 GAS OUT(FTS . : 0
PROJECT' DESCRIPElUH:11OBILE 1109E RF.PLACEMERT
PROJECT LOCATI090AKE SANDHILL RD PAST.,SCHO.OL FIRST RD ON RIG11T IS FENIWAY GO ' OWN TO TREY TURN 01alIT OT THE- FIRST DRIVEWAY OH RIGHT.
11113 PERMIT BECOUFS NULL AND VOID if WORC OR CONSTRUCTION AU1.110R1.'Z.EBAS 110T 1JO94ENCE0 IT1118 160 DAYS-, OR IF COHSTRUCTIotH OR YIORK IS su.m.ROED fOR A PERIOD
OF i00 DAYS AT ANY TINE AFTER WORK IS CONNENCEII� EVIDEUCE,01, CONTINUATION OF-VIO. RK IS it PROGRESS IIISPECTION WITHIN THE 100 DAY PERIOD. FINAL 111SPECTIOII MUST �E
APPROVED BEFORE BUIL.BIIG CAHr817(I'C-EU.PIED.
411
�
OWNER OR AGENT:.' / . ri. 1_ :1` '/.�1` � �� eo DATr
BLD.PRIIT 01'31 3 f 191 G/ COMPL I Aocf-ry ATTACHED CONDITIONS IS RCOU I I�CD
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 date by date/d
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date by
DW D.W.V. by WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 U I L_ E3 I N C3 PERM I T FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND '8am 427-7262
BLD99-0366 PARCEL : 1232922OOO81 PLAT : DIV : BLK : LOT :
JOB ADDRESS : 182 NE FERN WY BELFAIR
OWNER : WILLIAM KENNEDY 275-6257
CONTRACTOR :
LEGAL : 1 112 SE NI NI
CLASS OF WORK :REP BEDR : 2 .BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . :MH STORIES . . . . . . . : 1
OCCUP . GROUP . . . :7 BLDG . HEIGHT . . : O .Oft MHSF $ 175.00 KIN 05110199 50185
TYPE OF CONST . . :? FIREPLACES . . . . : 0 MHBL $ 175.00 KS 05120199 BELFAIR
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 STFE $ 4.50 KS 05120199 BELFAIR
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 EHCP $ 50.00 KS 05120199 BELFAIR
INSPECTION AREA : 2 SHORELINE? . . . . :N PLRS $ 38.00 KS 05/20199 BELFAIR TOTAL: 442.50 VALULATION: 0
SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL - TYPES---------- BOILERS/COMP---- MOBILE HOME--
FRONT . . .W 3O .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . . .E 25O .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :LIBERTY
SIDE ( 1 ) .N 12O .Oft SHOWERS . . . . . . . . . . : 0 FURN < 1O0K BTU : 0 15-30 HP . : 0 -MAKE------
SIDE (2) .S 4OO .Oft WATER HEATERS . . . . : 0 FURN >=1O0K BTU : 0 30-50 HP . : 0
SHRLINE .N O .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------
AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 80
LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH :66
BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 14
BASEMENT . . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL#----
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O
GAR/CARP :? Osf GARB DISPOSALS . . . : 0 <= 10000 cfm . : 0 RELOC/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT DESCRIPTION:MOBILE HOME REPLACEMENT
PROJECT LOCATION:TAKE SANDHILL RD PAST SCHOOL FIRST RD ON RIGHT IS FERNWAY GO DOWN TO THE Y TURN RIGHT OT THE FIRST DRIVEWAY ON RIGHT,
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.VEVIDENOF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPECTION MUST BE
APPROVED BEFORE BUI CA IED.
OWNER OR AGENT: DATE:
BlD_PRMT, rev: 03 141111,91 COMPL I A E TO ATTACHED CONDITIONS IS REQU I ED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O.. Box 186 Shelton, Washington 98584
P E R M I T C O N O I T 1 O N S
Case No . : BLD99-0366
For : WILLIAM KENNEDY
Page : 1
1 ) PURSUANT TO 1994 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 IN TA LE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWN C R AILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X
2) THE UND 0 YS M SHALL BE PLACED ON UNDISTURBED, NATIVE
Sol
X
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 granted . In
addition , a Re- Ins ection fee in the amount of $42 .00 per hour (minimum 1 hour) will be
char d a b collected by this department prior to any further inspections being
pe pr al granted .
X
4) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-up Inspection-prior to
skirting, Final Inspection-prior to occupancy) . I have received a copy of the General
Information and Guidelines-Mobile/Manufactured Housing Installations Handout for
detailed descriptions of all required inspections on my mobile/manufactured home
installation . I hereby assume all responsibility for the scheduling of these required
inspections . If these 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 1994 UBC, Table 3A 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 an problems no occupancy ( Final
Inspection ) will be granted for the residence .
OWNER/CONTRACTOR ( indicate which ) Signature X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
RO, Box 186 Shelton, Washington 98584
5 ) 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
mor n fr m walking surface to finish grade requires a Permit . Any landing or
de_ t more risers requires a handrail .
X
6) Own e bull su es all responsibility if drainfield area is
en er
X
7) A e p r ' en ions and setbacks for this 14 ft by 66 ft . mobile home on submitted
s
X
8 ), All mobiles on property are to be used for family members . When family members move ,
the i not a rented by people who are not related , doing so would be a violation
o
X
9 ) Prop s uc e r any portion thereof greater than 30" in height from grade line,
mu i a ' i mum of 5 ' setback from all property lines , easements and 10 ' from
a ty ate Road right of ways .
X
10) Provi ' ons for surface/subsurface drainage control must be implemented with new
construction or development on site and MUST NOT adversely impact adjacent parcels . 1
1
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MASON COUNTY
p� r,�, �,{,, {�I II II 4 `p' C
Under the requ i remen s o on"�9§Q�`�Y1^�h�1rd'NW dt'd i �� �iq%rprivate ditches and
drains will meet requ reme ofp R(Vgq�uQ dy'm @fie, {'� r� $�prova t will be
granted to use an ex i I I t�' fi'C�"dr" li s�r��tf't' �tiQ�af� for that specific
purpose . For further information regardingthis ordinance and the REQUIREMENT to
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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
f e r p r o j c t . P.O. Box 186 Shelton, Washington 98584
11 ) 4*ee n in and storage of hazardous materials or flammable and combustible
i e e of 10 gallons is not allowed without the approval of the Mason County
X
12 ) T c i is subject to Buffer and Landscaping requirements as established under
M u rdinance 1 .03 .036 .
X
Case No . : BLD99-0366
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PERMIT NO.: 31-Ago�
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton(360)427-9670 Belfair(360)275-446 .Elmo(360)482-6269 Seattle(206)464-6968
APPLICANT INFORMAIJON CONTRACTOR INFORMATION
Own( Contractor Name
Maili Mailing Address
City V&I4ss State *Zip Cod zf!?,5-1? City State Zip Code
Phone Rih2 7,1-AZ6Y d t eV Ph. Ph.( Other Ph.(
Lien/Title Holder 'Contractor Reg. #
Address Expiration-
-SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic X connect to sewer
System Name of Sewer System Well X 'Water System Name of
Water System
PARCEL
QQ IN70F2O1R1'M�r OTTION17-,1e2,ci it T x el No. -1.23 2 7.2 20 49-10 81
Fire District
Legal QescriptionN sf, I�f. .13de. zy-T-7a KV
Site Address(Please include stre naseet umbprand city) f 2A76t
Direction to site 5 AtgS5CAV�Vk g nrr f5 tpbn W JC�-lfj
V t-11 f&h 7- T -rlip- - .111ewaq0)n *PtM"1,9H7—
01-1-timber be c7and'so-I'd in parcel prep-a6tion? (Yes/No)_
Is your property within 200! of the following,Body of Water (Name) e, Saltwater
Lake River/Creek-A Pond Wetland Seasonal Runoffs
l Roff ream WV St
?L -&aslopes or
Bluffs-&&L-
TYPE OF JOB New —Add Alt Repair_Other Use of Building
Describe Work o
-Av,96, 11,6m45 W�� 1990 41,han�-q 7j1d6 Ay �h
�,;Tqcr. lV4J- 41 46F zy�y
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floo(
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make T n",Moclel Model Year
Length 6010 � WiOth Serial No, AP 19 A 4 40 2- No. of Bedrooms .2 No. of Bathrooms �-
Type of Heath) C Cffjhg �, Replacement.Unit ?(Yes/N6)
Warchase Price $
Installer Name go k11V EIR 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!o 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 req'u�rements regulatin,,the.work,for which this permit is issued and all work
conformance t erewit No changes shall be made without first obtainipg""'," shall-be"d'-d"ne'in conformance therewith. No changes shall be made without
appr. first obtaining approval.
Die r . X —Date
L/
F G R.-0))J USE BEYOND THIS rJ1yT0V
TIAL�5 -
Accepted e
ted by !M- 9 1�q� Receipt No.t"""p Date' Submittal Amount Due
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Building Department
Occ Group Type Constr..
Planning Department
Environmental Health Department
Public,Works Department
Fire.Marshal
Valuation
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Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee q Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal
TOTALFEES
. ..............
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name ARCEL NUMBER I Z�Z�I-z2 rJ�� 1 Date 516 �'S
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 A/ <—adjacent property line
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adjacent property line- ' I E-adjacent property line
SAMPLE SITE PLAN
SaCdEjIJ2a1LF1S�o1 Gt property I line-,nIIIIII1 1
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tr 3a
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<—djacGecrnxu6t�spN�r o perty line
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adjacent property line- i /a"- \; 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
Srtructl.�Y�
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510pm f-o¢
dis+ancm
40 Q
ture Date
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