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Home My WebLink AboutBLD96-1417 Cancelled Mobile Home - BLD Permit / Conditions - 1/22/1997 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 E3, U I L L7 I N C3 P E R M I T FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND 8am 427-7262 BLD96-1417 PARCEL : 123292300090 PLAT : DIV : BILK : LOT : JOB ADDRESS : NE 533 UNION RIVER RD BELFAIR OWNER : BETTY FURMAN 275-5956 CONTRACTOR : LEGAL : TR 9 OF E 1/2 N11 CLASS OF WORK . . :NEW BEDR : 1 BATH : 2 TYPE AMOUNT BY DATE RECEIPT I T Y P E AMOUNT BY DATE RECEIPT TYPE OF USE . . . . :MH STORIES . . . . . . . : 1 OCCUP . GROUP . . . :? BLDG . HE I GHT . . : 0 .Oft MHOF $ 150.00 KS 01122/97 43798 TYPE OF CONST . . :? FIREPLACES . . . . : 0 ISTFE $ 4,50 KS 01122/97 43798 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 E H C P E 26.00 KS 01122/97 43798 DWELL .UNITS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : 1 SHORELINE? . . . . :N ;TOTAL: 180.50 VALULATION: 38835 SETBACKS--------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME-- FRONT . . . N 240 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0 REAR . . . .S 15 .Oft BATH TUBS . . . . . . . . : 0 3- 15 HP . : 0 MODEL :REDMAN SIDE ( 1 ) .E 210 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAKE------ SIDE ( 2 ) .W 60 .Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 WYNNWOOD SHRLINE . 0 .Oft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 97 LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH :44 BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :28 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 PROJECT LOCATION:0.5 MI . DOWN UNION RIVER RD. ON LEFT SIDE. 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 B APPROVED BEFORE BUILDING CAN BE OCCUPIED. r� OWNER OR AGENT: � r66� DATE: BLD_PRMT, rev: 03131 91 COMPLIANCE TO ATTACHED CONDITIONS I S REQU I RED MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM I T CONE) I T 1 O N S Case No . : BLD96-1417 For : BETTY FURMAN Page : 1 1 ) The undersigned property owner is aware of the uncertainty regarding Mason County ' s development regulations created by the Growth Managment Hearings Board ' s Order of October 2 , 1996 , and in consideration of Mason County ' s willingness to proceed with processing of applications which might be affected by the Order , the undersigned property owner hereby agrees to waive any lawsuit , action , or claim for damages against Mason County which may arise out of Mason County ' s actions in acceptance , processing and/ or issuance of such permits or approvals ( hereinafter "permitting actions " ) , which damages are attributable to the County 's decision to take permitting actions despite the risk that changes to the County 's development regulations might later make the Cou ty ' permitting actions invalid . X % 2 ) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1 .03 .036 . X 3 ) 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 , 4 ) 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 XI luter oty and State Road right of ways . 5 ) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands . XL , 6 ) Approved per dimensions and setbacks on submitted site plan . X . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 line , must maintain a 5 ' pi se ratlems ion distance between adjacent structures and that furthest projection . X A yy' RECEIVED DEC 0 � 61996 MASON CO. PLANNING DEPT, Lit - - r � Cal l:�i r t .. Permit No. MASON COUNTY arc . 21996 BUILDING PERMIT APPLICATION W. Cedar/P.O. Box 186, Shelton, WA98584 427-9670/1-800-562-5628 PLEASE FiR_R " �Yp nT,¢ �Lln!/� (,j�j/nC�G!°.� -��PLl�yllA- y ss�ry Wi,te er -- a Phone#Address Fire District# St zip Directions to Job Site Owner Mailing Address City —P o ai St 6 IR _Zip 9O Lien/Title Holder A Hie L"4 4i T 1466-5 Address City St Zip #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on projec site, include records. Connect to Septic?�ublic Water Supply Well f� Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 rcel No. -�- Doo'F 0 L al Description ,4 Tt !t� T�9 c�� t/2. h u3 #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION ��--U p Model Year Cl Make Model "V a n Woo - Length Width Serial No. 9 �� # Bedrooms # Bathrooms. ��Type of Heat -Thies rYln loLu . wLA-Q_, Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW Alb C- , 3 P 1 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW /Jr- 1 _ S Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, __Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers Furn BTU Hot Water Htr _ Heatpumps Laundry Washer _ Vent Systems __Sinks Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units Disposal cfm# _Urinals No. Fire Protection Systems _Other Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER ) X BY DATE / — DATE FOR OFFICIAL USE ONLY: Accepted by: Date. i DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold J Approval Planning: Ito Environmental Health: p Building Plan Review 2" Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Feed Other Other Building Valuation: TOTAL FEE