HomeMy WebLinkAboutBLD99-0281 Cancelled Mobile Home - BLD Permit / Conditions - 10/31/2001 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
13 U I L- D I N C, PE R M 1 i FOR INSPECTIONS CALL 421 9670
BETWEFN 5pai AND Sam 4"7- 7262
BLD99--0281 PARCEL : 12330:320001 0 PLAT : D I V : E31-K LOT :
JOB ADDRESS : 102 NF RAINBOW L N BE1.FA 1 R PERMIT
OWNER : JOE MUFFENB 1 ER 360--377--69'70 HULL V�In qy �XQ�RATION
CONTRACTOR : ACE CONSTRUCTION f
LEGAL : TR T OF GOUT LOT 3 GATE
.Z...— IT3:8Gt:1:;93';.:.L.:.,......r.,..n•,r......,
CLASS OF WORK . . :NEW BE DR : 3 BAT-I{ s 2 TYPE`^AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . :MH STORIES . . . . . . _ : 1 _ �_�a ���=< � '_:> , •�-_. .r �� ::�,,. r:w - �
OCCUP . GROUP . . . :? BLDG . HEIGHT.,HEIGHT . , r O .Ofit IAPDR
MNSF 1 115,60 KN' 0409199 4995/ STFF $ 4.50 NJP 051 i3199 51242
TYPE OF CONST . . :7 FIREPLACES . . . . : 0 1 5.08 NJP 05113/99 50242
OCCUP . LOAD . . . . : O WOODSTOVES . . . : 0 ;ENCP 1 50.00 NJP 05113199 50242
DWELL. .UN I TS . . . . : 0 PARKING SPACES : 0 P,1C 1 44.01 NJP 05113199 51242
INSPECTION AREA : 2 '3HORELINE? . : . . :N IM1181 1 175.00 NJP 65/13/99 50242 TOTAL, 453.50 VAlVIATION: 2601
SFTBACKS--.-_..-.-._--__..--_- TOILETS . . . . . . . . . . 0 FUEL TYPES--------- ---- BOILERS/COMP----- MOBILE HOME--
FRONT . . .S 131 .Oft BATH BASINS . . . . . . : 0 0-3 HP . : 0
REAR . . . .N 5 .Oft BATH TUBS . . . . . . . . : 0 3--15 HP _ : 0 MODEL :HOMET
SIDE ( 1 ) .F 30 ..Oft SHOWERS . . . . . . . . . . . 0 FURN < 100K Bl-U : 0 15-30 HP . : O MAKE ---- --
, SIDE (2) .W 5 .0f t WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30--50 HP . : 0
SHRL I NE .N €1 .Oft CLOTHES WASHERS . . : 0 FURN FLOOR — : 0 504 HP . : 0 .--YEAR._--_._. _
AREA - - -- - KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 80
LOT SIZE . . . FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH :70
BUILDING . . . ; Oaf DRINKING FOUNT . , . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :40
BASEMENT . . . : Ost LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O SERIAI-#--
DECKS . . . . . . s 08f 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 c`,fm . . 0 OTHER UNITS . : 0
M 1 SC PLM FIXTURES ; 0 GAS OUTI_FT-- 0
PROJECT 01 CRIP110N:108ILF NONE
PROJECT LOCATION:FROM BELFAIR TO NORTNSNORE RD TO MISSION GI' RO I'OLLOW TO END TURNS INTO RAINBOW LN DRIVEWAY ON THE RIGHT
YNIS PERMIT BECOMES NULL AND 410 IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCFII WITHIN 161 DAYS OR IF CONSERUCTI01 OR WORK IS SUSPENDED FOR A PERIOD
OF 160 DAYS AT ANY TIME AFTER WORK IS COMMENCED. fVIOENC.E OF CONTINUATION OF WORK IS A PROGRESS INSPU TiON WITHIN THE 188 DAY PERIOD. FINAL INSPFCTION MUST 61.
APPROVED 3EFORE BUILDING CAN BE OCCUPIED.
- r
OWNER OR AGENT-— DATE: C1
Cie.—Poll, rev: 01131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CRETE MECHANICAL MOBILE HOME
ootings-Setback date by Ribbons
late by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors I 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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P [= F7 M I T C C7► N Q I T I C7 N
Case No . : BLD99-0281
For : JOE MUFFENBIER
Page : 1
1 ) Approved per dimensions and setbacks on submitted site plan . X..�_
2 ) Temporary erosion control measures must be Implemented to prevent water quality
degradation of adjacent waters or properties . Slit fencing or straw matting must be
inst:a+ll and maintained until upland vegetation has become established .
X_�L.L-,"
3 ) 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 `
4 ) This application is subject to Buffer and Landscaping requirements as established under
Mason County Ordinance 1 .03 .036 .
X
5 ) The use, handling and storage of hazardous materials or flammable and combustible
liquids In excess of 10 gaIIone:- is not allowed without the approval of the Mason County
Fire Marshal .
X "j
6) 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 Masan 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 sppecific
purpose . For further . information regarding this ordinance and the REQUIREMENT to
obtain an AQCESS 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 .
or 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 .
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 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
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) Owner/ builder assumes all responsibility if drainfield/reserve area
encumbered .
x.__._._ L'��
H ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL. SITES MU`,?."T 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 TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/CON�CTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
9 ) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE
SOIL .
X
10) The approved plot plan is required to be on- site for inspection puroses . It
inspection Is called for and plot plan is not on site, Approva I WILT NOT be granted . 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 prior to any further lnspections being
performed or, approval granted .
X,__�___`�_
1 1 ) ,�EQU I RED INSPECTIONS ( Footing Inspection-prior to pour , Set--up Inspection-prior to
skirting, Final Inspection-prior to occupancy ) . I have received a cop y of the General
Information and Guidelines-Mobile!Manufactured Housing') In}tallations andout for
detailed descriptions of all required inspections on my mobile/manufactured home
Installation . I hereby assume all responsibility for the scheduling of these regtiired
Inspections . If these required inspections are not requested, inspected and signed
off (approved ) by the inspector In the prescribed order , I understand that reinspec:tion
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
rotilems that have been discovered . I further understand that this investigation will
e scheduled as time allows . Until resolution of any/all roblems no occupancy ( Final
iispect i on ) will be granted for the residence .
OWNER/CONTRACTOR ( indi-sate which ) Signature X___
CG'ICRETE 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 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
r MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1121 } All mobilelmanufac*used home landings or decks must be freestasiding ( �ceI pporting ) .
The largest land ' or deck permitted without drawln s or a building permit is 10 sq ft
or less AND MUST be under 30" in height from surrotangIng 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
Case N'o . : BLD99-0281
. 1
C(,'NCRETE MECHANICAL MOBILE HOME
Footings-Setback date _ by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING 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 /
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 INFORMATIQN CONTRACTOR INFORMATION
Owner J t . - 4101e1' Contractor Name AG'
Mailing Address /3o 3 rVy RO-ArA5 Mailing Address 6o X Y 6;z,
City 62t.MCl_11>/U StateWA Zip Code 9$3/O City A CMOL'110 StatelWA Zip Code 9 9310
Phone( 60 ) 3 77-6 9 70 0ther Ph.( j Ph.(39O )Other Ph.( �
Lien/Title HolderC�Ji4S/-4NGTOiJ 6otJTCAtT Contractor Re # �gCFC0.� 3`/q/
Address *c 5 r tJ WA S Expiration / . /__/
0-6- /6-IL
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. 1A 3 3 O 132, / O O 1 0+ Fire District
Legal Description GOV LOT 3 SECT 30 7*wfiJ5/VXP .Z3 /Voan4 RANGE T wev, w.M gWso -�0-
Site Address(Please include street name, street number and city)NE' /O.Z A=mJ5ot.W Lo, 6E4FArA, WA,
Directions to site rMoM 6EtKKAZM To NOR?li 561c^ AO ?o /t%2S5s0t1 CQ , RO FOLLOw
To CNC T...RNS X#00 RAZN80(Aj /" OPJ i 14 gG/,IT
Will timber be cut and sold in parcel preparation? (Yes/No) X
Is your property within 200' of the following: Body of Water (Name) NO 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 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 14OM ET Model 9 90- Model Year/980
Length70Width 4J0 Serial No.03950 70:kn1 No. of Bedrooms 3 No. of Bathrooms 1. a
Type of Heat 6LtC°TK=C Purchase Price $ A,000 Replacement Unit ?(Yes/No)
Installer Name ACC CoN.STR.,•crxo tv Certification No.
Ki/k �f /v'EL5 —13/erre r-t 1
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-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 y'��"r `� 9 X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by _ Date LJ` �/ !Submittal Amount Due Receipt Noqws-b
DEPARTMENTAL REVIEW AtgPVED DENIER CONDITION CODIES
Building Department
Occ Group Type Constr. � 0 6
Planning Department 107
Environmental Health Department
1.
Public Works Department
I
Fire Marshal
Valuation $
FENS
Building Permit Fee --v Site Inspection
Plan Review Fee I UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
- ' _D (J
Wood/Gas/Pellet Stove Fee Other 5�
Violation Fee Pre-Paid at Submitta(
..............................>.. ...�::..,. .>:»::::•�.<.>�:�:;:>:::»>:<:>#s :>:::::ti:>:<�»:::::::«'::>::> >: TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEAS E PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
,1 Case No.
Name el r PARCEL NUMBERi-7,33o 3-Z 00 O i 0 Date "-/'
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 line- I I E-adjacent property line
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adjacent property line-� I I E-adjacent property line
SAMPLE SITE PLAN
adjacent property line-) 3io� 1 _ Fadjacent property line
30" FR�SCRvE L'` gel
I I HOMQ I G46 twJ
I Housc-
I ) PRoPostD saps:c �I
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VACANT I 1 C ARAC.cS
pM1oPosCD
\ A =LLLTU-MAL $O
I I�—40--� \ yo• I
80,
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adjacent property line4 ; I c \; 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.) uw, >
,VV SAMPLE TOPOGRAPHY PROFILE
d1 S+Ar,tm +'0
r,aLtkY�
d;5ta r,G.G *c
6_/ di.i�ana2
V f e L
-rol pj'r STD
M C)?r"SOX 5"4-A.0
ature Date
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-__ lSc CsF✓� TN., S �S T�J�_ C C C-1 0C SGR-3PT�q.
EXHIBIT A
F ILU NO. Q- I (Pi 6 24
1 �
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PARCEL 1 :
A tract of land in Government Lot 3, Sectiorj 30, Township 23 North, Range
West, W.M. , in Mason Count shington, particuharly ,describ s; 47,
BEGINNING at the Southeast. cot-Tier of Lot 3, Beck- 2l, MISSION CREEK, or ding
to the recorded plat--t-hereof-�ih_-Lbp office—sf the Auditor for Mason County P,
Washington, Volume 5 of Plats; page 89; thence' North 0017' 47" East 90.00 fee>';
to the Northeast corner of saiFd Lot 3, Bl,ock 2; thence South 89042113. East !j�';"a
150.00 feet; thence South 0017' 47" West 90.00 feet; thence North 89042113" ' ,'�'
t
West 150.00 feet to the POINT OF BEGINNING. {', r
Assessor' s Property Tax Parcelpor Account umber 12330 32 00020
PARCEL 1A: k r
An easement for ingress, egress and utilities, asp describe:d under Auditor' s -� ::. r.
File No. 262648, being i:r portion, of Government Lot 3 in Section 30, Townships.ry
23 North, Range 1 West, W.M. , in, Mason County, Washington. , f,
1 {'b
PARCEL 2:
A tract of land in Government Irot 3, SeCtion 30, Township 23 North, Range 1
West, W.M. , in Mason County, Washington, particularly described as follows : E`
BEGINNING at the SOur.heast corner of Lo� 4, Block 2, MISSION CREEK, according
to the recorded plat thereof in tl,e office of tho Auditor for Mason County,
Washington, Volume 5 of Plans, page 89; thence North 0017' 47" East 105. 14
feet -along Easr Litre of Lot 4 to the. Northeast corner thereof; thence South
891142' 13" East 11S0 . 00 P«t; r_Iience South 01117',47" West 105 . 14 feet; thence
North 89042' l.3" West 150 . 00 felt: , more or less,: to the POINT OF BEGINNING.
Assessor' s Property Tax Parcel Qr Account Number 12,330 32 00010
PARCEL 2A:
A perpetual ear ,(�mortr for ingress and �4k3ress over and across the
Irg
North 12 free ut kou 1, Bk-),JF 2, MISSION CREEK, with the right to construct,
w
maintain, c'epaii irnl irnF;+ ivc r;,ritd +.cwidway, as gr,3nted in instrument recorded � w
under Auditor' s File No. 36168-4 , and an easement for ingress, egress and !"
utilities, as dc:;��► ib+_Ni under Ar.rditor' s File No. 2§2648, being a portion of
Government Lot 3 in Section 30, 'Township 23 North, 'Range 1 West, W.M. , in
Mayon County, Washington.
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609
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