HomeMy WebLinkAboutBLD99-0562 Final Mobile Home - BLD Permit / Conditions - 11/19/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar � -
P.O. Box 186 Shelton, Washington 98584
13 E T W EE 51.) AND 427--7262.
BLb99--bP5G2 EzARCEL : 1 2 330 3290330 PLAT -. D I V - BLI: : L OT e
,TrB lsfaDRE'S;S : 260 NE SE I TZ OR BELs A 1 R
OWNE14 : 1:EBEE',.AH HEVV I T T 360. 377-::357°2
CO'N 6 RACTQR : B CAN MOB i L.E SVS TEMS 1600 2 5-01 40
LEGAL z TN 13 Of 0VT LOT 3 T1 1 (if SP iW
CLASS OF WORI . , ;MEW E3C:DP 3 B1 .:€f : 2 (TY°E AMOt,'11T BY DATE RECEIPT 1TTF'£ AUGHT H1' HATE RF1;f1FT ti
TYPE OF USE . . . . :AilI STORIES . . . . . . . . �
UCGU1z , GROUP . . . e'? BLDG . HE I GHT . . : U .Uf't IMOSF 175.09 K9 05124199 1544 FL;IS 44 3,P,40 TW 07118199 50930
TYPE OF C'0N ST . . :7 FIREPLACES . . . , : 0 AODP $ 15.90 TW 07116199 500
UCCUP , LOAD . . . . . 0 T'41ctODSTOV4E S . . . . . 0 MHBL t 175.00 Tw 07116199 50930
DWELL ,UN I T5 ,. , . . : 0 PARKING SPACE St 0 STFF, O 4.50 TW 07/16199 50930
INSPECTION AREA : 2 SHORE I NE'? . . . . eN! EHCP S 50.00 To 071€5199 50930 TOTAL: 457.50 VALULATIO6 440601
TOILETS . — . . . , . . : 0 FUEL. TYPES--.___---__ — L3O I LERS/C0MP-.----_ 14013 1 LE- 1-iO €E---
FRONT , . .W 1 1 It .51f't BATH BASINS . . . . t 0 t 0-3 1-11" . t 0
11:11'AR . . . .E 15 .Of-I. BATH TUBS . . . . . . . . 0 3-15 1.EF' . : 0 NODEL :LIBERTY
I DE w 47 .ua.Tt 81-IOVVERS . . . . . , . . . . . 0 FURN < 100K BTU - 0 15--3 0 HP . : 0 -.MAKEw-._--
S I UE (2 ) .s 15 .of t 141ATEFI 1-EATE►-TS . . . . : 0 FURN >—f 00K BTU : 0 30-50 HP . s 13 SYLVAN
SHRL. I NE .N 0 .0r CLOTHES, WASHERS . . : U i=URN - FLOOR . . . t 0 50-1. Hp _ : 0 YEAR- _
AREA _._______. ___ _ ._ . KITCHEN S I NI<8 . . . . . 0 HEAT PUM1P . . .. . . . : U U
LOT SIZE . . ; FLOOR € RAINS• . . . . , : 0 VENT SYSTEMS . . . . 0 EVA€-' COOLERS : 0 LENGTH :40
BU I LD 4 NG . . . a Os f DR I NK I NG FOUNT . . ., : 0 VENT FANS". T 0 HOODS . . . . . . . . 3 V/I DTH, . ::27
BASEMENT . . - ( F LAUNDRY TRAYS . . , s 0 DOMES . 1 NG J N :0 SFrI I AL#1- ..__
DECICP, . . . . . . s 0 f U 1 SHWASHERS . . . . , . . 0 AIR 14ANIDL I NG UNITS- CCU€41PAL . I NC I N t0
GAR/CARP :? 0 f GARB D1SPUSAI__S . . . t 0 <, 10000 ofm . s 0 REL UCIPEPAIR : 0
A"T/DT . :? IJII114ALS . . . . . . . . . . . 0 > 10000 cfm . t 0 OTHER UNITS . : 0
M 1 cr PL M F I XTU4trs ; E3 GAS OUTLETS . :
.«..»...._. .+.._.»....._..." «...».+..._..— ....._......_..__...._.... l-'.•_:S"^..—_^^^. ..��^�Y.-v_,•—.....-......•.-...-� ..-_.^_^.^�".x_,'-:�=�yy.��...-r-..J.3:.�..�_'�.C_=..^.ti'.^.�'^:�^^..�.:.^�.';-.�:2..:....:��"'.-Y-^..w,.^_.'^�._...�.'1'�:'C..�»:"..^..:,_.`..^...:G_b
I'RU•1cCi QESCRIPT1011ati0fsfLE Holif
.PROJECT LOCATI011:NORTII511)AE TO RIGHT ON MISSION CREEK RO TO Ri;HT ON 04EIT7 RQ 8F HILL TO CURVE ON R 01T.
THIS PERMIT QEC MESA' A ' r f96E0 FOR A FCR100
,. 411LL;'�11ta'V„iQ T-f FORK 06 a01dSTR1{�TIOr: AUTdS111ZEQ IS HOT CUtTNnE110ER TiiTH€4€ 1S6 BAYS, OR IF G011oTf1QC4'IOtii 41i E30A,K 1S S1u9 ,.
OF 480 DAYS 5T ANY /IM,' ., FTEP4�fOPH Iw CO1NINCEQ. EVIQEHti OF C01<TIHUAIION OF WORK Is A PROGRESS I€1SIECTIOH 111TH111 THE 100 DAY iER00". F1HA4. INSPECTION MUST Qr.
APPROVER 0FFap, 11 f:l�iP..�j A€1 81-o-ti,QF1 o
00WIR OR
�. _ _____�_ QATE: �-��.e''p �'�.. ____ _--
81.13__ AMT, rev: 4T3f 31191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date a by Gas Piping date by _ L
Foundation Walls date I by Set Up
date by INSULATION date y y/
BG/SLAB Insulation Floors Final
date by date by date l �� -` ' by
FRAMING Walls FIRE DEPT.
date by date I by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water dine FINAL INSPECTION
date by date I by date by
�v v e r ..( I i ► t
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Cass; No . s FLD99-0062
For, s REBEKAH VIEWI TT
page < 1
,1 x )' }} Approved per dimensions and setbacks on submitted site plan . X
2 ;�, v:,MpnrarY Bros i oil coil tr'o I toeasures mus t be 1 inp 1 emented to prevent water quality
i �,d.egr•adat I o7n of a.d_j actin t Waters or i�ropert i os . S i It keno i ng or ctr'aw ma e't i rtig must beIl �� ins to I I ed and tna i nta t ned unt i I up I fond vege tat i on has become established .
r 1,
r+�pcxsud straf Lure or any port Ion tiaetPcs'i greater than '30 Ira hei i3t frmrn cgraacie line,
� ! } aust w a i nta. i n a w i n i rclum of 5 ' setback from all property tines, easements and 10' from,,
a all County and State Road right of &ayrs .
X
F '
} 'a "~1"ia I s a pp t i oat i can I s subject 'to Buffer and Lat' ds(.ap I ng requirements as estate i i shed undL,_,r
VY N Mason County Ordinance 1 .03 .036 .
,) 'file use, hand I i ng and storage of hazardous miter I a I s or- f I ammab I e and combust i b l e
Gr�l l I iqu i ds In excess of 10 g a l l ortrs Is riot a i i ov�c+.l without the approval of the MasonCountyii.j� ), I re Marsha I .
lotX
6) Provisions for surfaoe/ subsurface drainage control must be Implemented with now
construction or development on site and MUST NOT adversely y Impact adjacent parcels .
Under the requ i r,)ments of Mason Coa p-ty :.to►wwater Ord i nanoc , either private ditches and
drains w i I 1 meet requirements of the s torfiawater ordinance of, Pr I or a.pprova I w I I I be
granted to use an ex I at I ng ut I I I-ty and draa 'i nacge easement ded I s,^..ca. ted for that specific:
Purpose . Forfurther information regarding thi ordinance and the REQUIREMENT 'to
-obtain an ACCESS PERMIT for the i nsta i i at i can/construct i can of a driveway or access
i connecting from a Mason CountV Road, Contact the Mason County Public Works Department
r i or to construction at L-:xt 460
or any construct i on wh Ich is proposed 'i ea be located within �� o'i a Mason County road
right of way, it Is suggested to oont ac:t that offices to review future planned work which
may affect your proje-H .
X
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
0_1eA TQ I n7 t! m m r_n a V:, a I E 13 m c t CIQEE al m ti. ei q iC T iA / - nmQf3 n% r n AI i i R&P ,r%nL
ADDRESSES mFWD mmV SiJtr A 1-106 UIv A6 I IJ at -1 m,SIbL ' Amy _ _Ui L. ' Fi-ttJ,q r lit
STREET OR ROAD FRONTING THE Pi�t11'i='€TY . MASON COUNTY BUILDING DEPARTMENT-T ICEQU 11:ES THA`o
i ',;.THIS FEE COMPLETED Pn I OA 'Try CALLING FOR ANY SITE INSPECTIONS . A PE I NSPECT I ON FEE, BASED
I�IP _ P AS ADOPTED
% BY F JURISDICTION
7iN D THE '19,97 P . BUILDING CODE
i BE
RStSt tCW�EPCCTA TCPFALS TO, POST }I� iTE ' f4FGF � � a
�_,IASPECT IONS ,
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13) THE FOUNDATION SYSTEM HALL BE: PLACED ON UNDISTURBED, NATIVE
J) The approved plot plan Is required to be on-site for inspection PLIT'�PoSe a . I 'P
Inspeo,t I an Is Cal led for and plot plan Is not on site, Api'..)rova € I-111 I.L. NOT be granted , 1 ma
_ , �
a+�d i t 1 omt � Re- inspection -ter 1 n the amount ra�i= . B?. .�� �r rar
moo � �� hour (mr.m n i mntmmtm I hour ) E�i i 1 Lio
+�h arge�d and must be collected by this department prior to anV further Inspections being
t)erformed or approval granted
10) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour, Set-up Inspection-prior to,
skirting, Final Inspection-prior to occupancy) . i have reor 1 vend a copy of the Gonera 1
I riforma-t� i on and Gu I tie 1 1 nes-iota i I o/Manufactured Hour_ i ng I ns t a l l at I cans Handout fear deta i I ed desor, I pt I ons of a I i r equ I red i nspeot i ons on my mob i I e/m.a nuf act ured home
`m y � i r►sta 1 i a't ion . I hereby 8Wsmmmm1e a ! f m esporms I I'i 11.ty for 'i the �yc�iedmm I I nq of -these required
I nspect i ons . If these required inspections are not requeetood, inspected and s I gooe:t
off (approved) by tho I lispec;tor I n the, preser I Lied order I understand -that re: i rrspe. ct i arm
Tees and an hourly i rzvest i ga't I orm fey: poi,smaant to the I ~��� ml�C, Table e 3A �t�i I I he assessedi €m addition 'to my er i g i n�a i perm 1't i�r'es to resolve any questionable pr act i ces or
problems that have been discovered . I further undcrsLand that this Investigation will
be scheduled as time a I I a.mrs; . Lmnt ; I t,oso I a_mt I on of ariy/a I I prul�i ems no 000upainov (F i na I
€ nspect i on ) w 1 I I be granted far the res i denoe .
OWNER I CONTRACTOR( IndIca-te whIch ) SI goat tire. X.___ .
I ) A i I mnob i I elm, anufactured home I and I rills or docks must be f reest:and i nq ( self supporting ) .
The largest landing or deck per- m i tfed without drawings or, a building perm, 1 t is 120 sgf t
t r,, "or I ess AND MUST be under 30" i n height fromsur�round i ng c rage . N0 Second Stoll decks.
1 ,,1for� decks above 30" onn be bu i It without a p�)r�rmt i t . Any 1 an € ng or deck that i s 30 or
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
+are i a fie 6 ght f rom via i it i ng star f ac:o to f S n i sty grade requ i res a Pei,m 1 t . Any t and i ng car
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'1 ) OviIn0P, , d supie a a P resp-ons i b i i i ty f r dra i nT i e id;;reserve area i s
en0uIi1
Case No . : SLD99 j'0662
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1057 SO. FT. 3BR, 2BA, PRI ATE MASTER BATH KS284424
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06/15/99 TUE 15:07 FAX 3604277798 MASON COUNTY BLD 3, fin001
FORM MUST BE COMPLETED IN INK PERMIT NO.: SLD
PLEASE PRESS HARD MASON COUNTY /
BUILDING PERMIT APPLICATION.
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton fill 427-9670 Bellair 360 276-467.Elms 60 4825269 Seattle 06 464-6968
APPLIC NT INFORMATION CONTRACTOR INFORMATION
Owner KE��ktA N B• 14 C-W I►T Contractor Name B L Mn Le SE kR ES
Mailing Address_ 1L.E 1 WA Mail* Address (3a '
City MC-MC- T64 Stale y)Ul Zip Code 3 2 r City 2-T Zc l State jLaa Zip Code
PhoneO 3Tl-^ tether Ph. -80, 755•52,Si Ph. ,�ther Ph,(
Lien/Tille Holder Contractor Reg.# c-AH M`: 9F d5 2Ir3tra
Address Expiration_j_/S�/ ZC�C�sv�
SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System_XName of
Water System GC-1O/-.CL VJG
PARCEL INFORMATION-12 digit Tax P rcel No. / / b' C� Fire District�2
Legal Description Z r Z- G
Site Address(Please include street name,street number and city)
Directi ns to site r4 Ti4 - o ftj 6 g,
��I -► o to 5�r-r e L c>kj f44a,( -T
Will 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
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No.of Bedrooms No,of Bathrooms SQUARE FOOTAGE-1st Floor i 2nd Floor
3rd Floor Loft Basement Deck Other sq.ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make L1tbE2Ta. Model St4L_V/-X" Model Year Zex-x�
Length_tA-_OWidth` 4,-L i`Serial No. T No.of Bedrooms_ ?5 No.of Bathrooms `Z
Type of Heat C-L-i�-= Purchase Price is C: � Replacement Unit?(YesfNo) 14c�!
Installer Name._ FS•' ILE tL0&c&s.$ Certfication No. C�,4-(ex0
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-t certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Reg'iration Law CW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
require ents f w' milt is issued and that all work will be done In requirements regulating the work for which this permit is issued and all work
con nee I re Ilh. N nges shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
1 r C rust obtaining approval.
W/A/Bete
�•1 7 / X Data
t���►�Svk%rlI- (CrsR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
tt
Building Department
Occ GroupT e Constr. �C) Q(�
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation$
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 lel7
Violation Fee Pre-Paid at Submittal (l )
am—OEM now TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
1 _ Case No.
Name �IEpSI�I -I y���(j' PARCEL NUMBER Wi' ~32- 414330 Date (D• /G-cici-
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indic8tiong N, S, E, W in relation to the
site plan
Lot Dimensions Fences
L�
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-> , < 1� -r ��I Fadjacent property line
25,
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adjacent property lined C7�a E-ad'aceni.f„ ro ert line
SAMPLE SITE PLAN y
adja�nt property lined D 30. Fadjacent property line
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CREEIG \ I � � fiV��4
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adjacent property lined ; !a". '
� \; .Fadjacent pro pert''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
dts+�.,cm to
rtaLt�.a.Y�
7� Slop¢ f-c¢
disAane-a
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ignature MPtZI� Ih �.�q�ee�L-L:IZ- Date'