HomeMy WebLinkAboutBLD2000-00559 Cancelled MFG Home - BLD Permit / Conditions - 3/5/2003 Inspection Line (360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
Not$
RESIDENTIAL BUILDING PERMIT _:0&2000-00559
OWNER: RICK VANCE 275-5770 �- �� Q` R ED: OS/12/2000
CONTRACTOR: FUTURE HOMES 360-479-4663 �
SITE ADDRESS: 30 NE DAVEY JONES PL BELFAIR �e ISSUED: 06/02/2000
PARCEL NUMBER: 123305000053 '10% �,E EXPIRES: 12/02/2000
46
LEGAL DESCRIPTION: BEARDS COVE DIV 3 TR 53 \p
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME BELFAIR, NORTHSHOREeI64T SAND HILL 2ND RD LEFT 100' FIRST R
2ND LOT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:'
Valuation: $77,549 Buil ing Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make LIBERTY Length: 62 Ft. Front: S 25.0 Ft. Shoreline: Ft. Water Body:
Rear: N 31.0 Ft. Slope: Ft. SEPA?:
Model: Width: 28 Ft. Side 1: E 20.0 Ft. Shoreline Desig.:
Year:2000 Serial No.: Side 2: W 40.0 Ft. I Com . Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 05/12/200 $175.00 1884
EMcling State Fee TLG 05/19/200 $4.50 BELFAI
Modular Home Issuance TLG 05/19/200 $175.00 BELFAI
Cflron.Health Plan CEW 05/23/200 $50.00 BELFAI
13PA Ag Review Fee AHB 05/31/200 $38.00 BELFAI
Total $442.50
BLD2000-00559 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-00559
CONDITIONS FOR
BLD2000-00559
1) PURSUANT TO 1997 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 AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR
FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
2)
THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
I
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-Inspection fee in the amount of$42.00 per hour (minimunjA-,ho r) will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X �
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/ pr� no occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
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 m h ht from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers
requires a handrail. X
6) The instg shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including
installalctions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall e
clearly _ ;., n the installation instructions.
7) All prop&W Ines shall be clearly identified at the time of foundation inspection. X
8) This application is jec t to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
BLD2000-00559 Please refer to the following pages for conditions of this permit. 2 of 3
.9) The use, handling and storage of hazardous m Is r flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
cf4he Mason County Fire Marshal. X
10) 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 Mason 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 specific purpose. For
further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS 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. 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 may ct ur project.
X
11) Proposed structure or any portion thereof greater than 30" in height from grad ' e, ust maintain a minimum of 5'setback from all property lines,
easements and 10'from all County and State Road right of ways. X
12) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
13) Approved per dimensions and setbacks on submitted site plan. X
14) All upland areas disturbed or newly d construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
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' 180day period. Final inspection
must be approved before building can be occupied. t
OWNER OR AGENT:
DATE: C:V
I
BLD2000-00559 Please refer to the following pages for conditions of this permit. 3 of 3
CONCRETE MECHANICAL MOBILE HOME
Footings Setback date by Ribbons
by � Gas Piping date r� �J—�� b
Foundation Walls date b Set Up
date by INSULATION date �' ZG-E>c� by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
I 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
1�
Building Permit # Zoe `r� MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location y4lr-�/= 3> j.0�9 V`y V-7Zf>s p
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
i3�9,cs,� G'-�'�3�= /`1,���i�,c--,✓ ��U�'��s Ass �,c.��� �_/�- _ �� �,.--
�S�T
�i✓OC/7 ��Cff / ��= O �'�O C�i�ije&.42
c�,9�c f-✓F
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date 6 —Z Inspector 7-/S=•
■ ok s :J M k OV T H 1 - TAnT
,�
PERMIT NO.: BLD J "
MASON COUNTY 5,( Z
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 INFORMATION CONTRACTOR INFORMATION Y,S Owner f4 G Contractor Name (J i i-ty
Mailing Address Mailing Address 20 TE�5r� Wig
City State(L,44 Zip Code City State-(A/*,I Zip Code 4JEZ4
P hone(�e (Aher Ph.(2U, ;�;.": ) they Ph.(�
Lien/Title Holder Contractor Reg. # 1 i2 Itxo2
Address Expiration_ L/ / o
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer
System Na�r,ne Of Sewer System Well Water System ,- Name of
Water System 7
PARCEL INFORMATION-12 digit Tax Parcel No. Fire District
Legal Description Z Q S
Site Address(Please include street name, street number and city) P
Directions to site ' t V-\. W a af ess
cjuall)i r 2 t 11. N Z:" R LC
Will timber be cut ands Id in parcel preparation? (Yes/No) H G
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 Ay tt Repair Other Use of Building
Describe Work --c- IX C-F)E C �--_nc P f\ -----
No. of Bedrooms No. of Bathrooms 1 SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make LAV1 C:Ytlse Model M11.l.ENN1VWN Model Year
Length Lol Width 'Z le- Serial No. , u No. of Bedrooms `"Ip No. of Bathrooms Z
Type of Heat 4i,v Purchase Price $ l Replacement Unit ?(Yes/No) L
Installer Name v ll> Certification No. I 1, 11"
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 egdfating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall on in lonformance therewith. No changes shall be made without
approval. first o t i ' approval. ?
t5X Date X� Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due 1 r ' '` Receipt No.
DEPARTMENTAL REVIEW a DENIED CONDITION CODE$
Building Department
Occ Group Type Constr. dol, i7cc,
Planning Department f
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
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
Violation Fee Pre-Paid at Submittal ( )
T OTALFEES
r
MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name��G t-� �A j (�(.% PARCEL NUMBER ate 45' 2-GG(.��J� '
;';'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
DPqJW SITE PLAN BELOW Include adjacent properties if horeline or within 100 feet of adjacent property line.
a nt property line-) I I <-adjacent property line
I t
I
APPROVED
�. MA DING INSPECTOR
T APPROY
$ 4
1 �r
I � I
I:
s CHANGES $
MI CHANGES FOR AL'
RIO TO PERFORMING WORK
I 1
I 2�
T�l�E `T` C CURB
t♦ C
1`T I
adjacent property line- I i N I <-adjacent property line
SAMPLE SITE PLAN
adja�nt property lined �3xo� _ _ E-adjacent property line
D 30' rR�tcRvE �c'3�1
a71t L _�TSG-._.—il J.
CREEIGvi AL\ 1 HOMC i :&rx& �1
PrioPascn saps-I �I
\ I 1 rE— 6 0' --/SO•�
v�c,,tir \ ; T anMAC,& � THESE PLANS MUST BE
P0.cPcsen �\ o�ascLL�TLLn�� '-Sa` - N THEIJO,B SITE.
I'-4o i ` FOR INSb CTION•
1 � /
/OO'
I
tr..eLL
I \
I
x'--/DO' —� 1
I J
I \
adjacent property lined ; 1 R~. / c \\i E-adjacent 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
dts+nr.cm fin
ructt,�Y�
d�at.rCG tc
Slopm tc¢
dis+anaa.
to t
Signature Date
GARY YANDO,DIRECTOR
SON.STgTFO
o A o U DEPARTMENT OF COMMUNITY DEVELOPMENT
r o T 2 PLANNING -SOLID WASTE - UTILITIES
2� N Y y BLDG. I * 411 N. 5TH ST. • P.O. BOX 578
1864 SHELTON, WA 98584 • (360) 427-9670
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
r is aware of the uncertain regarding Mason County's development regulations created
The undersigned Property owner uncertainty g g ty P
by the Growth Management Hearing 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 that 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 County's permitting actions invalid.
IJ330 - ,5'a -ad0s3
Date (Parcel No. or Legal Description)
Property o ner's ignature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF V)rp/+/1� b --1D '^v
COUNTY OF
On this X day of J M ll)e- , in the yea)�- before me 7V7'►I rL m, � Notary Public,
personally appearedrnM-e/ Ly 4� V 6 ft)C personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
V!ITN1✓.SS my hen6 and official seal.
-For County use only-
Reviewed by applicant on
(Date)
Notary's signature
Staff Initial:
My Commission Expires: