HomeMy WebLinkAboutBLD2000-00230 Final Mobile Home - BLD Permit / Conditions - 8/4/2000 Inspection Line (360)427-7262
MASON COUNTY PERMIT ASSISTANCE CENTER Ph ne: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2000-00230
OWNER: MIKE LOUDIN 275-4628 RECEIVED: 03/06/2000
CONTRACTOR: ISSUED: 04/28/2000
SITE ADDRESS: 291 NE LARSON BLVD BELFAIR EXPIRES: 10/28/2000
PARCEL NUMBER: 123305100081
LEGAL DESCRIPTION: BEARDS COVE DIV 4 BLK: LOT: 81
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
mobile home
SANDHILL RD GO LEFT ON LARSON BLVD 2/3 WAY UP HILL ON LEFT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: SF Insp. Area: No. of Bathrooms: 1 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: Occ. Load: Building:
Valuation: .$4,750 Buil ing Height: Occ, Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
:
y
Make FLEETWO Length: 66 Ft. Front: N 44.0 Ft. Shoreline: Ft. Water Body:
Model:SANDPIPE Width: 14 Ft. E 27 Rear: .0 Ft. Slope: 5.0 Ft. Shoreline Desi
Side 1: 27.0 Ft. g..
Year:82 Serial No.: Side 2: W 16.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 03/06/200 $175.00 180261
§§ding State Fee TLG 03/23/200 $4.50 BELFAI
Mobile Home Issuance TLG 03/23/200 $175.00 BELFAI
I5f9Site Inspection TLG 03/23/200 $42.00 BELFAI
Planning Review Fee AHB 04/18/200 $38.00 BELFAI
Environ.Health Plan CEW 04/24/200 $50.00 BELFAI
Total $484.50
BLD2000-00230 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-00230
CONDITIONS FOR
BLD2000-00230
1) Approved per dimensions and setbacks on submitted site plan. X
2) All upland areas disturbed or ne ly reated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X�
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
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4) Structure must be setback r54rq all utility and drainage easements, a total of 10' from each property line, or a variance must be obtained from the
Building Department. X�T
5) 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 wh' ay affect your project.
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6) The use, handling and storage of hazardvms materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X 'ter
7) This applicatiop-ispubject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.
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8) Due to conditions which are present on site, it is required that PRIOR to placement of unit or forms for runners, that the proposed location of the unit be
staked on site and property lines clearly marked and a pre-site inspection called for and approved before commencing any other development activity
regarding the placement of the manufactured unit. Failure to call for this inspection and obtain approval could result in the rescinding of the building
permit.
x
9) All property lines shall be/clearly identified at the time of foundation inspection. X
BLD2000-00230 Please refer to the following pages for conditions of this permit. 2 of 3
10) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A
FUSITION 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.
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11) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
12) 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 igimum 1 hour) will be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X
13) 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 anWall,.problems no occupancy (Final Inspection) will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
14) 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 thal-s 3,0" 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 i
15) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including
installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be
clearly marked in the installation instructions.
16) PlacBme t of structure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes.
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17) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X �i
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 anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building can be occupied.
OWNER OR AGENT: DATE: J
BLD2000-00230 Please refer to the following pages for conditions of this permit. 3 of 3
j CONCRE MECHANICAL MOBILE HOME
Fxf,ings- t`oack date by Ribbons
date - by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date ids by
BG/SL/.B 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 �- C�_oa by T� , date by
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PERMIT NO: BL9 b——�V
MASON COUNTY
BUILDING PERMIT APPLICATION
c, 7�.
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
Owner /V Contractor Name
Mailing Address 0 Mailing Address
City 1"IZE L FAi;it 9fate. /& Zip Code City .State Zip Code
Phone(360 ther Ph.0 L31 -k8 79' Ph.( Other Ph.L----—)
Lien/Title Holder Al®mil Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic__y Existing Septic Connect to Sewer
System Name of Sewer System Well Water System_YName of
Water System <
PARCEL INFORMATION-12 digit Tax Parcel No. J / Al QO Fire District
Legal Description i 407"
Site Address(Please include street name, street number and city) V
Directions to site -5',411AQ H/C.0 e-7' O,V z- `S CA,*' g VQ
W4 imber be cut and sold iRparcel 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 ti_o`n
No. of BedroomsZ No. of Bathrooms_L SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck. !V fOther sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make C del p E Model Year
Length 6 Width Serial N No. of Bedrooms No. of Bathrooms
Type of Heat W 427jfc� Purchase Price $ p Replacement Unit ?(Yes/No)/W
Installer Ntime 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 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-1 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.
Date `/—Co X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due I � Receipt No.
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DEPARTMENTAL~ REVIEW QVED NIEp C T
Building Department
Occ Group Type Constr.
Al
Planning Department1111A-J�7�1 le��-/,P 9,1-,
Environmental Health Department CV t
Public Works Department
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Fire Marshal
Valuation $
FEES
.
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee L
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal
TOTAL FEES
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name /lm l(LE 1 L-), / JPARCEL NUMBER 12 520�/:0IDQ8Pate
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 W
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacW properties if n line or within 100 feet of adjacent property line.
adjacent propaty line4 F� L i adjacent property line w q
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adjacent property line- J 1�4 ' <—adjacent property line
SAMPLE SITE PLAN
adja�nt property line4 2 _ Fadjacent property line
D 36 rasaavE - >I
SEAsc u AL I a ,L _]EST7L__," ).
I Hone t I Gaa�n
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1
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31 MaposCO /
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80
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adjacent property line- ; 1 <-adjacent properfy 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
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Signature Date