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BLD99-0119 Final Mobile Home - BLD Permit / Conditions - 7/2/1999
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 LEI� rL, 1I I- C') I N Cm P F_ Vi I -r FOR INSPECTIONS CALL 427--9670 BETWEEN 5pm AND Pam 427--7262 BLD99-01 19 PARCEL. : 123305200004 PI.AT :6E PL.0 D 1 V : SLK : LOT : 4 ;JOB ADDRESS : 131 NE HARPOON DR RELFAIR OWNER : AMY DERMA I NE 360--275--0959 cowrRACTOR : GORS1" LAND E:Ef VI L.OPMFNT 373_.5001 LEGAL : BEARDS COVE DIV 5 BLil: LOtc 4 If 131 110POGN OR t CLASS OF WORK . :NEW BEDR : 3 BATH TYPE AMOQNT 6Y DAIE RECEIPT ITYPE AkOONI P,W DATE RECEIPT TYPE OF USE . . . . :MH STORIES . . . . . . . : 1 OCCaUP . GROUP . . . :7 B1,DG . HE 1 GHT O .Oft 1110E 1 359.01 Kv 93181199 1366 TYPE OF CONST . . :? F IRE PLACE S . . . . z 0 1STFF I CS1 VS 63/26199 BELFAIR t OCCUP . LOAD . . „ . . 0 WOODSTOVE S . . . . . 0 [Oct 1 50.10 KS 0312.5199 BEI.FAIR DWELL. .UNITS . . . . .. O PARKING SPACES : 0 INSPECTION AREA : 2 SHORELINE? _ _ :N }!�1GI#L: 401.50 VALULAT 1ON: 5201Ir ss7easI... 's-xs:zc:a�............,...,...xrc�a:-ri.�-ts"'2 �rmt.;.^�'aaa:.' -a=�:5.xraurau.:�.:s�. 4= SETBACKS-------.____._____. TOI LETS . . . . . . . . . . .. 0 FUEL TYPES-T- - __..__ ._ BOILERS/C.CIMP-- _ - MOBILE HOME._.- FRONT . .. .N 55 .Of-L BATH BASINS . . . . : . . 0 : 03 HP . : 0 REAR . . . .S 15 .Oft BATH TUBS . . . . . . „ . : 0 3-15 HP . : 0 MODEL :FLEETWOOD S I DE: ( 1 ) .E 24 .Oft SHOWERS . . _ . . . . . : 0 FURN < 100K STU : 0 15-30 tip . : 0 MAKE.----_.._ S I DE (2) .W 10 .Oft WATER HEATERS — . :. . . : 0 FURN A 100K BTU : 0 30-50 HP . : 0 HER T POINT SHRLINE .N 0 .Oft CLOTHES WASHERS . . : 0 FURN ._ FLOOR . . . : 0 50+ HP . : 0 -YEAR- ARFA --_._.____________-- KITCHEN SINKS . . . . : 0 HEAT FRUMP . . . . . . : 0 99 LOT SIZE _ : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . , 0 EVAIP COOLERS : 0 LENGTH :55 E3UILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :2E1 BASE:MFNT : . . : Osf LAUNDRY TRAYS . . . r 0 DOMES . I NC I N :O -SERIAL#•--•-- DECKS . . . . . . . Osf DISHWASHERS . . . . . . . 0 AIR HANDLING UNITS- -- COMML , INCIN :O GAR/CARP :? Osf GARB DISPOSALS . .. . . 0 <= 10000 ctm . ; 0 RELOC/REPAIR : vt -- AT/DT . :? URINALS . . . . . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0 M I SC PL.M FIXTURES : 0 GAS OUT LETS , : 0 ♦•' ,Z9iYA�'JiiiZ1�.'C.RFI.:.'M'AI:iCCZKii1T.YC[^1"...6:3�..:C:.%:.Y.ZYpF.".r�CS.' ":aC.S.�I2'F!��L t�Etl'S'S::'.C':SLTlt^..::T^..��J:++'-:��ilX'«ZF+"'.DS.+t�'SXiT.^i'i.=niC.Cif"TS25C.'T+1iR^w.::11Y:A+Z"ai:.`.'�.i:YL:^..�ti:9'S:..:Y•:iui�9'Z. +.psi w'k'Ab:;ryClf.:.'.1:TS..."'�9J`5.:�..".i'.iCSC6TJ�'i�.'.�Tt.: PROJECT DESCRIPT1ONsI106HE HOME PROJECT LOCAIION:SAOP HILL RD, LEFT ON [ARSON RLVD, RIGHT ON 705 SCHOONcR 100P RD,, RIGNT ON HARPOON OR 191 OH CORNER EIAST ON RIGNI, THIS PEIIMIT BECOMES NULL All VOID IF 1100t 011 CONSIRUC1104 AUT40111ED 15 NOT COMMENCED WITHIN 141 DAYS, OR If CONSiANCTION 09 NOR[ 'S SUSPENDED FOR A PERIOD CIF 181 DAYS AT ANY 1111E AFTER 11019 IS COMNENCFD. EVIDENCE OF CONTINUATION Of IORF IS A PROGRESS INSPECIION VITHIN THE 180 DAY PERIOS. 1`111AL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN Of OCCPPIEO: 0111111 04 AGENT: 13- _ _ - -__ _ DATE: EL&_PRNT, rep: 03/31191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED 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 �- Z �`% byFRA / r1 MIN' 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 2 -7 7 INSTALLER TA WASHINGTON STATE COMMUNITY, TRADE AND INSTALLER CERTIFICATION ECONOMIC DEVELOPMENT NUMBER SIGNATURE Building Foundations for the Fuwr FOOTINGS ` SUPPORT PIERS ANCHORS _C3o 7 EARTHQUAKE BRACING (if applicable) PLUMBING CONNECTIONS — SKIRTING DATE OF FINAL INSPECTION INSTALLERS: PLACE NEAR BUILDING PERMIT. FILL IN CERTIFICATION NUMBERS FOR WORK PERFORMED AND SIGN. INSPECTOR: NUMBERS AND SIGNATURES MUST BE ON TAG BEFORE FINAL APPROVAL. DATE AND SIGN. HOMEOWNER: STORE TAG IN HOME AFTER FINAL INSPECTION. Office of Manufactured Housing,800-964-0852 July 1998 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE RFV1 i 'T' csr,_yN ['l ! -T t Cl W Case No . a RLD99--0119 Fort AMY OE RMA I Ni' Page : 1 , 1 ) Approved per dimensions and setbacks ors submitted site plan . X_��__- t ) Temporaryy earosion control measures must be implemented to prevent water quality degradation of ad_acent waters or properties . Silt fencing must be installed and ma i nta i need unt i I upland vegetation has becomes established . x 3 ) Proposed structure or portions thereof witty an projection over 30" in height from grade line, must maintain a 5 ' separation distance between adjacent structures and that furthest projection . X._ ru,�_, 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 all Cpunty and State Read right of ways . X 5 ) Structure must be setback 5 ' from all utility and drainage easements, a total of 10 ' from ea(A property line, or a variance must be obtained from the Building Department . X 6 ) This application Is subject to buffer and Landscaping requirements, as established dander Mason County Ordinance 1 .03 .036 . - ) The use , handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 ga l t ens is not allowed without the approval of 'the Mason County Ki r e Mar a -- 8 ) Provisions for surfacei 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 Stormwatear Ordinance, either private ditchers and drains will meet requirements of the stormwater ordinance or prior approval will be MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 gran tea o use aii exist i rag uti i i y 6),5 5i a i rage ed.:5-iaen @ ttea tr i c>r a r i s i purpose . For further information regarding this ordinance and the REQU I REMEN� 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 4�fd . 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 ,oaf eet your, protect . X_ • - v 9) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL. SITES MUST HAVE APPROVED NU14BERS 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 REINSPECT-ION FEE , BASED ON RATES 1N TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CQNTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 10) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL . y X 11 ) The approved plot plan is required to be on-site for inspection �iurposes . If inspection is called for and plot plan Is not on site, Approval WILL NOT be granted . In addition, a Pe- Inspection fee in the amount of $42 .00 per hour (minimum 1 hour ) will be charged aAid must be collected by this department prior to any further inspections being perf or ml6d; or approval granted . 12 ) REQUIRED INSPECTIONS !. Footing inspection-prior to pour , Set-up Inspection-prior, to skirting, Final Inspection-prior to occupancy ) . 1 have received a copy of the General l oforma inn and ru i de l i ries--Mob i l e/Mariuf act ured Housing Installations Handout 'for detailed descriptions of all required inspections on my mobile/manufactured home installation . I hereby assume all responsibility for the scheduling of these required 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 origina permit fees to resolve any questlonable practices or problems that have been discovered . I further understand that this investigation will e scheduled as time allows . Until resoiution of anylall problems no occupancy ( Final MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 inspection ) wm up granted or Tne ;'e:s i d once . � OWNER/CONTRACTOR ( i nd i rate which ) Signature X.,____� 13 ) 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 303 in height from surrounding rude . NO second storX decks , or necks above 30" can be bu i i t without a permit . Any l an3 i ng or deck that is 30 or more in ..4eight from walking surface to finish grade requires a Permit . Any landing or deck th*1 has 4 or rriore+ risers requires a handra i i X 1�:7 ' 14 ) Owner/builder assumes al f responsibility if drainfieald :area Is enGuaifJ;�red . X Case No . : E;1_.U99-0119 .___T. .. i RMIT NO.: BLD MASON COUNTY PE vJ � � BUILDING PERMIT APPLICATION 426 W.CedarlP.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLIC NT INF03MATT CONTRACTOR INFORMATION �1 Owner /" Contractor Name /V7 �c.ril rnw�/ Mailin Addre s n. E. /3/ . n d . Maillricl Address PO. 0a+ City State 1&6L Zip Code City State Nip Zip Code gy1w� Phonejiy ther Ph.( j Ph.( 360 )3�3-5'� Other Ph.( Lien/Title Holder C.& Contractor Re . # L Address3 Expiration -,3 9'Bt90 3 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septicj(—Connect to Sewer System Na f Sewer System Well Water System Name of Water System—Lis o t;gp S`> PARCEL INFORMATION-1 digit Tax Parcel No. 0 / of /DODO y Fire District,_ Legal Description G Site Address(Please include street name, street number and city) erg Directions to site Sar►fji !�� 11..(. L-r2Ft' O .1 JcG/'toobrn L„eT L'et. . hht 94 lllc...,wen otr►, 12/ ors can.,t�► l�-lYary- arr Will timber be cut and sold in parce preparation? (Yes No) na Is your property within 200' of the following: Body of Water (Name) 170 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-7-- Lq, of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft ement Deck Other sq. ft. GaraLe Attached Detac r ort Attached Detached MOBILE HOME INFORMATION-Make Model /- 2i-(Inig, )0,,L�kT Model Year Length Width )Serial No. fWvv I=kchnV dIJWNo. of Bedrooms J No. of Bathrooms Type of Heat Purchase Purchase Price $ Replacement nit ?(Yes/No) Installer Name t¢Certification No. NOTICE: THIS PERMIT BECOKIES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT CdMMENCED WIT IN 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-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 conformancAthere ith. No changes shall be made without approval. first obtaining approval. x Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by7tllDate �'-� Submittal Amount DuA J�U Receipt No. DEPARTMENTAL" REVIEW ROVED DENIED CONDITION CODES Building Department �G 7 Occ Group Type Constr. l X Q/ / Q�.� Planning Department 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 i_ Violation Fee Pre-Paid at Submittal ....................:..:::::: ... OTALFEES 0l7` ' FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION © ` Case No. Name / C^11 PARCEL NUMBER 1 c 3 ��0 Coco q Date I—oZW"-92 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions be Fences f Existing Structures Driveways' Structure Setbacks " Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets r 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- rwclf�' V i <-adjacent property line I J I p I .5-44sf'-1 b/tv e- I Q In I ii-ro I G a 90± M14r, I I I I I � I I � I I I ion adjacent property line4 100 t I Fadjacent property line SAMPLE SITE PLAN ���� adjar�nt property line-) aio' f-adjacent property line D 30' �aZ, 6- g�1 SEASO M AL. I ti _�'PTSL 1 fi MOM L, CRe�K \ I P, I I Gnd6ry ]I HCu.sQ I Prio PCs GD septa a __yl 1 , I I VACAkiT I fi c nrt��cs I 3a D0.oPo�CD I A&R=LLLr"JXAL So 1 I i I \\ I I � I \ I L—e-LL I I I I i x /00 I I L.a.�e_LL I I adjacent property line-� ; s"• \i Fad'acent 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 dt sta"C-AL to SrF ru.cttiY� jZ24distar,L[. to h J `� Sloes S1opa fic¢ d ro 0 r Signature Date