HomeMy WebLinkAboutBLD99-0189 Final Mobile Home - BLD Permit / Conditions - 7/12/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 L_J I L__ F-) i N G P E R M 1 T FOR INSPECTIONS CALL 427-9670
BETWEEN F:pm AND Sam 427--7262
BLD99-0169 PARCEL 023305200065 PLAT :BEPL.O D I V : BLK : LOT . 65
.JOB ADDRESS - 180 NI' LARSON LAKE LN BEt FA i R
OWNER : GARY JENNINGS 275--6092
CONTRACTOR :
LEGAL : BEARDS COVE DIV 5 BLK: LOT' 65
CLASS OF WORK . . :NEW BEDR : 3 BATH : 2 TYPE AMOUNT SY DATE RECEIPT TYPE AMOUNT 9Y DATE RECEIPTI
TYPE OF USE . . . . :MH STORIES . . . . . . . : 1 =., s ��- _�_.__
OCCUP . GROUP . . . t? BLDG . HEIGHT . . : O ,Oft MHSF $ 175.08 KW 03123199 49133 J
TYPE OF CONST , . :7 FIREPLACES . . . . : 0 ENCP S 56.00 KS O4127199 50087
OCCOP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 STFE $ 4.56 K5 04127199 50087
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 MNBI $ 175.00 Y.S O4127199 50087
INSPECTION AREA : 2 SHORE L. INE7 . . . . IN {IIOTAL: 404.50 VALULATION: e1111111111111
M ir.+Ya2..�.� -usJ_:3:._.5."4'�.'i.�:.•':�=i. �T:2sS-�-......�^^-t�..:'�..r.RCr.�':'-�.... .-
SETBAC,KS-. _-^-.__-._---.__- TOILETS . . . . . . . . . TYPES--------- BOILERS/COMP----- - MOBILE HOME--
FRONT . . .W 45 .Oft BATH BASINS . 0 s 0-3 HP . : 0
REAR . . . .F. 5 .Of t BATH TUBS . . . . . . . : 0 3-1 5 lip . . 0 MODE L. :SKYL I NE
SIDE ( 1 ) .N 10 .Oft SHOWERS . . . . . . . . . . . 0 FURN � 100K BTU : 0 15-30 HP . : 0 MAKF---.-.----
SIDE ( 2 ) .S 12 .Oft WATER HEATERS. . . . : 0 FURN >-100K Bt'U : 0 30-50 HP . : 0
SHRLINE .N 0 ,Oft CLOTHES WASHERS . . . 0 FURN -- VLOOR . . . . 0 501- MP . : 0 YEAR -_.__ ...
AREA - --- _--------- ---- KITCHEN SINKS . . . . : of HEAT PUMP , : 0 99
LOT SIIE . . t FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . : 0 EV.AP COOLERS : 0 LENGTH148
BUILDING , , . : Osf DRINKING FOUNT . . . : 0 VENT FANS . , . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :28
BASEMENT , . . : Osf LAUNDRY TRAYS . . . . : 0 DOMES . INCINiO SERIAL.#- -
DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS--- COMML . INCIN :O
GAR/CARP :? Osf GARB DISPOSALS . . . : 0 <— 10000 cfm . : 0 RELOC/REPAIR : 0
AT/DT _7 ORINALS . . . .. . . . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : A
MISC PL.M FIXTURES : 0 GAS OUTLETS . : 0
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PROJECT DFSCRIPTION:M0811.E N.OME — ~~
PROJECT LOCATION:HWY 3 10 NORTH SNORE R0, +URN RIGHT 00 SANDNiII r;n TO [.ARSON BIND, LEFT100 IARSOP 6IVD; CONTINUE UP Hitt TO tARSON IAKE LANE, TURN RI(,HT
TIELVFTH LOT ON R16iiT ,
TNIS PERMIT BFCOMES NUII AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD
OF 181 DAYS AT ANY TIME AFTER WORK IS C MMFNCEU. EVIDENCE OF CONTIkUAFlON OF WORA IS A PR0.6RESS 1IISPECTION WITHIN THE 180 OAY PERIOD, FINAL INSPECTION MUST BE
APPROVED BEFORT 8111101OG CAN RE OCrUPIE�. <,
DROP A R AGENT: ���— L.:._ : DATE:
610 PART, rev: #3131191 ,' 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 Final
Floors
date by date by date _12 by
FRAMING Walls FIRE DEPT.
date by date date by
PLUMBING Attic
OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
27
772
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3uilding Permit #_ - ��'•':::;!1
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE!
Job Location 5
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
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 toJ-
❑ This is not a'complete inspection Department P�L '
Date �'" ,� �1 Inspector
"
■ so y NUT Mo vV T 1 , - T
,�
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
Case No . : BLD99-0189
for : G.ARY JENNINGS
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 . Silt fencing and straw matting must be
instal led/ Ind maintained until upland vegetation has become established .
st
Proposed structure or portions thereof with an projection over 10" in height from grade )l
line, must mainta-in a se distance between adjacent structures and that
furthest projection . X
•14) Proposed structure or any portion thereof greater than 30" in height from grade tine ,
inust maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from
a I I C,sun and State Read right: of ways .
X
5 ) Structure must he setback 5 ' from all utility and drainage easements , a total of 10 '
from a operty Ifne, or a variance must be obtained from the Building Department .
6 ) Thi application Is subject to Buffer and Landscaping requirements as established under,
Masan otl y Ord i nance 1 .03 .036 .
7 ) The use , handling and storage of hazardous materials or flammable and combustible
liquids in excess of 10 gallons Is not allowed without the approval of the Mason County
Fire Marshal
X
8 ) Provisions for, surface/ subsur"face 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 Or-dinance, . either private ditches and
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
113 , 11T. will ife h --r
lrar)ted to use an existing utility ano drainage easement dedicated for that: s`{
purpose . For further information regarding this ordinance and the REOOIREMEN7 ► c:
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
Iariot, 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 o f e c your p r o i e c t .
X 7-
9 ) PURSUANT TO 1994 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNED /C,ONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
tO) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE
SOIL .
1 1 ) 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, Approvat WILL 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 inspections being
perform�,Q or- approval granted .
X
12 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-up inspection-prior to
skirting, Final Inspection--prior to _occupancy) . t have received a coppy of the General
Information , and Guidelines-Mobile/Manufactured 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 , l understand that reinspection
fees and an hourly investigation fete pursuant to the 1994 UBC, Table 3A 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
- r•
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i r ;:� ac on } will be granted for the res i denc,e .
OWNER/r NTRACTOR ( indicate which ) ;signature X_
13 ) All mobile;/manufactured home landings or decks must bey freestandinq ( self supporting ) .
the largest landin or deck permitted without drawings or, a building permit is 120 sq ft
g
or bass AND MUST ba under 30" in height from surrounding grade . NO second story decks,
or deck, 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 as i3 car more risers requires a handra i I .
X_. �
4 ) Proposed structure or portions thereof with an pr cr e( t i on over 30" in height from gradeline, muss„ maintain a 5 ' se�a r n distance between ad)acent structures and that
furthest projection . X � Cr-
15 ) Owner/builder assumes all responsibility if drainfield/reserve area is
enc;umble
X
Case No . : BL.D99-0189
PERMIT NO.: BLDq lq--p
MASON COUNTY 2
BUILDING PERMIT APPLICATION J
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275-467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner '-"-t' 3-4- 1 n D i Contractor Name /-1
Mailin Address )g O La✓son L 4 1-n Mailing Address
City �LPp r State wA Zip Code City State Zip Code
Phone(76 0 ) ''1 7T 60gtther Ph.( ) Ph.( Other Ph.( )
Lien/Title Holder Wb' A ove- Contractor Reg. AI C- Q 7 70
Address 6,0 hi r Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System X_Name of
Water System QearS C yve ( O►a m cf fj� Waf rr jljtopq
PARCEL INFORMATION-12 Igit Tax Parcel No. / S / 000 $'- Fire District
Legal Description 8-,- G r�s C.D 1.e_ /--,)"Iz J,eq 1- 6 5-
Site Address(Please include street name, street number and city) J I
10 IVC L&rSon th Lh (� a t/=ter,- t,-X
Directions to site
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) [Vy Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB Ne, Alt Repair Other Use of Building
Describe Work Act -eyc,W)'OM , w f h wi:w I-�Iouke wi r
No. of Bedrooms-2 No. of Bathrooms_ SQUARE FOOTAGE-1 st Floor 11G0 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOMFV INFORMATION-Make SkY1-,me Model 6 -7 G Model Year Q 9
Lengthq!Width I Serial No. No. of Bedrooms 3 No. of Bathrooms2_
Type of Heat ,-I-tc eOtrchase Price $ �U L'11 Replacempnt Unit ?(Yes/No) V e C
Installer Name v C( to Certification No. Iti�n S 00 -7 T'
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: 1
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. o changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
1 X C., - Date 3— I q—�r X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Data '/ (/�ubmittal Amount Due Receipt No. t)
QEPARTMENTAL. REVIEW ROVED DENIED CONDITION CORES
Building Department
Occ GroupT e Constr. �Qg
Planning Department
Environmental Health Department
I
Public Works Department
j
Fire Marshal
Valuation $ 1
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
L EE
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name �' OHM�I�f 1 PARCEL NUMBER 1 ).] 30 5'1 -00a'&te 3 - I �
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 Eldiacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line I -J - I E-adjacent property line
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ad acent property line4 1 — 8 — 4'^ <-adjacent property line
SAMPLE SITE PLAN S ept, C T a 16On
adja t property line- 3to� _ _ E-adjacent property line
D 30- rRESCRv& 1
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SEASO w/AL_ I ^, fi L _�PTSL__,"'I.
CREEK I c I MOM e
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adjacent property lined i a"• 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.)
SAMPLE TOPOGRAPHY PROFILE
disfiAnCa. to
6. ShrLscfi L._ t►N
' S &stanc-e- to
t0 f.
Signature Date