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Home My WebLink AboutBLD99-00637 Final Mobile Home - BLD Permit / Conditions - 12/1/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 U3 LJ I L.. n I N C-i P C R M I T- FOR INSPECTION L1- --9670 BETWEEN 5pm AND Sam 427-7262 BLD99-0637 PARCEL sl233151ftt4?047 PLAT ;BEPLO LEI °: ., BLK : LOT . JOB ADDRESS : 461 NE SANTA MAR IA LN BEL.FA I ROWNER - ERICKA PEa 'EXP�Ap►roN , CONTRAC RR ELL 20 6)870-7999 jolt)TOR : BUT CHS 13lIDO r 1 NG275-5541 r4ULL gY LEGAL. s tFA.RDS COVE DIV I1 1I%: LOT: 47 CLASS OF WOPK . , SNEW BFDR : 2 BATH ; 2 [TYPEM AMOUNT BY DATE RECEIPT TYPE J:10UNT BY DATE AECEIPT� STORIES 'TYPE OF U,i~ . . . . s MF{ .� ,�"- x«:�..:.>z:�-�><,:��. OCCUP . GROUP . . . :? BLDG . HEIGHT . . s (3 , Oft #HS1 t 175.11 KW #703199 511148 ALC t ?d.8d TV 181191S9 5131[ TYPE OF CONST . . : ? FIREPLACES . . . . : 0 JAPPA t 15.01 TN 18,!19;99 51.1IT EHCP 1 50 40 I1 38119�99 51307 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 #NHBL t 115.11 IN #8119199 51307 DWEL.L .UNITS . . . . . 0 PARKING SPACES : 0 ISTFE t 4.50 111 08;19199 513#7 INSPECTION AREA : 2 SHOREL :NE? . . . . SN 11111sP f 42.00 TW 08111199 51301 ITOIAt. VALULATION: 40111 SETdACKS- - ____._...___ _ TOILETS . . . . . . . . . . 1 0 FUEL. TYPES- --- _ - -_ - BOILERS/COMP--,-... MOBILE 110ME- - FRONT . . .N 25 .Oft BATH BASINS . . . . . , : 0 0--" HP . : 0 REAR . . . .S 69 ,Oft BATH TUBS . . . . . . . . : 0 3 --15 HP . : 0 MODEL :FLEETWOOD SIDE ( 1 ) .E 18 .01ft SHOWE:RS�. . . . . . . . . . : 0 FURN < 100K BTU : 0 15--30 HP . : 0 SIDE (2 ) .W 50 .Oft WATER NEXTERS . . . . s 0 FURN > 100K BTU : 0 30-50 HP . : 0 4443L SHRL INE .N 0 .Oft CLOTHES WASHERS . . ., 0 FURN - FLOOR . . . s 0 50+ Hp . : 0 -YEAR----.----- AREA ---_.____ _____ __ K11CHEN SANKS . . . . 1 0 HEAT PUMP . . . . . . : 0 99 LOT SIZE . . : FLOOR DRAINS . . . . . F 0 VENT SYSTEMS . . . : 0 EVAP COOLER' : 0 LENGTH .44 BUILDINU . . . . Osf DRINKING FOUNT.,.. : 0 VENT FANS . , , . . . : P HOODS . . . . . . . .. 0 WIDTH . :27 BASEMENT . , s 06f LAUNDRY TRAYS`::, # „ s 0 DOMES . I NC I N :0 -SERIAL#------- DECKS . . . . . . s Osf DISHWASHERS . .',:, ; . : 0 AIR HANDLING UNITS-- COMML . 1NCiNsl3 GAR/CARPS? Osf GARB DISPOSALS IS , . ; 0 t— 10000 cfnn . : 0 REL.00/REPAiRr 0 AT/DT :7 URINALS . .. . . . . . . .. . . 0 > 10000 c:fra . : 0 OTHER UNITS . i 0 .- MISC PLM FIXTURE4:: 0 GAS OUTLETS . x 0 CL.�YCw-^iCSCU-�i.J:::i"4y�'S:.<.�':Z':R+ISTOR:�.A'�AWLS'S^.AILS^Y90^..3:�1Y.::.'Y..¢�TY�91.':;::J.�CRti^i^',.it:L..."f�'�E�' f..�'.:",.':�-L61^_=�Satt1FR34+'!'J'L4+'.i�J.:SiffiSff+IST�(IAYRL-S4',m.!'S.9PY34:"7.L:L4l1GF!..:V"!¢S.ffi�C`T.9t•••w.-s....«.....R...._-..rwe«r.�3J.C'.'>.^r,3:.^1Sif�iFL:L:. �C'9i:51514'�Qt:;....3Y4' PROJECT DE;CIIPT,01;0081LE 11bME %-1 PROJECT LOCATIONsIARSON LAKE TO LARSPO LAKE BLVD TO CUTLASS TO SANTA #ARIA TO 1.01 47 IH13 PERMIT BF.CONES 111L1 AND VOID IF NORM: Of COISTANCTION AUTHORIZED IS NOT CONNENCED WITHIN 18d DAYS, 09 IF CONSTRUCTION OR 4011K i3 SUSPENOE6 FOR A PFRIOD OF 180 BAYS AT ANY TINE AFTER WORK IS COMNENCED. EVIDENCE OF CONTINUATION OF MONK IS A PIOGRE.SS INSPECTION WITHIN THE 18s DAY PER100, FINAL INSPECTION MUST BE AP;,ROVEII BEFOAF BUILDINS CAN Of OCCUPIED. bNNIAR 01i AGENT �A7F BL D_PRNT, rev: 13/S 1191L f (:011APL 1 ANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE MECHANICAL MOBILE HOME t 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 C7" C/ S ✓o �- Floors date by date 12 -!— 5 by FRAMING date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Attic Groundwork date b date by y WALLBOARD NAILING D.W.V. d date by ate by Water Line FINAL INSPECTION date by date by date by Cl% /� 5-r i-cry} 1 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P E Ft M I -T" C) N [ 1 1 _TT 1 0 N :-3 Case No . : BLD99-0637 For : ERICKA JARRELL Page . 1 a 1 ) Approved per dlA3esnslons and setbacks on sub±nitt-�d site vian , x, 21 Temporary erosion control measurers must be Implemented to prevent water, quality degradation of adjacent waters or properties . Silt fenc; i ng or straw matting must be installed and malntalned until upland vegetation has become established . X 3 ) Propose( structure or any portion thereof greater than 0" in freight from grade line , must maintain a minliaum of 5 ' setback from all property lines , easements and 10 ' from Xl 1 County and Staten Road right of ways . 4 ) - Structure must be setback 5 ' from all utility and drAinage3 easements , a total of 10 ' from each property line , or a variance must be ot?taine*d from the Building Department . X. � ) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1 .03 ,036 . X 6) Provisions for surface/ subsurface drainage control must be impiemi?nted with new construction or development can site and MOST NOT adversrxly impact adjagent pirceIs . Under the requirements of Mason County Storinwater Ordinance, either private ditchers And drains will meet requirements of the stormwater ordinance or prior approval wi I 1 be granted to use an existing utility and drainage easement dedicated for that specifio p"t-pose . For further information r e gard i ng t'his ordinance and the RFOU I DEMENT to obtain an ACCESS PERMIT for the Installation/construction of a driveway or access connecting from a Mason County Road, Contact the Maoon County Pub! Ic Works Department prior to construction at Ext 450 . For any construction which it, 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 affect your project . X MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 fa f d -i Ea 1�t e iiquIde in excess of 10 gallons is not aiiowed without the aq:lpr1ovaI of tll; Mason Count , Fire Marshal . X 8 ) 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 SITF INSPECTIONS . A REINSPECTION FEE BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BU ; LDINt, CODE WIL.I_ 6E ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PR10R TO REQUESTING INSPECTIONS . X 9) THE FOUNDATION SYSTEM SHALL. BE PLACED ON UNDISTURBED. NATIVE: SOIL . X 10) The approved plot plan is required to be on-c; ito for inspection purposes . If inspec ion 1s called for and plot plan Is not on site. , Approval WILL NOT be granted . In addition , a Re- Inspection fees in the amount of $42 .00 per hour (minimum 1 hour ) wi I I be charged and must be collected by this department pr i ar to arty further i nspect i onf being performed or approval granted . 1 1 ) REQUIRED INSPECTIONS ( Footing I nspe►nt i on --pr i or to pour , Set--up Inspection-prior 'to skirting, Final Inspection-prior to occupancy) . I have received acopy of the General Information and Guidelines Mobile/Manuf,aoturend Housing Installations Handout for detailed descriptions of all required Inspections on my ►noblle/manufactured home installation . I hereby assume all re ypons i b i l i t y for the scheduling of these required Inspections , If these required inspections are not requested, inspected and signed off ( approved ) by the inspector Ili the prescribed order . I understand that reinspection fees and an hourly Invests ation fee pursuant to the 1994 UBt , Table 3A will be assessed in addition to my original permit fees to resolve any questionable practices or pproblems that have been discovered . I further understand that this Investigation will kie scheduled as tine allows . Until resolution of any/all problems no oceupanoy ( Final Inspection ) will be granted for the residence . OWNER!CONTRACTOR ( Iridicate which ? Gignature t MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 12 ) All mot. l i e/manufactured home land ! s 0 s tt;n . i:aa ; be and � ( se I s �pl7or•t i ng� ) The largest l andinc� or (took s,errnittf+►41 with(-Jut drwingt �.� � out It + ►►g permit is '120 sq 7 or less kND MUST be under 30" in height from surroundings grade . NO second story decks , or (leeks above 30" can be built without a permit . Any landing or deck that is 30 or more In height frofn walking surface to finish grade requires a P=arm i t . Any landing or deck that has 4 or more risers requires a handrail . a. r. 13 ) Placement of structure must comply with standardw setforth per 1997 UBG Chapter, 18 regarding descending and/or ascending slopes; . X I 14 1 The septic des I qn was only approved for two bedrooms . The r es i denoe 15 restr i t'.ted to ► two bedrooms . = -.. X Case No . : 6L099-.0637 f i i SCHEDULE C -Commitment No: 40277 Page 2 LEGAL DESCRIPTION Aru THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF WASHINGTON, COUNTY OF MASON AND IS DESCRIBED AS FOLLOWS; LOT(S) 47 OF BEARD'S COVE NO. 8 , AS RECORDED IN VOLUME 9 OF PLATS, PAGE 45, RECORDS OF MASON COUNTY, WASHINGTON. TAX PARCEL NO: 12331-51-00047 j„ a y , 'YD 6 �3 O l v °' �� Ce1 r.•W. d 6 33 5�, �/�• 19°U� ?' �'ycc n� . r* Ci3 fie• r a po m WeiOV °p 4•c a,� P ��r �2z0�9 q _ jO Ste• N68'594o w�` ►��5 sSU� RO. �1 ;y'�.03 � ti '. �a S��83 4 oftv b �1 (�� z� d hT�'e:x' �� 3 �� ✓y � � see: Z •�� e 551 � ; 75 o`• ham• �28 l�O�?Z � a9 � oQ•, a• � ,S _ ,p ti A 1 � • � v h .� . �, C • o �' •gyp �� ov ° vvCD re ci 119 es �-7. SO H ,. ' \ti G /4 3> �p o u twoS y K' 23 d ?� C p°�.� � � GO 18EAieD"S COVE (D b P 3 (0 ,� $ 3 S 40' `✓1 • • ^7 � �� Sep. CERTIFICATION ! R 'S COVE F °a . 'n o o O g/ ��3>o r� CSRT IFI THAT THE PLAT OF ff AN ACTUAL�StJRVET IND MMAS�g�Ujs�ISTTATE3ST" Case. summary for Case No. : BLD99-0637 Date: 08/19/99 BUILDING PERMIT :BLD99-0637 : PROJECT: #: 27392 : MASTER:SWG99-0200 : NAME. . . . . :ERICKA JARRELL STAT: I 08/19/99 NJP SITE ADDRESS :NE461 SANTA MARIA LN BELFAIR PROJECT DESCRIPTION MOBILE HOME PROJECT LOCATION LARSON LAKE TO LARSON LAKE BLVD TO CUTLASS TO SANTA MARIA TO LOT 47 TYPE OF PERMIT. :BLD: FIRE DISTRICT. . :2 CLASS OF WORK. . :NEW: BEDR: 2 : . .BATH: 2 : RCCAPO DESIG. . . . . : ? : TYPE OF USE. . . . :MH STORIES . . . . . . . . . . : 1 : SEPA. . . . . . . . . . . . . :N: OCCUP. GROUP. . : ? BLDG. HEIGHT. : 0 . 0 : ft PRIMARY RES? . . . . . :Y: TYPE OF CONST: ? FIREPLACES . . . . . . 0 : SEASONAL OCC? . . . . : ? : OCCUP. LOAD. . : 0 : WOODSTOVES . . . . . : 0 : STAFF. . . :RILEY DWELL.UNITS . . . . : 0 : PARKING SPACES . : 0 : ISSUED. . . . : 08/19/99 : INSPECTION AREA: 2 : SHORELINE? . . . . . . . :N: EXPIRE. . . . : / / : NOTES PgUp/PgDn MORE Memo field #1 -------------------------------------------------------------------------------- MOBILE HOME Memo field #2 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- LARSON LAKE TO LARSON LAKE BLVD TO CUTLASS TO SANTA MARIA TO LOT 47 Memo field #3 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- None Related cases in project group 27392 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- BLD99-0637 ERICKA JARRELL SWG99-0200 ERICKA JARRELL RLC99-0108 ERICKA JARRELL Names and addresses for project group 27392 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- SWG99-0200 . . . . . . . . . . . . . . . . . . . . . .APL BLD99-0637 . . . . . . . . . . . . . . . . . . . . . .APL ERICKA JARRELL ERICKA JARRELL 21614 29TH AVE S #4 21614 29TH AVE S #4 DES MOINES WA 98198 DES MOINES WA 98198 PH: (206) 870-7999 PH: (206) 870-7999 BLD99-0637 . . . . . . . . . . . . . . . . . . . . . .CON RLC99- 0108 . . . . . . . . . . . . . . . . . . . . . .APL BUTCHS BULLDOZING ERICKA JARRELL P.O. BOX 733 21614 29TH AVE S #4 BELFAIR WA 98528 DES MOINES WA 98198 PH: 275-5541 PH: (206) 870- 7999 License No. : 95INSTALL036 RLC99-0108 . . . . . . . . . . . . . . . . . . . . . . CON BUTCHS BULLDOZING P.O. BOX 733 BELFAIR WA 98528 PH: 275-5541 License No. : 95INSTALL036 Actions for case no. BLD99-0637 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA008 Issued-No Print / / / / 08/19/99 DONE TW O8/19/99 NJP BLDA010 Application received 07/09/99 / / 07/13/99 DONE KW 07/13/99 KW BLDA011 WARNING!! SEE PARCEL FLAG / / 08/19/99 08/19/99 DONE KS O8/19/99 KS BLDA100 Approved For Issuance / / / / 08/19/99 DONE TW 08/19/99 NJP BLDA200 (H) Hold / / 07/15/99 08/19/99 PLEASE DO NOT ISSUE THIS PEMIT WITHOUT DONE GMM 08/19/99 KS CALLING KERRY HELSER AT 283 FIRST. THEY HAVE NOT PAID THE SEWER AND WATER HOOKUP FOR BEARDS COVE. THANKS!!!! PERMIT 0000024 $800 PAID TO DCD BLDA200 (H) Hold / / 07/20/99 08/19/99 Get WAINS No. of WA State certified DONE TLG 08/19/99 KS installer and verify prior to issuance WA IN 500785 BLDA950 List of Conditions / / / / 08/19/99 DONE TW 08/19/99 NJP BLDB110 Building Plan Review 07/13/99 / / 07/20/99 DONE TLG 07/20/99 TLG BLDB130 Planning Review 07/15/99 / / 08/16/99 access on Santa Maria and Larson Lake DONE AHB 08/16/99 AHB Rd; some slope in middle of lot. BLDB134 RLC Review / / / / 08/16/99 low slope at top and bottom of lot with DONE AHB 08/16/99 AHB 10 to 12 percent slope in the middle of Lot; home to be at top of slope. ahb BLDB135 Addressing 07/13/99 / / 07/14/99 DONE GMM 07/14/99 GMM BLDB137 Site Address Notification / / / / 07/14/99 ASSIGNED SITE ADDRESS TO BUILDING PEMIT, DONE GMM 07/14/99 GMM MAILED COPY TO PROPERTY OWNER BLD8138 Planning Pre-Review 07/14/99 / / 07/15/99 DONE MMS 07/15/99 MMS BLDB200 Environmental Health Review 07/13/99 / / 07/15/99 need approved two bedroom septic design HOLD CEB 07/26/99 TW • design received 7-23-99 BLDB200 Environmental Health Review 08/19/99 / / 08/19/99 The plot plans and bedrooms match.psd DONE PSD 08/19/99 PSD BLDB210 Water Adequacy 07/15/99 / / 07/15/99 need water adequacy from doh HOLD CEB 07/15/99 CEB BLDB210 Water Adequacy 07/19/99 / / 07/19/99 received water adequacy from doh DONE CEB 07/19/99 CEB BLDC050 Pre-site Inspection 07/14/99 07/16/99 07/16/99 With leveling, set up as proposed DONE TR 07/20/99 TLG shouldn't be a problem however, condition permit for slope setback since information received is minimal Conditions for case no. BLD99-0637 1) Site Plan -- Approved per dimensions and setbacks on submitted site plan. X 2) Temporary Erosion Control -- Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing or straw matting must be installed nd maintained until upland vegetation has become established. X 3) Sideyard Setback -- 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 d State Road right of ways. X 4) Multiple Setbacks -- Structure must be setback 5' from all utility and drainage easements, a total of 10' fro��ec�proRerty line, or a variance must be obtained from the Building Department. X 5) Buffer & Landscaping Requirements -- This application is subject to Buffer and Landscaping requiremen s established under Mason County Ordinance 1.03.036. X�7td 6) MCPW Development Requirements -- 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 affect your project.X 1/l.J A' , 1 7) Flammable & Combustible Liquids -- 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 Cou ty Fire Marshal. X �� 8) POST ADDRESS -- 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. X 4D w7 9) MH FILL -- THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X -\� 10) PLOT PLAN REQUIRED ON SITE -- 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 (minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X� � w 11) MOBILE/MANUFACTURED SPECS. -- REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I have received a copy 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, I understand that reinspection fees and an hourly investigation fee 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 be scheduled as time allows. Until resolution of any/all problems no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 12) Mobile/Manufactured Landings/Deck -- All mobile/manufacture 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 that is 30" 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 ';;�-6 0 ) 13) Slope Setback -- Placement of structure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes. X � 14) NUMBER OF BEDROOMS -- The septic design was only approved for two bedrooms. The residence is restricte t two bedrooms. X Notes for case no. BLD99-0637 No notes found for this case Fees for case no. BLD99-0637 Case Fee Fee Account Fee Amount Recei # Description Type Number Amount Paid # - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - BLD99-0637 MH Submittal Fee MHSF 322 . 10 175 . 00 175 . 00 50848 BLD99-0637 Address Fee ADDR 369 . 00 15 . 00 15 . 00 51307 BLD99-0637 MH Issuance Fee MHBL 322 . 10 175 . 00 175 . 00 51307 BLD99-0637 Building State Fee STFE 386 . 00 . 05 4 . 50 4 . 50 51307 BLD99-0637 Site Inspection INSP 342 .40 42 . 00 42 . 00 51307 BLD99-0637 RLC Checklist Fee RLC 342 .41 70 . 00 70 . 00 51307 BLD99-0637 EH Plan Review EHCP ? 50 . 00 50 . 00 51307 Total fees : . . . . . . . . . $ 531 . 50 Balance due: . . $ 0 . 00 Parcels, attributes and covenants for project group 27392 PARCEL: 123315100047 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Street addresses : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NE461 SANTA MARIA LN BELFAIR Parcel information: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PARCEL. . . . : 123315100047 STR. . . . . . . : 31-23-01 Q_SEC. . . . . . QQ SEC. . . . . SUB NAME. . : BEPLO SUB_LOT. . . : 47 SUB_BLK. . . : SUB_DIV. . . : CEN_TRCT. . : TAX CODE. . : 0241 OWN NAME. . : TERRI ANN OLIVO OWNADDR1 . : TAXPAYER#. :OLIV6600 OWN__ADDR2 . : TITLE OWN# : IV66000L OWN CITY. . : OWN STATE. : OWN_ZIP. . . : SIZE. . . . . . . 0 . 00 CRET_DAT. . : LEGL_LOT. . : ZONING. . . . . COMPLAN. . . : FLD_ZONE. . : LAND USE. . : 9110 AV_LAND. . . : 10000 AV_IMPRV. . : 0 WTR SPLY. . : SPLY_ID. . . : SWG_DISP. . : FIREDIST. . : SHORELINE . : RCCAPO_DES : SCHOOLDIST: NOTES . . . . . . LEGAL. . . . . : BEARDS COVE DIV 8 BLK: LOT: 47 WARNING. . . : YES PR_PRCL. . . : NO UPDATE . . . . : 04/22/95 UPDATEBY. . : TPU Parcel attributes : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Attr Description Valu Flag/ Updated By Code Warn - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Y -CS&W County Sewer & Water- - - - - T 06/05/92 FVC Covenants : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No covenants found for this parcel - - - - - - Case summary report completed - - - - - - PERMIT NO.: BLD '`'`�'n37 MASON COUNTY 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 206 464-696 d�. .A. JlAsA APPLICANT NF,QR ATION / CONTRACTOR INFORM Owner �2�C :J �L Contractor Name Maili Address Gt�� Mailin Address U 73 3 City t.14 tate � Zip Code / City State GC.)�' Zip Code u Phone( Other Ph.( 5�Cl) 2-715 � Ph.( ?&o ) Z75-S� /Other Ph.( ) Lien/Title Holder Contractor Reg_. Address Expiration i / / 6 ( / '7 2 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic__,�- Existing Septic Connect to Sewer System Name f Sewer System Well Water System Name of Water System I PARCEL INFORMATION-12 digit Tax Parcel No. 2 / / Q Fire District L/ I Legal Description L pT Site Address(Please include street name, street number and city) /c�i Direct�io to site / *1R5f N LrIk-4 7`P L 64dt Ski 0M 4✓✓J -77, C fi 55 Siy h/Ti,4 1&,-f/+9 7"n L 07' /1 Will timber be cut and sold in parcel preparation? (Yes/No) A/O i Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs i TYPE OF JOB New_! Add Alt Repair Other Use of Building Describe Work LE LO I F,-.a ry�.o 2 7 )"V j No. of Bedrooms 2. No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make F 7•-0rWaV odel i4 c1lj L Model Year 9l-J LengthWidth�2 1 Serial No. No. of BedroomsZNo. of Bathrooms Z Type of Heat t Purchase Price $ �,&u'tJ Replacement Unit ?(Yes/No) /ti/o Installer Name' ' d 4166 711r-W.95 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. X Date X k;`)4e7Z . Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount DueZ26 Receipt No. O�PARTM NTA REVIEW ROV DENIED ' CONDITION CODES Building Department /Q / / S°07� Sal Occ Group Type Constr. Planning Department Il Environmental Health Department Public Works Department I Fire Marshal Valuation $ . F > s Building Permit Fee Site Inspection j 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 ( ) i.... ..................... LiiL:h::JiiS. .. 4:•::ii':{:S:4i:v iiii :iiii: is+ijijiiijii5 ,. <•:.>.::•:::........,...........::. :...... TOTAL FEES f.:. «::: FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name �� r 2 iL PARCEL NUMBER /Z 3 3/ -6'/0d0 Co a 13 to C 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 adjacent properties if on s oreline or within 100 feet Qf adjacent property line. adjacent property line- , ' Z �°I E-adjacent property line �- S() ,. Wb lilt V3 I ti vk C� adjacent property lined <-adjacent property line SAMPLE SITE PLAN adja�nt property line- aLo' E-adjacent property line I D 30' gE.A_SC_AL_ I CME&V, \ I fi Honn6 i Gcaaeu I j PrioPmen se Pt:a 1 , I I VAGtNT I T c.nrtAc d I 30 I /i I(� I P0.oPosCO 50,�I 7 A6R=LLL1*t.&ILAL I 1 I I eo• i I � I I \ i /00, I I L—eLL I I I adjacent property line-. i I af• to, \i <-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 ►cap► �` - r-fg 1 rce- ro Slopa -faa dis+anaa Signature Date