HomeMy WebLinkAboutBLD2001-00197 MFG Home - BLD Permit / Conditions - 4/10/2001 262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Ihopec(360)427(96704ext7352
Mason County Bldg. 3 426 W Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2001-00197
OWNER: LEWIS JOHANSON 360-275-8293
CONTRACTOR: WASHINGTON HOME CEN RECEIVED: 03/08/2001
SITE ADDRESS: 500 NE SANTA MARIA LN SHELTON ISSUED: 04/10/2001
PARCEL NUMBER: 123315100094 EXPIRES: 10/10/2001
LEGAL DESCRIPTION: BEARDS COVE DIV 8 BLK: LOT: 94
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME HWY 300 W GO .8 MILES TURN RIGHT ON SANDHILL GO 4 MILES TURN
LEFT ON NE LARSON BLVD, GO 1.1 MILES TURN LEFT ON SANTA MARIA
2ND PLACE ON LEFT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr..
Type of Use: MH 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: $77,670 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make REDMAN Length: 60 Ft. Front: N 7.0 Ft, Shoreline: Ft, Water Body:
Rear: S 35.0 Ft, Slope: Ft. SEPA?:
Mode1:4603E Width: 28 Ft. Side 1: E 20.0 Ft. Shoreline Desig.:
Year:2001 Serial No.: Side 2: W 64.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 03/08/200 $175.00 56014
§tiding State Fee MEC 03/09/200 $4.50 55947
Mobile Home Issuance MEC 03/09/200 $175.00 55947
tl@?�celed Permit/Plan MEC 03/09/200 $42.20 55947
@hepian Review CEW 03/19/200 $50.00 55947
Planning Site Inspection SAL 03/26/200 $70.00 55947
Total $516.70
It.
BLD2001-00197 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2001-00 1 97
CONDITIONS FOR
BLD2001 -00197
1) Applicant has indicated this is a replacement unite Prior to Maso Cou ty allowing any occupancy of the new proposed unit, the existing unit which is on
site and is being replaced MUST be removed from the parcel.
2) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contrpctor fail to post the address on site prior to requesting inspections.
3) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED NATIVE SOIL. X
4) The "approved" plot plan is required to be on-site for inspection purposes If an inspection is requested and the "approved" plot plan is not on site, then
approval will not be granted. In addition, a re-inspection fee in the amount of$47.00 per hour (minimum 1 hour) will be charged and shall be collected
by thi ing Department prior to any further inspections being performed or approvals granted.
X
5) 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 p oblems that have been discovered. I further understand that this
investigation will be scheduled as time allows. Until resolution of an "Tr lems no occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
6) All mobile/manufactured home landings or decks must be freestanding (se f supporting). The largest landing or deck allowed without drawings or a
building permit MUST be u der 0" 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" 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
7) 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.
8) All property lines shall be clearly identified at the time of foundation inspection. X
BLD2001-00197 Please refer to the following pages for conditions of this permit. 2 of 4
9) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
nkrn I nt with Mason County ordinances and building regulations.
16) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time
for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the
permiI er have prevented action from being taken. No more than one extension may be granted.
X
11) This applicatio is ect to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
12) The use, handling and storage of hazarc�ous� terials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X__ �K
13) 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 whick 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 wT?l
a affect your project.
X
14) Proposed structure or any portion thereof greater than 30" in height a 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
15) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
-Si4
16) Proposed structure or portions thereof with pro tion over 30" in height from grade line, must maintain a 5'separation distance between adjacent
structures and that furthest projection. X
17) All upland areas disturbed or eated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
18) The Washington State Clean Air Act prohibits the burning of any con truc ' n or demolition debris in an outdoor fire.
19) Approved per dimensions and setbacks on submitted site plan. X '
BLD2001-00197 Please refer to the following pages for conditions of this permit. 3 of 4
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 180 day period. Final inspection
must b6 approved before uilding can b ccupied. p
OWNER OR AGENT: C DDATE: )\) A f+ �►''y
BLD2001-00197 Please refer to the following pages for conditions of this permit. 4 of 4
C0NCRF rE MECHANICAL MOBILE HOME
FF-,tinr4,s-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set UP
date by INSULATION date C� -O `/ by
BGISLAB Insulation Floors Final ,.
date by date by date ,2 > U by /)
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date by
date b
D.W.V. WALLBOARD NAILING
date by date by
FINAL Line NAL INSPECTION
date by date by date by
Tom%
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1
PERMIT NO.: BLD a A 0 7
MASON COUNTY
BUILDING PERMIT APPLICATION 3 1-)
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 Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone( ) Other Ph.( Ph,( _Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. / / Fire District
Legal Description
Site Address(Please Include street name, street number and city)
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) 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 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 Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ `; _ Replacement Unit ?(Yes/No)
Installer Name 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-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. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
r
X _ `r..... Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date* Submittal Amount Duel'7r q.2 Receipt No.
DEPARTMENTAL REVIEW APPROVED (DENIED CONDITION:CODES
Building Department �;�� 1. a ,` + J r)cr� f a wr, ,�•r/-'%
Occ Group 'Type Constr.
Planning Department
Environmental Health Department
C(ZXAJ
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 r C 4 SO.0o
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name PARCEL NUMBER Date
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 shoreline or within 100 feet of adjacent ne.
adjacent property line- I �. I Fad' cent p e
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adjacent property line-) I I (-adjacent pro e
SAMPLE SITE PLAN
adja t property lined 3io' _ Fadjacent property line
D 30' r
.5 c AS_ I a L
CRF�K I• c HOMe I
\ Gaatwi
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80,
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adjacent property lined , !it'- \, (-adjacent properiy 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
di s+a—Ga. -ho
Pu.Lt'(LYL
&-%ta"C- . to
i ' Slopa �-n¢
des+a..cm
to a
Signature Date