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HomeMy WebLinkAboutBLD99-00905 Cancelled Mobile Home - BLD Permit / Conditions - 4/11/2000 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 U I 1_ U 1 I\1 Ca P F` F-1 IVI I L_ 9r5 70 - BLD99--0905 PARCEL :3212'T5300165 PLAT it APL.. I << B1..t( : 1-01 JOB ADDRESS : 350 E SALBRIGGAN RD SHELTON OWNER : LISA SHRFVER 360--943-5528 CCINTRACTOR c LEGAL : LAKE LINERICK 4 TRACT 165 CLAF:S OF WORK. . . :NEW BEDR : 2 BATH . 2 TYPE A0001 BY 801f RECEIPT TYPF AN0UN1 8Y DATE RECEIPT TYPE OF USE . . . . :MH STORIES . . . . . . . . 1 OCCUP . GROUP . . s? BLDG . HEIGHT . . : 0 .Oft PLCK 1 356.Ab KN 0913#199 51734 I TYPE OF CONST . . s? F I REPLACES . . . . . 0 EHCP ! 50.10 NJ? 10/14199 51872 OCCLIP . L.OAD . . . . .. 0 WOOUSTOVFr . . . . : 0 Siff $ 4.50 NJ? 14114199 51872 DWELL .UNITS . . . . : 0 PARKING SPACES , 0 INSPECTION AREA : 2 SHORELINE7 . . . . :N � 101Ah 4is4.50 VALUI.ATIGN: 43564 C'CJO�C.'�iWC"':'�9GbL"a".S'Ai:E: .._.::7J'..-2^3fC:A':.:Cifs"::::..�TS.::::..:Y.:'�?"_.i•�••••. .SETBACKS------ _. TOILETS . . , , . .. . . . . : 0 FOFL TYPES—____.__-._._ BOIt.ERSl COMP—-- MOBILE HOME_ FRONT . . .W 50 .0f t BATH BASINS .. . . . . . : 0 : 0-3 HP . . 0 REAR . . . .E 110 .Oft BATH T'IJBS , . , . . . . . : O 3- 1.5 HP . : 0 MODEL :FLEETWOOD StDC ( i ) .N 20 .Oft SHOWERS . . . . . . . . . . : 0 FUfN < 100K BTU : 0 11 -M30 HP 43 8 1 DF t 2 i .S 34 .0f t WATER HEATERS . . . . 0 FUPN -: @l OOK B TU : 0 30-50 lip . 0 BARKSH I RE SHRL INE .E 110 .Of t CLOTHES WASHERS . . . 0 FURN FLOOR . . . - 0 50+ HP . : 0 ...YEAR--- ---._— AREA ,._.____-..._. _._.__ .____._._ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 99 LOT SIZE . . : FLOOR DRAINJ . . . . . x 0 VENT SY =TEMS . . . . 0 EVAP COOLERS : 0 LENGTH .40 BUILDING . . . : Osf [DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :25 BASEMENT 0Sf LAUNDRY TRAYS . . . 0 DOMES . I NC I14x O Sr.R i At iT- -- DECKS . . . . _ % Oaf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN ;O GAR/CARP:? O4;f GARB DISPOSALS . . . : 0 <-X 10000 c rm► , 0 RELOC/REPAIR : 0 AT/DT . :? URINALS _ . . . . . . . . . 0 > 10000 eftn . : 0 OTHER UNITS . ! 0 MI SC PI..l.A F I XTURES x O GAS otiTLETS . : 0 '=.•s:�.i�svaxsau:._..xra...p:::ts'Vr�Wx:i--es2e.-'•R.•••••••-:^:.rv..a¢J.' .,c�v-.:s::Lst'+d:E'tiA:fras:x1s.X�:-rsratx.`-^.':`:aCe.mttx�—�-"••.••.�^�".::Ya.;-.,�.:3'aJ[�zs._..�..tart.':::an.c-::izr.-...-,.T.:r..•-•-�•'ar.O^s-�9e»e.-s L'Li'w'eauxsa..a s;_•• .,�l.Y:esz:urw C:;ae:�:srr.era: PR0JEC1 9ESCRIFT10ktVOEILE NONE PROJECT LOCATIONcS1 ANDREWS 10 IISHT ON DARINOOR ;STAY. LEFT-NAT Y F6LLON AR UND TO F TURN RIGHT 1EARISBY CT) GO TO END OF CUI, DE SAC THIS PEINII BECONES NHtt AND VOID IF WORK It CONSTRUCTION AQTHORIZED 15 NOT CONNENCFO WITHIN 1811 DAYS, Of IF CONSTRUCTION OR WORK Ij SUSPENDE.V FOR A FER14,11 OF If# DAYS AT ANY IINfAFIER VORK 1S_ C0 NENCED, EVIDENCE 0f CONTINUATION 0: WORK IS A PROGRES& INSPECTION IiTNiN THE 166 DAY PEPIOD. FINAL INSPECTION NUST BE A"PIOVED BEFORE 801101.4 C,AN IE OCAIIPIFA1 ixWItE11 0I A&fNT: _ _ ` __V / '. a � ._ DA1E:_ B 8_PINT, rev x .4313 1 COMPLIANCE TO ATTACHED COND 1 T I ONS IS REOU 1 RE:D CONCRETE MECHANICAL � MOBILE HOME FCotings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date l� y !c9,, by BG/SLAB Insulation Floors Final date by date by date /2 c,,-'/0P, by —✓ FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D W WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by I date by date by tq Ito /0 CD I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 V, f'_ F1 1\,� rJ n Case No ;i. . . 5 -0905 For LISIA SHR I VER Page : 1 1 ) . This application is subject to Buffer and Landscaping requirements as established under Xas.or . CgWnty ordinance 1 .03 .036 . 2 ) The use, handling and s tora a of hazardous materials or flammable and combustible I iquidv in excess of 10 Uaalyoris Is not ad lowed without the approval of the Mason Count!, F i re., M a r h a l , x...._..___f 4 t - __ _ _..__. ___ .__. _ _ 3 ) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adver%er d y Impact ad j aoe lit parcels . Under the requirements of Mason Country Stormwater Ordinapce, 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 i nforlmat i on regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of as driveway or, access connecting from 4 Mason Count/ Road, Contact thaa Mason County Public Works Depactmeant prior to construction at Ext 4-0 . or any construction wh i k.;h Is proposed tr) be located within 25 ' of a tlascn County road right of way, it is sug eSte,d to contact that office to review future planned work which mayffec:t your projec? . 4 ) Proposod structure or any portion thereof' greater than 30" in height from grade line , must a i nta i n a minimum of 5 ' setback from all property i I nes, easements and 10 ' f roan all9 unt:y and State Road right of ways . X 5 ) Owner /Au) I der/16s umes al I resporas i b i 1 1 ty I f dr a i of l e i d/ reserves area i s enGum a ed . Y 1 �_ 6 ) PURSUANT TO 1997 UNIFORM BUILDING f70DE , ALI_ SITES MUST HAVE APPROVED NUMBEnu On ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLA,1 Nt_Y VISIBLE AND LEGIBLE FROM THE i I I i I i i �— — --.—-------- .— .--_._-----—____— — ------------.--_ --- MASON COUNTY Mason County Bldg. III 426 W. Cedar IEO ROAD O P.O. BoX18fSheit nr �Wc shIpgton RES THSBEROMPLETEDPRIOR TO r/ l ; s ECToNFEEBASEr ON RAZEU AS DORTED—RX THE IURI iC1WN AND 11 1g97 MJIFOPIA Rill 1nING, i-nnF W111 BE s�� r�r :G y ryes r�e� �+ 1 NSRE'C j I ONS . -- i f p 7 ) THE FOUNDATION SYSTEM SHALL. BE PLACED ON UNDISTURBED, NATIVE L Sri 1 I_ . r f R ) 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 eharg_ed and must be collected by this department prior to any further Inspections being perfl �aed or approve1 granted . X "9 ) REQUIRED INSPEC'r1ONS ( Forting Inspeotion-prior to pour , Set -up inspection- prior to sk i rt i nc�, F i nai 1 1 nspect i on--pr i car to occupancy ) . I hereby assume all responsibility for the schedu 1 i ng of` my required Inspections . I f the required Inspections are riot requested inspected and signed off (approved) by the inspector In the prescribed Order , I understand that reinspection feec. and an hourly investigation fee pursunnt to the 1997 UBC, and will be assessed in addition to my originai permit fees to resolve any 1 questionable practices or problems that have been discovered . 1 further understand that this invest i qat ion w i I I be !�..chedu led as t irrie a,I,+v s . tint i 1 resolution of any/all problems no occupancy ( Final Inspection ) will be ,�gr#n�ed for the residence . OWNER/CONTRACTOR ( i nd i oate which ) Signature X__. 10 ) All mobile/manufactured home landings or docks must be freestanding ( self supporting ) .. The largest landing or deck {permitted without drawinggs or a building permit is 120 sq ft or less AND MUST be under 30 in height from surrounding grade . NO seQond store deck,o , 'or' decks above. 30" can be buiIt 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 twitf has 4 or more risers requires ra handra i I . X.._ MASON COUNTY Mason County Bldg. III 426 W. Cedar 1'1 ) Placement of structur P.O. Box 186 Shelton, Washington 98584 ;r, Cliapter '18 regarding descending 1 2 ) Al i upland a eas disturbed E>w I y cr i by con. uct i ors shalt be seeded , vegetated o ven an ecru i va l ent type of er os i on protect i pan t a l I t fenc; i ng or straw matting ) . X 13 ) The proposed proleOoreline must he consistent with all applicable poiiciens and other provisions of the; Management Aot , its rules , and the Masan County Shoreline Master Program . ,- 14 ) Approved per dimensions and. setbaok,y on rubmltted site plan . X _ 15 ) Approvesder oond i t<•i's�r�is of site inspection on May 22 , 1998 t SPp 198--005'.L' Case No . : B D99-0905 Washington Home Center, Inc. Floor Plan Berkshire 5403C - Lisa Shriver 5403C 3 Bed 2 Bath Approx 986 Sq Ft 2 ! r r no -� Dining Area 9'b' 1)10" T6"x11'0" `+ 0J ® — ---- 5 ---------- '3 ----- L ti Master Bedroom Living Room 4 11'6"x12'0" 13'5"x160" Bedr 9' ,i 0„ 00 1 Carpet Extra Rooms.Per Room,Whisper 2 Cable TV Jack(Each) 3 Telephone Jack(Each) 4 Upgrade Carpet Pad-Per Room 5 Pantry 6 -2 Exterior Faucets (CSI Package Only) Specifications subject to change. (c)19%softseil, Inc. Sep/28/1999 ti C r C x . m CakeJ0nrerick QOteNNTwr CLUB qa(0- 35$ I w .�Lt ab -3-7 93 N4DTIcIr Ca�E G'�fira 24-#t0urg aeforl-Removal©f A IIY Tee es or Gmilime of � CONSTRUCTION PERMIT � m n Permit No._ , �fl� } _Date _L ! O• Gt - r Lot No._ Div.Ha_ � Q Me7bar Z— / 14 Foundation Location Approved VAUD FOA ONE YEAR ONLY Inspector Dar# m T—/3 C e 17-e N?0 v a L peen must be subm;ttw floe• OWM'vai by the Applicant must calf "AT -c ursi Crrr mi2:Fo otfles for required w WAPectfon.Allow 48 hou ns for approval -o Issued By m r POST THIS PEPJAIT IN A CONSPICUOUS PLACE AT FRONT OF LOT. v V Shrtver, LiSA S , +e. 0 vte_� -a-K ce-1 No , 3 a a -53 - Del &5' h� D �y 'A .�:� IV 1�� Shrive'ri LisA S , +e oWne-r- L a k e D i v a , Tvc� -f- PO, - ee-i NrD - 53 - DDI & ar-- S ID �u2 0 �� YtJ� rIJ N�\ PERMIT NO. BLD MASON COUNTY a /� BUILDING PERMIT APPLICATION I (J 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 ( r , Shelton 360 427-9670 Belfair 360 2754467 Elma 360 482-5269 Seattle 206 464-6968 V�J APPLICANT INFORM TION CONTRACTOR INFORMATION Owner Contractor Name Mailin Address / Mailing Address City State Zip Code City State Zip Code Phone0.(,,,p)67q3 52�Other Ph.( j Ph.( Other Ph.( Lien/Title Holder .Azw Contractor Reg. # Address Expiration I SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic xisting Septl Connect to Sewer System Y_Na e of Sewer System a ater System\4 Name of Water System ('K PARCEL INFORMATION-12 jgit Tax Parcel No. -2 / Fire District I Pnm ni—,c.rintinn J_Q eel FROM EXIT 79 NORTH ON 1-5 TO EXIT 104 FOLLOW I IWY 101 'rO TIIL'.FIRST SHELTON 17XI'1'FOLI,OW I IWY 3'1'O MILL:POST 7.2 TURN LEh'I'ON MASON LAKE RD.GO 2.1 MILKS TI1RN RIGI IT ON DARTI IMOOR I)R. GO nm e APT. 100 YARDS(n)(Y)GO LIs1,•I'ON I)ALIiK11 7'I I GO.2 MILE(a)S'1'UP SIGN'rU12N RIG111 ON BAItNS13Y PL. GO.1 MII,I?ROAD W11,1,(/Y)GO S'I-IZA1(i117'7.O I-,.NI)Oh ROAD.S11-E IS ON'1'111: w"l r. ! /f' r'I/'C fn pl� .. �v... r.....L.v..� ......1.. �v ui•. ivnvrvuIy. uva�y vl vvdlGl `IVd111G/ �r�n�'r/. 3 4/ eoe oaltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New X 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 I MOBILE HOME INFORTO -MakP aMode Model Year Lengt 'Width2- No. I Serial No.� No. of Bedrooms 2- No. of Bathrooms2 Type of Heat Purcha e Price $ _ Replacement Unit ?(Yes/No) Installer Name Y) ertification No. 1/VO1/75 V)/)& 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-]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 'i 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. f �+ _ / irr� j AeIll first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date ' 1:�4 Urnittal Amount Dua� CJ y^ Receipt No. DEPARTMENTAL» REVIEW 30 DENIED CQfVDITlO CQDES Building Department Z 'S V►Jlt - (, ttiv. tj Iv, o- - (text r(l , Occ Group Type Constr. re V i(eet Planning Department ^ ti (/I /0(( 6/Z Sdd 7 Environmental Health Department �Q 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 •�� Violation Fee Pre-Paid at Submittal TOTA FEES .............. FORM MUST BE COMPLETED IN INK PERMIT NO. PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton(360)427-9670 Belfair(360)27511467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTORrtNfORMATION Owner L—/ S p SILI 'Z/ Contractor Name 1 f ` Mailin_gAddress �<,� C IJ3�.i4Cn,y /,L� Mailin Address City State, ,k%, Zip Coe City State I I )(L Zip Code (_IFis PhoneU Other Ph.( Ph. , -7 -3• > �Other Ph.( �— ) Lien/Title Holder Contractor Reg. # ut P4-Sp r,,3,5g1%hh; Address Expiration / / SEPTIC INFORM TI N-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. Fire District Legal Description / _ DI L) Site Address(Please include street name, street number and city) Directions to site 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 Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs Heatpumps Showers Vent Fans Water Heater Propane TankS� Laundry Wsher Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher Direct Vent? Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. 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-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 obtaini g approval. X Date X L Date' FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. :£1E'P'ARTMENT1ALr�t1w111Eit1�;.; APPROVED pFM1tlEfil GUf�1Rt#idN d[f 5 Building Department n Occ Group Type Constr. Planning Department Other Other > E . ..... .P Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical& Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Q i DO1 Name �J'r r �1i r/C...- PARCEL NUMBER� ate SH OW THE FOLLOWING ON SITE PLAN Show Direction by indicationg IN, 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 property line. adjacent property line- , 1 E-adjacent property line I I I I I I I I I I I I I I I I 1 I I I I I I I I A44 �Ul I I I I I I I I I I I I I I I I t I I I I adjacent property line- ' ' Fadjacent property line SAMPLE SITE PLAN adja�nt property line-> 3Lo' _ _ E-adjacent property line D 30' �REScave 30�1 .5E u Al_ I ti 777ffrttt _�PT7L—_,� I Hone 6 I .Gnatu CRFEIG � I �, �aa�a I j PRO POSAD s¢Pt:C- I 4— 60' I VAGn.,T I ii I / 1 30 I I I� �t T A&9=LLLTt1RAL 1 I BO, --�p I I � I ' /00' I ' I � � ts.eLL I I I )� /00. I I l.a�GLL I I 1 R I \ adjacent pro erty line-> ; ��. c \; <—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 dtst�r.cm to rttLtl.LNG d i.Sta r.L[. t 0 -�! 616pa. fic¢ 30 YO f. l�' LL U&- Y7,v- jam- v'� - 7 Si nature Date