HomeMy WebLinkAboutBLD2002-01126 Final MFG Home - BLD Permit / Conditions - 3/14/2003 Insction Line
360)427- 262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427(9670,ext7352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2002-01126
OWNER: CURTIS ZIESENISS 432-7874 253-57,
CONTRACTOR: REX SCHADE LICENSE:SCHADC1044RE EXP:2/15/2003 RECEIVED: 8/26/2002
SITE ADDRESS: 170 E KILMARNOCK RD SHELTON ISSUED: 9/19/2002
PARCEL NUMBER: 321275400091 EXPIRES: 3/19/2003
LEGAL DESCRIPTION: LAKE LIMERICK 5 TR 91
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME MASON LAKE RD TO OLD LYME RD RIGHT AT OLD LYME TO SECOND
LEFT, SITE NEAR TOP OF HILL ON RIGHT
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: V-N
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No.of Stories: 1 Occ. Load: Building:
Valuation: $54,999 Building Height: 14 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:FLEETWOC Length: 56 Ft. Front: W 55.0 Ft. Shoreline: Ft. Water Body:
Rear: E 70.0 Ft. Slope: Ft. SEPA?: No
Mode1:4563C Width: 27 Ft. Side 1: N 21.0 Ft. Shoreline Desig.: Not Applicable
Year:2001 Serial No.: 16914 Side 2: S 30.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KLW 8/26/2002 $194.50 60295
EH Plan Review CEW 8/30/2002 $75.00 60618
Planning Review Fee PBC 8/30/2002 $38.00 60618
Building State Fee RLS 9/12/2002 $4.50 60618
Mobile Home Issuance Fee RLS 9/12/2002 $194.50 60618
Total $506.50
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BLD2002-01126 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2002-01126
CONDITIONS FOR
B LD2002-01126
1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X_ 33.I\,-)54 poogl Ci
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X 3�-13- S4 0 00 9( ce
3) 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 A111 ywq t Cr
4) 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.
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5) Approved per dimensions and setbacks on submitted site plan. X_ 3>.f ,-7S`'1 Ocx�q t CZ
5
6) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Department prior to any further inspections being performed or approvals granted.
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7) 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
contractor fail to post the addre son site prior to requesting inspections.
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8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 5 j CZ
BLD2002-01126 Please referto the following pages for conditions of this permit. 2 of 4
9) 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 (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
• X 3?1��S-t oo�51 �-2.
10) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in permit revocation.
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11) 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 problems that have been discovered. I further understand that this
investigation will be scheduled as time allows. Until resolution of an problems no occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which)Signature X 3,1S3.7S�t oOo q f C�
12) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X3al'), '1 %—q oC>c>% CE
13) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck allowed without drawings or a
building permit 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 31%1 1T4 U o o a.1 S2 _
14) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regulation, must be reviewed and approved by Mason County prior to construction.
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15) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
X 311] 1974 0O0 '4 1_ C
16) 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.
17) All property lines shall be clearly identified at the time of foundation inspection. X _Sala C>Qo c1 i Cz
18) 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 non-compliant with
Mason County ordinances and building regulations.
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BLD2002-01126 Please referto the following pages for conditions of this permit. 3 of 4
f 19) , 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 permit
holder have prevented action from being ken. No more than one extension may be granted.
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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 tinuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
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OWN ER OR AGENT: DATE: 9 If q'
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BLD2002-01126 Please referto the following pages for conditions of this permit. 4 of 4
i
o r CONCRETE MECHANICAL MANUFACTURED HOME*
0
^' Footings / etb 7cks Date By Ribbons
O
Date Q Q By L, Gas Piping Date By
N -
rn Foundation Walls Date B y Set-up
Date By INSULATION Date 01401403 Byl�
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date B y
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL IIXSPXCTION
Water Line Date By/3CS
Date By Date By
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ID
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SUPRIOA To
I ; RECEIVb ..
AUG 21 2002
,
I 426 W. CEDAR ST.
TOPOGRAPHY PROFILE ` $Wolff Swr/L N S CoAiJ A 0-
Direction: Scale: Approval: for office use
Building permit number: 14 = 30 Building:
Owner/Appliaonti _ prate of Planning:
application: Env. Health:
Parcel Number;
i
tiy4
1 2 02 - n 112(o
ES E NISS C u4--s
.1Y tjA ,FA �,cd 4,iE
-3 2-1277 sy occ cl/
COPY
gpROVED
R
f f�IASON BUILDING INSPECTO
Ct{ANGES SUBJECT I4 "7AL
--��
roved plans:
Documents attached toap�
LSite Plan pages
Plan review checkli Lateral Vertical
Engineering. Y es g
Num er of pad
THESE PLANS
E
ON T
FOR INSPECTION.
CHANGES
SUBMIT CHANGES FOR APPROVAL
PRIOR TO PERFORMING WORK
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MASON BI LDIN lSPECTOR ! � - {
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PLAN4b R V119tj
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RECEIVED
Cum AUG 1 2002
/ /� AJr,�/7��� , 426 W. CEDAR ST.�V s I
TOPOGRAPHY PROFILE: G CA>AA D.rt
Direction: Scale: Approval: for office use
Building Permit number: I" = 30 Building:
Owner/Applicant: Date of Planning:
application: Env. Health:
Parcel Number: a a-1- LI 00091
Washington Home Center, Inc.
Floor Plan Anniversary Edition 4563C - Curtis Zieseniss
4563C 3 Bed 2 Bath Approx 1493 Sq. Ft.
C) Morning
Kitchen Room a
q [Lbity
Bedroom
M. 10'x10'3"
Bath
0�
Master Bedroom Dining Room Living Room Bedroom
14'x12'10" 9'7"x12'10" 16'9"x13'6" 10'x10'3"
7 T:7.
40mil
M.
Bath
Study
10'x12'10"
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1 Brass Porch Light(Replaces White Porch Light)
2 Recessed Fluorescent Light
3 Lazy Susan W/2 Shelves-N/A Some Models
4 Bedroom Overhead Light(Each)
5 Sunburst Skylight,24"x24"
pecl lcati-ons subjeCllOchange.- (c)1996 SoftSell, Inc.-- - -AU9 2112002
Request To Revise An Approved Plan
Permit Number: BLD200� - D 11 a CJL&,—s(p Name1�5C.;1 I SS
Parcel Number 1 a / 5y / C00-9 � Phone Number ( ;Q)
Project Address 70 lt ailing Address K' �
S l L-)c IV wa ciSSB
Please provide a complete, detailed description of the proposed revisions to the approved plans: .
- 'Re- r1 a i^ cQ
i-i —f-ro f'/l i
Are the site building plans, approved by Mason County,
included with this application? 72S
❑ No
Are two sets of the revised plans or addendum indicating the changes included? ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? s ❑ N�7/
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes 9.140
If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to an engineered plan will be approved without the written consent of the engineer or architect of record.)
Does the proposed revision modify the footprint or location of the structure? 1(Yes ❑ No
If Yes, Is a revised site plan, drawn to scale, included with this request? Yves 0 No
Additional Information:
Applicant's signature 1it�- ! Date: /c "l 1`z12A
Received by:_ Date:
)ffice Use Only
Forward to departments indicated below: Approval/Date Original Valuation:
❑ Building lam-1_p Additional Valuation:
❑ PlanningSq Ft x
�� Sq Ft x
Environmental Health Total New Valuation:
Additional Fees:
❑ Public Works Additional Plan Review
Additional Conditions/Comm Additional Building Permitents: Additional Plumbing
Additional Mechanical
Other
Total Amount Due: $
PERMIT NO.: BLD O `)v 1`
MASON COUNTY 12(
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 206 464-6968
APPLICA T INFORMATION CONTRACTOR INFORMATION
Owner uR 1 L. rF r r Contractor Name SCi'1GrC�LG
Mailin Address 110 E, K 1L rV%,* j40L I( M Mailing Address
City 9 ItILLTUfJ State LJA- Zip Code 9161Z b4 City State ip Code
Phone( 3c,o Other Ph. 1 S 7 - 0 ) Ph.(al l^J - they Ph.
Lien/Title Holder Contractor Reg. # „ /
Address Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic X Connect to Sewer
System Name of Sewer System Well Water System ;>e, Name of
Water System L_A f bll�f,,j•_1(,
PARCEL INFORMATION-12 digit Ta I No. 3.a 1 a1 / / ' o Fire District;
Legal Description .L1 V—r l,tf`�f_/LI(, �
Site Address(Please inc(Ode street name,'street number and city) I ) - L A Ut D
Dir dons to site MA illA t( ULOIL 1 mti t
Will ti ber be rut and sold in parcel preparation? (Yes/No) `lS
Is your property within 200' of the following: Body of Water (Name) Ili L4 Saltwater
Lake River/Creek Pond Wetland Seasonal Ru off Stream Slopes or
Bluffs
PERMANENT RESIDENCE 8 SEASONAL RESIDENCE❑
TYPE OF JOB N,ew Add Alt Repair Other Use o uilding
Describe Work tE,���rt, UIQ Mgsl lc., . MOO N&,'i n^Lcl
No. of Bedrooms 'I of Bathrooms 1 SQUARE FOOTAGE-1st Floor 14h32nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
r
MOBILE HOME INFORMATION-Make t% tt;f Model I1S(D'N (, Model Year DLOo
Length S L� Width X(o Serial No. _ (oft►M No. of Bedrooms No. of Bathr
Type of Heat c.kA At& PurchasePriQQ $ N ti Replacement Unit?(Yes/N
Installer Name /Q LV/ t/ ITM60 AOLjf2tertification 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 1 r� trrr�pi�► ed as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aQ. f{�i r i ance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which thi it s issued an all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No=s4al be? without
approval— first obtaining approval. 426 ((J�/�
X � Date X w• Pa4R ST,
FOR OFFICIAL USE BEYOND THIS POINT
v1
Accepted by �_ t" A Date L// ,-Submittal Amount Due Receipt
d
DEPARTMENTAL VIEW APPROVED DENIED '' CONDITION CODES
Building De nt 1,
Occ GroupType Const1) _ ,2 N v I I 1 S N U ( S -' '�16
Planning Department
i
Environmental Health Department
Public Works Department j
I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee I CH rJ('� EH Review Fee
Plumbing&Base Fee Planning Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
TOTAL FEES