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BLD97-00921 Cancelled Mobile Home - BLD Permit / Conditions - 3/16/1998
MASON COUNTY -� Mason County Bldg. III 426 W. Cedar RO, Box 186 Shelton, Washington 98584 427-9670 BETWEEN F>pm AND Elam 427--7262 BLD97--95921 PARCEL :321275400100 PLAT tLA.PLO DIV : BLK s I-QT ; ,.TOE? ADDRES : €21 F. OLDL ,(,YMF.. RD SHFLTON OWNER t DENNIS W 6r' 206-486-6742. CONTRAu"TOR : MICHAFt. Df-PRIF8 2;i3-801 -. 1088 LEGAL : LAKE LINEAICK 5 TA I!f �-:r.:-.r_va=r-;:.sic...,,�.:a,_.,.Y.•-rz^^_.�xssc:•:;xr.�aa-sraa��¢:�i:-�cr-^-r:aa�z-:�_tx=a<rrs:.-c�_acx:.a r-. .:ac,r•^•ec�.r=.-=�n':� CLASS r)F WORK . :NEW 13EDR : 3 PATH : 2. TYPE A110U111 BY DATE RECEIPT ITYPE ANOUNI BY DATE RF11PT TYPEOF 1)CE :MH STOR1U . . . . .. 1 �masrrszz:cr•.: -, �,; � .: .a � ..:__,� .,..-.� ,: U�.,t:. �. �1: a OCCUP . GROUP . ? 131 DG . HE I GHT . . : 0 .0.F t #HOF t 05.00 KS 09111141 45459 TYPE OF CONS? r7 F I IIEPI. ACES . . . . : 0 STFE 1 4.50 KS 09117197 45459 OCCUP . [,()All . . . . : 0 WOOLISTOVES . . . . ; 0 EHCP 4 26.00 KS 89117191 45459 } DWF11 .UN ITS _ . . . : 0 PARKING SPACES : 0 11413PECT I ON ARFA : 4 SHOREL- I NF7 . . . . ^N TOIAi: 185.56 VAI UTAT IONt 531851 ,Sf OR-ACKS _ _._ __.. ___ .. _.___ TOIL-E"TS . . . . . . . . . . : 0 FUE I.- TYPES---- - _____ BOI LERSICOMP --- M#.)811..E HOME'-- FROPIT . . .F £10 .Oft BATH BASINS . . _ . . . . 0 0--3 tip . : 0 REAP . . , .W 65 ,Oft BATH TUBS . . . . . . . . ; 0 3--15 HP — 0 MODFI- :GUERDON SIDF ( 1 ) .N 10 , 01't SHOWERS . . . . . . . . r 0 TURN -, IOOK E3FI_► , 0 15-30 tip , : 41 --MAKE SIDE (2 ) .S 4E3 Oft WATER HEATERS . . 0 FURN >-1OOK B"fU : 0 30-50 HP . : 0 CELEBRAfiO SHRL_ I NF . N :0f t (3 OTHES WA.SHFHS , . t 0 f URN F I.00R . . . : 0 50-1 HP . : 0 - YE=AF,-- AREA -___.______._ ___._ KITCHEN SINKS t 0 HEAT PUMP . :— , - 0 97 I.OT SIZE . . F LOOR DRA INS . . . . . 0 VENT SY SI FMS . . . : 0 I-VAP COOL ERS . 0 1 t-NGTII 152 BIJ I LD I NG . . . : 1 400s f DRINKING FOUNT — : 0 VENT FANS+ . , . . . . 0 HOODS . . . . . . . s 0 W 1 faTH . :2F1 BASEMENT . . . : ost I.AI)NDRY TFIAYS . 0 DOMES , INCINtO --EFRtAI #_ - _ . DECKS . . . . . . . Oct D I SHWASHF-RS . . . . . . : 0 A I Ft HAND1. 1 NG UN I 'rS---- COMML . I NC E N :0 FACTO GAR/CAllPt? Asf GARB DIrPOSALS . . . 0 = 10000 rAm , : 0 RELOC/R{ PAIR : 0 AT/DT . :? URINALS . . . . . . . . . . . 0 > 10000 cfa . : 0 OTHER UNITS . : 0 MI SC PL.M F I XTURF S t 0 GAS OUTI-ETS t 0 g^x>,:cxa„-:.�,:rxc��.s:-zass;sav:__:�_:�-s".::.�c�ra :as-::a.•a.ssa-:+s:..��-s:axxadtv.:smc�«x!a,eec.:eat=�..r.�.:•...-•- :r.:-ro °RCJECT DESCAIPTI011:11081IE 11011E PAOJECT LOCATION.-HWY 3 TO LAKE LINER113 TURN ofF THAN IEFT, G1 TO 01U IYNf 00, TURN RIFH1 60 TOE 621 THIS PEANIT BECONES AUII AAO VOID !F NJRK 01 CONSTAOCTION AUT00917CO IS NOT COMMENCED WITHIN 180 DAYS, 09 If CONSTtUC' ION dR $OAK IS 11,15PkIDEO F49 A PERIOD Of IRO DAYS AT ANY TINE AFTER WORK IS CONMENfFC, FV10iNi:E Of _CONTINIIATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 180 DAY PERIOD. FINAL INSPE"TION MUST hi AF+IIOYEO 6ETORI BUIIDINfi CAN 6E OCCUPIED. 1414ER OR AGFN: _ . �. _.- DATE: 9LI PA11T, rev+ 41131191 COMPI_ I ANCF. TO ATTA/'HFD CONDITIONS IS AFOII I RED a_ 1 CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date %C% �v—`T 7 b / Foundation Walls date by Set Up date by INSULATION date 2— by +� BG/SLAB Insulation Floors Final Y date b date ' ? —�� by FRAMING date by Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date b date b y te WALLBOARD NAILING D.date by date by Water Line FINAL INSPECTION date by date by date by ��- l� -y OK 7-0 P6x-)I'f 2 Gorr e-e---f..` I lk,) 2 -y- "5v I . 'CCOJ<<,x e-f— 4 C, c C I i i J Page No. 1 CASE HISTORY FOR CASE NO.: BLD97-0921 • DENNIS WOOD E621 OLDE LYME RD SHELTON 12/05/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ ---- ----- --------------------------------------- ---- --- ------- -- BLDA010 Application received 08/01/97 / / 08/05/97 DONE KW 08/05/97 KW BLDA015 Waiver in File / / / / 08/05/97 DONE KW 08/05/97 KW BLDA100 Approved For Issuance / / / / 09/17/97 DONE KS 09/17/97 KS BLDA500 (F) Issue building permit / / / / 09/17/97 DONE KS 09/17/97 KS BLDB110 Structural Plan Review 08/13/97 / / 08/14/97 DONE TLG 08/14/97 TLG BLDB130 Planning Review 08/08/97 / / 08/13/97 DONE HRF O8/13/97 HRF BLDB134 RLC Review / / / / 08/13/97 No critical areas on site. Verified by DONE HRF 08/13/97 HRF site inspection. BLDB135 Addressing 08/05/97 / / 08/07/97 DONE TMJ 08/07/97 TJ BLDB138 Planning Pre-Review 08/07/97 / / 08/08/97 DONE MMS 08/08/97 MMS BLDB200 Environmental Health Review 08/05/97 / / 08/05/97 This is a non-shoreline new HOLD PSD 08/12/97 PSD construction. There are complete septic records and the system is less than 3 years old. The plot plans match, BUT according to the scaled drwing and the building plot plan , the res. will be placed on top of the drainfield. Need to change building plot plan andshow the res. closer to the rd.psd CUSTOMER MAILED INFORMATION. PUT IN PAM'S BOX 8/8/97 NJP 8/12/97 The residence is going to be 65' off the back property line, the drainfield is located between the residence and the property line. The property line changes are in the TIN BIN.Also, Michael Mac Sems was notified of the changes.psd BLDB200 Environmental Health Review 08/14/97 / / 08/18/97 per the new plot plan DONE CAJ 08/18/97 CAJ BLDB210 Water Adequacy 08/05/57 / / 08/05/97 Pending response from the DOH regarding DONE PSD 08/12/97 PSD the lk. Limerick water system.psd 8/12/97 The water system is adequate per DOH.psd BLDC110 Footing inspection 10/08/97 10/08/97 10/08/97 1. POST STREET ADDRESS FAIL TR 10/09/97 KW 2. WAC SAY 8" OF INSTALLTION INSTRUCTIONS SAY 6" OK 3. 3RD FOOTING RIGHT END DIG OUT TO FULL DEPTH 4. REBAR NEEED TO EXTEND TO BE 1 1/2" OFF ENDS OF FORMS S. PROVIDE INSTALLATION INSTRUCTIONS. BLDC110 Footing inspection 10/10/97 10/10/97 10/10/97 OK TO POUR PASS TR 10/13/97 KW no 31.1 CIS°'. dP— ilding Permit # Z/ MASON'COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location G 21 p&, 2 L V-,jz f Ape 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 T � i 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 to Department Date /© Inspectors? ,y ■ ou No *T rk MuV T 1 - , T' u- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 -Case No , z BI.Dg7 -092 1 for : DFNI41 S WOOD Page : 1 1 ) The use , handlIn(! and torfaA of hazardous mn'terlais or flammable and combustible IIquIds In exce:y y of 10 qaI ons is riot allowed without the approval of the Mason County Fire Marshal' . / 2 ) Propcged stru��ttire* or rinv port Ion thereof f4r-e+aiter than 30" In lie1(,lht from Uraide I Ine , must mainta a minimum of 5 ' setback from all property 11nes , easements and 10 ' from a l l y d Stag+ Road right of ways . �4 ) , Struci r tsFJ be setback F) ' rr oto a I I ut I 1 I tv and dra i nage easementf� , a total of 10 ' f r property 1 i ne, or a var i attc f.) must be obtained from the Building Department . X 4 ) This app i teat i on Is subject to Rutter and Laandsoap i nit cAq+.r 1 remcent;s as es:tabi I shed under Ma.3 o {�ty Ordinance 1 .03 .036 . `+ ) App t i n, iaar.k now l ed�es that this: development is subject to pv l i c: l es and roqu i ati i ont> of Ma:s�?" ,nty CompreF:ens i .se Plan and Deve 1 o:oment Pedu I at t l ons . x 6 P014SUANI 'tit 1994 UNIFORM BU !I D I NG CODE , SE C'Y 1 ON 305(C; ) AND SECTION 513 , AI. i SITES MUST HAVF APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION A�; TO BE PLAINLY VISIBLE AND LEGIBLE 1'-ROM i M!` STREET OR IIOAh FRONTING 'THE PROPERTY . MASON COUNTY B!1 I I D I NCi DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE. INSPECTIONS . A RE I NSPFCT 1 ON FEE , BASED ON RATES IN TA13L E 3A OF mE 1994 IIN I FORM BUILDING CODE Will. BE ASSESSFI) IF OWNER/CONTRACTOR FAILS 10 POST ADDRESS ON SITF PRIOR TO REQUESTING INSPECT N x MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 1n1U1inat iUrr r►ci ;uid" i Iile 's— M°►bI ie/lAti►luI au-I tit ed HousIriQ ins.tai tat i Ilandout fc+r detailed descr i pt Ions of all requ 1 re►d I n 7pect 1 ons on my i►role i 1 e/manufactured home Instal lation . i herebv assume all respon4ibi I ity for the schedul Intl of tt+:-se required I nspe"'t i cans . It these required I n-spect i ons are not roque ,ted, inspected a?,d s i gne►d off ( approved) t>v t hey i nspentor In the prescribed order . I under'si rand 'that re I rtE+ect i on feels and ..in hourly inve >tigation fee pursuant to tt?e 1991 UBC , Table 3A wi 1 I be assessed in addition to my original permit fees to resolve ally c;ue .':;tionablo practice" or r�robi erns that have been discovered . t further, underst:and that this Invest i gat l on w i I I tie t ortedu i end as t i me allows . Unt i I reso 1 ut I on of any I a I_ I prr�b I ent, r+o occupancy ( F i na I Inspeotiori ) w111 be granted for the residence . � t)WNt~:H/CONTFtAC"1OR ( Ind icHte which ) Sctr iit►t►irp X /' _.._.(1a ..___.-_._____._ 8 ) All mobile/manufactured nomes l and i n!ls or decks rust be freestanding ( self supporting ) . I�he-� i Hruest I and 1 nq or deck perm i tt e.d without drawings or n b i I d i net permit i s -16" x 36" . Any landing or deok that Is 30" or more in height from waiking surface to finish ggrade requ i res a qu€ar•dra I i . Any I and i ng or dock t hat has 4 or more r I tier-Irequ i re,; a andra i I . Any landing or deck larger than 36" x 36" must be permitted which requires structural drawings and a bui Idl rig permit appl icration . Th ► �; Int�tai lation Permit does NOT include any nding or deck larger than the 36" x 36" size . k 9 > Plac;earent of structure must comply with stiandards: set- _.^ f> r UNC "et . r'907 regarding descending and/or a::+cend i ng slopes . X__� Permit No. MASON COUNTY BUILDING PERMIT APPLICATION C, 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 (Calling From: Seattle 464-16968, Belfair 275-4467, Elma 482-5269) p PLEASE PRINT �J #1 Owner Z2Ayricl Phone# 15;-eW 4�; 7 V.Z- Site Address !!5, tOZ/ Fire District# City St�Zip Directions to Job Site Li vlZi'V 67d re 4140 �d 7a Owner Mailing Address 0. f ,!5 . City St_ Zip /Y Lien/Title Holder Address City St Zip #2 Contractor Name D.- Contractor Reg#Alell dmo�Z/&- Address Expiration Date o�2y f `1 City/3Glc�dP 6, _St_Z,d� Zip 2 Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply_i"'� Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) A #4 Parcel No. 1 - _- V— Z , � escription Jl>d d ` #5 Building Square Footage: 1 st FI 1> 2nd FI 3rd FI Loft Basement #Bedrooms 3 #bathrooms Deck Other Garage Carport (Circle:Attached or Detached?) #6 Use f building _ n� r-- � Describe work / o e '4,e- o►y✓ 2-e 7' , #7 Type of Job: New_z_Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Mak odel e" Length Width 74 Seriai o. #Bedrooms .3 # Bathrooms_ '2 Type of Heat ��P� „ Arc,& Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other I Show following on the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Drainage Plan Wells Septic Systems Easements Proposed Improvements Indicate Directional by (N, S, E, W) Name of Side Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW � E v a \ VJ i 1'7D �0 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumb.ng Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each) No. Toilets CIRCLE FUEL TYPE: Gas, olectri , _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees Showers L Furn / -7' BTU LHot Water Htr _ Heatpumps i Laundry Washer _ Vent Systems a Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins _ HP _Dishwasher No. Air Handling Units _Disposal _ cfm# _Urinals No. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMENT. C - X OWNER X BY DATE DATE (Z ZI /!f7 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY . Approved Cond. Hold Approval Planning: e CI o�r 624 Environmental Health: Building PI Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Violation Fee Site Inspection Building State Fee Other U, H L TN , Other Other [EB:uiI:dingCValuation: TOTAL FEE