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Home My WebLink AboutBLD2001-01075 MFG Home - BLD Permit / Conditions - 2/7/2003 Request To ,Revise kPf o ed bran 4'1S Permit Number: BLD200—L-Un-} Name DRUG N l ls5e- Parcel Number I 5 f / fl O p Phone Number ( ) 3--/ Project Address L o Mailing Address �{, 5 /yfS pL 5E �t Lau tre, Gc.Jia3 9 goo� Please provide a complete, detailed description of the proposed revisions to the approved plans: anae- kory\---�orn l99 S plsc A&r rL V.C- %q{S3F 'ALA' 9 , i, v 1 Are the site building plans, approved by Mason County, included with this application? Yes 0 No Are two sets of the revised plans or addendum indicating the changes included? es ❑No Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes No If Yes, Has the engineer or architect approved this revision? ❑ Yes No Is a stamped and signed approval included with this request? ❑ Yes Y.N 0 (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? Yes ❑ No If Yes, Is a revised site plan, drawn to scale, included with this request? 5ZYes ❑ No Additional Information: Applicant's signature Date: 1a� 31�02 Received by: Date: Forward to departments indicated below: Approval/Date Original Valuation: uildmg 12IN Additional Valuation: Sq Ft x Planning j` I •�O Sq Ft x Environmental Health Total New Valuation: Additional Fees: F. Public Works Additional Plan Review Additional Conditions/Cotmnents: Additional Building Permit Additional Plumbing Additional Mechanical Other Total Amount Due: $ Inspection Line(36 0)4 27-726 2 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 �� RESIDENTIAL BUILDING PERMIT BLD2001-01075 OWNER: DAVID NILLSEN RECEIVED: 10/15/2001 CONTRACTOR: LICENSE: EXP: ISSUED: 2/7/2003 SITE ADDRESS: 950 NE LARSON LAKE RD BELFAIR EXPIRES: 1/22/2004 PARCEL NUMBER: 123315100900 LEGAL DESCRIPTION: BEARDS COVE DIV 8 42 (DIV 7 REPLAT) PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME N SHORE TO SAND HILL RD TO LARSON BLVD TO L ON LARSON LAKE RD TO 2ND LOT ON LEFT JOLLY ROGERS LANE LOT 42, TIMBER WILL BE CUT BUT NOTHING WILL BE SOLD General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 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: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make:FLEETWOC Length: 44 Ft. Front: N 25.0 Ft. Shoreline: Ft. Water Body: SEPAy: No Model:COUN E 36 Side 1: .0 Ft. g"TRY I Width: 28 Ft. Rear: .0 Ft. Slope: Ft. Shoreline Desi PP Not Applicable Year:1995 Serial No.: orfl54820745 Side 2: W 15.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee KLW 10/15/200 $175.00 57612 Building State Fee MEC 10/15/200 $4.50 57973 Mobile Home Issuance Fee MEC 10/15/200 $175.00 57973 Planning Site Inspection SAL 10/31/200 $70.00 57973 EH Plan Review PSD 11/6/2001 $50.00 57973 Canceled Permit/Plan Check NJP 12/23/200 $194.50 61544 Total $669.00 BLD2001-01075 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD20 0 1-01 0 75 f ` CONDITIONS FOR BLD2001-01075 1) 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 address on site prior to requesting inspections. X 2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 3) 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 the Building Department prior to any further inspections being performed or approvals granted. X 4) 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 any/all problems no occupancy (Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which) Signature X 5) Applicant has indicated this is a replacement unit. Prior to Mason County allowing any occupnacy of the new proposed unit, the existing unit which is on-site and is being replaced MUST be removed from the parcel. X 6) 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 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 BLD2001-01075 Please referto 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 non-compliant with l Mason County ordinances and building regulations. X 10) 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 taken. No more than one extension may be granted. X 11) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 12) 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 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 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 14) 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 and State Road right of ways. X 15) Any portion of any structure over 30" in height from surrounding adjacent grade must be setback 5' from all utility and drainage easements, a total of 10' from each property line, or a variance must be obtained from the Building Department. X 16) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Charell Holcomb, at (206)427-9670, ext. 450. X 17) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 18) Approved per dimensions and setbacks on submitted site plan. X 19) Applicant acknowledges that this development is subject to policies and regulations of Mason County Comprehensive Plan and Development Regulations.X 20) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire. BLD2001-01075 Please refer to the following pages for conditions of this permit. 3 of 4 21) There is a utility easement which runs along the property lines. The drainfield must be five feet from the easement line. Therefore the drainfield must be 10 feet from the property line. This must be shown on the as-built drawing. Also, there is a drainage ditch downgradient from the drainfield whci requires a 30 foot setback. The plot plan needs to be re-drawn to show the setback is maintained. X This permit becomes null and void if work orconstruction 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 be approved before building can be occupied. OWNER OR AGENT DATE BLD2001-01075 Please refer to the following pages for conditions of this permit 4 of 4 CONCRETE MECHANICAL MANUFACTURED HOME Footings /Setbacks Date By Ribbons Date By Gas Piping Date / p By <Cc Foundation Walls Date B y Set-up Date By INSULATION Date li9 3 By B G I Slab Insulation Floors Final Date By Date B y Date �rjZ 0 3 B y �L 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 INSPECTION Water Line Date B y Date By Date By CD Zip j u3 as-> S > -Z 2. 7-2-/-cam C /5 1C SAS' W-1Lv 3 ri,y, l AssCD CD N O 8 a o' _ 0 5 v m J 0 -h M MOBILE HOME MECHANICAL Rbbona Fps.Petbacic date � e Gas Set up at,on Wags date by by date by dateINSULATION Fkial g5;.FLAB Insulation Mom date by date by date FIRE DEPT. FRAMINC3 Walls date by date by date by OTHER PLUMBING Attic GrmrKtMxk date by date WALLBOARD NAILING D.W.V. date by date by 19NAL INSPE ON Water Linob y date `'/� S date ��!� by L O K date by t z v c7i�2--L C Q 1 C -- � 1 �i � �� y �� -�" , � _ �� .� r / \ r �n 9 0 .� v u �, Discovery RE : 4483F --48'-0" - - sREeHaxD- oPl - OPT -- r - UTIL SINK_TS APCCR D-�«- OPi WHS�DRYER W SINK �O NooK LITILITY BATH BEDROOM#2 $� DINING ROOM -KITCHEN 8'-11"x13'-o" BATH - N �ti r v a HALL $ -------- -- N i MASTER BEDROOM LIVING ROOM 13'-2".13'-4" 19'-8"x13'-4" BEDROOM#3 i ENTia DISCOVERY R.E. 4483F 3 BEDROOMS, 2 BATHS, UTILITY 27'-4"x48'—O" APPROX. 1312 SO. FT. ALL ROOM DIMENSIONS ARE APPROXIMATE AND SUBJECT TO CHANGE 03/07/2002 2/7/2003 Conditions Associated With 4:41:11PM T 1 DI M A R K Case#: BLD2001-01075 COMPUTER SYSTEMS, INC. Permit' Condition Status Updated item# Code Title Status Changed By Tag Date By'r 10) 5610 PERMIT EXPIRATION NOT MET 10/15/2001 MEC 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 actin om being n. No more than one extension may be granted. X �/J, 64 11) 46 Buffer+Landscaping Requirements NOT MET 10/17/2001 KMR This application is subject to Buffer Landscaping requirements as established under Mason County Ordinance 1.03.036.X 12) 4999 Flammable+Combustible TAquids NOT MET 10/17/2001 KMR The use,handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons ' n allowl without the approval of the Mason County Fire Marshal. X 13) 5019 MCPW Ilevelopment Requirements NOT MET 10/17/2001 KMR 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 reviewAtt r placu�eyl work which may affect your project. X '/ . 14) 5025 Sideyard Setback NOT MET 10/17/2001 KMR Proposed structure or any portion thereof greater than 30" in height from grade line,must maintain a minimum of epb ck fr all property lines,easements and 10'from all County and State Road right of ways. 15) Multiple Setbacks NOT MET 10/17/2001 KMR Any portion of any structure over 30"in height from surrounding adjacent grade must be setback 5'from all utility and drainage easem tr' from each property line,or a variance must be obtained from the Building Department.X 16) 1 U County Road Access Permit NOT MET 10/17/2001 KMR A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more orni ti ntact Charell Holcomb,at(206)427-9670,ext.450. X �, 17) 60 Erosion Protection NOT MET 10/31/2001 SAL All upland areas disturbed or newly created by construction activities sha e ede(pvegetated or given an equivalent type of erosion protection(silt fencing or straw matting).X 18) 200 Site Plan NOT MET 10/31/2001 SAL Approved per dimensions and setbacks on submitted site plan.xC;;J 19) 250 Comprehensive Plan NOT MET 10/31/2001 SAL Applicant acknowledges that this development is subject o ' ies a regulations of Mason County Comprehensive Plan and Development Regulation s.X 20) 265 Clean Air Act NOT MST 10/31/2001 SAL The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire. 12�2�� Page 2 of 3 CaseConditions..Tpt 211P 3 Conditions Associated With 4:41:11PM T I D t M A R K Case#: BILD2001-01075 COMPUTER SYSTEMS. INC. Permit oa rt on Status Updated item# Code Title Statas Changed By Tag Date By, 21) 1000 SEPTIC SYSTEM REVISION NOT MET 11/6/2001 PSD There is a utility easement which runs along the property lines.The drainfield must be five feet from the easement line.Therefore the drainfield must be 10 feet from the property line.This must be shown on the as-built drawing. Also,there is a drainage ditch downgradient from the drainfield whci requires a 30 foot setback.The plot plan need b re-dr to show the setback is maintained. X Page 3 of 3 CaseConditions..rpt CHANGES REVISED SUBMIT PRMOR TOANGES FOR PERFORMING WORK` MASON N BUILDING IN8PK= --QATE �Z- �/pZ� ES SUBACT TO A'119ft Fences Existing Structures Qriveways Structure Setbacks Pthorelines 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 ro ertles If on shoreline or within 100 feet of adjacent property line. adjacent property lined Fadjacent propert e AR D CHANGE$ 1 ING INSPECTORSUBMIT CHANGES FOR APPROVAL JECT TO APPRO ALPRIOR TO PERFORMING V ORK DATE%6 I I I Z56 �ot..G ?4SI �a��-"�, I I I / � I I 1Zo i \ I MUST MEET ALL BURES RED I pSfiIINGTON STATE I ----..,., s- Io�c3b �c� ��TH�SE NS MUST BE ____�__ ✓ �p THE JOB SITE adjacent 0ro ert lined I 9 SAMPLE SITE PLAN adjant property line- _ Fadjacent property line D so' rx rz„e (f- I SEJLSG,J AL.. I' ". HOM Q I .GnsliU Cr2t:eK I \ rA I r+owa I I F � Pr{OPOSGD sQptte. � --�I I. 1 I I I � VACANiT I T. C.AMACa I I 3 � I� P0.oPaaCD A&it=u.LTuAAL So I \ K-40—� � \� Yp I /• I I 1 I /oo' I I � weLL I 1 I I 7h-----/00' LA--&- e E-adjacent nrn ert'line adjacent property line-> i TOPOGRAPHY PROFILE(Show a side view of property. Show slopes,"buts and fill$: If possible'Include height and the degree of slopes. See sample topography profile.) ,Z r SAMPLE TOPOGRAPHY PROFILE rrtG1'La.rL dcatarc tc Slops tr c¢ R s to t. v Date gnature -- — L—— MASON COUNTY PROJECT SITE INFORMATION Case No. Name T --'er. PARCEL NUMBER ' `' '< < OoGoG Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topographv Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent ro erties if on shoreline or within 100 feet of adjacent property line. adjacent property line- , Fadjacent property line T , APPROVED CHANGE$ 2 MASON BUILDING INSPECTOR SUBMIT CHANGES FOR APPROVAL' CH SUBJECT TO APPRO AL PRIOR TO PERFORMING v ORK �DATE� � ' / - I 40 I I I I s 5 1 2 4t ►-��r..t z 5s �.cF ) I i I i _ I 144 ' I I I \ I Iq' MUD MEET ALL CURRENT WAS�iINCTON STATE CODES I � � 01 I 1OX THIM PLANS MUST BE ram,r--�- �Q---� ON THE JOB SITE adjacent property line--) I q ,` SAMPLE SITE PLAN adja nt property lined _ f-adjacent property line p 77RR 30_ Fgi4C tV-6 3�1 lE�T7L C2EEK � I r* t F\\ I > PRo Po]GD S2P+'.C. �I I t*-- Pit I R VAC.ArvT c__nrtAC—E 30 so' / I� VaoPa�CO .wRtcLLLr4.nAL i I 1 1 1 \ I I I x /OD' ---� I i R i A I adjacent property lined �ad'acent 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 dl St�nG� to Sk ru.ctL�Y'� Z j �� &5t'a V%C.e. t o -. 9!5 Slopes fia¢ _t to dL U, Signature Date ' i PERMIT NO.: BLD �lbq MASON COUNTY BUILDING PERMIT APPLICATION Pilo 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 INFQRMATIOU n Owner Contractor Name ` ! e Mailing Address Mailing Address City �a�t,pcj6 State Zip Cod(q --d City State Zip Code Phone(2 S7 z z-1 i I Other Ph.(-a,,�p )cKI -u4 5` 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 cc) C I { 't! c PARCEL INFORMATION-12 digit Tax Parcel No. i c. 331 / ,, j / oog0 c Fire District Legal Description Site Address(Please include street name, street number and city) IciO JUI(\j f", Lr,e_ Directions to site ! Kam.{ Ael)Ar/. d" L."', /e 2- 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 PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor i w 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make ►t ee4 .�1�.�� Model Model Year Length Width 74re� ' Serial No. o f Bedrooms_ No. of Bathrooms Type of Heat teC,t,r Purchase Price $ Z.tp,rxpn`_` Replacement Unit ?(Yes/No) Installer Name : _ Certification No.i, jf-1?AVS u31`7 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 obtaining approval. X �,, ��-Ic ,L Date X Date FOR OFFICIAL USE BEYOND THIS POINT e is Dat !! \l ff � � Accepted by 1y U Ubmittal Amount Due 7 Receipt No. D�RARTM NTAI» Rt»V1 N APPROVED DENIED CONDIT10N CODES Building Department Occ Group Type Constr. A0 Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee 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