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BLD98-00955 Mobile Home, Deck - BLD Permit / Conditions - 10/12/1998
1� �r y.w •• .�_ + •a • 7� � � i v � \ / ' ,��,\ J �. �;. �� 'i �'•1 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD98-00955 OWNER: FUTURE HOMES RECEIVED: 9/25/1998 CONTRACTOR: TRIGGS CONSTRUCTION LICENSE: EXP: ISSUED: 10/12/1998 SITE ADDRESS: 270 NE SANTA MARIE LN BELFAIR EXPIRES: 4/10/1999 PARCEL NUMBER: 123315100902 LEGAL DESCRIPTION: BEARDS COVE DIV 8 45 (7) (DIV 7 REPLAT) PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME & DECK FROM SHELTON GO NORTH HWY 3 TO BELFAIR TAKE HWY 300 FOR 3 MILE TAKE LARSON LK RD FOR 1 MILE TURN ONTO SABER General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: ? Type of Use: MH Insp. Area: 1 No. of Bathrooms: 2 Occ. Group: ? Lot Size:O Deck: 0 Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: 0 Building:0 0 Valuation: Building Height: 0 Occ. Status: Basement:0 Manufactured Home Information Setback Information Shoreline& Planning Information Make:LIBERTY Length: 44 Ft. Front: E 10.0 Ft. Shoreline: 0.0 Ft. Water Body: SEPA?: No 17 Model:SYLVAN Width: 28 Ft. Rear: W .0 Ft. Slope: Ft. Shoreline Desi Side 1: N .0 Ft. g.. Year:99 Serial No.: Side 2: S 10.0 Ft. Comp. Plan Desig.: Plumbing Fixtures FEES Mechanical Fixtures Type Qty. Type i ype By Date Amount Receipt Final Expired Permit KKK 9/26/2005 $58.00 S22005 Building plan check" KW $175.00 1257 Mobile home fee.... KS $175.00 1275 Building State Fee KS $4.50 1275 Building plan check' KW $17.23 1275 EH Plan Review KS $50.00 1275 Building permit....' KS $26.50 1275 Total $506.23 BLD98-00955 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD98-00955 CONDITIONS FOR BLD98-00955 1) PURSUANT TO 1994 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED 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 REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST 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 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 charged and must be collected by this department prior to any further inspections being performed or approval granted. X 4) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I have received a copy of the General Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation. I hereby assume all responsibility for the scheduling of these required inspections. If these 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 1994 UBC, Table 3A 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. OWNER/CONTRACTOR(indicate which) Signature X 5) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck permitted without drawings or a building permit is 120 sq ft or less AND 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 6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 7) Proposed structure or portions thereof with an projection over 30" in height from grade line, must maintain a 5' separation distance between adjacent structures and that furthest projection. X 8) 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 BLD98-00955 Please referto the following pages for conditions of this permit. 2 of 3 9) Structure 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 10) 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 11) 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 12) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 13) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given some other equivalent type of protection against erosion. X 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 be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owneror the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. OWN ER OR AGENT: DATE: BLD98-00955 Please refer to the following pages for conditions of this permit. 3 of 3 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 L1 0 E L._. 0 1 N 0 P r. " m E "T'" FOR INSPECTIONS CALL 427-9670 BETWL EN 5pm AND Sam 42. 7•-7262 131.-1)98--09515 PARCEL_ s 1 233 1 5 1 00902 PLAT aBEPLO D I V % F, MIT ' JOR ADf)RESS : 270 WE SANTA MAR IF. UN RUL..FA IR OWNER : 1711TURF HOMES 360 -479-4663 14ULL VOID BY EXPIRATION CONTRACTOR c HOJ MGFIF'N CON *TRIJCT ION 275 I,_5337 � BY � I.FCAL. : BEARDS COVE DIV 1 45 (7) DATE �1 CI..A OF WORK . . :NI: W BFPR ; 3 HAJH c 2 j1YPF ANOtlR1 BY DATf RFCF.IPT TYPE AN011N1 BY DATE AFGFIPT T Y PF Of USE . L11i ''TOR TOIUS . . . . . 1 OCCUP . GROUP . . , :f 131 DG HE IGHT . : . O .Of*t PICK 1 i75,00 KW A912$198 1251 PRNT 1 26.50 KS 10112198 BflfAIR TYPE OF CONST , .. ,"1 F I AF PI._ACES . . . . ; 0 IIHOI 1 J IS. 00 Kfi 18112148 RFI FA IR OCCLIP , LOAD . . , ; 0 WOODSTOVE S , , s 0 ;1 Tf 4 4.50 KS .10112198 BI L I A,11 DWELL. .UN I TS . , . . _ 0 PARKING SPACES : 0 jhCk s 17.23 E11 19125198 12.5 INSPECTION 1ARFA : 1 SHORE LIME7 . . :N ifHCP 1 50.11 KS 1011219R R[IFAIR i1OTAL: 448,23 VAIULA1100: 614 ��...:ero:.u+mpu.r'm�-rnr7um!xlnrtn'Ys.xac'.:at^acnmrsw.r:_ .a�-ztr-nx;zTar�,:.rem>�-:;^x;va.�ct:xaw^stmm'x.m.:crms�soa.�w::.cnm;xa�m TO 11.ETS . . . . . . . . . . .. 0 FFUFL.. TYPES'__.—_. -._- ___._. BOILER S/COMP--__.._ MOBILE HOME--- FRONT . . .F 10 .0f'L SAT I1 BAS I NS . . . . . . : , 0 : 0- 3 lip . ; 0 REAR . , . .W 35 .Oft: BATH TUBS . .*. . . . : , a 0 3-15 HP . : 0 MODEL. =LIBERTY SIDE ( 1 ) .N 1*1 .0*rt ;HOWERS . . . > . . , . . . : 0 I(IRN 41 'TOOK BTI) : 0 15 -30 HP , - 0' --MAKE...,.- S I DF (2 ) .S 10 .Oft WATER HEATERS . . . . a 0 F"URN _—,--100K 8'ru : 0 :30-50 HP . r 0 SYLVAN SHRL IME .N O .Oft GVOTHES WASHERS , . t 0 FUHN _ F1 00R . . , : 0 504 FiP . . 0 --YFAFI- ARF:A _...........___ __. __.. ,. _ ..... KITCHEN ;SINKS . .. . . : 0 HEAT SUMP . . . . . . : 0 99 LOT SIZE . . F L.O()R D R A I N.:, , . . . . Y 0 VENT 0 E=VAP COOLERS : 0 L.ErNGTH :44 `RUII..DING . . . . cis f DRINKiNG FOONT . . . = 0 VENTtYSTFMS _ - : AN S . . . . . . . 0 HOODS . . . . . . . a 0 WIDTH . a 28 PASEMFNT . . . s 0 ,,f 1.,AUNDRY TRAY:-; . . . „ : 0 �� DOMES . 1 NC I N cO SER I AI.-C — DE<;KS . > . Osf DISHWASHERS . , . . . . : 0 AIR II lDL I NQ UNITS—— COMML. . I NC L N sO GAR/CARE' :? Osf GARB DISPOSALS .— .. 0 10000 t;fm . : 0 RELOC/14EPA1R : 0 AT/DT . :7 URINALS . . . . . . . . . . i 0 > 30 c."Im . : 0 OTHER UNITS . : 0 MISC 111M FIX"T"I1RFSn 0 G.AF� pill"LET:: . 6 0 'D.S [=3^.-'i:RCA:1r7'Y:I7;:ta'lrtS£lAr:b::iTws^F✓IM1'Y�4:.:C:A::x.FlxkiJ':�u5.^P.n;.TT9aTTF:."::C+Ct.Ls'.i+qE::f.'.a:+l.'x�r."xL1sx�:K'.-^:C'r:;.^.r:s.t&a*xAfCA'fL,G'YL".a.^'.(e w':.. A.u.;.:,,st.�xr�a. '�9('� .tt:!7'au6'x:Y:Pa"A`S:�n"a�xM.�':i.'_n:Sxt`L=:Yalk3SS.:..ita5.roIC^.^..'.Lr.."".'I�tt¢bSS4isY➢z1'.x'�r'xci z,.rain+:` A✓.sJiG51=�tPJefAe11E'.aiMM,n'^..t�'4"r ' PSOJECT 80CRIPTIONIVOBII.f NON[ 1 OFC1 N.. PROJECT LOCA110N:fRON 5NF1160 8O NOR1N 8WY 3 10 R[LFAIR FAKE 111Y 300 fOR 3NIII 'I&'K�-4�RS(tN I1 Rii FOR 1 Nltt TURN 0110 SA'RFR THIS PERNIT WOW 9011 APO VOID If WORE 01 CONSCRUCTIOlI d1sTHO8Ilf0 IS NO] CONNfRCf.D VITHIN 189 DAYS, OR 1F CONSTRUCTION OR NORC IS SUSPEWII FOR A PER100 Of 180 DAYS AT ANY TINE AfTkR WORK IS 0011IF11UP, EVIDENCE OF CONT1RVA11011 fit WORK IS A PROGRESS INSPFC11011 N11N111 THE 181 DAY PERIOD, FINAL 1N;1PFCTIOR NUS) 8F - APPROVE9 80 01E RIIILOIRO CAN Of OCCUPIER: OWNER t1R AOf411:. _. _- "" _ _ _�.-- . . _..... _ _ _...... BATE: 1;I.N fRNT, rev: 0:3131111 C0MPI I A,N('F F0 ATTACHFI) CONDITIONS 18 RFOIJ I RED CONCRETE MECHANICAL MOBILE HOME Footings-Setback �J date by Ribbons date / -Z/—f'g by e t_ Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 V' V- H M I -I- <—, (7>N U3 I I Cape No . t BLD98-0955 For : FUTIIRF HOMFS Pagel 1 1 ) PURSUANT TO 1q94 UNIFORM lit)II.DING CODE All SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PI. AINI.Y VISIBLE AND LEGIBLE FROM rHf.., STREET OR ROAD FRONTING THE PROPFRTY , MASON COUNTY BUILDING Of'PARTMENT REQUIRES 'fI,1A*I THIS BE COMPIrETED PRIOR TO CALLING' FOR ANY SITE INSPECTIONS . A REINSPFCTION FEE , BASED ON RATES IN I'ABLE 3A OF THE 1994 IINIFORM BIJI [ DING CODE WILt, BE ASSESSED IF OWNERICONTRACTOR FAiLS to POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS , X 2 ) THE FOUNDATION SYSTEM SHALL BE PLACE.0 ON UNDISTURBFD, NATIVE SOIL . X 3 ) The approved plot plan is r"quir-od to be on--Filo for Inspection purpo,,4es I f Inspection is, called for and plot plan Is not on site, Approval WILL NOT be granted , fit addition , a Re.- I rispeot I on fee i n 'the amount fit $42 00 per hour (m I n Imilm I hour ) will be charged and must he collected by this department prior to any further inspections being performed or, approval grnroted , X 4 ) REOU IRED I NSPEC f 10NS, ( foot I no I nEApect lon--pr i or to pour , Set-up Inspection- puiol. to skirting, Final Inspection-prior to occupancy ) . I have received a co V of the General Information and C4tiidefirie,.,,- Mot)ile/Maritifacttired Housing Installations riandout 'for- detailed descriptions of all required Inspections on my mobile/manufactured home installation . I her-obv astiume all responr- lbilitV for- the (;cheduling of these required I n Spec t I or)S If these required Inspections are not requested, inspected and signed oft (approved ) by the Inspector In the prescribed ot-der , I under— hand that reinspection fees and an hou#, IV Investiqation fee pursuant to the t91.94 UBC, Table 3A will be assessed in addition to my car igina I permit tees to cecolve any que8tionable pra(.',tloefJ or, problems that have been discovered . I further understand that this Investigation will e scheduled as time allows . Uritil ro,olutlori of ,any/ tall probloms no ocollpancy ( Final inspection) will be granted for the residence . OWNFA/CONTRACIOR ( indjoate which ) ;1.; Irjnattjre X CONCRETE MECHAN!^—AL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic dats by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 5 All mnbile/manufaotured home landings or decks must be treestand i no i se I f support I nil) I'l-to larqest landing or deck berm itte(j without drawings or- a building permit Is 120 s(I 'ft 01, less AND MUST be under, 30 in height from Surrounding qrade . NO second story decks , or decks above 30" can be but It without a permit . Any landing ol deck that I 's 30 car more In height from walking surface to finish grade require:; a Permit . Any landing or deck that has 4 or mare r 1 s or s r eq u I r e s a h,4 nd ra I I X 6) CONSIRlICT ION PROCESS TO BE F. IELV G0HRrG'I`Fr) AS REQU.'IRED PFR MAISION COUN'IY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE _Z�?` 7 ) Proposed structure or, ortions thereof with art pro feel lon ov"r 30" in height from qrsdo line, must maintain a I Sep 13 1 a distance between adjacent structures and that f u r t h e s t proje(-,,tion . X,__,_.. 0) Tho use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallonf,-, Is not allowed *Ithotit the approval of the Mason County Fire Mars h X 0) Structure mtjFt be setback S ' from tat I ui I I ity and drainage easemente� , a total of 10 ' f rom each ww perty I I no, or a vat, i ance must be obtained from the Building Department . X 10) Provisions for �.urface/ subsurtaue dr-alriape r:ontrof 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, olther Private ditches anti drains will meet requirements of the stormwater ordinance or pr #or approval will be granted to uqe an existing utility and drainage easement dedinatod for that specs If Ic) purpose . For further Information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PFVIMI'T' for the Infital fat ion/aonstrut:-t ion of a drivewav or acce,,,,s connecting from a Mason County Road, Contact the Mason County Publio Works Department ricer to nonstruction at Ext 450 . or any oonFJructlon which I ,,,. propot4ed to be looated within 2,1) ' or a Mal-son County road right of way, it is sugge9ted to contact that office to review future planned work which may X 11 Proposed st(-(1c,.tur-o or, ally por,t Ion t her,eor qreoter than 30" 1 I'l hoicjht from grade I One, � k x � _LU @ CLLU o B A a § 2 � © � © � OD■ � 2A2Ik � ko k 0 ■ 0 ■ kLap o r- IL = E @ � � $ g $ 2 G O a ® a 01 4 $ ■ 2 c 2 } k k 2 $ k ■ 2E 2 >01 . .0 � ® k _ 2 5 $ m 2 @ C � . _ m 0 # _ S'ƒ k ) d2211 kaJkjk / ) MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 MwJ maintain a minimum of 5 ' setback, from all property lines , eaF;ements and '10 ' from all Coun;t��t.'d State Road right of ways , X 12 ) This appli oat ion is subject to Butter and Landsoaping requirements as established under. Mason C,%w Ordinance 1 ,03 .036 . 113 > All t4pland areas dl �turhed or newly created by construction act i v I *t I es ,,ha I I tie c,eeded- , vegetated iven some other equivalent type of protection against erosion . w ter g * w 0 oai o m pi an d aai o aai n m � m � ma ; mmmm $ = RL z RL 0 N A x w Z w m w w N w m m m a m r m n m m m m (� � C a 0 v 0 0 z z w O w Z w m Rat � OC CD xm mC ( � mao m m m x m c a a a Building Permit # 9)- MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Z7 D �M- -& 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 0 WI Z. -T - T�Uutt- `t cz� FLUB 'Z:) k Imo. L o . x- ±-=2 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 ---J!�7 Make corrections, items will be checked on next inspection ❑ OK to BIZ - ❑ This is not a complete inspection Department Date I5 Inspector moos NOOT MOOV THI 'lqftk TmLO14i uilding Permit # /3c �' MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location -s This structure has been inspected by Mason County Building Department and the follow 1q VIOLATION of County Laws and Ordinances has been nd: -k�`� U�Ifems Listed below must be corrected to gain code compliance -~�- =c j/�"r- v�F`;-� %lam�- /1-�in� r,� �3 v•��a �r= ''aC =FCC Ci t • Tn 0'7� - Tit You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK XCall for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Bf ' Date f - Z Inspector moos NUT MnV THI TALOW Building Permit # �' i MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /i,, 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' '�xT.E n� 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 it T cxvn- i3/s d` cv��,C f) �t� a- ��'«"?'F�� _ii � �►f sib ❑ This ig not a complete inspection Department .� Date Ir_z�� � Inspector �- f,�� i✓ ■ *U NUT MOV TH114"Ih Tmkolm, 9/26/2005 Case Activity Listing 1:30:19PM Case #: BLD98-00955 Assigned Done Activity Description Date 1 Date 2 Date 3 lloid Disp To By Updated updated By BLDA010 Application received 9/22/1998 9/25/1998 None DONE KW 9/25/1998 KW BLDB135 Addressing 9/25/1998 9/25/1998 None DONE GMM 9/25/1998 GMM BLDB138 Planning Pre-Review 9/25/1998 9/25/1998 None DONE MMS 9/25/1998 MMS BLDBl l0 Structural Plan Review 9/25/1998 9/25/1998 None DONE KW 9/25/1998 KW BLDB 130 Planning Review 9/25/1998 10/7/1998 None DONE GBM 10/7/1998 GBM for Allan BLDA100 Approved For Issuance 10/7/1998 None DONE KS 10/8/1998 KS BLDB200 Environmental Health Review 9/25/1998 10/7/1998 None DONE CAJ 10/7/1998 CAJ BLDB210 Water Adequacy 10/7/1998 10/7/1998 None DONE CAJ 10/7/1998 CAJ BLDB134 RLC Review 10/7/1998 None NONE GBM 10/7/1998 GBM not inspected at this time BLDA0I I WARNING!! SEE PARCEL FLAG 10/9/1998 10/9/1998 None DONE KS 10/8/1998 KS PAID AS PER K HELSER. BLDA500 (F)Issue building permit 10/12/1998 None DONE KS 10/12/1998 KS Page 1 of 2 CascActivity..rpt Case Activity Listing 9/26/2005 1:30:19PM Case#: BLD98-00955 Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By 13LDC110 Footing inspection 10/21/1998 10/21/1998 10/21/1998 None PASS TFR 10/22/1998 KW 1.ALL REBAR TO HAVE 3"CLEARANCE TO GRADE ADJ ACCORDINGLY 2.POST ADDRESS 3.EXTEND BAR TO BE AT 1 12"FROM ENDS OF FORMS AND EITHER CALL FOR REINSPECT OR PROVIDE PHOTO MAINTAIN 30 BAR DIAMETER LAPS.4.PROVIDE DOCUMENTATION THAT THIS REBAR IS GRADE 40 STEEL MARKINGS ON STEEL DO NOT COMPLY W/ASTM STANDARDS.OK TO POUR AT OWN RISK AND PROVIDE PHOTO AND DOCUMENTATION OF STEEL AT NEXT INSPECTION OR CALL FOR REINSPECT. BLDC200 MH Setup inspection 10/30/1998 10/30/1998 10/30/1998 None FAIL TFR 11/2/1998 KW BLDC200 MH Setup inspection 11/13/1998 11/13/1998 11/13/1998 None COND DWH 11/17/1998 KW 1.PAGE 9 GENERAL NOTE#1 PROVIDE PERAMETER BLOCKING ON BOTH SIDES OF OPENING IE WINDOWS NEXT TO MAIN ENTRY AND BACK DOOR.2.T&P RELIEF TO BE GLUED AT FINAL(NO TAPE)OK TO SKIRT PHOTOS AND REBAR INFOR PROVIDED BLDA560 Permit Cancelled 10/3/2001 None DONE KW 10/19/2001 KLW BLDA510 Reprint Building Permit 9/26/2005 None DONE PIB 9/26/2005 PIB Page 2 of 2 CaseActivity..rpt CONCRETE MECHANICAL MANUFACTURED HOME 00 o Footings i Setbacks Date By Ribbons term Date By Gas Piping Date By Foundation Waits Date By 901-up Date By INSULATION Date By BG 1 Stab Insulation Floors FINAL I NSPECTION Date By Date By Date FRAMING Walls FIRE DEPARTMENT Dam By Date By Date By PLUMBING Attic OTHER Groundwork Date P r Date BY WALLBOARD NAILING Date By DAY Date B y Water L6» FINAL INSPECTION m Date a Date gy Date By m s Type of Insp. Pass/Fail Request Date Inspect. Date Done By Comments rD o cn v m W CD TI s co c a o m CD O o cr (A 9 m CD .r • PERMIT NO.: BLD '-5/S MASON COUNTY „/crZ170 BUILDING PERMIT APPLICATION �y qlon6 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 7ro".9.v Mailing Address i O Mailing Address City K/A Zip Code P,4jlz City •Do�T & fate ( 4 Zip Code �,Q,-- Phone(,1,6'o }y-79• t, GQOther Ph.( Ph.( ,L<o ) 7/. �,,7I70ther Ph.(_ Lien/Title Holder O...2,c 42'30t- e Contractor Reg. # 4- 57 Address Expiration i SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existin Se tic Con Sewer System Name of Sewer System Well Water System Name � Water System PARCEL INFORMATION-12 digit Tax Parcel No. / /�/ �'J[,LggO Z Fire District Legal Description / Site Address(Please include street name, street number and city) /tti4 Directions to site D of, 'C Will ti er be cut and sold in parcel reparation? (Yes/No) Is your pro erty within 200' of}he following:fiody of Water Na ) Saltwater Lake fiver/Creek /�4.PondR1/(rydetlandeasonal Runoff tream opes or Bluffs T T— r TYPE OF JOB New Add Alt Repair Othe Describe Work No. of Bedrooms_ No. of Bathrooms��S E FO0 GE- st Floo 2nd Floor 3rd Floor�Loft Basement Deck Ot er -S rr'T sq. ft. Garage Attached Detached rt MOBILE INFORMATION-Make /.fr4- Model Model Year 79 Length JJM Width Z,1Serial No. ,--v_ No. of Bedrooms� No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) /JCo Installer Name C ;-/ .c'78/9/c .f4,`,41e1r 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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT- rtify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Was n on and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in require s r gulating the r for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall done i conforman erewith. No channpq shall be made without approval. first btaining pproval. � Lae QJ //'�6? .--, CSate p� FOR QFFFICIAL USE BEY CAD THIS POI NV--------' Accepted by � Date "u fbmittal Amount Due 2,C_. Receipt No!j 7 DEPARTMENTAL.REVIEW APPROVED DENIIwD CONDIT12Y. COpES Building Department / O EA/F /o f{ v0 C4` d S a&� Ov Occ GroupType Constr. ppa /0 I l /0 l 500 Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ Cp CS ? FEES Building Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee -L— Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( a "" "'' TOTAL FEES Q t,,) PERMIT NO.: BLD t � / ASON COUNTY h lY BUILDING PERMIT APPLICATION , „ 9 a5 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 f,r' "` ; _ State ' Zip Code t.: City State '.. Zip Code Phone(. r ) - Other Ph.L___) Ph Other Lien/Title Holder Contractor Reg. # Address Expiration 1 / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic f Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name o. Water System " "ems QCi.+rG15 E i v 8 - PARCEL INFORMATION-12 digit Tax Parcel �re District l—, egal Description -Site Address(Please include street name, street number and cit Directions to site 61 P p71";�AL.,ail Will tifnber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water,(Nam ) Saltwater Lake -River/Creeks H Pond Wetland A/1ka.fieasonal Runoff H,&� Stream ;iN-elopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms_3 No. of Bathrooms _ SQUARE FOOTAGE-1st Floor 2nd Flo r 3rd Floor —y0c.*"" Loft Basement MqUNWOther sq. ft. Garage -Attached—Detached—Carport ... Attached Detacbed — Model Model Year Serial No. No. of Bedrooms No. of Bathrooms Purchase Price $ Replacement Unit ?(Yes/No) Ufa' �.l 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. -z Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL. REVIEW APPROVED. DENIED CONDITION CODES Building Department Occ Group Type Constr. /t` Planning Department l� Environmental Health Department 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 ViaLatioA-F-ee_ ' Pre-Paid at Submittal ( ) C E' rrn, :;::>:::::::::�::>s . ... . ..... ................... TOTAL FEE S L I , A3 7 FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION WE Case No. Name 7a/P� ,C�Of�!'�� S PARCEL NUMBER/2.3 3/ S`//'l�G'ate /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 property line. adjacent property line4 i S,p i Fadjacent property line J30' Yh�s I � I w� I I I 1 � I I I 1 i 7 3V I I I I I17 adjacent property line-) I ' adjacent property line SAMPLE SITE PLAN adja�nt property line- 3i0, _ _ _ Fadjacent property line D 30- rRL, .Z .SEASC wi Al_ �• ti � _�PTSL__,I J. CRF�K \ I fi Hom& i &a&ovJ �I40 1HOUSE I j PrioPmen Sept.a I I V/1GrvT I T C.ARAa.e I MaFaSCO I� T A&R=LLLruaAL. So' I 1 I I •eO I RR \\ I I \ I � I \I � I I � c._.aLL I I I I � /00• I I adjacent property lined i ". c \i Fadjacent 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 s+a"aa. -tn rur-f-& .►YL &Sta r,c-e. to Slopa too dis+an�m to t ignature Date