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BLD2000-00832 Final MFG Home - BLD Permit / Conditions - 2/5/2001
Inspection Line (360)427-7262 MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2000-00832 OWNER: BILL DOUGHERTY CONTRACTOR: RECEIVED: 07/06/2000 SITE ADDRESS: 122 E BRAMBLE LN SHELTON ISSUED: 08/02/2000 PARCEL NUMBER: 321323200010 EXPIRES: 02/02/2001 LEGAL DESCRIPTION: TR 1 OF SW PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME HWY 101 NORTH TURN RIGHT ON BROCKDALE RIDGE 1.4 MILES AND TURN RIGHT AT STOP SIGN AND CONTINUE ON BROCKDALE RD 1.5 MILES TURN ELFT ON JENSEN RD, GO .3 MILES AT TURN RIGHT ON General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building: Valuation: $46,125 1 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make SKYLINE Length: 48 Ft. Front: N 516.0 Ft. Shoreline: Ft. Water Body: Rear: S 61.0 Ft. Slope: Ft. SEPA?: Model: Width: 27 Ft. Side 1: E 61.0 Ft. Shoreline Desig.: Year:2000 Serial No.: I 'Side 2: W 237.0 Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal KLW 07/06/200 $175.00 53906 hNding State Fee TLG 07/13/200 $4.50 54159 Mobile Home Issuance TLG 07/13/200 $175.00 54159 A@9ress Fee GMM 07/17/200 $15.00 54159 EH Plan Review CEW 08/02/200 $50.00 54159 Planning Review Fee NJP 08/02/200 $38.00 54159 Total $457.50 BLD2000-00832 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2000-00832 • CONDITIONS FOR BLD2000-00832 This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 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 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 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 PURSUANT TO 1997 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 AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS, X THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 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 BLD2000-00832 Please refer to the following pages for conditions of this permit. 2 of 3 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 • nspector 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. OWNER/CONTRACTOR(indicate which) Signature X 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 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. All property lines shall be clearly identified at the time of foundation inspection. X Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 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 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. Ev ence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before ilding occupied. OWNER OR AGENT: DATE: BLD2000-00832 Please refer to the following pages for conditions of this permit. 3 of 3 l CONCRETE MECHANICAL 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 FRAMING by date by date by Walls FIRE DEPT. date PLUMBING by date by date by Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by Zf�l /V// I LU fi J 6mmlove. G( existing home 1 o we I i d ' north d i ; 7,• 61 l"=70 ' D.ropos e d mother i r,1 aw home ! ' • ' %�I 6 'x40 ' bed th ' reserve area 3 Z S ' Washington Home Center, Inc. Floor Plan Greenbriar 6301CT-Lot 3 Displays 63©ICT 2&r48 - 1296 sq�l o -1 as a Opt.Utility Opt.Corner Tub up(,- Opt. a __+Opt. Linen Utility 'Opt. Pantry ----- Bedroom 2 Opt. 00 Grdn Tub Opt Kitchen/Dining Grdn 19'-4" Tub L — --- Master Living Room Bedroom 19'-4" 10'-0" 13'-4" i i i Opt. Recessed Entry 1 Single Lever Stall Shower Diverter-Chrome 8 48"Fluorescent Light-Recessed,Extra(Each) 2 Single Lever Tub/Shower Diverter-Chrome 9 Kitchen Pantry W/6 Cab Doors#PT-460 3 Donner W/Columns ML-2115 CB-Tricolor(NA 6404/& 10 Porcelain Sink W/Pop-Up Drain&Overflow 4 Ceiling Lights-Bedrooms,Std Locations(Each) 11 Tape&Texture-Per Room(Wardrobes Not Included) 5 10"Solar Tube Cylinder Skylight 12 47"Archway To Den 6 Plumb&Wire Only For Dishwasher W/Door 13 Move Mst Br Wall 16"Into Lr&Add Closet 7 48"Fluorescent Light-Recessed,Replaces Std Lt Specifications subject to change. (c)1996 softsell,Inc. Jun/23/2000 1714536 Page: 1 of 1 07/13/2000 04:11P PERMIT CENTER CERT 8.00 Mason Co, WA Return To.. P Ayw—�--�1 C,'j? T1F1C4I'E, OFRr:Slnr:NHAL USE: L1MI TA-HON ON 1V UMBER OF BE,UR 00111S I(We)the undersigned, rere n iry pinta this notice o rccct that tho ollownng described real estate situated in Mason County,State of Waslthtg ton' to Wit' nhbrcvlatcd Icrnl Jcsmiplion) and having the Tax Parcel Nurnber of: -32-)lS-2- is subject to the following understandings and conditions: 1, The use of the residence on this parcel will be rcstrictcd to no more tlt.an—z�L bedrooms. 2. The on-sits sewaga system to designed for anti the building permit for the residence was issued on th basis of no more than M bedrooms,and a maximum residential occupancy of not more than persons. 3. The use of the other rooms in the residence as bedrooms,in excess of the number idcntificd herein, could result in hydraulic overload and premature failuie of the on-site sewage system,and could result in Mason Comity taking steps to cause vacation of the prrmises. 4, to the event of any fbture residential remodeling„expansion,or replacement that results in additional bedrooms to the number specified herein,the property owner will obtain the appropriate permits for expansion of the on-silt sewage system. Wl'I MESS hand this day of Siga � ou e NOTARY PUBLIC r Ad State of Washington KRISTIN A. KIRKENDOLL Signature ComrNssion Expkn septemwr 27 2000 State of Washington ) County of Mnsnn ) 1,the mt igncd,a Notary Public in and for the above named(;oun►y an St�to,do hereby certify that on this day of —19'�2o personally appeared bcfrn c mr VV G OLiCc n I CU1 Y1 �otti'�k_✓_f_ tome known a the individual described in antd who executed the within instntmcnt,and Acknowledge that h she)(they) signed and sealed lie same as free and voluntaty act and deed,for tine uses slid purposes her 'n ment oned. GIVEN undtr my hand and officint seal the day Tad y err latt.n o1sl'n �a- NotRry Public in and for the St f of W chin ton,residingat My Cuinmi►yiun Expiry: r i Q PERMIT NO.: BLD V MASON COUNTY BUILDING PERMIT APPLICATION -716 426 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 APPLIC T-INF RMATION CONTRACTOR INFORMyy��TIO`N Owner IS'1�� o �" arl�,nxe � �Q( Contractor Name 1"�f/Y/,t.C44A Mailin Ad r ss o YatM C— Mailing Address City �Y,e� t to W Zip Code City State Zip Code Phone( o ) %3SOther Ph.( Ph.(_ Other Ph.( ) Lien/Title Holder Contractor Reg. # Address -- Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System Well_ Water System Name of Water System PARCEL INFORM,A,rTff1 di it Tax Parcel Z. / Z / ©QO�(a Fire District Legal Description � W y. Site Address(Ple a incILgstre t ame, street nu er an city) O Directions tqq site lot IVoffi� 4 � ah v and % rv� C- �1 w t- cot�RkNU o N r rkt tAr'�1 0 f II timber be cut and sold in parcel preparation? (Yes/No)w a, W II d J. sl to iv1 oN , Is your property within 200' of the following: Body of Water (N t /U Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or j Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE 0 TYPE OF JOB New 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 j MOBIL E INFOR A ION-Make kV1� Model Model Year �OQ Length �� Wi�1 the Serial No. No. of Bedrooms '' No. of BathroT S�7 _ Type of Heat �7f►C- Pt rc ase,P�ice $ Repla em t Unit ?(Yes/No) Installer Nam *le. VIVA Certification No. L Q 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: I 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. I X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date 5'C �Submittal Amount Due r Receipt N . I DEPARTMENTAL,REVIEW ROVED . DENIED:' CID;NDIT�4N COa Building Department _ _ __....._. j Occ Group Type Constr. 0 I Planning DepartmentOF— Viol-CC Environmental Health Department Public Works Department I Fire Marshal I 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 ( ) TOTAL FEES :............ ::.. FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. f Name 1�It> �� PARCEL NUMBER3 00Z.l3Z—K- 0IO Date 1 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 line-) I I Fadjacent property line I t t t I I � t � I I I t � I I � I I I I I I � I I � I t I t I 1 I t t i t t � I I I I � t � t I � I t I � adjacent property lined ' ' Fadjacent property line SAMPLE SITE PLAN adjacent property lined Fadjacent property line �I I a 30• rR�sdRvE 3�1 sEA�N�� t a ,L CREEK I c I MOM tr j G4etiu y I A I HOuaQ t > � PRO PastD sapt:c t 1 , I 1+— 60 I R\ I VAGniT 'F c.nRAc.� \ o. I ,?. a / A&R=LLLhaRAL SO I 1 , I , /00" I I t I L--eLL t I � t adjacent property lined ; �c A \; Fadjacent propert�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 ,(V,rv1 dtStancm to 1�� rutl'tiY� dt�'t'ar.LG to 51opa fic¢ AA-A �2-Z-C) t-) I Signature ate