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HomeMy WebLinkAboutBLD99-00734 Cancelled Mobile Home - BLD Permit / Conditions - 12/22/1999 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 13 U I L_ U 1 N a P F_ R M 1 T FOR INSPECTIONS CALL_ 427-9670 BETWEEN 5pm AND Sam 427-7262 BL_D99-0734 PARCEL :321343190043 PLAT : DIV :? BLK :? to-r :? JOB ADDRESS : 1164 E MASON LAKE RD SHELTON OWNER : DEAN ANTRIM 360-943-8143 CONTRACTOR : BEN POTTER LEGAL : 11 4-C Of SURV. 6131 CLASS OF WORK . . :NEW BEDR : 3 BATH : ?_ TYPE AMOUNT BY BATE RECEIPT TYPE AMOUNT BY DACE ofCEIPT TYPE OF USE . . . . :MH STORIES . . . . . . . : 1 _ OCCUP . GROUP . . . :? BLDG . HEIGHT . . : 0 .Oft NNSF 1 115.01 KI #0112/99 51195 TYPE OF CONST . . :? FIREPLACES . . . . : 0 MHBL 1 115.19 KS 48130199 51412 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 STFE 1 4.50 KS 08116199 51412 DWELL .UNITS . . . . . 0 PARKING SPACES : 0 EHC► 1 51.00 KS #8136199 51412 INSPECTION AREA : 2 SHORELINE? . . . . :N PLRS S 36.18 KS 08/3/199 51412 IOTAI: 442.50 VALUTATION: 55898 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES- _--- - - _ - BOILERS/COMP- -_. . MOBILE HOME -- FRONT . . .W 70 .Oft UATH BASINS . . . . . . : 0 : 0--3 HP . : 0 REAR . . . .E 191 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :GOLDENWEST SIDE ( 1 ) .N 34 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 -MAY.E•------_. riSIDE (2 ) .S 70 .Oft WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30-50 HP . : 0 SHRLINE .N 0 .0ft CLOTHES WASHERS . . : 0 FURN - FLOOR . . . : 0 50+ HP . : 0 -YEAR---- - AREA --- --- --- ----- -- KITCHEN SINKS — . : 0 HEAT PUMP . . . . . . : 0 99 ` LOT SIZE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : O LENGTH :52 BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT 1=ANS . . . . . . : 0 HOODS . . . . . . . : A WIDTH . :27 BASEMENT . . . : Osf LAUNDRY TRAYS , . . . t 0 DOMES . I NC I N :0 -SER I AL 4r---.-- DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS- - COMML . INCIN :O GAR/CARP :? Osf GiAR6 DISPOSALS . . . . 0 <= 10000 cfm . : 0 RELOC/REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . 0 > 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT GESCRIPTION,NOBH E NONE PROJECT LOCATION:MASON LAKE NEXT NIKEISON I BLK NORTH DOWN EASENENT ROAD. ; THIS PERMIT BECOMES NULL AND V0ID If WORK OR CONSTRUCTION AUTNO1IZED1,JS NOT CONNEWCED WITHIN 161 DAYS, OR if CONSTRUCTION OR 100K IS SUSPENDED FOR A PERI00 Of 100 DAYS AT ANY TINE AFTER WORK IS CONNENCEO. EVIDENCE OF CONTINUATION 4F NORK IS A PROGRESS INSPECTION WITHIN THE 181 DAY PERIOD. FINAL INSPECTION MUST B{ AFkROVEO BEFORE BUILOING CAN BE OCCUPIED. ' . OWNER 00 A,ENT: r '� �''_ r. �_ DATE: R U- Q. BiO_PRNT, rev: 93J3T/91 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED ' CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date Ste- le b Foundation Walls date by Set Up date by INSULATION date /Z�Z2--��7 by G� BG/SLAB Insulation Floors Final /� J � J date by date by 2 date ` / by L✓ FRAMING Walls FIRE DEPT. date by I date by PLUMBING date by _ 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 / T�� 5 � C� Gave Cis 1'�c�c I ry,i�• ( `1- /�'- 9 9 - N�.. VZ,A r 16C 1 � t10 n r (~1. 4�-ir,G.. I c.J ��..' 12 —2 2 -S i MASON COUNTY Mason County Bldg, III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 PERM I T G © N " I T I C3N Case No . : BLD99-0734 For : DEAN ANTRIM Page : 1 1 ) 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 INSPECTION%: X 2 ) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL 3 ) The approved plot plan is required to be on-site for inspe©tion 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 ho:.ir (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or, pproVaI granted . 4 ) REQUIRED INSPFCTIONS ( Footing Inspection-prior to pour , Set -up Inspection- prior to skirtingg , Final Inspection-prior to occupancy ) . 1 have received a copy of the General Inirorm on 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 roblems that have been discovered . I further understand that this Investigation will e scheduled as time allows . Until resolution of any/4_11 problems no occupancy ( Final Inspection ) will be granted for the residence . OWNER/CONTRACTOR ( indicate which ) Signature X MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 5 ) All mobile/manufactured home landings or decks must c7k s` reestanding ( self supporting ) . The largest landing or deck permitted without drawings or a building permit is 12.0 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 heigtit from walking surface to finish grade requires a Permit . Any landing or deck that )rli 4 or more risers requires a handrail . X 6 ) This appllca� on is subject to Buffer and landscaping requirement as established under Mason Gou t ',,O s rd ii c.e 1 .03 .036 . X. 7 ) The use , handling and stora, e of hazardous materials or flammable and combustible liquids in exc.gss of- 10 gai1ons is not allowed without the approval of the Mason County Fire Marshal . �w------w- ____ X-- *- 8 ) 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 Ordnance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainagge easement dedicated for that specific purpose . For further Information regarding thI ordinange and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access oonnecting 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 w ) ' It is suggested to contact that office to review future planned work which may a fe tj,/your project . X q ) Proposed struct a or, any portion thereof greater than 30" In height from grade line, must m��. nta ' minimum of 5 ' setback from all property lines , easements and 10 ' from a 1 I Cdu�t ate Road right of ways . 10) All upland arP s disturbed or newly created by construction activities shall be seeded , veget9' or ,7ven some other equivalent type of protection against eroslon . X �, MASON COUNTY • Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 11 ) Approved per dimensions and setbacks on submitted site plan . X ` 12 ) Owner/ builder " umes all responsibility if drainfleld/reserve area is encumbered . X - lase No . : BLD99-0734 N 88 34'4Z' / YN 88 34'42" E / 149.42 169.07' 84.54 / 233.9�. 261.46' 430.53 �4� /FOUND �OWfTT BAR ANC .CAF S5a 25'OS'W, 8.68' - \� POSSIBLE J/ti1 \ L09�3 3 EXISTING DIRT 1MELL SITE ••� =. �, ROAD t4o 1 .09 AC 100, i DNORTH ff REBAR �! : $'/ .3>>3� !� N Sr POSSIBLE POSSIBLE o l LI/ ` N o -.WELL SITE Z WELL SITE 100'/ Do-. �7�0¢ lY� 3 E' 100, o s o / LOT \\G s 0. N . ..,.. .. 50' PRIVATE ROAD AND, w o 1.12 ACRES \ Fc OFti \ O UTILITY EASEMENT. l LOT 1 0 'e' �'• 1.8 3 ACRES 0.12 'ACRES !O\ 242.98 a� 6' 90.03 0`S� 167.31'' 75.67' 255.61 S ofU3023 W . S 88 30'23" W 664.61' S 88 30'23* W 3/ir REBAR 7.04E, 1.35% FOUND LOVITT BAR AND CAP FWqBLOVM BAR AN ME' NORTH OF LINE. �LAI 50'05 5'W 65' 7-26-1999 2:43PM FROM / l (p E• [ "! P. 4 T of sk� 3 -7 1 4 � 2v k,-m�v) Gigpm,-Lw Iq D-� '6 L A �5- T a _ fact 13 j 1 I l N 17t M r 1 y 1 0 -'q1 Y + cr—, ul L; * I 0 < C/) AL 11A I 00 t a111J. we .T.ii lio 1'q I•IO � � I •l•fw. I � V�� c My �w ►C 1 c� In ri .'liv J„t � I ! {J\�I rl•A[�I1 1 Zoo® 9111JLtN3d1 r O SlS=,L��A1 t1'1U109 bBCT CPO ooR 7 xy,I 64:91 6(3/LT co . / PERMIT NO.: BLD I �� MASON COUNTY BUILDING PERMIT APPLICATION hl-� 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 N w� Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICAN .INFORMATION CONTRACTOR INFORMATION C LNG Owner A �. 1` (V 1_9 /�. Contractor Name Ir A O C- Mailing Address t - k ,LA4 U Mailing Address 05 oo jo City State Zip Code City State Ke Zip de Phone(,����her Ph.( ) Ph. Other Ph. Lien/Title Holder Contractor Re # OM IV O O Eq Address Expiration/ / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic——Existing Septic-X—Existing Septic Connect to Sewer System Name of Sewer System WeIIWater System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. .3 y 00 Fire District p M ppte Legal Description - O �l /V 7 CL o ok 3 u Site Address(Please include street name, street number a d ity) Directions to site — i Will timber be cut and sold in parcel preparation? (Ye No Is your property within 200' of the following: Body of Water (Name) (\/U Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work E No. of Bedrooms No. of Bathrooms SQUA FOOTAGE st Floor I 2nd Floor-- 3rd Floor Loft Basemen Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HPME INFORMATION-MakeQ 1NLI odel Model Year/ Length 5: Width Serial o. a 014 No. of Bedrooms No. of B throoms Type of Heat Purchase Pr' e $ (} Replacement Unit ?(Ye o Installer Name . s Certification No. Or`'ii.e e/V,ce-N 2144-­ 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 18kdAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INWECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason Couhty access to the above desVribed 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 requirrme5s 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 Prrance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all wo¢k ww be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be ma0e wittpout- rst obtaining shall be done in conformance therewith. No Changes shall PQ made without approval R first obtaining approval. �► - X Date X -C Q�/®p Date O "/0'9/q FOR OFFICIAL USE BEYOND THIS POINT Accepted by 1 r� Dat I f�j� t �Ibmittal Amount Due ' Receipt N l l 1 0 EPARTMENTAL R EVJ EW ovh DENIED '' o e s Building Department Occ Group Type Constr. Planning Department Environmental Health Department ' Public Works Department Fire Marshal r Valuation $ FiIS._...... r Building Permit Fee Site Inspection Plan Review Fee CPla ev ew Fee �- Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Pal Submitt ( ) ic•........:>.:..:::.::.::::::•:::::•.::::<•:::f>x•::•:.:::::::.:.::::.....:.<......... TOTAL FEES