HomeMy WebLinkAboutBLD2001-00478 Cancelled MFG Home - BLD Permit / Conditions - 7/31/2001 Inspection Line (360)427-7262
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
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RESIDENTIAL BUILDING PERMIT BLD2001-00478
OWNER: BEVERLY DUPUIS 253-588-7567 RECEIVED: 05/22/2001
CONTRACTOR: ROBS EXCAVATING
SITE ADDRESS: 41 E JUNO CT SHELTON ISSUED: 07/23/2001
PARCEL NUMBER: 321347590144 EXPIRES: 01/23/2002
LEGAL DESCRIPTION: TR 14-D OF SURV 2/98 TR 4 OF SP#2757#632049
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME HWY 3 TO MASON LK RD LEFT TO CATFISH LAKE RD RIGHT TO JUNO
CT LEFT ON JUNO CT 1 ST LOT ON LEFT
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.: 5 No. of Stories: 1 Occ. Load: Building:
Valuation: $63,174 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make LIBERTY Length: 56 Ft. Front: N 107.0 Ft. Shoreline: Ft. Water Body:
Rear: S 95.0 Ft. Slope: Ft. SEPA?: No
Model:MILLENIU Width: 28 Ft. Side 1: E 43.0 Ft. Shoreline Desig.: Not Applicable
Year:2001 Serial No.: Side 2: W 172.0 Ft. I I Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 05/22/200 $175.00 56288
501ding State Fee MEC 05/22/200 $4.50 56859
Mobile Home Issuance MEC 05/22/200 $175.00 56859
E1PPIan Review CEW 05/25/200 $50.00 56859
Planning Site Inspection RAM 06/04/200 $70.00 56859
Total $474.50
BLD2001-00478 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2001-00478
CONDITIONS FOR
BLD2001-00478
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
X contractor it to post the address on site prior to requesting inspections.
2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X C �
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 it ding Department prior to any further inspections being performed or approvals granted.
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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 an��blems 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 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" ofrrtore 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) 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.
7) All property lines shall be clearly identified at the time of foundation inspection. X C �
8) 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-co l*t with Mason County ordinances and building regulations.
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BLD2001-00478 Please refer to the following pages for conditions of this permit. 2 of 3
9) 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
per"t�der have prevented action from being taken. No more than one extension may be granted.
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10) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 06-^-
11) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1 D03.036.X Q z
12) The use, handling and storage of hazardous 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 whiff�n_ay affect your project.
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14) Proposed structure or any portion thereof 9 9 greater than 30" in height from rade 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 C �
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 Worl<A commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before bull i an be occupied.
OWNER O AGENT` C � DATE: 7 a3 D
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BLD2001-00478 Please refer to the following pages for conditions of this permit. 3 of 3
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FLEOWCOD, Stonerid e Series Model 468313
• 3 Bedrooms • 2 Baths • 1 ,836 Square Feet
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RMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION 5,Iq
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 f CONTRACTOR INFORMATION
Owner 15e V er L4 -DV PU 1 5 Contractor Name n N-!g FXr AUA+%d N
Mailing Address 5'620 --.b 1.Z7�'S'rCT S W Mailing Address
city.4*400y al State jVA Zip Code City State Zip Code
Phone(Zr6 )ST 7 Other Ph.( Ph.( Other Ph.(
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_ )i(_Existing Septic Connect to Sewer
System Xr Name of Sewer System Well Water System_X_Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 3 Z/ 3q / -7.6- 1 1,V,4f y0b Fire District
Legal Description LO'P y O f S PZ1 J--
Site Address(Please include street name, street number and city) L�/ 1 �. -Ta/,VD G y"'
Directions to site 1�#WAJJ :� 4y A1A6en+ u R d L e r T ♦• Ca T FPsL L A ke Lj I#it A r -6,
1 C .TvNO s r .4.7` O N 4F
Will timber be cut and sold in parcel preparati ? (Yes/
Is your property within 200' of the followin�Al O y of Water(Name) AI�0 Saltwater
Lake River/Creek Pond pr" W��41d Seasonal Rudloff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIbENCE❑
TYPE OF JOB Newer Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms 3 No. of Bathrooms Z SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model /Nij)IIA),jur" rModel Year Z alp
Length J-(a Width Z9 Serial No. T 5 2> No. of Bedrooms .3 No. of Bathrooms
Type of Heat FA Purchase Price $ 63) 171J Replacement Unit ?(Yes/No) tiQ
Installer Name ,4 �m T '—Certification No. &*X wS J IF9145
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 1 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.
Date,5'. /,Tr'26o/ X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No Qk
DEP APPROVED
pENil~D;.' CONDITION C00JES1.
Building Depart ent
Occ Group e Constr. 600
Planning Department
Environmental Health Department
Public Works Department
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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
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUI Y PROJECT SITE INFOF ATION
Case No.
Name &✓enL� DQPvi5 PARCEL NUMBER 3Z11,V 7J'4m/yy 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 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- 1 I Fadjacent property line
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adjacent property line- ' I Fadjacent property line
SAMPLE SITE PLAN
adjar�nt property line4 32_0- _ adjacent property line
1 D 30' rRLscavE I�
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SFAS , '' I HOM!
CREEK \ I I Gnaaou
I j PrLo Pas�n scprt c
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adjacent property line-. ; 1 \; 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
dtstanca. tv
ructtiYC_
&_%tar,LG *G
SIOp¢ to
dit+a..aa.
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s4 T L G �� / y
ignature Date
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