HomeMy WebLinkAboutBLD96-01411 Final Mobile Home - BLD Permit / Conditions - 11/14/1997 r MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
1`3 LJ i L_. x...► 1 N C-: P V_.- FA 1\/I 1 V f 0k IN �PECT E ON;S C,At L 4�!7-96i i
BETWEEN 5pm AND Sam 427--7262
BLD96-t41 1 PARCI.1_ :321347690181 PLAT ! D 1 V :7 Bt.K :7 LOT -7
JOB ADDRESS : F 600 CATFISH LAKE RD SHFI..TON
OWNER - JOHN BUTTLES 426-4663
CONTRACTOR : HF IIATU t ELL) 360--898--6700 ,
LEGAL : T4 19 OF SURVET 2198
CLASS OF WORK , tNEB+ BE DR : 3 SATH : 2 1-Of AMOUNT 3Y DATF RfCf IPT ITYPE ANOUNT BY DATE RECEIPT
TYPE OF USE . . . . :MH STORIES . . . . . . . t 1 •�.�� _: -
OCCUP . GROUP . , . :? BLDG . HEIGHT- : 0 .Oft IAODE 1 5.00 KS 01191197 43121 '
TYPE OF CONST . . t 7 FIREPLACES . . . . : 0 160 1 156,00 KS 0147197 43127
OCCUP , LOAD . . . 0 WOODSTOVES . . . . : 0 STTE 1 4.50 KS 01117197 43127 1
V,WELL .UNI i'S ,. . . . . O PARKING SPACFS t 0 ENCP 1 16./1 KS Qi187f97 437 7
INSPECTION AREA t 3 SHORFI I NE7 . . . . :Y TOIAt: 185.56 VALUTA1101t $7!98
4ETBACK.S.. _________.___._ TOIL.FTS . . . . . . . .
. . N FI.iEE_ TYPI+S------ a--- BOl LERS/COMP,--.-- MOBILE HONES--
FRONT . . . P ,Of It BATH BASINS . . . . . 0 0- 3 HP . : 0
REAR . . . . 0 .Oft BATUI TUBS . . . . . . . . 0 3-15 HP . : 0 MODEL :FLEETWOO�
_S1.D,E( 1 ) .. O .rOft SHOWERS , . . . . . .. . . • 0 rtIHN 100K BTUs 0 15-30 HP . : 0 --MAKE---- 1
S I,DE (2 ) . 0 .(rift WATER HEATERS . : 0 FbRN >-100K. BTU , 0 ;0-tiff HP . ; 0 4583A
S"RL INE: . 0 .Oft CLOTHES WASHERS . . . 0 FUkN -- F'LOOR . . , : 0 50+ HP , t 0 -YEAR-- -_
ARE:A ----------------- KITCHEN SINKS — . :, . : 0 HEAT PUMP . . . , . . : P 96
LOT S I ?_I` . . t FLUOR DRAINS . . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS t 0 LENGTH t 56 :•
- BUILDING - : 1512rf DRINKING FOUNT . . . , 0 VENT FANS . . . . . . . 0 HOODS . , , . , . . : 0 W1DTH . :27 _.
BASEMENT . . . t 0Sf LAUNDRY TRAYS . . . . . O DOMES . I NC 1 N +O -'-SFR I AL.*-__.-..
EIFCKS . . t . :. : 0Sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INC1N :0
-GAR/CARP :" Peat ;.GAFiJ:' _DI +POSALS . , . t 0 10000 ofm . t 0 RELGC/REPAIR : 0 �
A"/DT . t? URINAL 0 10F1I?�0 cPtn . t 0 OTHER UNITS . : 0
M I SC: PLM FIXTURES : 0 GAS OUTLETS , : 0
cam.`x.�r�at'r-•••�,•-•.yux-..::¢:�a�ia.�-••,as+s::xaerm:x�'se-cx��aesz.�sea•sa�3= .��.u>r_r.=�-Yssr:_rr.�^sas-::.--a .—=-.:ux::snr�.a.:�.:�s.. .:.�r:.�:�rtasu�cznsc2st�x.
P464ECT DESCR11 101:N08ILE Bell
i
PROJECT LOCATION:0 NORIO fROM SHELTON ON $11 S. TURN LFF7 PAST BAYSHORE ONTO LAKE LIIfNICK, MASON LAKE ROAD, GO APPROM 1 .MILE, TURN NIGHT ON CATFISH LAKE
10A1, ,
THIS PERMIT BECOOF S NULL AND VOID If NORK 01 CONSINUCTION AUTH*RIZED IS NOT CONNEOCF9 11;R1N 100 DATS, OR IF 0181100ION 0 NORV IS SUSPENTIFD FOR A P1:RIOD
OF 11'/ DAYS AT ANY TIME AFTER M(IlK IS CONNENC14. EVIDENCE Of COOTINVA1141 OF WORK IS A P1861fSS INSPECTION RIT1114 THE 181 DAY PE1168, FINAL INSPFCT144 MUST 81
APRROVID BEFORE BVII-DING CAN BF OCCUR 0.
0"114 ON AGENT: ! .;� �- �;` DATE,
Bl0 rA11T, cart 63' t191 OMPLIANCE' TO !ATTACHES) CONDITIONS IS RE OUIRE=D
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date �T { _ ! '__l tfi
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date' by date by date 1 7 by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PEIQM i T C. aND 1 -r
Case No . , BLD96--1411
For , JOHN BOTTLES
Page - 1
1 ) The undersigned property owner is aware of the uncertainty regarding Mason Gounty 's
development regulations created by the growth Man agment Hearings Board 's Order of
October 2 , 1996 , and in consideration of Mason County 's willingness to proceed with
processing of applioations which might be affected by the Order , the tindersigned
property owner hereby agrees to waive any lawsuit , action , or claim for damagos against
Mason County which may arise out of Mason County ' s actions in aviceptance prooessing
and/or Issuance of such permits or approvals ( hereinafter "permitting ac t i onf " ) , wil i r.h
damages are attributable to the County ' s decision to take permitting actions despite
the risk that changes to the County 's development regulations might later make the
tcounty 's erm i tt i ng actions Invalid .
X
2 ) - This application Is sub l e- t to Buffer and Landscaping r•egt► i rement s as ostab i 1 shed under
Mason County Ordinance 1 .03 .036 .
3 ) The use, handling and storage of hazardous materials or f l aminab l e and combustible
liquids in excess of 10 gallons is not allowed without the approval of the Mason County
Fire Marshal .
4 ) 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 Co and State Road right of ways .
X—...-.._.__-z-. _
5 ) Applicant- raoknowledges that this development is subject to policies and reguIat1fins of
Mason rt, tv Comprehensive Plan and Development Regulations .
X- �_.--.._._..___._
F) Structure must be setback 5 ' tuom all liti1lty and drainage easements a total of 10 '
from each property ling, or a varianoe must be obtained from the Building Department .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ; Approved per dimensions and seibacks on submitted site plan .
8 ) OWNER MUST SHOW PROOF OF SATISFACTORY WATER SAMPLE PRIOR 1O TEMPOPCRY!PERMANE"NT
OCCUPANCY OF THE RE.S i DENCE
x
48'-O"
MODEL 4482K w CLOW
----
3 BEDROOMS 2 BATHS __ IOYALTUB_ +T T� I
--� BEDR L71�5EDROO?MM MA5TER n UTILITY
f s-e xfa•t BEDROOM c 000R * KITCHEN
APPROX. 1,296 SQ. FT. -- T{12'-4•X16•0" BArH _' t y �- o
'j�t SHOWER BATH -' " >L ,.
I WALK-IN O 0 _ _ -__--- 1 ' .i 1 i •
I CLOSET L 1'*": tT^'
SHELVES -__ 4 i`L'..:. OPf OVERHEAD
3RD BEDROOM OPTION BAR L
11.K DINING
=-- - --_ DINING
ROOM
10'-0'x ta-o-
i I
I
� � I
BEDROOM wALKu+I LIVING ROOM
i Q09EINN i WALK-IN fs'-e'x to-t aosEr I EDROOM tz-o"x"'I'll
I aosEr RETREAT I t3 fd-to•
CORNER
v� I I I -� ENTRY
J I _
t�
2N0 BEDROOM OPTION
oR �
1 _ p
I :FREEZER 3 ...
P
DINING m i Ems- aoR�. UTILITY
ROOM gaoR 1
OPT. TC EN;-. ® O t
4TH FAMILY ROOM
BEDROOM 21'-6:'x 13'-O `>
1 pm
OPf _ BATH" o~
SUN
ROOM PANYZY' %
- -----
------------
2T-a'
I
O
m LIVING ROOM BEDROOM j
BEDROOM '.. BEDROOM fe's•xts'-o• 12'40'xf4-O• _ f
8`id•X t2'-9• 9'•2"X 12'-9• _
MODEL 4563A
ENTRY
3 BEDROOMS, 2 BATHS
APPROX. 1,512 SQ. FT.
OPT �_ APT RECESSED ENTRY OPT.CUT
J OPT.ANGLED CE55ED ENTRY WITH WALK-IN BAY CORNER
RECESSED ENT
� � t70
JU L LIfl
c-/9 i Ft5N j-19AE RaA-D
C,,-) T1-1SN � J )s 00 Igo ZoT
co
� 2
Ao
� b
(� WELL.
To DR.,9Wf�1fiD
N
APPROX. l8D �f/�o� Li9/-kF To J-)9 QlN f l E1 I�
' x 8 CE,-IE Iv T SZA,b /9T ,614-r g y
S� fS
J
GARY YANDO,DIRECTOR
ypN.STATFO
s
U �, DEPARTMENT OF COMMUNITY DEVELOPMENT
O T i PLANNING -SOLID WASTE-UTILITIES
'> N Y Y BLDG. I 9 411 N. 5'ST. • P.O. BOX 578
t7J 1864 ao SHELTON,WA 98584 • (360) 427-9670
DISCLAIMER/WAIVER OF COUNTY LIABILITY:PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES,AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
Mason County's actions in acceptance,processing and/or issuance of such permits or approvals (hereinafter"permitting
actions'),which damages are attrilnitable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
q6 18 I
Date (Parcel No. or Legal Description)
Property owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF
COUNTY OF
On this day of , in the year ,before me Notary Public,
personally appeared personally known to me to be the person whose name is
subscribed to this instrument,and acknowledged that he/she executed it.
WITNESS my hand and official seal.
-For County use only-
Rev{ w d by licant on
I (Date)
Notary's signature (�
Staff Initial:
My Commission Expires:
t
4 8 y 'S Permit No.
MASON COUNTY
s" 99 , BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �v
PLEASE PRINT 1 /
#1 Owner 0 h,fi f Uhl�'S Phone# qv�
Site Address E (r1C0_ LfjTF i.5/► L R kf— CO.4D Fire District#
City 17,04 St Zip
Directions to Job Site o 4 vt .4e'/�'� h
ZLI
e r 7 - D
Owner Mailing Address oP r 1'3a'x 319
City Al/y�c! ( a�A�,Sj_�21F St Zip
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name ��l/� T %: (�"iws J uc . .✓ Contractor Reg# T/� %G 2Z1 PT
—�
Address �0, �, y o 0 Expiration Dated/ /
City St l-v z Zip 7gs92 Phone# 8�a'—6 70 a
#3 If septic is located on project site, include records.
Connect to Septic? ✓ Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
OTO fV a 58
#4 Parcel No., 135� - -- e t D-7 d
Legal Description M Jhe E 44 a'P Thp sz h o
RR>1 6-E 3 W.E S'% v;M,
#5 Building Square Footage: (existin propose
1st FI 2./ 2nd FI / 3rd FI / Loft /
I S'!
Basement / Deck / #bedrooms / #bathrooms /
Carport / (Circle:Attached o Detached?
Other sq. ft. /
#6 Use of building Si`�ir ,,�%`� t' —fY C�1H �� Describe work nvic &./
#7 Type of Job: New__I.----- Add Alt Repair Other
#8 MOBILE/ NUFACTURED HOME INFORMATION 0 � � � � � [51
odel Y r�_Make ��%wry Model yS63 /�,
Length .Fo6* Widths Serial No. NOV 27
#Bedrooms #Bathrooms Type of Heater A,
Purchase Price$ S •� a � L SERVICFc"
#9 Indicate by circling the applicable source if ater is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake arsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot-Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
2
Il
f
r'-- /o 0 --7
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each
` No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ cfm#
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.25 _ Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.25
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORKFOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY /r . /
DATE DATE I ! — ;Q o F C
FOR OFFICIAL USE ONLY: Accepted by �_�it,/ Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: v
Environmental Health:
Building Plan Review TPS � �J�> Mre//►" '
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES ,.
4
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other �d
Other c"'
Building Valuation: TOTAL FEE
L