HomeMy WebLinkAboutBLD2000-00118 Cancelled Mobile Home - BLD Permit / Conditions - 2/5/2003 C
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
Not
RESIDENTIAL BUILDING PERMIT BLD2000-00118
OWNER: BRUCE H GOTTOWSKI 360-372-2771
CONTRACTOR: RECEIVED: 2/10/00
SITE ADDRESS: 7570 NE BELFAIR-TAHUYA RD TAHUYA PERMIT ISSUED: 3/7/00
EXPIRES: 9/7/00
PARCEL NUMBER: 322027500090 NULL & VOfd BY EXPIRATION
LEGAL DESCRIPTION: TR I OF SURVEY VOL 3 PG 6 SATE 12-5-C3 8Y ,(-LAJ
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MOBILE HOME GO TO BELFAIR TAKE LEFT ON NORTHSHORE GO PAST BELFAIR
STATE PARK APPROX 1/4 ON R GO UP HILL ON BELFAIR TAHUYA GO
OVER BRIDGE PAST 2ND RD GO 1/4 MILE TO THE LEFT ON COLLINS LK
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: SF Insp. Area: 2 No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,680
Valuation: $68,835 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make REDMAN Length: 60 Ft. Front: S 230.0 Ft. Shoreline: Ft. Water Body:
SEPA?:
Model: Width: 28 Ft. Rear: N 100.0 Ft. Slope: 12.0 Ft. Shoreline Desi
Side 1: E 100.0 Ft. g"
Year:2000 Serial No.: WAINS0075 Side 2: W 90.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qtv. Type By Date Amount Receipt
Mobile Home Submittal KLW 2/10/00 $175.00 52630
EMiron. Health Plan CEB 2/29/00 $50.00 BELFAI
RIMMAg Review Fee AHB 3/3/00 $38.00 BELFAI
Building State Fee TLG 3/6/00 $4.50 BELFAI
Mobile Home Issuance TLG 3/6/00 $175.00 BELFAI
F*Site Inspection TLG 3/6/00 $42.00 BELFAI
Total $484.60
BLD2000-00118 Please refer to the following pages for conditions of this permit. 1 of 3
,. . CASE NOTES FOR
BLD2000-00118
CONDITIONS FOR
BLD2000-00118
1) Approved per dimensions and setbacks on submitted site plan. X 4y
2) All upland areas disturbed or newly creat�d,py construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X �
3) This application is subject to.Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X 7.(
4) The use, handling and storage of hazardous material or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
5) 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
6) Proposed structure or any portion thereof greater than 30" in height from qr 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 i
7) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 4Z
8) 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 a
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
BLD2000-00118 Please refer to the following pages for conditions of this permit. 2 of 3
i
[date
ONCRETE MECHANICAL MOBILE HOME
otings Setback date by Ribbons
te by Gas Piping date -"/ y'- b
und.ntion Wills date b Set Up }
by INSULATION date by
BG/SLAB Insulation Floors Final
date by
FRAMING Walls
by date by
Walls FIRE DEPT.
date by date b
PLUMBING date by OTHER Y
Groundwork Attic
ciate by date by
D.W.V, WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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y
Building Permit MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
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
G
j4 7--
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
'Lj Call 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
Date �'�y `G�' Inspector T/_Z
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Washington Home Center, Inc.
Floor Plan Wynnewood 4603B"S" (1600 WS)- Bruce Gottowski
46O3B "S" 3 Bed 2 Bath Approx 1640 Sq Ft
3
7 r�
00
Kitchen
Dining Room { 12 2
® ( 10 )1110 10'3" 1
1 /
P.4edia Room
11'
M �edroom, Living Room ErrtertainmerR
1 2 JJ 5 18'4" Center L f�
r
Corner
Fir eplace 13
' 9 . \
1 Cos. Lights In Mba 8 Tape&Texture-Bedrooms(Each)Does Not Include W
2 Over Head Ceiling Light-Bedroom 9 Frostless Hose Bib
3 Glass Door In 6 Cab. 10 Fluorescent Light-Recessed(Each)
4 Decor Glass Passage Door, (Exc W/Std Dr) I 1 Skylight 48"x48",Trussed
5 TV Jack 12 White Hollowcore Wardrobe Doors: 72"
6 Passage Door W/Return Air Grille,Woodgrain 13 White Hollowcore Wardrobe Doors: 48"
{7 Nine-Lite Door Exchange Steel
Specifications subject to change. (c)1996 Softsell,Inc. Feb/ 7/2000
i
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name ojt-p- Co4ow,(;b'
PARCEL NUMBER,;)�' 2'7V2 39 ffV-T 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 line4 I I E-adjacent property line
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SAMPLE SITE PLAN
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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
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Signature � ^�.�, Date
t:nl IrJ :t, t n, at.LItKI
MASON COUNTY PROJECT SITE INFORMATION
** Cate No,_-_
NameK _ _PARCEL NUMBER„ ZZOZ DsiP -j-OD
SHOW THR FOLLOWING ON SITE PLAN Show Dlreetlop by Indlestlong N.8,E.W In rvistlon to the
site plan
Lot Dimensions Fences
Existing StNotures Driveways
tftclure Setbacks Shomllnas
Water Lines Topography
Well LoasOon(including adjacent) Vrelnoge Plan
Names of Strafth Easements
Names of Front 9"llts S!0 system
DRAW SITE PLAN BELOW(Include adjacent properties If on shorellne o(within 100 feet of adjacent propail one_)
adjacent property►Ines , � <-adjacent property line
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SAMPLE SITE PLAN
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TOPOGRAPHY PROFILE(Show a aide view of property Show elopes,cuts and Ails. If possible Include height and the
degree of slopes. Sae Sample topography profile.)
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SAMPLE TOPOGRAPHY PROFILE
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Signature
PERMIT NO.: BLDV1
MASON COUNTY 1
BUILDING PERMIT APPLICATION
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
AFPLIC NT INFORMATION CONTRACTOR INFORMATION
Owner Contractor Name 1(
Mailin A dress — Maili Address
City u State � Zip Code City State Q ZIPCode
WIi 1) Phone — ther Ph.(��'o(� ) Ph. Other Ph.(Z
Lien/Title Hold r Contractor Reg. #
Address — Expiration / !
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic YtExisting Septi Connect to Sewer
System Name of Sewer System ater System Name of
Water System
PARCEL INFORMATION-12 d git Tax Parcel No. 3*A0a /J_! Fire District , Z
Legal Description ,2Ww
Site Address(Ple e nc} ,d re t e, t num r a(n�d
Directions to site 01 1N ._ O �/ G X
n t o
Will timber be cut and sold in parcel preparation? 07 pit Qp T
Is your pr perty within 200' o the following: Body of Water (Name) �"r' X SaltW rcy�
Lake River/Creek Pondetland "JWSeasonal fRunoff Stream Slopes or
Bluffs
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
MOBILE HOME INFORMATION-Make Model I M der Year
Length _Width Serial No. No. of Bedrooms No. of Bathrooms_
Type of Heat G Purchase Price $ Replacemept Unit ?(Yes/No)
Installer Name Certification No. WA_,
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-]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
ap royal. first obtaining approval.
X Date X I Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due �� Receipt No.�
DEPARTMENTAL REVIEW AP VED DENIED CONDITION CODES
Building Department g
Occ Group Type Constr. /
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
. . FEES...
Building Permit Fee Site Inspection
Plan Review Fee ur-CReview Fee r _
Plumbing & Base Fee Public Wor s Rev'e v r6
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
olation Fee Pre-Paid at Submittal
Y,
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TOTAL FEES / .
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