HomeMy WebLinkAboutBLD2001-00557 Final MFG Home - BLD Permit / Conditions - 8/7/2002 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT P one: (360)427-9670, ext. 352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2001-00557
OWNER: DARLENE HALE
CONTRACTOR: BUTCHS BULLDOZING RECEIVED: 06/12/2001
SITE ADDRESS: 271 NE TOONERVILLE DR BELFAIR ISSUED: 06/22/2001
PARCEL NUMBER: 223024100030 EXPIRES: 12/22/2001
LEGAL DESCRIPTION: S1/2 NE NE SE EX S 30'
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME BEAR CREEK DEWATTO LEFT ON TOONERVILLE RD 3/10 ON LEFT JUST
CLEARED AND PERK HOLES
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.:
Type of Use: MH Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:
Valuation: $40,000 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make LIBERTY Length: 40 Ft. Front: N Ft. Shoreline: 200.0 Ft. Water Body: Tahuya River
Rear: S 80.0 Ft. Slope: Ft. SEPA?: No
Model:LIBERATO Width: 26 Ft. Side 1: E 200.0 Ft. Shoreline Desig.: Unknown
Year:2001 Serial No.: Side 2: W Ft. Com . Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty, Type By Date Amount Receipt
Mobile Home Submittal KLW 06/12/200 $175.00 2187
E(Ading State Fee MEC 06/14/200 $4.50 56612
Mobile Home Issuance MEC 06/14/200 $175.00 56612
limning Review Fee SAL 06/21/200 $38.00 56612
EH Plan Review CEW 06/21/200 $50.00 56612
Total $442.50
BLD2001-00557 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2001-00557
CONDITIONS FOR
BLD2001-00557
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
con,lr=r fail to post the address on site prior to requesting inspections.
X
lq-
2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
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 ' ing Department prior to any further inspections being performed or approvals granted.
X
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 ari_ oblems 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" re 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
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
not with Mason County ordinances and building regulations.
X'
BLD2001-00557 Please refer to the following pages for conditions of this permit. 2 of 4
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
Aw 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
permit hoqllff have prevented action from being taken. No more than one extension may be granted.
X b
10) Applicant has indicated this is a replacement unit. Prior to Mason County allowing any occupancy of the new proposed unit, the existing unit which is on
site and is being replaced MUST be removed from the parcel.
11) This application ' ct to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
12) The use, handling and storage of hazardou vials 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 ay affect your project.
14) Proposed structure or any portion thereof greater than 30" in height line, must maintain a minimum of 5' setback from all property lines,
easements and 10' from all County and State Road right of ways.
15) All upland areas disturbed or created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting).
16) Approved per dimensions and setbacks on submitted site plan:
17) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
18) �X - O PARTY WATER SYSTEM MUST BE APPROVED PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE RESIDENCE.
19) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
BLD2001-00557 Please refer to the following pages for conditions of this permit. 3 of 4
-rhis 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. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before building can be oc upied.
OWNER OR AGEN DATE:
BLD2001-00557 Please refer to the following pages for conditions of this permit. 4 of 4
�—• tiWBILE HOti+IE
l COINCRETE MECHANICAL G
t Footings-SetbaCk date by Rbbons
ate by pas Piping date -1/
Foundr t3on Walls date by set up
date byINSULATION date `' G
BW.A AB Insulation Floors Final 7
,e by date - , L
date FIRE DEPT.
FRAMING Walls date by
date by date by
PLUMBING Attic OTHER
Groundwork date by
e by WALLBOARD NAILING
D.W.V. date by
to by FINAL INSPECTION
Water Line
date by date by date by
A 0 eAD c"OheD C, 11,6D
o—� . 7—et)
gyL irk
U1
�1
ZL
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
(� Case No.
Name a,:J� sL 6. -�,A-Q PARCEL NUMBER Z Z �o /OO o 3'Bate
SHOW THE FOLLOWING ON SITE ^LAN S"how 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 r ithin 100 feet of adjacent property line.
adjacent property line4 I (ego I E-adjacent property line
I I
I
I
I
I
I
I
I
` 1 a
I
16� 17�-
I
Q/
I
c tr)0
gu, ,4A, 160 �
adjacent property lined �zo o I E-adjacent property line
SAMPLE SITE PLAN
adjacent property line4 3ic _ _ _ E-adjacent property line
I D 30' rR.SCRvE
SEA SG w!AL I 77��cc L _�PTSL__,� J.
I c 1 Hone tr I Graa¢N
CrtEE1G
I HOu.sLL
I j PrMA. P
I 1 ,
I 7� R\ I
VAC.AkiT I I CaARAC.B
I /i
I(� P0.oPa�eD
I A6RLCLLLTLLAAL 50
I 1 I
I
80'
I
I � I
/00"
I \ I
I � I \\ t.—eLL
I I
I
l� /DD
I L.��GLL I
adjacent property line- ; \; <-adjacent 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
dis+o"cm to
ru�t1.�N�
Slo{ �-pa Loam
� 3r7
to f.
Signature Date
t
I PERMIT NO.: BLD Lb557
MASON COUNTY
BUILDING PERMIT APPLICATION (p�
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 CONTRACTOR INFORMAT O r 9
Owner )2 !- ; �i Contractor Name V/�i -�
Mailing Address Mailing Address •- t v V '7 a-3
City CC/ State U.9a Zip Code 23'1!- C City Jf 1 State I r� Zip Code 6f
Phone( Other Ph.( )ther Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_`�Existing Septic Connect to Sewer
System Name of Sewer System 1 Well�_Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 'Fire District Z
Legal Description �o o NER ✓/�-L�- 7~-3c� *..
Site Address(Please i elude street name, street nurr)Aer and cit L-
Directions to site �� x 4 P.0 ,
1 T C Po
Will timber be cut and sold in parcel prepa ation?{Yes o)
Is your property within 200' of the following: Body of Water (Name) , A Wc Saltwater
Lake River/Crb k— Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other
ALUse of Building �l
Describe Work CAA---
No. of Bedrooms_ No. of Bathrooms Z. SQUARE FOOTAGE-1st Floor le: Sg 2nd Floor
13rd Floor Loft Basement Deck '.Other scl. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make (! r�,c-1 -t :. Model 1 / / - ' Model Year
Length Width Z� Serial No. —� No. of Bedrooms c No. of Bathrooms Z.
Type of Heat Q,4 Purchase Price $ y c Replacement Unit ?(Ye "N ) _
Installer Name 0(, ST i 1-?.11 . Certification No. L4.4 7
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 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 pprovaL-�\ / y
X icti" .��, ti ( Date �`." ___X /flL C L- "l.�L. �t-�-- Date
} FOR OFFICIAL USE BEYOND THIS POINT
Li
Accepted by' Date f t Submittal Amount Due Receipt No
DEPA:RTME REWEYAPPROVED DENIED CONDITJON CODES
Building Departm t/
Occ Group Type Constr. / W4� wl
Planning Department
Environmental Health Department
Public Works Department
I
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