HomeMy WebLinkAboutBLD2001-00671 Final MFG Home - BLD Permit / Conditions - 1/2/2002 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
L
RESIDENTIAL BUILDING PERMIT
1-00671
OWNER: DOROTHY JENNINGS 572-2754
CONTRACTOR: PAT JACOBSEN CONSTRU RECEIVED: 07/10/2001
SITE ADDRESS: 5451 NE BEARCREEK DEWATTO RD BELFAIR ISSUED: 08/08/2001
PARCEL NUMBER: 223011390030 EXPIRES: 02/08/2002
LEGAL DESCRIPTION: TR 3 SW NE TR 3 OF SP#1541
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME PARCEL E OF NE 5481 BEAR CR DEWATTO RD
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.: 2 No. of Stories: Occ. Load: Building:
Valuation: $40,000 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make FLEETWO Length: 48 Ft. Front: N 160.0 Ft. Shoreline: Ft. Water Body:
Rear: S 272.0 Ft. Slope: Ft. SEPA?: No
Model:OAKGROV Width: 27 Ft. Side 1: E 8.0 Ft. Shoreline Desig.: Not Applicable
Year:1993 Serial No.: ORFLP48A1 Side 2: W 129.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty, Type By Date Amount Receipt
Mobile Home Submittal KLW 07/10/200 $175.00 56729
9fAress Fee GMM 07/18/200 $15.00 57056
Building State Fee MEC 07/20/200 $4.50 57056
Mobile Home Issuance MEC 07/20/200 $175.00 57056
fining Site Inspection SAL 07/23/200 $70.00 57056
EH Plan Review SMK 08/08/200 $50.00 57056
Total $489.50
BLD2001-00671 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2001-00671
CONDITIONS FOR
BLD2001-00671
1) This applicati subject to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X 61-
2) The use, handling and storage of hazard ptr aterials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X 1.
3) 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.
4) Proposed structure or any portion thereof greater than 30" in height grade 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
5) 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
cont fail
X to o ddress on site prior to requesting inspections.
6) -THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
7) 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 tf}�ing De ment prior to any further inspections being performed or approvals granted.
BLD2001-00671 Please refer to the following pages for conditions of this permit. 2 of 3
8) 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 all problems no occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X ��
9) 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" a 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
10) 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.
11) All property lines shall be clearly identified at the time of foundation inspection. X
12) 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-ci�7lian�Mason County ordinances and building regulations.
X
13) 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
pernro"olldder have prevented action from being taken. No more than one extension may be granted.
X ----
14) This permit is for the placement of the manufactured home only and does not imply approval or review for any other items indicated on the plot-plan.
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). X
16) ,Approved per dimensions and setbacks on submitted site plan. X ��
17) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
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 work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved befo a ding c be occupied.
OWNER OR AGENT: DATE:
BLD2001-00671 Please refer to the following pages for conditions of this permit. 3 of 3
� CONCRETE MECHANICAL
MOBILE HOME
Footing;-Setback date by Rib"
date by pas Piping date ?fir ,
FaandaWn Walls date by Set UP
dote by INSULATION date /O / by /2
BC/SLAB Msulatlon Fbors Final
! date by date by date '--02 �'� by
;,. NG Walls FIRE DEPT.
date by date by date by
OTHER
PLUMBING Attic
Groundwork date by
date by
WALLBOARD NAILING
D.W.V. date by
to by Water lane FINAL INSPECTION
date by date by date by
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
S C,t_o�.it� Case No.
Name pUV'0- k,1 14 . h.n: S PARCEL NUMBER as3O1 is 10030 Date S
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences 5
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography C
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 lin Fadjacent property line
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77�ti $ M I d
o � I I Cca4w
100
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O t
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adjacent property line I I <—adjacent property line
SAMPLE SITE PLAN
adja t property lined I 3io� r �RvE I Fadjacent property line
D 30' 30-?
.gEACnn!AL I afi _�EPTSG.__,r
CREEK I c I HOM tr
I � GraatnJ
I Hou.s¢
I ) PrioPaun %apt:c. I
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VAGn,T I 1 c,Art Ar-6
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P0.oPasco 50
A6ftSGLLLTuJLAL
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80*
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adjacent property line-� Fad'acentpropert'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
N ' dt 5ta„cm to
ructta.NG
s�epm -raa
Al
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Signature Date
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—71
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PERMIT NO.: BLD
MASON COUNTY
• BUILDING PERMIT APPLICATION
„l�q Tnj LA LA-3 426 W.Cedar/P.O.Box 186,Shelton,WA 98584
r '` Shelton 360 427-9670 Bel fair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR I ORMATION
Owner D0,0-t " Ilk r thr\\h S I Contractor Name "r +-`...+
Mailing Address /VE Sy81 3sw CvVL Mailing Address AIF: Slit]
City c1fcaV Statelyft Zip Code City�tl �- State Loft Zip Code 72XgR
Phone(3bo ) -Q 71 alIS40ther Ph.( Ph.(3#mo ) '19, 2,1S1Other Ph.(3Lo ) Y-7 3d2:7
Lien/Title Holder /Vora - Contractor Reg. # A?3Ac— * o3--k94
Address Expiration /:_/ of
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_)!�_Existing Septic Connect to Sewer
System Name of Sewer System WeILX Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. aGL S O ( 'S / 3 ''Fire District
Legal Description
Site Address(Please ' clude street name street number and city)
Directions to site 4rce.1 L~. o /1tIE SyII 't m RA
Will timber be cut And sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of W er (Name) NO Saltwater No
Lake 0 River/Creek No Pond N%p Wetland!f_Seasonal Runoff Stream_A(p_Slopes or
Bluffs 1�1 (Z
PERMANENT RESIDENCE)d SEASONAL RESIDENCE❑
TYPE OF JOB New X Add Alt Repair Other Use of Building wra ;ChA C.
Describe Work M t
No. of Bedrooms—_,3 No. of Bathrooms_ SQUARE FOOTAGE-1st Floor Af F16 2nd Floor
3rd Floor IVA Loft A ft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make -Tic r,J1II'w-x odel 014k Gvoyt Model Year 111 Z
Length i S Width SO No. Q QF l P yF RI b3'A No. of Bedrooms:_No. of Bathrooms_
Type of HeatF.kc.4v t..• Purchase Price $ 90, GoO Replacement Unit ?(Yes/No) /VO
Installer Name Certification No.
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
a s first obtaining approval.
X �`� �.ta• Date (n d ( X Date
`� FOR OF ICIAL USE BEYOND THIS POINT �� Q
Accepted by! G� ,5 Dal Submittal Amount Due Receipt Nog. ul I
DEPARTMENTAL. REVIEW APPROVED DENIED I' Cf3NDITJQ DODES
........ ..
Building Department
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 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