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HomeMy WebLinkAboutBLD2000-01288 Final Modular - BLD Permit / Conditions - 3/28/2001 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 t 1 RESIDENTIAL BUILDING PERMIT -BLE12OU o1288 OWNER: DOUG TRAYNOR CONTRACTOR: EVERGREEN MODULAR H RECEIVED: 10/02/2000 SITE ADDRESS: 4An NF T ONERVILLE DR BELFAIR ISSUED: 11/20/2000 PARCEL NUMBER: EXPIRES: 05/20/2001 LEGAL DESCRIPTION: 18 OF PROJECT DESCRIPTION: DIRECTIONS TO SITE: MODULAR FROM CLIFTON RD GO RIGHT ON SANDHILL RD 5.8 MILES TO BEAR Plan number:1768-30-85/State number:M-5-7200-D.O 23 CREEK/DEWATTO, GO LEFT 3.1 MILES TO TOONERVILLE LEFT .4 MILES SITE ON LEFT. General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: 5n Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,272 Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: S 500.0 Ft. Shoreline: Ft. Water Body: Rear: N 1 SEPA?: Model: Width: Ft. 0.0 Ft. Slope: Ft. Shoreline Di Side 1: E 18 es 0.0 Ft. g.: Year: Serial No.: Side 2: W 190.0 Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal KLW 10/02/200 $175.00 54645 ftr,Fee AHB 10/20/200 $70.00 55108 Building State Fee DLC 11/06/200 $4.50 55108 Modular Home Issuance DLC 11/06/200 $175.00 55108 Eff Plan Review CEW 11/13/200 $50.00 55108 Planning Review Fee KS 11/15/200 $38.00 55108 Total $512.50 BLD2000-01288 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2000-01288 CONDITIONS FOR BLD2000-01288 1) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X ��1 \ 2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X \ 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 wor h may ffect your project. X�\ \� 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 County and State Road right of ways. X ��,_� 5) Approved per dimensions and setbacks on submitted site plan. X 6) All upland areas disturbed or�wly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 7) This projectis approved subject to the NLEA report prepared by Labor& Industries. The NLEA report shall be available to the Mason County Building Inspector during all inspections. X 01 \ 8) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$47.00 per (minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X ����� BLD2000-01288 Please refer to the following pages for conditions of this permit. 2 of 3 9) 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 , �I� 10) The approved plot plan is required to be on-site for inspection purposes. If inspection is called for and plot plan is not on site, 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 must be collected by this department prior to any further inspections being performed or approval granted. X \3�T� 11) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE�USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 12) Changes to approved building plans that effect compliance to the 1997 Washington State Energy Code, 1997 Ventilation andJndoor Air Quality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX 13) ALL MIRUCTION MUST MEET OR EXCEED LOCAL CODES. IF ANY QUESTIONS, PLEASE CALL THIS OFFICE BEFORE CONSTRUCTION. X 14) CONSTRUCTION PASS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x����; � 15) All property lines shall be clearly identified at the time of foundation inspection. 16) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 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 before building can be occ ied. OWNER �GE - DATE: BLD2000-01288 Please refer to the following pages for conditions of this permit. 3 of 3 j:ONCRrTE MECHANICAL MOBILE HOME Footings Setback date by Ribbons da`a by Gas Piping date �z —� b Foundation Walls date by Set Up date B Insulation by. INSULATION date j � 3 -v byBG/SLA Floors Final date by date by date 3 'Z / by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I 10, /X f Ir s- Tip q .z Q MASON COUNTY PROJECT SITE INFORMATION2LVD-0289 Case Nd. Namet� :'_&NJhiO'CZ. PARCEL NUMBER ZZ3<-_�,I qZ 001Fs0 Date q 2a7G 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 j Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System .5. DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- i � i E-adjacent property line Q4 19 ' >� I I I l8/ I N90` f6 I I ` I I • I 11 I I I I ` I � I I 1 I f I I I I I I I I ir, I adjacent property line-> E-adjacent property line SAMPLE SITE PLAN adjacent property lined 2 . _ _ Fadjacent property line �J I D 30' rR�SCRvE gel -E.4_Sa.J AL_ �' la+ fi HOnn t —��TSL__,� CRF�K ` I rw GaatnJ I I £ q0 I PRoPo�en s¢pt:c —�� R I VACANT fi '0-A— i I 3�II Posen R\ I / AbR=LLLTu_0.AL so 1k—so'—gyp \ \ L_ e LL I � I � /DO. - I adjacent property line-� ; ►a~. \i <-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 distar.cm to ru.ct-L�Y� dis't'�r,LG to r1 dii��nL¢ w� y 40 r M Signature Daf e Department of Labor and Industries Colin, Check Fee Factory Assembled Structures $ PO Box 44430 Olympia WA 985044430 NOTIFICATION TO LOCAL ENFORCEMENT AGENCY' Dates('1� \J C., •s a The Factory-Built unit Identified below requires Mfg completion work at the site as specified. VS Owners name Mfgr s serial no. Dept serial no. / Installation address _ Type of construction Occupancy ETA at site VV II 4 -� r a h 'R— �: () 0,- i City State ZIP+4 County Phone number Installation site is in: ❑ City County DESCRIBE ITEMS REQUIRING COMPLETION WORK AT THE SITE INSERT NAME AND ADDRESS IN SHADED AREA INSERT NAME AND ADDRESS IN SHADED AREA i To: To: ® D E Cr�s, �vE' r 1 Me j\ tw Line (Jrvn P( 4it Adam � i r � ± . Inspector's name(printAype) Phone:(8 am to 5 pm) Manufacturers name(printhype) i Office location Date Manufacturer's signature FL or Dept. Reed File By White-Olympia office se ONLY Green-Electical section Canary-Inspector Pink-Building department F623-013-000 notification to local enforcement agency 11-98 ® ie Goldenrod-Customer _ `� PERMIT NO.: BLD 4u W$ MASON COUNTY Z� 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name EVl Mailing Address Mailing Address U City State Zip Code `� City State Zip Code Phone Other Ph.( Ph.(ZELI� ) i'Q ,�,O,_,�the,r�`Ph. Lien/Title Holder Contractor Reg. #%�_kQ%04 Address +� w ""? Expiration / , / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water-System PARdEL INFORM ATI N-12 digit Tax Parcel No. Z` ! / / Fire Distric le-gal Description '^D 9.. ite Address(Please include st ame, reet number n city) t irectio s o site�fi C Will timb r be cut and sold in parcel preparation? (Yes/No) _ Q� Is your property within 200' of the following: Body of Water(Name) *4n no ` bor) JLyt�Qg;Aq Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE❑ TYPE OF JOB Newer_Add Alt Repair Other Use of Buil ing Describe Work , f C 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 Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL 8,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 approval. X Date X t `�\ \`+ Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by f Date_ Submittal Amount Due Receipt No. DEPAARTMENTAL.REV APPROVED DENIED CONDITION copES Building Departme 'i'"w''? 1© 4C� Occ GroupType Const'r. Planning Department agf 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 i