HomeMy WebLinkAboutBLD99-00020 Final Mobile Home - BLD Permit / Conditions - 9/29/1999 l
MASON COUNTY L_r
Mason County Bldg. III 426 W. CedarP.O. Box 186 Shelton, Washington 98584 _2
EA. l_J I U., 111 1 N cl IF' E R AA I -T_ FOR INSPECTIONS CALL. 427-9670
BETWEEN 5pm AND Sam 427-7262
13L.D99-0020 PARCE:L. :223024300i 10 PLAT -, D I V : BLK : LOT :
,11'41 A0DRFSS r 901 WE TnONFFIV I E I E DR BEI FA I N
OWNER : MORGAN HOBART
tA0NTRACTOR :
l_EGAF_ i TA 11 OF SE
Ct ASS OF WORK , . NFW BE DR : 2 BATH : 1 ITYPE AMOUNT BY DATE RECEIPT TYPE ANOUNT BY DATE RECEIPT
TYPE OF USE . . . . s Mt1 sTOR I us , . . . . . . . 1
OCCOP . GROUP P3 III.DG . HFr. I GHT . . : 0 Of 1 MNSF 1; 115.00 KW 81116199 1331
TYPE Of CC)NST . . . 7 FIFTFPI.ACFS . . . . : 0 EHCP $ 50.00 NJP 02182199 BEEFAIR I
C}CCUP . LOAD . . . ; 0 W00DgTOVES - . . . : 0 SHR t 44.00 NAP 02102199 BELFAIR I
DWELI. .ON I TS . . . 0 PARKING SPACES : 0 MHBI S 175.01 Nip 02102199 BELFAIR
INSPFCTION AREA : 2 SHORE I NE? . . . . :Y STFE 4 4.30 N,IP 12102190 BELFAIRTOTAL: 445.50 VAlUlAlION: 254
00
+�ti"�'tlSYC=Y+':XGf�.':^'�'1S^d'ftTS.T:S4�..SC%FYI'?.'_9'-'AZ'4%:.:�2!�4_:.C".fiTJT.S'A�.RL^.MT.C1`C�'.'a���C".^^.StW.�'v�Y�9�5.^P^::x.'_"L«�•••
T01 LETS . . . . . . . . . . z 0 FUEL. TYPES- ------ - BOII-ERS/COMP----" MOBILE HOME- -
FRONT . . .N 390 .Oft RAi H BASINS . . . . . . . 0 : /FI F f f / : 0 3 tip . : 0
REAR . . . .S 1 40 .Oft" BATH TUBS . . . . . . . . . 0 3--15 HP . 2 0 MODEL :SKYL 1 NE
' >IDE ( 1 ) .F 18010ft SHOWFRS . . . . . . : 0 FORN 100K. BTUt 0 15 30 tip , : 0 --MAKE:
S L DE (2 ) .W 40 .0 f t WATUR HEATERS . . . . : 0 F URN >-100K BTU : 0 30--50 HP . : 0
SHRL INE .S 70 .0f-t CL.OTI-IFS WASj!f4 vS '. . : 0 FONN - FI OOV . . : 0 5 0+ HP . r O YEAR-
AREA __...__._______ .-._._.-.._ KITCHEN SCORS . . . . ; 0 HEAT PUMP . . . . . . ; 0 86
I-CST S I ZE . . . F L OOR DR I N�9 s 0 VENT SYSTEMS . . . . 0 E VAP COOLERS : 0 LENGTH :60
BU F LD I NG — % 0s f DRINKING >=OttNT . . . 0 VENT FANS — _ . : 0 HOODS . . . . . . . : 0 WIDTH . : 14
BASFMF~N"F . . . : Os,f L.AUNORY TRAYS , , . . . 0 DOMES . INC: IN :O --SERIAt-
DECKS . . . . . . . Osf DISHWASHERS-- : 0 AIR I-IANDL i NG UNITS--� COMML . I NC I N .0
GARJCARPr? Osf GARB DISPOSALS . , T 0 <- 10000 ofm . : 0 Rt-I..UC/RF"PAIR ; 0
ATIDT . s? URINALS ° . . . . .. . . . . : 0 > 10000 cfm . : 0 OTHER UNITS . : 0
M F SC PI M F" I X.TORFS r 0 GAS OUTI-FTS , 0
PROJECT DESCRIPTION:19S6 A0 % 14 NO811f HONE L
HOMfOWNER IMSTAll1$OMEOWNFR CONTRACTOR
!ROJECT LOCATION:
BEAR CR1fK DEVATTO RD PASS EIIINDAIIE PASS RD .5 III[ PAS) IFFT bN 104NER VILIE RD 3;4 EIIIE PROPFRTY ON IEFT NAND SIDE HOEAR1
IRIS PERMIT orCONES NU1.1 AND V910 If WORK OR CONSTROCTION A91110811f5 IS NOT CONNINCEO 11111111 1So PAYS, OR IF CANSTRUCTION OR WORD IS SummaED FOR A PERIOD
OF 180 DAYS AT ANY )IMF AFTFA FORK 1S CONNFNCfD. EVIDENCE Of P,001INUATION OF WORK 1S A PROGRESS INSPECTION WITHIN THE 181E DAY PERIOD. FINAL INSPECTION NOST HT
APPR(+VEU 8(FORF 88ROINO ;CAEI 8f. OCCUPIE1.
A.
/rtrt nn P
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date % �'f 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
TS-i 1t2 .AND �UEX VWOrL lf4SUAnS±1 i TARM eo1 J
S�� mot►c� s�-v� c�>,►n►NL,
ND f I'l ONS, l.", REQU f PC
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BI.099--0020
Fort MORGAN HOBART
Paget 2
1 ) Approved per dimerisionf, and setback!; on submitte
feet trot" the bank of the Tahuya River . X plan ; home 't(") he at lea"At 70
The proposed pro lect must be non<; ls, tent with a I I appi I cabl e pol le. 1of, and other-
�rovislons of ttle 'Shorel Ine Management Act , I t s ru I es , and the Mason County Shore I I rie
aster Program,,',,',
X
3 ) Temporary erosion ooritrol measuros must be implemented to prevent watctr quality
doclradatlran of. adjacent waters or properties . Slit fencing must he installed and
maintained urt 11 up1hnd vegetation has become establistipd ,
X I tit
4 ) Proposed strum ur,,e or any port i on t hereof cheater than 3011 1 Irl he I ght f rom gra(le I i roe,
must n1a I tita I ri ',a M4 n Ifflum of 5 ' setback from a I I property I i ties , easements and 10 ' from
a I I County Apo" State Road r I qht of ways
X
5 Th i r, app 1 1 pat i,ofc I s subliect to Buffer- and Landsoap i ng reqijirements as, established 4ifider-
Mason County 'q1rd*li'iance 1 .03 .036 .
X
6 P The use, hand I I ng, and storage of hazardous mater I a 1 s or flammable and combustible
I I qii I(is 1 n excess of 10 ga I I ons is not a I I owed w I t tiout thf$ approVal of 'th(x MaS4)n CCII#nty
Fire Marshal .
7 ) Provisions for- surtaoe/ subriurface drainage control must be implemented with new
construction or development on site and MOST NOT adversely impact Ndjacent parcel c'; .
tinder the requirervients of Mason Cotinty Stt.)rmwats*r Ordinance, either, private dftches< and
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
dt,a i ttGi wi I i meet r P(I u i r ente n't s of t I o, : t or.m w a I f rt r-d I n a A('e C,i p r i (1 f :1, t-- , , ', I W i I I be
granted to usle an existing rat itity and drain& e easement dedicated for that specific
purpose . For further information regarding t I s Ordinance and the REQUIREMENT to
obtain an ACCESS PERMIT for, the Inital tat lonloonstruntion of a driveway or access
connect I nq fri,-tm a Mason Count x Road, (:oritact the. Mazio P c,n County ubli Works D m epartent
rior to construction at Fxt 450 ,
-or any construction which Is propt.)4ed to be lovated within 25 ' of n Mason (,ounty road
right of waV, It Is soggested to r*olttAnt that office to review future planned work which
may affect your, prQjeof .
X
8 ) dwrier/ builder. asf4ume all r-espontsibility it drainfleld ar-na Is
encumbered
X
14 ) At I approved plans are rectistred to oe on--site -for tor ect ion purpo-,,e G o It inspeotin
Is called for and plans are not on site, Approval WI F-L NOT be granted . In addition, a
Re-- Inspeotion fee In the amount of $42 .00 per hour (minimum I hcour ) wl 11 be charg"d and
must be collected by thl ,,i department prior, tf,-) any farther Inspection,,-, being performed or
approval qrsnted ,
X
10) PURSUANT TO 1994 UNIFORM BUIlDING COPF AL I- ISITFS, MUST HAVF APPROVED NUMBERS OR
ADDRESSES PROVIDEn IN SUCH A POSITION AS TO PF PLAINLY VISIBLE AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY 8111I.DING DEPARTMENT REOUIRES 'TI4AT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN TABLE 3A OF T'HF 1994 UNIFORM PUILDING CODE WILL BE ASSESSED IF
OWNER/CONTRACTOR FAIt..S To POST ADDRESS ON ',--', ITE PRIOR 1*0 REQUESTING INSPFCTIONS .
X
11 ) THE FOUNDATION SYSTEM S14ALL BE PLACFD ON UNDISTURBEI), , NATIVE
SOIL .
12 ) The approved p I of p I an I s r Pqu 1 red t() he on- t,' i to for, I n speot I(in r4UPP(aSfIs . I f
Inspection 1 s cal led for and plot quart I s not or) site , Approval WILA- NOT be f,jrantod , In
addition , ;t Re-. I nspect i can fee I rt the amount of $42 .00 per hour (m I n imum I hour- ) will be
nharged and must be collected by this department prior, to any further inspections being
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
performed or, approvi-1- t4 t,a rl t
X
13 ) RU0111PED INSPFCTIONS ( Footing inspeot 1on--pr lot', to pour , Inspection--prior 'to
skirtiny, uinal Inspection-prior to occupancy ) . I have received a copy of the General
Informa Ion arid Gil ide I I riesMobi le/Manufacitured Housinfj Installa,lions Handout f c.r
detailed descriptions of all req4tired inspections on my mobile/manufactured home
i rapt to I I at I on I hereby a-,s ki moo P. I I posponsibi I ity for tho fchedul Inc; of those required
inspections , If these required Inspections are not requested, Inspectf4id and signed
of f (approved ) by the I rispeotor i n 1 he prescr I bed order , I understand that re I nspeot I on
fee� and an hourly investigation fee pursuant to the 1994 UBC, Table 3A will be, assessed
in additican In my car iflinal permit fees to resolve any que!jtionshle practices or
problems that have been discovered . I further, understand that this investigation will
be soheduled as time allow,_ Unt I I rec;olutlon of anv/ at, l problems no occupanov (Final
Inspection ) will be granted rot, the residence .
0WNEF1i(.',0NTI1ACT0A ( indica,te which " Signatijue X
14 ) A I I mob I I e/m a n u f a n t u r e d home I Land i n q,,; o r decks mu s t be f reestand I nq ( sp I f -,upport I fig)
The lnr(wM;t landing or dpok perwitted without car awin( r,�jE- or, a building permit I s 12 0 tj f t
Far les, AND MUST be under 30" In height from surrounding made . NO second story docks ,
or decks above 30" (,an he built without a permit , Any lan3inq or deck that is 30 , or
more in height from walking surface to finish grade requires a Permit . Any landing or ,
C100k th8t 4 Of- Wire UlSel`4 regal ir-es_ a elands ll
X
1 55 ) proposed l;tructure or startlon5 thereof with an projet.,tion over 30" In height from grade
line, must maintain a separation distance between adjacent structures and that
furthest projection ,
16 ) Changes to approved building plans that effect com fiance to the Uniform Building Code
and/or Ma'son County Regulations must be approved Ey Mason County prior to construction .
X
'I M a n u f a r;t u r e d homes i n s t a I I P_d I n W 4 S h 1 t 0 n 'S t a t e s,tk a I I h 0 Instal led bV the homeowner, or-
a tear ified Instal ler . The building permit application for, this pro act is approved
ba s;ed up4-:in homeowner I nst a I I at I on . If Installed by another party pro
I nfjt a I I er name
and certif oat ion number shall be provided to the Mason County Building Inspector during
the applicable inspection . The owiter has been pr ov I(fort with then Labor Rrid I ndu 9 t r y
br orlhure, "H I r I nit a Cunt r act or or,, Re modes I er
-7
MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
Ca No . - 81, 099--0020
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION '
Case No.
NameUWCM "6CK PARCEL NUMBER 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 line-> I / I E-adjacent property line
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adjacent property line4 '' I E-adjacent property line
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SAMPLE SITE PLAN 1 C �
adjar�nt property line->1J a 3iO
E-adjacent property line
C i IIIIII I�I II III
�M1oP/F1D1a,0 sC SGD 30. r
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H6REEK 7
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adjacent property line-;� Fad'acent properfyline
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
d13t�r�G2 to
"L[. *a
Slops fia¢
dii�anaa.
Sigr1aturW Date
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koV
v�Vv,, vo J 1
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. q PERMIT NO.: BLD l AD?,
MASON COUNTY
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
APPLIC 1 F M TION ''�" CONTRACTOR INFORMATION
Owner ��.. \ Contractor Name
MailirhQ Address Mailing Address
City State�h& Zip Code City State Zip Code
Phone(LXO) ther Ph.(,3�Q 14A ,'S(p5- Ph.( Other 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 Well 'v Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 01 3 J sk Fire District
Legal Description
Site Address(Please clude street name, treet n tuber and city) t l
Directions to site (` Y Q
efk L
Wi t*tnber be cut and sold in parcel pre Oration? (Ye No
Is your property within 200' of the following: Body of Water(Na Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building �j„
Describe Work n, � r �✓-A "�Qag,
No. of Bedrooms��No. of Bathrooms_I_ SQUARE FOOTAGE-1st Floor -�qL) 2nd Floor
3rd Floor Loft Basement Deck Other_ sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make , Model Model Year
Length Lp.. ) Width 1 t-4 _Serial No. No. of Bedrooms_ZNo. of Bathrooms 1
Type of Heat L-1.o r {"_Purchase Price $ lS Replacement Unit
Installer Name 4. �— 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
requirem t, 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
confor therewith. No changes shall be made without obtain g shall be done in conformance therewith. No changes shall be made without
approv i first obtaining approval.
} ���D.t. k X Date
X
FOR OFFICIAL VS,E, BEYOND THIS POINT
Accepted by Date �..�- Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building DeplAment
Occ Grou TypeConstr. �Gf
Planning Department of I
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit FeeD Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
,57
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( �00
)
TOTAL FEES