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BLD2000-01257 Cancelled Mobile Home - BLD Permit / Conditions - 1/23/2003
MASON COUNTY PERMIT ASSISTANCE CENTER Inspection n pec ion Line i e(96704 7-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 moo RESIDENTIAL BUILDING PERMIT BLD2000-01257 OWNER: JOSH DURBIN CONTRACTOR: RECEIVED: 09/25/2000 SITE ADDRESS: 50 NE BLACKSMITH DR BELFAIR ISSUED: 10/11/2000 PARCEL NUMBER: 223037500010 PERM�T� � �9No4/11/2001 LEGAL DESCRIPTION: TR 1 OF SURVEY 6/151 ` & VOID AY F PROJECT DESCRIPTION: DIRECTIONS TO SITE: .'��j C)J � MOBILE HOME OLD BELFAIR HWY, T09111M EK DEWATTO RD TO BLACKSMITH LK DR 100 FT ON RIGHT. General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: Type of Use: SF Insp. Area: No. of Bathrooms: 1 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: I Valuation: $0 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make COMMO Length: 70 Ft. Front: E 150.0 Ft. Shoreline: Ft. Water Body: Rear: W 450.0 Ft. Slope: Ft. SEPA?: Model:1980 Width: 14 Ft. Shoreline Desig.: Side 1: N 200.0 Ft. Year:1080 Serial No.: 58970 Side 2: S 60.0 Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty Type Qty. Type By Date Amount Receipt Building State Fee TLG 09/26/200 $4.50 54594 Mobile Home Submittal TLG 09/26/200 $175.00 54594 mile Home Issuance TLG 09/26/200 $175.00 54813 C"Plan Review CEW 10/02/200 $50.00 54813 RLC Fee AHB 10/06/200 $70.00 54813 Total $474.50 BLD2000-01257 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2000-01267 CONDITIONS FOR BLD2000-01267 1) Approved r ensions and setbacks on submitted site plan; mobile home placement is 140 feet from existing wetland to west. X 2) The current proposal for mobile home placement meets critical area setbacks. Note that future development by owner shall be setback from wetland edge a distance of 65 feet (50 ft vegetation buffer, 15 ft building setback from buffer)- !structure os all maintain this 50 ft vegetation buffer with new plantings of shrubs and trees. X 3) posed or any portion thereof greater than 30" in height from grad lin st maintain a minimum of 5'setback from all property lines, easements and 10' from all County and State Road right of ways. X 4) All upland areas disturbed or newly cr t Eby construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 5) The use, handling and storage of hazardous ma ria or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 6) Owner/builder assumes all responsibli rif ainfield/reserve area is encumbered. X o 7) 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 �L 8) TH FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 9) The approved plot plan is required to be on-site for inspection purposes. If inspectijopis called for and plot plan is not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour(mi ' um hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X BLD2000-01257 Please refer to the following pages for conditions of this permit. 2 of 3 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 any/all a no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 11) 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" or in eight from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. X 12) Placem tructure must comply with standards setforth per 1997 UBC Chapter 18 regarding descending and/or ascending slopes. X 13) f reinstallation 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. 14) All property lines shall be clearly identified at the time of foundation inspection. X 15) This application is s t to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 16) 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 a your project. 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 o ed. OWNE OR AGENT: DATE: 10--( ( -- 0 y BLD2000-01257 Please refer to the following pages for conditions of this permit. 3 of 3 CONCRETE MECHANICAL MOBILE HOME Footing%,Setback date by Ribbons date by Gas Piping date by Foundation Walls date b Set Up i date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 7-7� . UJ Q 9LJ of I Building Permit # ? ti MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location r-2=' 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 C [ �,/ ��/�JQ .Lam^ _ S c�/� Ct czr.� �C3i C C_� �✓ O ci_ ©„� S Gi kJ You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection 3x OK to ❑ This is not a complete in pection Department Date % - q Inspector 13 ■ so v N44T MOOV T 11, T A ,� � 7Z o po S �o • PERMIT NO.: BLD /7 MASON COUNTY BUILDING PERMIT APPLICATION fl 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 e_;PGv AIE Mailing Address r Mailing Address City State( Zip Code City State Zip Code Phone 6 Z) --)7 lather Ph. 3 0 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 Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. —7�s/ 000/c_ Fire District Legal Description Site Address(Please include street name, street number and city) i D?irecti s to site e/ ---� f- f !3 �i- C✓f tC . 11 �t i . / ✓� . on rEjIi Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) ,[Y� Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ] SEASONAL RESIDENCE❑ TY JOB New Add Alt Repair Other_)K._Use of Building t2t Describe Work No. of Bedrooms No. of Ba TAGE-1st Floor 2nd Floor 3rd Floor Basement Deck sq. ft. Ga Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make k-hw+ Model J kV Model Year 12ko� Length :Zb Width Serial No. SR9 7 t7 No. of Bedrooms 6t No. of Bathrooms- Type of Heat Pzrj c Purchase Price $— V_ Replacement Unit ?(Yes/No) Aja Installer Name i N Certification No. r+PC.— 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: OWNCKt 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. Nhanges shall be made without approval. , first obtaining approval. X _ '� d X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. 0EP;ARTMENT. ":FfEVI W OVED DENIED CONDITION CODES Building Departme Occ Group Type onstr. Q� Planning Department O Environmental Health Department Public Works Department I Fire Marshal v� Valuation $ f� 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 FORM MUST BE COMPLETED IN INK PLEASE PRESSJiARD MASON COUNTY PROJECT SITE INFORMATION �� Case No. Named C Z �, DJ"'�T" PARCEL NUMBER 203;nac/,0 Date // —y c% 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 _ <-adjacent property line I I k adjacent property line- ' i ' <-adjacent property line uz SAMPLE SITE PLAN J adja�nt property lined f-adjacent property line i D 3-' rREscave gel SEAsn%J AL" a ,L CREEK c I1MHomj 1 snpt:c. I ISo--�I I � VAGINT T C AMAr d --- I o' I 31 P0.oPasCD R\ / A&R=LLLTLLRAL SO I I I � I I \ I /00' I I I I x /00. •i I Lw..ie_LL 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.) 0 SAMPLE TOPOGRAPHY PROFILE d1st�»cm to �,y�� ru�tLa.►�� 610pm toe dit+ancQ lb� Lure Date