HomeMy WebLinkAboutBLD99-00151 Final Mobile Home - BLD Permit / Conditions - 8/25/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584 T-�Z
E3 f._If 1 t._. D 1 N 0 P E:. F1 M 1 -T- FOR INSPECTIONS CALL 427--967O
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BETWEEN 6ptn AND Elam 427-7262
BLO99-0151 PARCEL. :2E 30477901 2i PLAT : D I V : BLK . LOT :
JOB ADDRESSc 7181 NE TAHUYA BLACKSMITH RD SELFAIR
OWNER : KENNETH JARSTAD 792--O501
CONTRACTOR ; R&K VE'NTURUS 360--275--4104
LEGAL : TR 12 R Of 3URV 13141 T1 B OF SP 1i792
arrvamc:avi.:c.�-.asx::.�-vs::.'-.:�v:•_.:a:�essuasx�a�x .s'=_r.�:wr_.aa�^x:-x.:;a.z�s..
CLASS OF WORF . , :NEW BEDR : 3 .BATH : '2 TYPE AN0U0 flY RATE RECEIPT TYPE A1IOONT BY PATE RECEIPT
TYPE OF USE . . . . MH STORIES . . . . . . . : ;
OCCUP . GROUP . . . :7 BLDG . HEIGHT , . s O .Oft NIISF 1 175.011 L11 03112199 49674 1
TYPE: OF CONST . , :7 FIREPLACES . . . . . 0 IINBL 1 17, .Af T1 64109!99 49906
OCCUP . LOAD , . . . : 0 WOODSTOVES . , . , 0 151fE 1 4.51 TW 4118099 AS906 �
DVVt.I_l. ,UNITS , fd PARKING SPACES : 0 Jim i 50.00 TW 14169199 44996
INSPECTION AREA ; 2 SHORELINE? . . . . t Y 1 TOTALr 404,50 VA1.11tA1109: 120+17
SETBACKS--_.__._,___.__ -- TOILETS . . . . . : 0 FUEL TYPE,`,.___ _....__._. BOILERS/COMP-- MOBILE: HOME __..
FRONT . . .E 1 1 5 .Oft BATH BASINS . . . . . . = 0 : 0--3 HP . : 0
REAR . . . .W 82 ,Oft BATH TUBS . . . . . . . . 0 3- 15 HP . : 0 K40E)E:L -FLEETWOOD
SIDE ( 1 ) .N 22 .5f t SHOWERS — . . . . . . . . ; 0 FURN < 1001< BTU : 0 15-30 HP - : 0
SIDE (2 ) .S 22 .5ft WATER HEATERS . ,, . . ; 0 FURN >-100K ETI.I : 0 30--50 HP . : 0 4663L
SHRLINE .W 82 .Oft CLOTHES WASHERS — :: O FURN -- FLOOR _ : 0 504 lip . : V}
AREA - -.__ ___._s..___.___ KITCHEN SINKS . . . . . 0 HEAT PUMP . . . . . . : 0 99
LOT SIZE . . : FLOOR DRAINS . . . . . t 0 VENT SYSTEMS . . . . 0 E:VAP COOLER S : 0 L-ENGTH t66
FillILDING . . . : Oaf DRINKING FOUNT — : 0 VENT FANS . . . . , . : 0 HOODS . . . . . . , t 0 WIDTH . :27
EASEMENT . . . : Os'r LAUNDRY TRAYS . . . . O DOMES~ I NC I N :O --SER I A1..1`._.--.- -
DECKS . . . , . t O sf DISHWASHERS . . . . . . 0 FIR HANDLING UNITS-. .- COMML. . I NC I N .0 WAFLW
GAR/CARP :? Oaf GARB DISPOSALS . . . . 0 <=7 10000, cfm . t 0 REL.00/#REPAIR : 0
A.T/DT . :? URINALS . . . . . . . . . . . 0 } 10000 cfm . ; 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT flESCRIPT1011rilORli.E Hoof
PROJECT I.9CA1IC1:INO9 BELA1R TRAVEL 3.5 RILES N OR 01,0 SU f,519 ONY RFST 9.5 RILES ON 4EAR CREEK DEVATT0 90 6110 V11E S ON TAHOYA 81 ACKS11TH
THIS PERIIIT 6ECONES MI1I1 AND VOID IF RORB OR SONSTRUCTION AOT061 17EG 18 HOT CONVENLEB 11TH19 191 DAYS, O$ if CONSTRUCTION OR WORK IS SUSPENDED FOR A PERI00
Of 181 DAYS AT ANY TINE AFTER WORK IS CONNLNC€9, EVIDENCE OF CONTINIIA1101 Of WORK IS A P006RESS I4S1fC1iO1 WITHIN THE 106 DAY PERIOD. FINAL INSPECTION MUST Of
APPROVED BEFORE 90110146 CAN BE OCCUPIED,
ORNEN OR AGE111:
,r DATE:__`
81.11JRN1, rev: #3131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
i
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons _
date by Gas Piping date T— 7� b
Foundation Walls date 6 — Z g' by Set Up
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 b
D.W.V. WALLBOARD NAILING
date by date by
water Line FINAL INSPECTION
date by date 0& Z-r—_7 by /� date by
-77
Z 7 e G9S 72C- r,
Ls` -7 7 727
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F, r't I V t.. C) N C-) I -T J C3 P4 F-4
Case No . s BLD99--0151
Fort KENNETH JARSTAD
Page : I
1 ) Approved per ditnensione: and setbacks (in submitted site plan ; setback from take can be
8 feet from northwest corner of home X
2 ) Temporary erotion control measures must be implemented to prevent khfatert�uallty
degradation of aflacent waters or properties . Silt fencing or straw ma ing must be
installed a d maintained until upland vegetation has become established ,
3 ) Proposed structure or any portion there-of greater than 30" in height from grade line,
must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from
al
l %
I I County al) J 'State Road right of ways .
4 ) Proposed structure or portions thereof with an projection over 30" in height from grade
line, must maintain a 91 separation distance between adjacent structures and that
furthest projection . X
Y7 T-J-
5 ) Placement of structure must comply with standards setforth per 1994 U13C Chapter, 18
regarding descending and/or ascending slopes . X ],-f
6 ) This application is subject to Buffer and Landscaping requirements as established under
Mason County Ordinance 1 .03 .036 .
X 44-3-- -
7 ) 7he use. handling and stora e of hazardous materials or flammable and combustible
liquids in excess of 10 galyons is not alluwed without the approval of the Masor, County
Fire Marshal .
8 ) Provisions fov surf ace/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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
purpose . r cir rur7Cher I nformat i «ra a a i ng th I :s urzl i naoce and tfie FLU(3 i fiLMLi 1 tc�
obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Masten Count Road, Contact the Masan County Public Works Department
prior to construction rat Ext 4vR1 .
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
may affect ,your project .
9) PURSUANT TO 1994 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL. BE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . I
10) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE
SOIL .
T
11 ) The approved plot plan is required to be on- site for inspect Ion ® If
WILL NOT be
Inspection is called for and plot plan is not on site, Approval granted . In
addition , a Re- inspection fee In the amount of $42 .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 .
12 ) REQUIRED INSPECTIONS (Footing Inspection-prior to pour , Set-up Inspection--prior to
skirting Final Inspection-prior to occupancy ) . I have received a coppy of the General
Information and Guidelines-Mobile/Manufactured Housing Installations rirandout for
detailed descriptions of all required inspections on my mobile/manufactured home
installation . I hereby assume all responsibility for- the soheduling of these required
Inspections . If these 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 1994 UBC , Table 3A will be assessed
in addition to my original permit fees to resolve any questionable practices or
roblems that have been discovered . I further understand that this Investigation will
e scheduled as time allows . Until resolution of any/ail problems no occupancy (Final
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
;-4!- P Fe t4 i GI e f'l --
OWNER/CONTRACTOR( indicate which ) Signature X
13 ) All snob ile/manuf act ured home l and !' n?sor decks must be freestanding ( self supporting) .
The largest landing or deck permitted without drawings or a building permit Is 120 sq ft
or less AND MUST be under -.10 In height from surrounding grade . NO second story decks ,
or decks above 30" can be built without a permit . Any laning or deck that is 30 or,
more 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 449-1
14 ) Owner/ builder a3sumes all responsibility It drainfield area is
encumbered .
X
Case No . : BLD99-0151
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Short Subdivision.
Ap ved: )
\+ Legal Description GENERAL SERV DIRECTOR '
OI The north half of the northeast quar er of the southeast quarter of the
southwest quarter of Section 4, Township 23 North, Range 2 West, W.H.,
Mason County, Washington. Except Tahuya Blacksmith Road.
Also known as Tract�l2�pf Survery recorded December 319 1987, in Volume 13
Af Surveys, Page 40 •J,`f7ason County, Washington, Auditor's File No. 47597$.
779 FluLJA BL.ocK-S.v/rN LOAD �v.�.r�,u6 sw<�-Pis+To * .•uor�o.c»nrvr�
Ful¢rs�aZ D/V/SroalOF Fwa'2��1'o¢✓FJ•Ue' r .FE6ue.4 ,.I. salv.na•o.l o/
Owner: Erickson Lake Associates
Attn: Jerry Reid
Drawer IT, Wycoff Station
Bremerton, Wa 98312 *i 17�34 f.
Phone: 377-0046 *°f•rlci t � �-
C�JaI�E~
Surveyor's certificate
I hereby certify that land descriptions of this short subdivision are full and
correct descriptions of the land divided as they appear on this short plat.
- t
Earry Ik. Irwin, Jr. I:e12437
VICINITY MAP N SHORT PLAT
SCALE:2=I MILE-, for
ER/CKSO/V LAfCE
�,��.-.s�yu.<-E ,45SOciaTEs
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�MITY IRWIN ENGINEERING
Civil Engineering and Land Surveying
—" 824 So.28th St. Tacoma.WA 98409
I Phone 272-7831
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DRAWN �� DATE F.B. 69
�1 a-c %57 G. 37
CHECKED SCALE J08 NO.
9/Z-
c � O PERMIT NO.: BLD 1 qo'" /
• MASON COUNTY ( a
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 Ker►„&41. A. 0-1zrs:'2d Contractor Name 2e• K Up.+-ures
Mailing Address PD BDX C-022 Mailing,Address Po. L30X J117,6
City 13reb"el�+au State" Zip Code ?8,�1.2 City State WA_ Zip Code 963/2
Phone(360)792-6S-011 Other Ph.(360)47L-1.3&� Ph.(3GD Ph.(
Lien/Title Holder,-,.;tksot, Lo kz A4soc;ot-es Contractor Reg. #
Address Expiration / /
i
f SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connec Sewer
System Name of Sewer System Well Water System Name of
Water System Ev;e-ksoa ZgMe- e y,Jn o .,x Assoc. w W
PARCEL INFORMATION-12 digit Tax Parcel No. 1�2 304/ -77 6 111 Fire District_
Legal Description '>f' 1-772
Site Address(Please include street name, street number and city)
Directions to site _ '
9.� f,,q ; /Pf Orr �C.,r G'y.•c��— Pi.✓is 41D. //�� ,'/� C______tiTr,T/�g _ �.r���{-==��
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your pro rty within 200' of the following: Body of Water( ame) G r i c I.' s a.,, Lt�e Saltwater
LakeRiver/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB .
ew Add Alt Repair ther Use of Building /Q,���� .,, 4C
Describe WNU
No. of B rooms 3 No. of Bathroo s 2 E SQUARE FOOTAGE-1st Floor d Floor
3rd F or Loft Basement Deck Other sq. ft.
g Gar e Attached Detached Carport Attached Detached
I
MOBILE HOME INFORMATION-Make &,eg f1,wa hodel_ G3 L Model Year / 9 22
Length IFGs` Width 2G'B�,Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Y— P 6-4-C Purchase Price $ Replacement Unit ?(Yes/No) A 0
Installer Name Certification No. WA/N.SOO 73 5
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
Contactor 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 91 K Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
i
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW Pt .' ovED DENIED CONDITION CODES
Building Department 3- 1
Occ Group Type Constr. 50 /3
Planning Department 1
�OZ(�
Environmental Health Department
Public Works Department
j I
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other }
A�
Violation Fee Pre-Paid at SLi-bmitt&J
.:::::.�::::i;:v:v:•>:q;;isy:':y:>iiii:J:jv:?:Lii;4:?{<cy::•.•.;;:•.......v:;:::w;::•L'.:
£:NV:vtih• T O TA LF EES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name J 2 A.(� PARCEL NUMBEi(() —'I "� 1 ����� ,&.bate
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 line- ' ' Fadjacent property line
SAMPLE SITE PLAN
adja�nt property lined 3to� _ _ Fadjacent property line
p 30' rRE-,r4
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adjacent property lined Fadjacent 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
d15+a"C_a. +e
rur_tLa.Ye_
8;sta W,Cr- r o
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sign atu e Date