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HomeMy WebLinkAboutBLD98-00948 Final Mobile Home - BLD Permit / Conditions - 6/30/1999 i CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons I 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 by MI FRANG Wells FIRE DEPT.date by date by date 6 by PLUMBING Attic OTHER Groundwork date date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION I date by date by date by /q © 42 i? 1 1 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F F-A M I -V' C, "N Ll I "' 1 0 N F3 Case No . 81-1)98.-0948 For LISA 001- 110RD Page I Apicoved per- dimensions and setbauks on submitted t-� ite plan ; new house shall be. �iatbaok 106 feet or more from the edge of the wetland on this property , 2 ) Tempor-RrV ero% Ion contr oI measures must be imp leritented to prevent wa I er, qua I I t y degradation of adjacent waters or wetlands . Silt fencin must Lie Installed and q maintained . uritil tip I and veget at I on has become estah I I shel . X 3 ) Propo�,,ed s t rue i ure or port I ons t hereof w i t h a n pro I ect 10, n over 30" 1 o bit I ght f rom gr ade I I no, muqt ma i nta I n a 5 ' separat I on distance between adjacent structures and that furthest pro Ject i f.*)A . X­­_­1___4� 411 Proposed strticture or any port ion thereof qreAter thar; 30" in fie i ght f rom grade 1 1 ne. must tuaintain a minimum of 5 ' qetbavk froii all property llnes, , easemonts and W front a I I ...Count v and State Road right of ways . X 5 ) 'rh i a app I I cat i on I s sub toot to But ter- and 1,andsoap I nq reqtjlrement�� a�, estabi Ished under Masop- County Ordinance ' 1 .03 �036 . X 6) Trie use, hand I i nq and storaqe of hazardous mater I a I s or f I amnlab 10 and combust I b I e (lu i &,4 1 n excess of 10 9a I I ons i s fiat a I I owed w i thout the approva I of the Maton Cc)unty re 7 ) Provisions for surtaoe/ subsurface drainage control must be Implemented with new construction or developm(-,�nt on site an;.,) MUST N01 adverselV Impact adjacent paroels . Under the requirements of Marion County Stormwater Ordinance, either private ditcohes and draltis will meet rerluirpmentf,,, of the stormwater ordinance or prior approval will tio granted to use an existing utility and drainage easement de'dicated for, that spec, I I I o purpose , For, turther Information regarding 'this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a drivshwaV or access MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 connect in from a Mason County Road, Contaot the Mason Cf.,)Untv Pubf it:., work Depar-traf4nt prior to construction at Ext 450 . or any construction whik-Ji is propo.e(j to t-*e iocate(j wi Lit in 25 , of a Mason County road r i glit of Wray, it is :suggested to contact that office, to review future planned work which a my I ect your prOjec , X 0-v 8 ) PURSUANT TO 1994 UNIIORM 13011. 1)INGA C'Of& . ALI, SITFS MUGT flAVE APPROVED NUMSEPS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAIN[.Y VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY , MASON COUNTY BU11, I)ING I)EPAP'I'MENT REOUIRES 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 WIL.A. PF ASSESSED IF OW R/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO RE04-JESTING INSPECTIONS , X 3 9 ) THE FOUNDAI I ON SYSTEM SHALL BE PLACED ON UND I STURSED, NAT I VE so 14, X 10) The approved plot plan if; required to be on-site for Intipectican purposes . If inspection is called for, and plot ) Ian Is not on site, Approval WILL. NOT be granted , In addition , a Re- Inspection fee in .he amount of *42 ,00 per, hour (minimom t hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . 17 11 ) REOUIREIN INSPECTIONS ( foot incl lnf ection-prior to pour , Set-up Inspect to skirtingInal Inspection-prior a occupancy) . I have received a copy o a f the Generl Inf4,.)rma?I .'n and Gtildelities.-Mot)iletfAanulaottired Housing Installationq Handout for, detailed descriptions of all required Inspections on my mobile/manufactured home installation . I hereby assume all responsibility for- the scheduling 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 rein.speotlort 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 praot loec; or robl ems that have been disc,-overed . I further understand that this Inve ca n will F,)e scheduled as time allows . Until resolution of any/all problems no occupancy ( Finh ) Inopection ) will be granted 'for the residence .--, OWNER/CONTRACTOR ( indioate which ) 'Sknature X MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 12) All irrobi le/manufactured home landing: or deck: must be freestanding ( self supporting) . The lag rest l and i n or deck Lerm i t od w l t hoot riraw i nos or a hu i i d i nq perm i t i s 120 srl f t or 4ess AND MUST ge under 30 in height from sum-oundinq reds . NO second stork dprks , or decks above 30" (,an be hu i l t without a perm i t . Ar!y I ani I ng or deck t hat i s 30 or more In height from walking surface to finish grade requires a Permit . Any landing or leek. that has 4 or more r i stirs uequ i rep+ ra h andra i I , X "-�- 13) Placement of struetarre roust comply with standards tf t-th per 1994 UBC Chapter 18 regarding descending and/or ascend i nq slopes . X 14) Prior, to final occupancy and Final t)u i i d i ng inspection , they septic sVstPm mist be d"..A.,gned, I nsta 1 I ed and approved . Al o `a SCasoy 1 o �QSCRV2 �00. too* -o Y t I. PC- P`zOP c>5c4 Hot�sc f FL-tuRe 3- GRdo- AA !oo' o' rfous� .� )V�� � �- $ (SON S PLOT PLA N o T 3 ,I E L O J 1 0 i k o • • �L/� . �PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION --, f 6 W. dar/P.O.Box 186,Shelton,WA 98584 7 $ Iton Be rr4A 7 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner U5A C QFo Lb Contractor Name Nuo-r IYI.Oi3(LE F an ES Mail�g Addres U UU Mailing Address Po G .7n N I CityN + I O-r State Loft Zip Coe 9 93&'7 City CoR.ST State LJA Zip Code 993 ]Phone(NPO) -Zi0ther Ph.(3(oQ Ph.(?q& 3IS-6001 Other Ph.L___ Lien/Title Holder Contractor Reg. # Cs O 25'rt—0 a9 8"I Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System t)kC[ Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 2.' / p Fire District az Legal Description -M 'Z3 0V-' SL41ZV 3 2 Site Address(Please include street name, street number and city) 15 1 MAND AN C E 141 til Directions to site Af,CAEY--DEU*TM R D I ITILW Q 5 Bulb. Itr of l MA-ROGAk-19Y CT Will timber be cut and sold in parcel preparation? (Yes/No) N O Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoffs Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other X Use of Building HIV Describe Work 1 ► pI > l„E RtynE No. of Bedrooms j No. of Bathrooms U SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-MakeCA"h'IEW-r Model Model Year I 19 Length Width Seria' No- Type of Heat G Purchase Price $fin .DO Replacement Unit ?(Yes/No) �b Installer Name N Certification No. �A �� Oa �'7 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-1 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 appro al. �} �f first obtaining approval. Date X Date FOR OFFICIAL USE BEYOND THIS POINT ��:��� // Accepted by Date Submittal Amount Due � j Receipt No.� LiS.O DIwPART NTA1» E.) QV€ DENIED CONDITIQ Co '[~S Building Department laA Occ Group Type Constr. f-f Planning Department Environmental Health Department Public Works Department 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 Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD - MASON COUNTY PROJECT SITE INFORMATION Case No. Name W5A C i,fQ ) PARCEL NUMBERQ�3Oq-9 q- OO` 3VDate q— I9•-q 9 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indic8tiong N, S, E, W in relation to the site plan Lot Dimensions Fences 1� Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography w 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 lined Imo_ ca >, S 3�° ;I Fadjacent property line I J1 I I I I � I I I I $ I I O� I : L I I I � I I I I � I adjacent property line4 41 Fadjacent property line S 1 SAMPLE SITE PLAN adjar�nt property line- _ _ _ Fadjacent property line D 3o rRFSCRvE gel SE.4SG_AL I a _Y�PTSL__,� Home- I .Gnaeu CrtEEK � I � A I F rp' � linos¢ I > PROPmen septic. I 1 , I I VACAKiT I c„nrt�us I I 30' I P0.oPo�CD � �� � AbR1GtLLTu..RAL 50 � J I IF-40—� \ u„• I �' I 1 I I • / I �-B O' I \\ I I � I � I \ 1%19 /DO" \ I L- •eLL I I I I I L.��GLL I i � 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 d1s+9r.Gm +n SL•CJ �y�P d�5to►,ce rc 51oP Z tc¢ dit+ancm t IN' � 4e Q,IrIA SO a ure Date