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BLD2000-00209 Final Mobile Home - BLD Permit / Conditions - 6/7/2000
Inspection Line (360}42 - 262 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 RESIDENTIAL BUILDING PERMIT BLD2000-o0209 OWNER: JOHN FELTENBERGER RECEIVED: 03/02/2000 CONTRACTOR: ISSUED: /27/2000 SITE ADDRESS: 80 NE BEDROCK RD BELFAIR 0 PARCEL NUMBER: 223097690201 EXPIRES: 09/27/2000 LEGAL DESCRIPTION: TR 20-B OF SURVEY 12/34 TR B OF SP# 1696 NE 80 BEDROCK RD PROJECT DESCRIPTION: DIRECTIONS TO SITE: MOBILE HOME BEAR CREEK/DEWATTO RD TO LEFT TAHUYA/BLACKSMITH RD TO LEFT ON MUNSON LEFT ON BEDROCK LK FIRST DRIVE ON RIGHT General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: Type of Use: SF Insp. Area: 2 No. of Bathrooms: 2 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make REDMAN Length: 40 Ft. Front: W 148.0 Ft. Shoreline: Ft. Water Body: Rear: E 274.0 Ft. Slope: Ft. SEPA?: Model:WINDWOO Width: 28 Ft. Side 1: N 103.0 Ft. Shoreline Desig.. Year:2000 Serial No.: Side 2: S 100.0 FL Com . Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal KLW 03/02/200 $175.00 1793 KfAile Home Issuance TLG 03/15/200 $175.00 BELFAI 13@Ading State Fee TLG 03/15/200 $4.50 BELFAI Planning Review Fee AHB 03/20/200 $38.00 BELFAI Environ. Health Plan CEW 03/23/200 $50.00 BELFAI Total $442.50 BLD2000-00209 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2000-00209 CONDITIONS FOR BLD2000-00209 1) Approved per dimensions and setbacks on submitted site plan. X 2) All upland areas disturbed or newly�--- b construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 3) This application is subject to �uffnLandscaping requirements as established under Mason County Ordinance 1.03.036.X 4) The use, handling and storage of hazardous at is oil,flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 5) 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 fro ason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction whq=y—a oplffffct d 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 w your project. X 6) Proposed structure or any portion thereof greater than 30" in height from ad 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 1 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 OPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO MDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X BLD2000-00209 Please refer to the following pages for conditions of this permit. 2 of 3 9) The approved plot plan is required to be on-site for inspection purposes. If inspe is 'led 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(mini 1 h ur) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 10 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 urly investigation fee pursuant to the 1997 UBC, and will be assessed in addition to my original permit fees to resolve any questionable practice , r ems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of any/ I ble s 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 permitted without drawings or a building permit is 120 sq ft or less AND MUST be under 3 ' ' e t 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 more ' i t fr m walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. X 12) The installation 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 locations cifie by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. 13) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. 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 occy ied. OWNER OR AGENT: �' C� DATE: 3 2 2 BLD2000-00209 Please refer to the following pages for conditions of this permit. 3 of 3 i CONCRETE MECHANICAL MOBILE HOME Fr-otings-Setback date by Ribbons date, by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date `�—��'� by 7/ BG/SLAB Insulation Floors Final date by date by date by f*` FRAMING Walls FIRE DEPT. date PLUMBING by date by date by Attic OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by _77� c7 G Building Permit # mac' MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Fa lf�o 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 cz 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 OK to GLcc;e r/ Lr�l,0 6� ,G/�yS ❑ This is not a c mplete inspect' n / Department Z3&—V Date S\" 2 y ��G' Inspector 71 1 E ■ oos N« OT FkMOOV TILT A, Lot I Buildin.g'Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location ��.�v'Fi�G�� 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 h lT ,o /!i _. c_c. '/ '' /✓G �n�rOr'-=�� /�//Y�r STC�if� �CS���'/f /G'F © Iry ✓C G-�-/�f-,1�� T'�h'y �/ ` vi ei�d _iTific E „tE is� H�rrA, r n 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 1 OK to �' � � v/F!� ❑ This is not a complete inspection �r�/fC vF /- 2s- Department Date y�1 -�x� Inspector moos NovT MOOV T I T " ,� i= STAT,T,F,R FAG WASHINGTON STATI COMMUNITY, TRADE AND INSTALLER ECONOMIC DEVELOPMENT CERTIFICATION DEB SIGNATURE. Building Foundations for the Future FOOTINGS WAINS 0250 SUPPORT PIERS WAINS 0250 �• ANCHORS WATmq ng5n EARTHQUAKE BRACING (if applicable) _ — N A PLUMBING CONNECTIONS WAINS 0250 SKIRTING WAINS DATE OF FINAL INSPECTION INSTALL.FRS: PLACE NEAR BUILDING PERMIT. FILL IN CERTIFICATION NUMBERS FOR WORK PERFORMED AND SIGN. INSPECTOR: NUMBERS AND SIGNATURES MUST BE ON TAG BEFORE FINAL APPROVAL. DATE AND SIGN. HOMEOWNER: STORE TAG IN HOME AFTER FINAL INSPECTION. eaman Homes, Inc. Silverton, Oregon The Discovery Series announces a new arrival! Model 4403Q 28 x 40 1093 Sq. Ft. 3 Bedroom 2 Bath apt aca[_[ns - UTILITY - IN - -- — `. DINING AREA_ a'-s"xto'-9' KITCHEN -8"x9 BATH o 'N -Drtt/6bro16- rtnr --� "N.1I-N LO5C7 HALL LIVING ROOM BATH MASTER BEDROOM tt'-o"xts-a' BEDROOM#3 e'-s'xto'-e' Special introductory promotion! i�f2c�rti G09—ST TA40 QLD /\1p?E n L 1 LAU j.,t J iJaOl, `3Vb9L Y- LN Aa MA'S Eb W INie.N4 f-O 4 u�- vTE o r��s S►�-tJ, 3 EX f � LC, 41 1 2 ��L'i�► � 3 � W a OLO AVL W W4 BL I MASON COUNTY BUILDING PERMIT APPLICATION WA S '�-O.L(9b 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 INFORMAT ON CONTRACTOR INFORMATIO ,344 / ' Owner - Contractor Name Q r !'� ^ Mailing dress Mall g Address -r— S E' Y City C l4 StateWA� Zip Code Cit�/tT Q/ State .Zip Code Phone( `. ) Other Ph.( ) Ph.3 Q j e Ph. -2 Q 3 '7 9 Lien/Title Holder lixr!c-x, mcf Contractor Reg. # K� Address Expiration 0 ff / SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Exist' Septic Connect to Sewer System Name of Sewer System S - WeII Water System Name of Water System PARCEL INFORMATION-12 digi Ta Parcel No. 0 / / ZO Fj %i Zri t Legal Description t =7 (� Site Address(Plea a include street name, street number and ci r)iouctions to site Aie -C.W 471r . S/hR L O { 'VVill timber be cLA parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) ���14 SaltwaterA/O Lake Al h River/Creek_Q Pond bi 0WetlandAl/n Seasonal Runoff A/Q Stream_A46?Slopes or Bluffs TYPE OF JOB NERD-4 Add Alt Repair Other Use of Building Describe Work L 16r'GJC it � it1 DB;rL E IV% No. of Bedroo s No. o Bathrooms S UARE FOO AGE-1st Floor 2nd Floor A 3rd Floor A Loft �) Basement Deck Other sq. ft. i Garage Attached�Detached arport Al ttached etachedAft MOBILE HQME INFORILZION-Make Q :10 MAA( Model OT9 WizdA ode[ Year O Length a!UU Width C9 If Serial No. No. of Bedrooms No. of Bathrooms Type of Heat 401 C I= Purchase Price $ Replacement Unit ?(Yes/No) At D Installer Name L-A*L. LIOn-CT, Certification No. L.-DP) t, C� NOTICE: THIS PERMIT BECOMES NULL&V tD 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 Datel _L 1 " 2 0 tbX Date FOR OFFI IAL USE BEYOND THIS POINT Accepted b r _ Date ubmittal Amount Due Receipt No. �� C) DEPARTMENTAL REVIEW ROVED ', DENIED' o DITION OQES Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department 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 Vib4ati w-Fee Pre-Paid at Submittal » '<F»<>»> >:>» » TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION 9 I Case No. Name r-d7e Cl�CR /7!,CQPARCEL NUMBER dd q 30 / '74- N01 Date 0 2— /-7 —e000 SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg IN, 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 BEL W Include adjacent properties if on shoreline or withi feet of adjacent property line. adjacent property line ,� I Fadjacent property line I � I ri Av-L,L ' I al oo TiQ�t 6� i t .,-Ql//i0 I/s I I J 1 wcul r I I ' S•� adjacent property line- 1 �150 E-adjacent property line SAMPLE SITE PLAN adja1 nt property line4 3zo� _ _ _ Fadjacent property line I D 30' rR�SCRvE SEAb N AL I ^�P.a,--K I c fi Hone t \ I � I G4A6rJ I j I 1 I I VAGtvT I C ArtAG.5 3o I /i P0.oPasCD I� �\ A&R=i-L7u-MAL So"— 1 I I � 1 I I � I I I I I I 1 � /00' I adjacent property line--,* 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 ruttta,Y� cl;staV,cG *C /a � Slopa. -to¢ G1'9 i ature Date