HomeMy WebLinkAboutBLD99-00565 Final Mobile Home - BLD Permit / Conditions - 10/20/1999 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
p F_' F-4 m I _T FOR INSPECTIONS CALL 427--9670
BETWEEN pm AND Sam 427-7262
RLD99-0565 PARCEL :223097600120 PLA rjlv : BLIK : LOT ,-
JOB ADDRESS : 160 NE LILAC LN SELFAIR
OWNER : BILL MCCARTY
CONTRACTOR : GORST LAND DEVELOPMENT 373--5001
LEGAL j 1`1 12 or sapay 12134
CLASS OF WORK . . :NEW REDRI 3 .SATH : 2 TYPE ANOVAT BY OATS RECEIPT TYPE AMOUNT BY DATE RECIml
TYPE OF USE. . . . . :MH STORIES . . . . . . . t I ��%
OCCUP . GROUP . . . 7 BLDG . HEIGHT . . , O ,Oft INSF t 11541 KI 06;24149 IS41
TYPE OF CONST . . ;7 FIFIEPLACE;; . . . . : 0 RIC 1; 7#.09 KS 47 i 30199 911FA19
OCCUP , LOAD . . . . 1 0 WOODSTOVES . . . . : 0 FHCF I; 59.00 KS 071110199 tELFAIA
DVVE L L .UN I T S . . . . : 0 PARKING SPACERS 0 1.4 F"L $ I'1 5.so KS 07130199 BmAll
INSPECTION AREAx SHORELINE.. . . . . tM Is"IFf 1 4.511 KS 0030199 BEI.FAII TOTAI; 474.50 VALWATIO$i 43plao
SETBACKS---------- TOILF-TS . . . . . . 0 FUEL TY PE S- BOILERS/COMP ..- - - MOBILE HOME—
FRONT ,_W 110 .0ft BATH BASINS . . . . . . t 0 03 Hp . : 0
REAR . —E 393 .Oft BATH TUBS . . . . . . . . 0 3-15 Hp . : 0 MODELtFLEETWOOD
SIDE ( l ) .N 210 Oft SHOWERS .. . . . . . . _ . - 0 FURN < 100V, BTU ; 0 15-30 HP . : 0 MAKE-------,
SIDE (2 ) ,S 140 .Oft WATER HEATERS — . ! 0 FURN >-100K BTU : 0 30-50 HP ' . 0
SI-IRL, I NE .N O .Oft CLOTHES WASHERS , 0 FURN - FLOOR — t 0 50+ HP 0 YEAR-_._...._._
AREA KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 98
LOT SIZE . . o FLOOR LIRA INS . . . . . i 0 VENT SYSTEMS . . , : 0 EVAP COOLERS : 0 LENGTH .56
BUILDING . . . ; Ost DRINKING FOUNT . . . t 0 VENT FANS . . . . . . r 0 HOODS . . . . . . . . 0 WIDTH -25
BASEMENT — - Osf LAUNDRY TRAYS — . : 0 DOMES . INCINtO
DECKS . . . . . . . Os D I SHWA SHE R 6 . . . .. . . j 0 AIR HANDLING I)NI TS COMML . I NC I N .0 51858
GAR/CARP :? Ost GARB DISPOSAL.S . . . -, 0 <- 10000 oft ' ; 0 RELOC/REPAIR : 0
AT/DT . :? URINAL9 . . . . . . . . _ : 0 > 10000 cfm , ; 0 OTHER UNITS . : 0
MI SC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT OF.SCRIPTION;00811.f HOVE
PROJECT LOCATIONIFRON OLD BELFAIR, 10 efAR CREEK DEVATIO ABOUT 11 #ILES TO TAHUY9 61ACKS11111 AilLEFT 0110 TANVYA OtACESION KEEP LEFT AT FIRST Y LEFT Al
3fc4ll Y DOWN HILL FIRST go ON LEff ACROSS 1`901 RAskfTSALI HEAD F113T FtAGQED 09 ON RIGHT LOT 12
THIS PERVII BFCONES Bull AND vO;D IF 1049 OR CONSTRUCTION A91NORI?E8 is NOT COVIENCID filiill ISO DAYS, OR If CONSIA001011 00 WORK IS S11SPENDfu FOR A pkRIOD
OF III BAYS AT All TIME A1111 1011i, IS CONVENCED. (VivEkcf Of (OATINVATION of Ron 13 A. PROGRESS IASrf0fOA 11101K THE 181 DAY PERIOD. fIRAL INSPECTION MUST SE
APPROVED BEFORE 9011011IG CAI Of 'OCCUPIED.
OWNER 01 AGI�t�
IIAX
1, rev$ 11301191. C0114.1LIANCE TO ATTACHED CONDITIONS Is REOUIRED
L_ t_0 8 _'?IM
i
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b _
Foundation Walls date by Set Up ontiso
date B Insulation by INSULATION date 9-�v 9 byBG/SLA
date Floor; Final
date by date a"Z� �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
I
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . ; BLD99-0565
Fort BILL MCCARTY
Pages I
1 ) Approved per dimensions and setbacks on site plan ,
2 ) Temporaryerosion control measures mu,-It be implemented to prevent water quality
degrzdaton of adjacent waters or propertless . Silt fencing or straw matting must be
nitalled and maintained until upland vegetation has become established .
3 ) Proposed structure or any portion thereof greater than 30" in height from grade line,
mu6� maintairt a minimum of 5 ' setback from all property lines, easements and 10 , from
bI -w' 'll.County and State Road right of ays .
y JJ ---
4 ) This ,--application is subject to Buffer and Landscaping requirements as established tinder
M4's4n County Ordinance 1 .03 .036 .
5 ) The use, handling and stora e of hazardousa materils or flammable and combustible
�l liqui in excess of 10 galyons is neat allowed without the approval of the Mason County
F it t..S ha I
x
e
6 ) Provisions for surface/ subsurface drainage control must be Implemented with new
construction or development on site and MUST NOT adversely impact adjacent parcels .
Udder the requirements of Mason County Stormwater Ordinance, either private ditches and
drains will meet requirements of 'the storniwater ordinance or prior approval will be
granted to use an existing utility and draina e easement dedicated for that specific
purpose . For further Information regarding this ordinance and the RFOUIREMENT to
obtain an ACCESS PERMIT for the Installation/construction of a driveway or access
connecting from a Mason Countg 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 EW! way, It is suggested to contaot that office to review future planned work which
may -1,aTect your pro jeot .
x 444
f
.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 FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
J
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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 OWNERICONTRACTOR FAILS 7-0 POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECT NS .
X jz) _'!= ---
8 ) THE FO NDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE
SOIL
X
9) The approved plot plan is required to be on- site for inspection purposes . if
inspection is 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 (minimum I hour ) wilt be
charged and must be collected by this department prior to any further inspections being
performe or approval granted .
X
10) REQUIRED INSPECTIONS (Footing Inspection-prior to pour , Set--up
u Inspection-prior 'to
skirting, Final Inspection-prior �o occupancy) . I have received a copy of the General
information and Gtiidelines- Mobile/Manufactured Housing Installations Handout for
detailed descriptions of all required inspections on my mobilelmanufactured 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 reinspection
fees and an h.ourly Investiation fee pursuant to the 1994 USCAalablo 3A will be assessed
in addition to my originalpermit foes to resolve any questionable practices or
robleins that have been discovered . I further understand that this investigation will
e scheduled as time allows . Until resolution ofl any/ all problerns no occupancy ( Final
Inspection ) will be granted for the residence .
OWNER/CONTRACTOR ( indicate which ) Signature X26��111
il ) All mobile/manufactured home landing.1 or decks must be freestanding ( self supporting) .
The largest landing or deck perMittOd without drawings or a building permit Is 120 sq ft
or less AND MUST be under 30" in height from surrounding grade . NO second story decks ,
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
or decks above 30" can be built without a permit . Any landiog or deck that is 30" or
more in he t frdm walking surface to finish grade requires a Permit . Any landing or
deck ths,t s ar more risers requires a handra i l .
X __ I�, �•
12 ) Placement of structure must comply with standards ? �'g ,th per 1997 UBC Chapter 18
regarding descending and/or ascending slopes . X
i
13 ) Owner/builder assuages all responsibility if drainfield/reserve area is
enoumb eel ,
IV
Case No . : BLD99-036 a
v PERMIT NO.: BLD 'v0
�O
MASON COUNTY rn n
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 I FORMATION CONTRACTOR I ORMATION
Owner Contractor Name r
MailinoAddress Maili g Address ,0, tax r N700
City State LdT.,,, Zip Code IS33 0 City State t4oU Zip Code qu/o
Phone( 6o )f3o-04;/70 Other Ph.( Ph.(360 )373-5301 Other Ph.(�
Lien/Title Holder Contractor Re . # D
Address Expiration / /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well X_ Water System Name of
Water System r�
PARCEL INFORMATION-12 digit Tax Parcel No. /�(o / DO/o�D Fire District
Legal Description t L
Site Address(Please include street name, street number and city) L
Directions to site Lin., Old 1 4CV
_�Ft onlp ,Yl,
Will timber be cut and sold in parcel preparation? (Yes/No) il _ A�crau frYPn 6osAt 'b4f A40 FP7*PIAI#d J%A.a'"
Is your property within 200' of the following: Body of Water(Name) Saltwater ivy, d
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
�I
TYPE OF JOB New,)](_Add Alt Repair Other Use of Building
Describe Work A&eg, nn,r�.� »rta�.t ter.�,� ,.,,Q_ p2d= G,�C�1 fin
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Wodel Year
Length 5]1eWidth 0'k5Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat j=, jar _ Purchase Price $ 5320, Q L2 Replacement Unit ?(Yes/No) t10
Installer Name 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
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 there h. No changes shall be made without
approval. first obtaining approval.
X Date X Date �2
FOR OFFICIAL USE BEYOND THIS POINT
r_,S .--
Accepted byL Date�`f of �! Submittal Amount Due Receipt No. 15
DEPARTMENTAL REVIt11f OVER ENIED COIVpITI ?NaS
Building Department
Occ Group Type Constr. C
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
i —
j Wood/Gas/Pellet Stove Fee Other r'►,
U
Violation Fee Pre-Paid at Submittal U
TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
//
Case No.
Name YYIGGGyf``fLi PARCEL NUMBERaa30'9 '760000 Date 1-17-91
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg IN, S, E, W in relation to the
site plan
Lot Dimensions'e Fences✓ r/
Existing Structures Driveways.'O
Structure Setbacks ' Shorelines''
Water Lines Topography^1 W
Well Location (including adjacent) Drainage Plan`
Names of Streets " Easements"Names of Fronting Streets" Septic System"' 5
5j1.-71
DRAW SITE PLAN BELOW Include adjacent properties If on shoreline or within 100 feet of adjacent property line.
adjacent property line- I ya„a� I Fadjacent property line
I Y� rV
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I 21c) I
-3 3 _ 10
60
ro ;10 I
TO, dTovi%
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F ire
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adjacent property line- I ?5 ' E-adjacent property line
SAMPLE SITE PLAN
.asdEjaa��tr property
operty lined 2
o6P0o'
ge��,1IIl
E-adjace nt pro
perty line
30• rRS.ive
L
Fill
OM L• I CrX&0_'J
j ISO
VAGwT o' I
I 31 P0.oPosCD � �
I� �! �\ A6RZCLLLTuJlAL SO ��
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/00"
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r" e-LL
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adjacent property line-.* ; A�. V \; 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
dt s+�„cm +n
Srtru�tt.�►��
&Sta r,cc. t o
S�opa. •ho¢
dis+anaQ
4 o t<
Signature Date