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BLD99-01067 Final Mobile Home - BLD Permit / Conditions - 7/7/2000
MASON COUNTY . Mason County Bldg. III 426 W, Cedar ��� P.O. Box 186 Shelton, Washington 98584 i U 1 lL O 1 N O P E R M I T- FOR INSPECTIONS CALL 427--9670 BETWEEN 5pm AND Sam 42 7--7262 BLD99-_1067 PARCEL :223107500050 PLAT : D1V : BLK : LOT , JOB ADDRESS : 121 NE POND CT BELFAIR OWNER : LARRY REED CONTRACTOR : LEGAL : TA 5 OF SURVEY 51138 CLASS OF WORK . . ,NEW BEDR t 3 .BATH : 2 TYPE ANOUNT BY DATF RECEIPT �IYPE ANOUNT BY DATE RECEIPT TYPE 4F USE . . . . .MH STORIES . . . , . . . t 1 OCCUP . GROUP . . 17 BLDG. HE I GHT . . : O ,Oft NNSF t 115.@@ kW 12112199 5223@ TYPE OF CONST . . :7 FIREPLACES . . . . . 0 1E%CP 1 50.90 KS 12123199 52392 OCCUP . LOAD . . . . e 0 WOODSTOVES . . . . : 0 11081 11 175.11 KS 12123149 52392 DWE:L L .UNITS . . . . t 0 PARKING SPACES t 0 STfE 3 4.511 KS 1212309 52392 INSPECTION AREA : 2 SHORELINE? , . . . tN PIRS 1 38.80 KS 12123199 52392 110TAI: 442.51 VALUTATION: 33501 SETBACKS------ ----------- TOILETS . . . . . . . . . . t 0 FUEL TYPES--------- -,- -- BOILERS/COMP---- MOBILE HOME-- FRONT . . .W 175 .Oft BATH BASINS . . . . . . : 0 0--3 HP < , 0 REAR . . . .E 150 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL :FLEETWOOD SIDE ( 1 ) .N 215 .Oft SHOWERS . . . . . . . . — 1 0 FURN ..- 100K BTU t 0 15--30 HP . . 0 -MAKE- - SIDE (2 ) .S 300 .0ft WATER HEATERS . — , 0 FURN > 100K BTU : 0 30-50 HP . : 0 SANDELWOOD SHRLINE .N 0 .Oft CLOTHES WASHERS . . : O FURN •- FLOOR . . . : 0 50-1- HP . t 0 -• YEAR------ _-_ AREA - ---- - ---- -_-- KITCHEN SINKS — . : 0 HEAT PUMP . . . . . . , 0 85 LOT SITE . . : FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH165 ..BUILDING . . . : Osf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . , 0 HOODS . . . . . . . : 0 WIDTH . :28 BASEMENT . . . t 0c'f LAUNDRY TRAYS . . . . t 0 DOME'S . INCIN :O -SERIAL#- -_ .- 1 DE:CK$ . . . . . . .. 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS— COMML . INCIN :O GAR/CARP :? Osf GARB DISPOSALS . . . : 0 tea= 10000 cfm . : 0 RELOC/REPAIRt 0 x AT/DT . s? URINALS . . . . . . . . . . . 0 a 10000 cfm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 �- PROJECT DESCRIP11011:10811.E NONE PROJECT LOCATION:fRON OlD RELFAIR HWY GO 7.5 NIIES UP DEAR CREEK DEN RD TURN LEFT ON 6LACKSNITN LK RD A60UI 112 fill TO POND COUNT 3RD DRIVEWAY ON LEFT. THIS PENNIT BECOMES NULL AND VOID IF WORK 01 CONSTRUCTION AUTHORIZED IS NOT CONNENCED WITHIN 160 DAYS ON II' CONSTRUC1101 OR WORK IS SUSPENDED FOR A PERIOD Of 1E8 DAYS AT ANY TINE AFTER WORK IS CONNfNCED. FVIDENCE OF CONTINUATION OF WORK IS A PROGPESS INSPECTION WITHIN THE 1S@ DAY PERIOD. FINAL INSPECTION MUST BE APPROVE# BEFORE BUILOiNO CAN BE OCCUPIED. I - CONCRETE S,r_�'��� S MECHANICAL MOBILE HOME I Footings-Setback date by Ribbons date `.2—�7' q�j" 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 /�'-- r tf6 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 06fit 01 AGfAT 81011111T, rev, 13131191 MASORdE(ZOO U��ONDITIONS IS REQUIRE© Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF FZM I T C: C)ND I T I C.) N ;3 Case No . : 61_1399-1057 Fors L.ARRY REED Pages 1 1 ) Approved per dimensions and setbacks on submitted site plan . X__� 2 ) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection ( slit fencing or straw matting ) . X r 3 ) Proposed structure or any portion thereof greater, than 30" In height from grade 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 ;e 4 ) This application is subject to Buffer and Landscaping requirements as established under Mason.; County Ordinance ' 1 .03 .036 . Xr__ _______— ___ 5) The use, handling and story e of hazardous materials or flammable and combustible liquids in excess of 10 gal ?ons Is not allowed without the; approval of the Mason County F i re ,Marsha I . X ` 6) Provisions for surface/ Subsurface drainage control must be Implemented with new construction or development on site and MUST NOT adversely impact adjacent parcel _: . Under the requirements of Masan 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 Count Read, Contact the Mason County Public Works Department prior to construction at Ext 46 . 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 4ff�ect your project, -- _ —,_-- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 7 ) PURSUANT TO 1997 UNIFORM BUILDING MODE , ALL SITES MUD-,T 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 8 ) Owner/ builder assume; all responsibility if drainfield/ reserve area is encumbered . X 9) THE FOUNDATION SYSTEM SHALL. BE PLACED ON UNDISTURBED, NATIVE SOIL X �'. 10) 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 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . X 11 ) . REQUiRE.D 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 . tf 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 problems no occupancy ( Final Inspection ) will be ,granted for the residence . OWNER/CONTRACTOR ( indicste which ) Signature X . 12 ) All mobile/manufactured home landings or, ducks must be freestanding ( self supporting) . MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 P The largest landin or deck eermitted without drawings or a building permit is 120 sq ft or less AND MUST a under 30 in height from surrounding grade . NO second stork decks , or decks above 30" can be built without a permit . Any landing 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 13 ) 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 location specified by WAC 296-150M-655 . Support configuration shall be clearly marked in the Installation instructions . Case No . : BL.D99-1067 DA 00ol LAa - C EDNe -� �- 7 ,/7 , a -PR 11�111 51 0.: BLD - MASON COUNTY BUILDING PERMIT APPLICATION t'a�� 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 IN OIR ATION CONTRACTOR INFORMATION Owner C C Contractor Name Maili Address Mailing Address City L Statejd� Zip Code City State Zip Code Phone 3:a-ab6dother Ph.(:Fhd — Ph.( Other Ph.�) Lien/Title Holder Contractor Reg. # Address Expiration / 1 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic X Existing Septic Connect to Sewer System Name of Sewer System Well_Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. /70 / -7 5' / Fire Distric Legal Description / .W ff Site Address(Please include street name, street number and city) / Directions to siteFhm aW Of -G rrtd 60md, Will timber be cut and sold in parcel preparation? (Yes o Is your property within 200' of the following: Body of Wa er (Name) Saltwater ' Lake River/Creek Pond Wetland Seasonal Runoff Stream lopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of BuiIding91VUE Pfl/IIJI, '&51Z;e1V4 ° Describe Work 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 r Model VQ L,A)LOD Model Year Lengthr�_Width� Serial o. No. of Bedrooms ? No. of Bathrooms .` Type of HeatFy.4VIC, Purchase Price $ ,c%O_99 Replacement Unit ?(Yes/(D) Installer Name —D T 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-1 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. �/�� / Q first obtaining approval. zX Date �/ / X Date FOR OFFICIAL U SEBEYOND THIS POINT Accepted by submittal Amount Due y ' Receipt No. DEPARTMENTAL>REVIEW DENIED . CONDITION COPES Building Department I o2 •:/ Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES __. Building Permit Fee J e sp Plan Review Fee UFC Plan Re Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal , ..,s.:::::•.�?z..}:;;..r.:::.,. TOTAL FEES h...{?w;,.�.ii:;}:;:j•:j;}:?{•}i:•}i}:y;.}}:?•:?4;::•}:??J:i?:Si:4:4:{v:?:F:i ij::i::iiii:•i::i:?:i::i :S:J::•iYli:......... .;.••:•:.w^ii}'F.•}:?.}}:}}:.}:{?•}}:•:•:?....}...../.....:}:•:::??::•:.y}:?:.•.::...:::::i:}:?:ytiii:::::iY::}}::i;�ti}r?:iT:L::::Lvv:i::.:..:.::iii FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION p Case No. Name /��� PARCEL NUMBER,2,2110 7� -y0C�0 Date 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 Al 5 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 khoreline or within 100 feet of adjacent property line. adjacent property line-) I 7'(0 1( I Fadjacent property line , • -� I 1SV I T I �$x65 I � F16o' SIN I I I r I I �•�V I I I \ � o • I f,0!L kl qJP adjacent property line-) / F/ ad.accent property line 100 �� SAMPLE SITE PLAN U >�as�..dl~��•� �v adja t property line4 aio' Fadjacent property line D 30' r R I-&aR V SEACo wi AL. I a ,L_ J. I MOM 6 I Grxatiu CREEK � \ I �♦cusa I j Prio Poxn I I VAGn,T I fi [,ArCA46 vaovmen so' I 1 I I �EO �� I I I I � I � I \ I /00 I I I � t.._.eLL I I I I I /00' I I t-..•LL I I j lC I adjacent property lined i n"• c \i Fad'acent 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 l di�tar�LL tC I� • Slopm �o¢ do+ate` ign Are Date