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Home My WebLink AboutBLD2000-01077 Cancelled MFG Home - BLD Permit / Conditions - 2/5/2003 Inspection Line (360)427-7262 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 so RESIDENTIAL BUILDING PERMIT BLD2000-01077 OWNER: JEFF GOWENLOCK RECEIVED: 08/22/2000 CONTRACTOR: SITE ADDRESS: 111 NE POND CT BELFAIR PERMIT ISSUED: 05/21/200/21/2001 EXPIRES: 1 PARCEL NUMBER: 223107500040 NULL 8r VOID BY EXPIRATION LEGAL DESCRIPTION: TR 4 OF SURVEY 5/138 OATEN 5 .off By 16-j PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME FROM BELFAIR NORTH ON OLD BELFAIR HWY THEN LEFT ON BEAR CR DEWATTO RD THEN LEFT ON BLACKSMITH LK DR THEN LEFT ON POND CT SECOND DRIVE WAY LEFT. General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: Type of Use: MH Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: $69,799 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline & Planning Information Make SKYLINE Length: 56 Ft. Front: W 605.0 Ft. Shoreline: Ft. Water Body: Rear: E 60.0 Ft. Slope: 10.0 Ft. SEPA?: Model:AMBERCO Width: 28 Ft. Side 1: N 200.0 Ft. Shoreline Desig.: Year:2000 Serial No.: Side 2: S 80.0 Ft. I Com . Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal KLW 08/22/200 $175.00 54303 9@11ding State Fee TLG 09/06/200 $4.50 BELFAI Mobile Home Issuance TLG 09/06/200 $175.00 BELFAI P*Site Inspection TLG 09/06/200 $47.00 BELFAI Planning Review Fee AHB 09/18/200 $38.00 BELFAI EH Plan Review KS 11/20/200 $50.00 BELFAI Total $489.50 i•�j lb BLD2000-01077 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2000-01077 CONDITIONS FOR BLD2000-01077 1) This applicati �s s ject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036.X 2) The use, handling and storage of haz o s�i erials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X r? 3) 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 from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction w 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 %A whi h y affect your project. 4) Proposed structure or any portion thereof greater than 30" in height fr rad 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 5) Approved per dimensions and setbacks on submitted site plan; this residence is the second on this property and is to be used by family members only and t to be eased or rented. X 6) All upland areas disturbed or I�ed by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 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 OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X / BLD2000-01077 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 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 ho (minimum 1 hour) 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 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 /alb problems no occupancy (Final Inspection) will be granted for the residence. OWN ER/CONTRACTO R(ind icate which) Signature X I %/"L 11) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck allowed without drawings or a building permit MUST be under 30" in height from surrounding grade. NO second story decks, or decks above 30" can be built without a permit. Any landing or deck that,!30" r m re ' height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. 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 location specified by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. G 13) All property lines shall be cleaf#y identified at the time of foundation inspection. 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 I 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 ilding can a cupied. OWNER OR AGEN DATE: Z"" � BLD2000-01077 Please refer to the following pages for conditions of this permit. 3 of 3 f CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date /` _. c', b ~ �MC 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 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 1 n http://192.168.0.2/ipix/ipix.asp Page 1 of 1 e � Washington Home Center, Inc d view intew or Skyline 6424CT 360 Panommic moo �r,0 �J 6424 CT -3- _ Eatr•: t M-5v r9a&—corr: CD 1 ev P" Z� ( O Lmrg �: .... J l ................ ................ ............. -- �Q q Home New i Products i Financing i Feedback i Privacy (c)2000 Washington Home Center Inc. http://www.washhome.com/sky/sky6424ct-3.asp 7/29/00 PERMIT NO.: BLD Z�)^ 1077 MASON COUNTY l�Z 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 TGF'F 61oWaM,0CX- Contractor Name Mailing Address RD- 0x Z.14-7 Mailing Address City t+�krr State* Zip Code Q S S A8 City State Zip Code Phone(34o Other Ph.($jao )4114 -70V Ph.( Other Ph.( Lien/Title Holder f"fr-y� G,ow EiaL.4 t,1. Contractor Reg. # Address S1&M6 Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System , PARCEL INFORMATION-12 digit Tax Parcel No. 1 ,15 / 000440 Fire District—X Legal Description *Tel&(T � 4 S*%ArV 5 1�941r— Site Add ress(Please`include street name, street number and city) o CT Btl 0- Directions to site&awk Ii Lr- -- 14 r + 014 4 4- I}w , 4 on Qet,- cot,.-� wt*v . rke } ow j3I&CJ fM1#* Iw Pit. The.% (t k aw 001 of c f, - Scr bA OfIl Will timber be cut and sold in parcel preparation? (Yes/No) of 1e Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE Q SEASONAL RESIDENCE❑ 1TYPE OF JOB New Add Alt Repair Other Use of Building t t e A C Describe Work Tw sk4t 1g,-I~�� _ �J-w (V%olarl 40*jIf No. of Bedrooms_J_No. of Bathrooms iZ SQUARE FOOTAGE-1st Floor '$� I 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE11 OME INFORMATION-Make SKY L.IN E Model ArMA612 0OV6 UgVi Model Year CLOon Length a4 Width % Serial No. No. of Bedrooms 3 No. of Bathrooms Type of HeatP*rc.roG. t Purchase Price $ toll, Replacement Unit ?(Yes/No) NO Installer Name f.t,Ay orf)e Cente-✓ 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 therewith. No changes shall be made without approval. first obtaining approval. iI L L X 1),4- - Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DPARTNIEhITAI.;FtIwVII»:W.. ROVED DENIED CtJfVpITI+ (V Ct3t5 Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department I I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical& Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES 1 FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name ,Ti5F- (16 t136'S L-6 CA� PARCEL NUMBER 22-3 T)-1 6'-OOM Date $'l L 2C SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences N Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography 1^f L-- Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System S DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property lin -> I I E-adjacent property line I V1� CA�O- I I I I I I i—' vAA i3 G 'V A c AST' 13LAC1SMITq ILK I too i pr'U'p6e-rY AE-1 i E''ltSTIVcq I i I IY1o$iL p t CtAQA(Yc 20o I ��/�If� I?e�►ta� I S ioPc I �oPoSt:,D rs rtie iPY-S14 r � 14 Q rfl'}h< I t S n 00/ i 313' Amt 4 4s 'b-a�e't' i f bo fA-e" A r I 2 (vow T1�n powa GT , � Soy �.�vcli y s-7 adjacent propernt)ine;/111,;� 33s ! E-adjacent property line Sb' Cnn�h 36 R.dq4 t ('TILtJ-1(-1 �9sr�F1f' �(.4 tb SAMPLE SITE PLAN adjacent property line-> azo' _ _ Fadjacent property line I p 30- �aESCRvE gel .SEAC�wJ Al_ I L �. CRa�.K I C �` Hone tr I i I � Gr1aEN I IiO tw_.SQ I ) PrioPasaD smpt:c �I /30 �1 I R VAGNT I I T Gr1RAGd I o I I(� I iM1oPosCD / T M.RZCLLLTLL0.AL 50 V I I I \ I I I I I L—e-LL I I /00' I I � I adjacent property lined ; \; 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 dts+a"ad. to Pro 1P o 5-ct ruttl.a-Yt .itsl-ift kk061L, ass y F too 3 S�opm tc¢ !�!a _ r i ever Ion/ gna ure Date