HomeMy WebLinkAboutBLD2000-00518 Final MFG Home - BLD Permit / Conditions - 7/19/2000 Inspection Line (360)427-7262
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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 BLD2000-00518
OWNER: FREDRICK BENINGER
CONTRACTOR: COUNTRY ESTATE DEVEL RECEIVED:EXPIRES: 06//12/2000
/2000
SITE ADDRESS: 90 NE FORGE CT BELFAIR ISSUED: 12/12/2000
PARCEL NUMBER: 223107500110
LEGAL DESCRIPTION: TR 11 OF SURVEY 5/138
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME BEAR CREEK DEWATTO RD TO LEFT ON BLACKSMITH LAKE DR TO
LEFT ON FORGE CT FOLLOW TO END OF ROAD SITE ONRIGHT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: SF 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: $56,000 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make OAKWOO Length: 56 Ft. Front: E 290.0 Ft. Shoreline: Ft. Water Body:
Rear: W 100.0 Ft. Slope: Ft. SEPA?:
Model: Width: 28 Ft. Side 1: N 100.0 Ft. Shoreline Desig.:
Year:2000 Serial No.: Side 2: S 200.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 05/03/200 $175.00 53348
fMress Fee GMM 05/08/200 $15.00 53688
Building State Fee TLG 05/17/200 $4.50 53688
Mobile Home Issuance TLG 05/17/200 $175.00 53688
limning Review Fee AHB 05/23/200 $38.00 53688
Environ. Health Plan CEW 06/09/200 $50.00 53688
Total $467.60
BLD2000-00518 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-00518
CONDITIONS FOR
BLD2000-00518
1) This application is sub' ct_to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X `
2) The use, handling and storage of hazardous m teri r flammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X_ �
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 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 af�our project.
X
4) 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
5) 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.
6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X v
7) 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 o I be charged and must be collected by this department
prior to any further inspections being performed or approval granted. X
BLD2000-00518 Please refer to the following pages for conditions of this permit. 2 of 3
8) 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 any/all.. s no occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
9) All mobile/manufactured home landings or decks must be freestanding (self supporting). The 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 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
10) 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.
11) All property lines shall be clearly identified at the time of foundation inspection. X
12) The review for this permit is based upon the manufactured home only. Although a future garage was indicated on the plot plan this permit does not in
any manner, imply that the garage structure has been approved or will be in the future.
X 2e-
13) Approved per dimensions and setbacks for residence on submitted site plan. X
14) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencinq or straw matting); replanting along stream to re-establish 40 ft. deep stream vegetation buffer shall be done as part of this erosion protection.
X "
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 buildin c be occupied.
OWNER OR AGENT: DATE:
BLD2000-00518 Please refer to the following pages for conditions of this permit. 3 of 3
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date -/ _ -"In by /? Gas Piping date b
Foundation Walls date by Set Up /
date by INSULATION date 11 " ����� by
BG/SLAB Insulation Floors Final
date by date by date �` by
FRAMING Walls FIRE DEPT.
i date by date by date by
PLUMBING OTHER
Groundwork Attic
date b
date by D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by j
` Z2 - Z AP
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REMOVE NO TOPSOIL DURING SITE PELF. SEPTIC SYSTEM DESIGN ONLYI
OWNER TO PLANT GRASS OVER SYSTEM, THIS B.' .A. SUI&JECT TO OTHER
AND KAI,4IThIF4 GROWTH. This septic system is AGENCY'S APPR;0IIHL.I
designed for a peak THIS IS NOT A SURVEYI
SEE ALL ATTACNEIl CGi4STF�UC flQi' ?tiUTI~S. flow Caf� gals, Perday. All SANdY COVER-MINIMUM 5 MIN/IN RATING.
A MINIMUM OF Z-'f NO VEHICULAR TRAFFIC ON SEPTIC SYSTEM.
VERTICAL SEPARATION DISTANCE. CURTAIN DRAIN _Ls__iIEQU1RED AT THIS TIME.
MAIM'AIN 100' FROM WELLS&SURFACE WATER. LATEiZALS TO FOLLOW CONTOUR OF SLOPE.
INSTALL TRENCHES NO DEEPER THAN �� �, t�� , DIMENSIONS ARE CRITICAL.
INSTALL SYSTEM ONLY WHEN SOILS s`' DO NOT DEVIATE FROM DESIGN.
ARE PROPERLY DRY. USE. EXTREME CARE IN SITE PREP.
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FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name 5�L-MjIX -4�"A1,1 `.C4 PARCEL NUMBER 2-2310 - 75- Pe)'Dote
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
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 line- I I f-adjacent property line
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SAMPLE SITE PLAN
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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.)
S SAMPLE TOPOGRAPHY PROFILE
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PERMIT NO.: BLD
MASON COUNTY
BUILDING PERMIT APPLICATION Jt
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 ►c F tz Contractor Name r( jAlrAY )_-sr.* D/y', W&2d, 7
Mailing Address 4215 'Ka) r/N )C,-* y/'f1 A!�D tivr/ Mailing Address�D $OX -.2 2
City ,K#Qhip»1&&,w Stated Zip Code City �a A/Ag&az StateWA Zip Code7,Q33S
Phone(aW tt _S<16/ Other Ph.(�kp Ph.( �3k() )�, 7).3g19) Other Ph.(
Lien/Title Holder f::E242e Contractor Reg. # e nuwr,F6 N Ai
Address 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. k� f
/ '�� / f�O//� Fire District
Legal Description :Z&M4C Lam_ S un vE y 3 R"
Site Address(Please include street name, street number and city)
Directions to site 12tykip C/1JGh)L eIA)A.7TD 0,15 -rY'! I_eX7- KN La.ckSM s►,V L�,�
-�.� - ._�.,,��P �-. �,l�l��s�PN� y� J2�� -s�_ny✓ .rT
Will timber be cut and sold in parcel preparation? (Yes/No) 14 r3
Is your property within 200' of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
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 )A_"#h Model DK :5&0a C Model Year 7-eyP
Length lb Width 2.1?_Serial No. OW?%x-e fix...» No. of Bedrooms No. of Bathrooms 'z--
Type of Heat Purchase Price $ Feplacement Unit ?(Yes/No) AM
Installer Name /� a Ification No. ' s
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 alowi6al.
X Date X Date
FOR OFFICIAL USE BEYOND THIS DINT /
Accepted by Dat Submittal Amount Due Receipt No. J(/
DEPARTMENTAL REVIEW P OV DENIED CO DI JON C 'D7 S
Building Department
Occ Group Type Constr.
i 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 M Public Works Review Fee
Mechanical & Base Fee Other _
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
...............
O AL FEES