HomeMy WebLinkAboutBLD98-00693 Final Mobile Home - BLD Permit / Conditions - 10/30/1998 .r MASON COUNTY ���
Mason County Bldg. III 426 W. Cedar ��
P.O. Box 186 Shelton, Washington 98584
E3 Li I t_ n i N d P 1"-. R ti 1 'r rR I NL t t i -W >' Cr`%Ll 42 ,
BETWEEN 5pm AND 8atn 42.7-7262
BI_D98-0693 PARCEL. t22 3 1 1 75001 40 PLAT : D I V : BLK : LOT
,10B ADDRE SS c 1691 NE TOONERV I U L.E DR BEL FA I R �.
OWNER : THOMAS
(,ONI'RAC roR :
LEGAL : TO 14 of SWRVfV VOL a PS 88
�r.ax_�.�-�;.xr-.rn;^-��rx•;.:rssu�.sr�c:-.ar.�.:.::^z.:a �-M as;�,nar-:r-:���:::.��-.'�.•—�-:xac-.�..r�:crx...
Q ;'' SS OF WORK , -NEW BE:DII 2 BATVI , 1 TYPE ANOUN' B1 DATE AFCEIPT �Pf ANOUNT CY DATE RECEIPT
TYPEOF 41 S E . . . : :MH R T O it t ES . . ., . . , . : 1 ,.���;� .�.�.�.��a-.>.,�,->„�.::�•;..�=�-z a g:. ,�::��,-.—�:...:.�:�x�.�_..���:�.��_:�.,,
OCC:UP , GROUP . . . .143 BL-DG : HE I GHT . . 0 .Oft I°LfK 4 175.00 KN #7113190 47649 1
TYPE OF CONST . . :? F I REP1 ACTS . . . . . 0 NNOF 3 175.116 KS 371 606 47164
OCCUP . LOAD .. . . < : 0 WOODSTOVE'S . . . . c 0 STIE 1; 4.50 KS 07r30198 47864
DWF.t.L .UNITS . . . . . 0 PARKING SPACES c 0 IfNCF t 50.00 �13 O7136198 47864 I
I NSPFcT I ON AREA - 2 SHOREI I NE? . . . -Y 404.56 VAIULAI IONS III
�pvr zaa.aes-ssn�ir�z,:u�:nc:.;.si¢ca�t:tristt�•�.TAT.7acas.-Cxn:'.'�;z»^^...::�Fai,.a-.trr,..,��.�,x•.%1cmP:'tc.'9tiAaaitaxALKc:.a#{C3fF-'at:xce�x���9
SETBACKS._._.__. ,_.__.___._._.-. T•OI LETS . . . . . . . . . . . 0 FUEL TYPES___....,...._..__.--- SOIL.ERS/COMP- MOBILE- HOME- -
FRONT . . .W 75 .Oft PATH BASINS . . . . . . . 0 01 3 HP . 0
REAR . . . .E 500 .Oft 6A.TH PUBS . . . . . . . . . 0 3-15 HP . : 0 MODE t.jGUFRDON
SIDE ( 1 ) .N !"x(cl .I7lft S11OWE'RS . . .- - . . . . . . . 0 TURN < 100K BTU : O 15 -30 HP . : 0 - MAKE'-. _._ __ .. �
;SIDE (2 ) .S PIS .-Oft WATER HEATERS . . . . . 0 FURN —100K BTU : 0 30-50 HP . : 0 12403
SHRL. INE .E 8500 ,Oft CLOTHES WASHERS 0 F'I)RN W FL.00P . , . . 0 50-1 IfP : 0 -YE:AR---__..-_.-_
AREA _..__,_._., . -.__._..__._._ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . 0 0 75
I.OT S I ZE . . . FLOOR DRAINS . . . . . . 0 VENT SYS'TFMS . . . : 0 EVAP COOLERS - 0 LENGTH t56
BUILDING . . 03f DRINKING FOUNT . . . : 0 VENT' FANS _ — : 0 HOODS . . . . . . . : 0 WiDTH . : 14
BASEMENT, . . : ost LA1.1NDRY TPAYS : . . . : 0 DOMES . I NC I N cO SUR I At.,1#-
DECKS . . . . . . Osf DISHWASHERS . . . . . . . 0 AIR HANDI_ I NG UNITS---- COMML . I NC I N sO LR I 2 '
GAR/CARP :? Osf GARB DISPOSALS . . n 0 '10000 ofn1 . c 0 RFLOC/REPAIR : 0 1
ATIDT . :? - !URINALS .. . . . '. . . . . : 0 10000 r..fm . : O OT14E.R UNITS . : 0
h11 SC PL.M F I XTURF:S � 0 GAS OUTLETS . : 0
�e¢«s«.mtm..r.*s-�easatcx::-,�.xw�.+:.'—;:�+�ae-s:�s_Xas.,.._:�.a-x.:a:is�-:::x.:.c'u:���zarr_,Trn-'-r:^..rt'--'�'-t:t*+a.-^:rc:.;::�a^e•�+w-:-�.•,�.•�•-.-raasa�sac:�:ae�:. ...a r.:s�...r�::.�«mac::Saar.. 1
PROJECT OESC1IPT19N1NO811f HONE
i
PROJECT tOCATION:HWt 3 TO 019 611FAIR IIWC Toff AR CRFEK DfWAT10 AD T41 TOONEAVIItf 1+111VE NfK1 IEf'U AFTER FIfENOANt PASS RD 'TO END Of TOONERVIItf DR BACK UP 2 1
LOTS I.OT IS ON 1.Ef1.
THIS PERMIT BECOMESAU�t .AND 0!D IF WORK OR CONSIR11010N AUTNONIZED 10 101 CONNfNQ0 WITHIN 190 DAYS O@ If CONSTRUCTION ON WORK IS SUSPENDfO +OR A PFRIOD
Of Iff DAYS AT ANY [IN. AFTER WORK IS CONNENCfe. EVIAENCE OF C01111NUA1104 OF 10111 IS A PAO611€SS INSPE, TION NITNIN THE IS® DAY PERIOD. FINAL IK PTCI1ON MIST BE
APPROVED BEFORE 601tJ116 CAN £E '
h>Tptg �;n fifif ui: �� 11ATE:
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date ff-Z/ by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date date by
FRAMING Walls by FIRE DEPT.
date by date by date by
PLUMBING OTHER
Attic
Groundwork date by
DW D.W.V. b WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date _ by date by
I
i
PagejNo. 1 CASE HISTORY FOR CASE NO.: BLD98-0693
THOMAS A MCKEAN
NE1691 TOONERVILLE DR BELFAIR
09/14/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
BLDA010 Application received 07/10/98 / / 07/13/98 DONE KW 07/13/98 KW
BLDA100 Approved For Issuance / / / / 07/30/98 DONE KS 07/30/98 KS
BLDA500 (F) Issue building permit / / / / 07/30/98 DONE KS 07/30/98 KS
BLDA900 Telephone call / / / / 08/14/98 INSTALLER CHANGED TO A&B MOBILE HOME KW O8/14/98 KW
TOWING
PHONE# 800-422-2015
REG#0593
BLDB110 Structural Plan Review 07/13/98 / / 07/13/98 DONE DC 07/13/98 KW
BLDB130 Planning Review 07/14/98 / / 07/28/98 DONE AHB 07/29/98 AHB
BLDB134 RLC Review / / / / 07/28/98 TAHUYA RIVER IS 500 FEET OR MORE TO N/A AHB 07/29/98 AHB
SOUTH; DEVELOPMENT CLOSE TO ROAD.
BLDB135 Addressing 07/13/98 / / 07/17/98 DONE GMM 07/17/98 GMM
BLDB138 Planning Pre-Review 07/14/98 / / 07/14/98 DONE MMS 07/14/98 MMS
BLDB200 Environmental Health Review 07/13/98 / / 07/20/98 Approved design, plot plans are DONE PSD 07/20/98 PSD
identical.psd
BLDB210 Water Adequacy 07/13/98 / / 07/20/98 Need water adeqaucy.psd HOLD PSD 07/30/98 NJP
7/22/98 The applicant called and Mike
Davis drilled the well last night and
will bring in the info. it is an
individual well.psd
WATER ADEQUACY TURNED IN ADDED TO THE
FILE AND PUT BACK UP FOR REVIEW.
BLDB210 Water Adequacy 07/30/98 / / 07/30/98 Well log and water sample in the DONE PSD 07/30/98 PSD
file.psd
BLDC110 Footing inspection 08/21/98 08/21/98 08/21/98 FIX AND PROCEED REBAR TO HAVE 1 1/2" PASS TR O8/24/98 KW
CLEARANCE FROM FORMS AND 3" ABOVE GRADE
<7
C 1�
17!enu�
Etn FAIII, revs COMPLIANCE rya ATIA01f_U G(INUI I'IONS IS RE0111HELt_�ii l�
MASON COUNTY
Mason County Bldg. III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
1 -r e. vNr> 6 r I C7314
Case No _,; BL.D98--0693 �
Fort THOMAS A MCKFAN
Page ; 2
i ) A t 1 approved p I an are r equ i reaSi to he an site for i n=>pe t i �:!n purposes . i f i nspect 1 oni s c:a 1 1 ed for and plans are not on site Approval WILL NOT he granted . In addition, a
Re-- Inspection five in then amoirrit of $42 .06 per hour (minim9,m I hour ) wsll be rhf�rged and
mwzt be co I I ented by this department prior to any further Inspections being performed or
approval oranted .
X
` 2 A PURSUANT TO 1994 trN 1 f 0FtM BU I I DING CODE , ALI. SITES MK;T HAVE, APPROVFD N11MBERS 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 DFPARTMFNT REQUIRES THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON BATES IN TA131_E 3A OF THE 1994 UN I CORM 131.11 L D I NG COOF W 1 1. 1. Bf ASSFSSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
? ; THE FOUNDATION SYSTEM SMALL. BE PLACED ON UNDISTURBED, NATIVE
C011. .
X
4 ) The approved plot plan I s r•equ I red to be on--s i tea for I n pec:t ion ptirposew . if
Inspection 19 called for and plot plan is not on site, Approval WILL NOT be granted . In
addition , a Re-- Inspection fees in the amount of :»42 ,00 per hour (m i n i m+im 1 hoi.ir ) will be;
charged and must be oo I I ected by t.h i s department prior to any further Inspections being
performed or approval granted .
X
5 REQUIRED INSPECTIONS (Footing Inspection-prior, to pour , Set--up Inspection--prior to
skirting, Final Inspertion-prior to occupancy ) . I have. received a copy of the General
Information and Guidelines-Mobi le/Manerfacatured Housing In€,tai lat ionF. Handout for
detailed descriptions of all required Inspections on, my mob i I e3/manufact>>red home
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i n-:ta i s at i on . I hereby all r t'"i �'iI-s I i 3 i v !`car e, i rigr, €stair
inspections . If these required inspect Pons are not reque:: 4nspect.ed av ; ; Igne: .
off (approved) by the Inspe�ctar in the prescribed order ! understand that re: i nt;petat i on
furs and an horarly I v%o 19 ativn fee pursuant to the �994 UBC. Table 3A wi I I be assessed
in addition to my original permit fee{: to resolve any questionable practices or
l,robiems that have been discovered . 1 further understand that this investigation will ,
rye scheduled as time allows . Until resolution of any/all problems nu ocoupanoy ( Final
Inspection ) will be granted for the residence . _
OWNER/CONTRACTOR ( i nd i cartes which ) Signature X
6 ) Al ! mobile/manufactured home landings or deoics must be freestanding ( self supporting) .
They largest i and i nq car deck permitted without draw l nc1� or a building permit 1 120 sq f t
or, less AND MUST be under 30" in height from surrounding rade . NO second story decks ,
Or decks above 30" can be built without a permit . Any l and i ng 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 r,r more r l sers requires a handr a i l .
X
7 ) AL I. CONSTRUCTION MUST MFET OR FX('FFD LOCAL CODES . I ANY QUESTIONS, PLEASE
CALL JW S OFFICE BEFORE CONSTRUCTION .
=R ) Approved per d i memo l ons and set back s on i t i k l .:: i to p I an . X !' .
9 ) Temporary erog i on oontro l measures must be i mp l emen'tead to prevent watcrr quay I I ty
degradation of adjacent waters or wetlands . Silt f enc i n crust be Installed and
i nt X g4_L -ed u n t i I upl and vege>trat I on has become estate I i she
X
10) Propo: ed structure or, Eortions thereof with rar4 projection. over 30" in height from tirade
tine, must maintain a separ tion distance between adjacent structures and that.
f u r t h e s t projection . X _ � ��
11 ) This application is subject to Buffer and Landscaping requirements aas established ur+der
Maser' County Ordinance i._ 03 .036___
X
12 ) The use, hand I ! rig and storage of har ardour, mat er P a i F, or f I aammab I e and combust i b P e
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1 Tq77 as i n e x c e s c:,i i o iict i I o t, i s i,,i, a . t owed w j i itut. tne approve I ot T , IV
Fire Marsha
X
I I ? Prov i s i onc. For aurfact-/ subsurfaces dra i nta(je control nrur;t be !mp i emented with new �
construction or development on site and MUST NOT adversely Impact adjaoent parcels .
Under the requ i reme*nt s of Mason County Stormwater Ordinance, either private d i tehe t; and
drains will meet: requirements of the stormwater ordinance or prior approvAl will be
granted to crse an ex i st I ng utility and drainage easement ded i cjated for, that: s ec i f i c
purpose . For further, Information regarding this ordinance and the REOUIREMEN� to
obtain an ACCESS PERMIT for they installation/construction of a driveway or acces ;
connecting from a Mason County Road, Contact the Mason County Public Works Department
,rior to construction at Ext 450
or any construction wh i r.,h Is praposed to be located within 25 ' of a Mason County road
right of way, it is sug ested to contact that offine to review future planned work which
.May alla-v t your p r o j e r;? . .,.�.______..._._._ .,.._._r._
X
14 ) Proposed structure or, tanV portion thereof greater than :10" in height froir grade line,
must maintain a minimum of 6 ' setbaf k from all property lines , easements and 10 ' from
all 19, ty and Stag: Road r icjht or ways .
-, ------- --------------- — _�----------------
-ES
WATE HOT
CON _ -TER
.TR.
AO REEFER L I V I N G B R #1
KITCHEN-
BR #2 BATH ROOM
20O
° 0 0
MOBILE . PLT
SCALE : 3 /1 6 "
7 /8 /98 ]
Tom McKean (360) 479-2789
T.NArK—
TO BELFARR PAY
V ELFEDA}L PASS
SAND HLL ROAD ROAD
TOONERl1.LE DRIVE
BEAR BEAR OREB/, EWATTO ROAD
TD BEAR /DEWATTO ROAD nos SAE�
o TO DEWATTO
PANTHER LAKE
TIGER LAKE O
P(� TO BELFAR
' OLD BELFAR HC*WAY
SOUTH
DIRECTIONS TO PROPERTY
STATE
ROAD'S & 1) Take the Old Belfair Highway to the junction with the Bear Creek/Dewatto Road.
2) Turn west onto the Bear Creek/Dewatto Road.
a) It is approximately 6 miles west to NE Toonerville Drive,
\P-PWIY\mq-P-PPB
R650)
OLD BAFAR NK�FWAY b) Toonerville Drive is approximately 2 miles west of Panther Lake,
c) Toonerville Drive is approximately 0,2 miles west of the Elfendahl Pass and
Bear Creek/Dewatto Road junction.
STATE ROAD*3 3) Turn south onto Toonerville Drive (private, gravel road).
TO BRB.EITON a) My property is on the Tahuya River (south) side of and approximately 2 miles down
NE Toonerville Drive. Next to 1701.
DRAINAGE DITCH
1 EXISTING)
SEPTIC TANK 1 PUMP CHAMBER
DRAINFIELD
104'-3 2S/32'
0��� I I 129'-II 1/2
'10'-O' 59'-8 I/2'
ELL
� I I ( W 34'-111/32'
I I 22'-n 1/2"
3G'-D• i
18"x 20' CORUGATED STEEL I I I 1 4' X 56'
ZTS IN EX15T. DRAINAGE DITCH MOBILE
#1 #2 #3
R100' 40x6O
GARAGE
o,Q
F�
19'-11 5/8"
/ 222'-0"
THOMAS A. McKEAN
ADDRESS: 1691 NE TOONERVILLE DRIVE: BELFAIR, WA. 98528
I.e. SURv VOWS LOCATION OF PROPOSED 40'x6O' GARAGE
M&W BUILDING SUPPLY CO. POLE BUILDING KIT #HW98505
SLABLO.PLT (SCALE: 1"-45')
[8/26/98]
TOONERVILLE DRIVE
ARC LENGTH — —
I I I
T. A. Mc KEAN
119 SOUTH WYCOFF AVENUE — —
III ❑ BREMERTON, WA 98312
3 6 O) 9 1 9—2-1 8 9
I I I
El 5 ACRES ON NE TOONERVILLE DRIVE, MASON COUNT
6p,
PARCEL U22311 75 00140
ADDRESS: 1691 NE TOONERVILLE DRIVE: BELFAIR, WA. 98528
REF: BUILDING PERMIT �BLD98-0693
PROPLO.PLT
(SCALE: 1" = 125')
[8/26/98]
`TAHUYA RIVER
o oRZ
SEPTIC TANK t PUMP CHAMBER
68'-10 5/8"
11__1
w �
" WATER LINES
N SA . DITCH AS ELEC .
WATER . PET
( SCALE : 1 " = 20 ' )
C 7 /8 /98 ]
1
DRAINAGE DITCH
( EXSTING)
DRAINFIELD SEPTIC TANK t PUMP CHAMBER
(PROPOSED)
I
I I
I I
GARAGE
ET CB
"ORUGATED STEEL
XIST. DRAINAGE DITCH
7MOBILE CB PANE
#1 #2 #3
SERVICE EQUIP. MAIN CUTOFF GARAGE
PUD TRANSF. t METER
/ COMM . PLT
(SCALE: 1 "= 4
5 ER VI CE . P LT
PHONE/TV LINES
//- RUN UNDERGROUND MAIN POWER LINE
ED4C IN SAME DITCH AS POWLN . PLT
/ SERVICE POWER. POWLND. PLT (DIMS)
,4s (SCALE: 1 " = 40')
�3o E 7/8/98]
tat. SURVEYORS
FLAG
r �
COPY
HILL OF SALE
MiKfj ANI I..R. '..Id, SMITH ("Seller") of Sunnyslope, Wasliinf::an, for $3000.00, does,
i hetebik sell, ts�o.-,)i and tiansi-er to THOMAS A. McKEAN ("Bu)'or"), of 114 South Wycoff
A�en;Oe, Bra,inerlon, Washington, the following property:
1. 1974 (Merdgn Industries, 14' x 56' mobile liorn,
Ii # S-12403; manufactured on 10 Jan 74
A'I"TACHMENTS & APPLIANCES: 1 ea. c.)oking range, 1 ea. wood
stove, l ea. trot water heater, 1 ea. furnace, 1 ea. r:,Irigerator, skirting, complete
towing/rnnving'package. (NOTE: The rear left sidf, tire is missing and the rear
left wheel rim is damaged.)
't;NDITIONS: For the sum of $50.00 per month, MIKE acid LAURA SMITH
("Seller"), exercising reasonable and pruder:t care against damage and
vandalism, will park the subject mobile lrol ix, on their property.for a
rri;ixirnurn of 90 (lays from the effective dat,, of transfer.
,Sejlei-,warr0!:ts; lkat the properly is being transferred to Buyer fre and clear of ariv liens ar)d
f� En�untbran{:t .
I'hi; propert r> i,!ow ic,.cated at 6716 � . -I F t 'N �,_ St )nyslope, Washington, and
all,of such proj7,:!riy is in the possession of the Seller.
This transfer is affective as of April, 1998.
Hy; ("Seller")
MIKE SMITH
1�?' '. ` �..-�..__: s:�>>_•� ;:-` .__..�__ ("Seller") .
I.A U10. IvlI'll
By: ,/`'� ..._�_,. ("Buyer")
THOMA'; A. McKEAN i
l A
:\'{:P\PPOPERTY tit-SMITH.BOS Mike & Laura tirn'1ih.T.A. TMi,
i
I ' }
I
ME ,
1 `
i,
opy
STNT1 OF dYASF1IN " It..N
EHIC
'I.-E CERTIFICATE 9V TITLE
I lL.E NUMBER a*T�
' t 233820014
4,::.,,:A110%
r
12/03/92 1975 VANIDK ALOE 56/14 ' r
1 @4941 r�>
()GGr:F.T1}iCC?DE I .ft
' 124.08 0000000 EXEMPT ODOMETER ;•j
DISCLOSURE
PRIOR TITLE NWAKF•1
t �:1 1000:• 83 WA 8336103805 i-
'p
E _ SIG!.,(FUF t.-,f-: Ii:! 'dJ`SE171: .ii L(M,I : it oY n.:r i:\:,• ,
l SAFE; »�S LEGAL OWNER BELOW INTr ;eSTlr cF(r r ofEt) ovt,
k BY
snl 1 rFllcl h 1'
SM LTh,1-AURA L SIGNATURERi I OF Lc
. G VEIflCLE DE,CHCED;J:.'Y;
', SMITH,MICHAEL L
6716 W OLD CLIFTON RD
Y I PORT CIRCHARD WA 98366-9114 Sy-
t BY_.._
} R SECOND LFnZ N[N-SIGNATURE t IIII cr r $
r - � ,. LEOAI OWNER•\ ,:iq:kws N dahofleU rr leao®Isle, l>,n cl 1 )
ckc m,t_M o f,unf 4u�hpr cr/ppnf u,t6 p oFs._r Fn k',
LA r artsm f Vol,! w 6n 16 dwy,aftw K is gat av S,,1
tYas obto,fos S1U 'A9uw,pulUmt! PfW 46.1�
PU ICHMHR Now t it4fta boa Wted Ia wRhcn 1 5 rai sdar days.FeI,nF a
y to do sa w II fe , m^nefnry per arty aeaossme-t t
'i ,11 Faflure I.Ir.Ih,ler .dhIn 45 days Its a mmdomaanm
:s
. :ktir— - - 1S�i��, 1,,• � ,i5t�,c, <y- AMI. xS vl' fF
' } `:ti ) 4 I t1 r ,Ssr� .0 rY' i�.✓ 'rr�, ��I r ir,Jp� i s:' .
, • i
r
I
14
Sad.
• 1
i1 ( 1r'i C({ r'..��r I w, IC # r It Iaf{� ! I' k..Y P:;( �R V.
I
FORM MUST BE COMPLETED IN INK �{
PLEASE PRESS HARD PERMIT NO.: BLD O 4
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 275.4467 Elma 360 482-6269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner THOMAS A. McKEAN Contractor Name
Mailing Address 114 SOUTH WYCOFF AVENUE Mailing Address
City BREMERTON State WA Zip Code 98312 City State Zip Code
Phone 6�3 0 )479-2789 Other Ph.( Ph.( Other Ph.c
Lien/Title Holder SAME Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic XXX *Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System *SWG 98-0085; approved 8JUNE 1998
PARCEL INFORMATION-12 digit Tax Parcel No. 22311 / 75 / 00140 Fire District
Legal Description N 1/2 Section 11; Towns ip 23 N; Range 2 W; W.M.
Site Address(Please include street name, street number and City)Not issued yet
Directions to site See attached map & directions. Property is on Toonerville Drive between
Will timber be cut and sold in parcel preparation? es x (Completed; FPA ##2404736)
Is your property within 200' of the following: Body of—Water (Name) TAHUYA RIVER Saltwater
Lake River/Creek X Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs NOTE: DEVELOPMENT MORE THAN 500 feet from river
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 Garage Carport
Other sq. ft.
MOBILE HOME INFORMATION-Make GUERDON Model VANDK Model Year 1975
Length 56 Width 14 Serial No. 12403 No. of Bedrooms 2 No. of Bathrooms 1
Type of Heat ELEC FURNACE Purchase Price $ 3000 Replacement Unit ?(Yes/No) NO
Installer Name WHITMARSH CONSTRUCTION Certification No. WAINS0288
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 D S IMM T IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS IN
Ih ape o If,represents that the
information provided is accurate and grants employees of Mason County access to ar4be r ectures 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 Af6A III 41 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 ermit is issued and that all work will be done in requirement it is issued and all work
conformance th i . No chan es shall be made without first obtaining shall be don i s shall be made without
approval. first obtaining approval.
X Date 10 July 1998 X Date
FOR OFF CIAL USE BEYOND THIS —O7INT Accepted v �� Date �ubmittal Amount Du (5 Receipt No. q703
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Building Depa ment IV04W. /YO p xTtJd a/Q���
Occ Grou - T e Co str. 7^ 0 C 00 / dJ �0/
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
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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 \3Allt.. 7
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name THOMAS A. McKEAN PARCEL NUMBER 22311-75-00140 Date 10 July 1998
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 line4 I I E-adjacent property line
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SEE ATTACHED CAD DRAWINGS
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adjacent property lined ' ' <-adjacent property line
SAMPLE SITE PLAN
adja t property lined Fadjacent property line
v 30- rR�SC f3vE gel
.SEA_So u AL
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I j PrioPasen sap*:c
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VACAI.,T 7�I I
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adjacent property line- ; A�. c \; Fadjacent propert'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
d1 star•cQ fin
PROPERTY IS ESSENTIALLY FLAT WITH THE &s't'ar,LL to
610pm o¢
EXCEPTION OF A 3% SLOPE BELOW THE
to �
PROPOSED DRAINFIELD. SEE ATTACHED PLOT
OF APPROVED SEPTIC SYSTEM.
1010 July
Signature Date