HomeMy WebLinkAboutBLD98-00494 Final Mobile Home - BLD Permit / Conditions - 7/16/1999 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Et U F L D I N ram, P F R- V1 1 T' FOR INSPErT I ONS CALL 427-9670
BE 7WEEN 5pm AND RAm 477--7262
BLD96-^0494 PARCEL :2231 95000,01 2 Pl_AT :WOPI.O D I V : 131,1( 1 LOT :
,10F3 ADDRESS : :331 NE IN7A IN V IF W DR TAH()YA
OWNER : WAYNE (�425)22H -553E
CONTRACTOR : DC IN'FFRPRISFF3" 360- 047--676.5
LEGAL 1001FN LAKF TRACTS TRS t2-13 r
. � �^�-.cfaie.mxe�'iizo:a:,--�rc:.z+..s_-aaa:a..a..c•.ir x,._,��yaqors•::.ttti-.rar::s::-•ra_a�,.raaYc^.-vcs-�rlttrnsxs:� - '.
CLASS OF WORF NF"W HbA)R : 2 F;ATH : j11I.E. 40. 11N1 BY. DATE ' R.�CFIPT TYPE ANOVNI FY DATE RECEIPT
O (ISE rMH S1'+f1R I FC
C}C^Ct-IP , GRO11P . 7 F31.1)G I-IF I GHT O . O'r t PI C1f l 175'.88 4M 95119148 4787E '
-1 YPE OF CONS T : 7 F MFPLAGE'' . . , : 0 INOF S tIS-00 NJ? P8!02198 47238
OCCUP . LOAD 0 `().()DST0VF-!; , , . .. 0 STF,1 €` 4.5it NJP 061112198 47238
DINE I. I. .ON I TS , . . . : P4 PAAKI NG SPACF" : 0 Iffitt t 50.00 N.IP 0042198 472.36
I NSPFCT I ON AREA : 1 :.VIORI-L i NF i i jit IT01A,1: 464.50 VAI VI ATIONr ?80001
PtlG"YK�.:'_]F�.Tt'a."u.<_:?S'..:::."614 XY.RTi:_"1T'�:':4:21':'G1RA'4�w%�IIYY>�_YTI.�'_:T.'Y�•�:.-•9^�^F�='-�'—'�.SIUST.'ac+tY"Yt T.^:T.Y2fl�'Y
SETBACKS '_._ _._. ....._. _._ __. __ T0-1.1.ETS , . . , . . . . : 0 FI)Ft T.YtPF`'- - . _._.__.^.._ 13011 FRS/COMP- - - M01311_E HOME--.-
FRONT . . ,S 1 115 0 ..01 t f3A1 11 EAS INS . : 0 : 0--3 Fit' . : 0
REAR N 75 .Oft RATH TUBS , . . . . , . . . 0 3--15 HP . 0 MODEL. :S I LVEP,'RST
S.I DF ( 1 ) F 30 Lt f t SHOWERS ^ : 45 l 11RN `K l+tiOK k3 t tt 0 15 :iPl HP , : 1!1 -MAKE- _.
SI DE• ( 2 ) .W 10 ,Ott WATER HEATERS. . . . : 0 FURN ?-100K BTLI , 0 30-50 HF . : 0 COTTAGE
SHAL I NF: .N 75 I'1f t CI_t)THES. WASHERS . , : 0 FURN FLOOR _ : . 0 Fit' . : 0 - YFAR-. .___..._
AREA - -._ _. .._...... ._ ...._---_-.-.- KI,TCHFN SINKS . . . ^ : 0 HEAT PUMP . . . . , . : 0 86
LOT F, 1717 . . . FLOOR BRAINS . . . a 0 VENT 'SYST•EMS . . _ : 0 . F`JAP COOLFRS.- 0 I.FNG'TH •52
HUiLt? ING . . . t 1248:5f DRINKING FOk1NT . , . , 0 VENT FANS . . . . . . .
. 0 HOODS . . , . . . . : 0 WIDTH , i24
BASEMENT . I "f I-At1NDP Y TRAYS- - . i 0 f}f1ME`i .. I NC ! N :I3 SERIAL #
DECKS . . .. . . . 03t DISHWASHERS _ . 0 A I R HAN.?I 1 NG UN i T`:- COMMI_ . I NC I N : cO AB780
GAR/CARP :? O�: r GAPS DISPOSALS ,. + , : 0 10000 otro 0 RF'I OCIFIEPA. IFI : 0
AT/DT . :? 1YRINAL.S , , . . R 10poo cfm , ' 0 OTHER UNITS . : 0
MISC PI M F IXTURF.i— 0 GAS, OUTLETS . : 0
r+a .^ragmsryrsw.c��;r:.r.�s..rs-e:�-..-.xc:s;:s�:Ym_e�-��cra=¢erz�:a�r^.nsa+r;<7z:•�xa:trzir_�-¢,Y;ae�z-.-..':m�'^-�-.z _,-..s:..:as:zA.:+asawet�esez�s:ssa_aeaz:s:sxue::-r.:ecrecm:z-cmrt.•ssz.•:maewz'w^savu•-.:r.:svev'r ,�:.r.!-,xs.'.-azar.-^:..
PROJEt:i DESRtPT14N;MQBi1E HONE
PRokif,0 000 100110N Belfill Iakm Hwy 300 past Beltsir `A-ate Park, fire riglt Alto Balii-IF-Askm 11003, follow to stop sige. Tire riglt wad go 1#0 yards.
THIS PEIMII BECOMES NUI.I. .400 '1018 If- HORN Of,_ CONSTRUC H01 AUTIORi1F.D IS NOT COMMEII1,1`8 NtTRIN 110 RAYS OR IF COOST1901011 4R WORK IS SUSPENDED FOR A PF1100
OFA 81 DAYS At ANY 111F AFTER 114RK IS COMMENCED. EVIDENCE OT C-QMIITiUA.itON of 110AK is A P1061E88 IMSPH T'ION 111NIN THE 1I0 PA( PERIOD. FINAL I1SDEC1101 MIST BF
APPROYFI AEF08r. 'BUILDING CAN BE OCCRP}FR
RID;j Ni rev: 03131191 _ COMPI IANCF TO ATTACHED CONDITIONS IS REQUIRED
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 i"/L - by
BG/SLAB Insulation Floors Final �G
date by date by date by
FRAMING Walls FIRE DEPT.
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
All 7-A, _
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
f- F" 1-1 M 1 "T C.., C'r N UI 1 -T I C>> P4 :>
Case No . : Bt_D98--0494
For . WAYNIr FNOi_F
Page, 1
1 ) Approved prar oimenr. tons and a:etbaoks on -,ubmtiteci .. - to plan ., f,hvre (.;etback i5 75 feet
from roof 1 I ne to edge of I ake vegetation ; no structures higher than 30 inches above
' grade Mowed within this settsack .
1
2 ) The proposed project must be oon:; i st ent with al i app i i cable o f I c i Fps and other
�rov i s i ons of the Shoreline Management Act , i t h rules . and I: a Mason County whore l i nw
aster Proquam .
A ,.r
j� > flip Sapp i i caant tank now f edgca^ that. t h i 3 clerve i aG)nt� n9 waa r= ^ i t ed r uc:ta that t rar t heaJr)++ e'
Protection measures will not he required for, prot:ention of the t'aoi 1 ity .
X <:_.. .
4 ) Temporary Bros Ion cont ro 1 me etc f.rr-es mu'rt be Imp I emelit ed to ' pr event water, qua I i I V
degrad t ion of ad jaacent weta�rs or' wetlands .
X t
5 ) Prupo-cd str octcire or .:anV part Ion thereat greatetr than 30 in he1(11 t from (trade 1 Ine ,
must maintain a mi n imurrr of .5 ' setback from all Property t i lies . easement-9 and 10 ' from
a I 1 Cay. )ty Arid `=;i a t o Road or, Ight of w4vs, .
X .
8 ) Provisions for surfaoelr.ubsurPsac,R rirralr,Fagc cantr()l roust. ties implemented ;with nr,,w
construction or development on site and MIDST NOT adverse t v Impact rani j aoetit parcels .
Under the repo i cement*; of Masi-in Co!iirt y Stormw.ater Ord i nancaea, ey i t her- pr t vyte► d l tnhe5; An(.]
drains w i 11' meet requ i rerw-intu of the storrrawater ordinance or pro or approval wi I 1 be
granted t <:, use an existing l.rt i l i tv and dra i rtaatle P,a.earent dedicated for that s7pec i f I
purpose . For further information regarding this ord i nanoe and thi> REQU I REMI✓NT to
obtain an AC'CFSS Pr-HMI1 :for the inr,tal latron/.constructIon of N drivalxay nr. racoe'os
connectini3 from a Mason County Road., Contact the Mason County Parblic Works Department
. Prior to construut i on at Fxt 450
or any construction which Ir, proposed to be located within ',.'`i ' of a Mra ;on County road
I
MASON COUNTY
Mason County Bldg, 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
may aff t Vow- pf o taut
C
7 ) Th i s aptll i f-at toto Is t1uhiect to tita ter, a n(.I I amiscap i it() i-efiu I r�-Yneiit E; as es t fib I I stied uncior
Mason CoUntv Or,dinance 1 .03 .036 , A
6 > The use, hand I i rig and s tora ge of hazardous inRtei, I a 1 r, or f I ammal'ilW ;And oombustible
11(julds Ito (of 10 (jallortf4 is not allowed wlifwtst. the of the Ma,,,(.wn coutity
Farr) M-arshal
X ,
9) POR SUANT TO 1994 IJN I FORM BU I L D I NG CODE , Al.1- S I TES MUST HAVE APPROVED NUMBERS 43R
A DORE S.S'Ec� PROVIDFD IN 'SAUCH A PO� ITION AS. TO 9F PIAINI-Y VI ,SIl1I.(' AND IEGIRIF FROM ftif
'STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DFPARTMFN-l- REQUIRES THAT
THIS BF compiEirp Phiorl, TO CAI ING FOff ANY w> IFF INGPFCTIONS . A tif IN,,A1FCT ION FFF , RASFf)
(IN RATES IN TABLF 3A OF THE 1994 UNIFORM BUILDING CODE WILL BF ASSESSED IF
OWNER ICON TRACT04i FAIT I,; TO POST ADDRIF"IS, ON '; I IF PRIOR 10 PF001�-S,] ING IN,`4117CTIONS ,
X-
10) THE FOUNDA110N '.,YSIIM t.lIAII, BF PLACED ON IINDISI'killm) , NAIIVI-
soil-
X
11 The approved plo-t plan Is, i,equireff to be clo. "' Ite tol Inspect ton J:mupwse-, It
inspection Is cal led for and plot Ian Is not on � Ite, Approval WILL NOT be granted . In
addition, m R-4 - Inspection fee ifi la
amotint of t4;-1 . 00 Per hour (miniaunt I hour ) will be
charged and must be collected by this dep3rtaient prior- to arty fur,ther Inspectiontl being
performed or appr-oval quanted
X
12 ) HFOUIRED IN`�PFCFION::; ( Font intl lnspeotion- pr� ior to pour , Sept t up Iiispotion- pr- Icir to
skit, tin Final Inspeotion-prior to occupancy ) . I have r4001ved a co V of the General
I nf or,may i (,it and Go i d-e I I nes-Mob I I e/Manufar t tirpd klmis I nq Instal I ;tt I ons flandout for
fie to I I ed rlesct� i pt I one of a I I r,eqo I red I nepect*1 ons on my motille/manuf aMr-ed home
Installation . hereby assume al 1, r-espont,: JbIlity for the schedulinq of thef--e r-equiied
insper--ti cans , If these requit,ed 0113peotions ar.e. not t,eque.sted , Inspected and signed
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
r I r A feea and an hourly ItrvestI?atIon fide pursuant to they 1� 4 UBt;, fatal ® :3r1 wi F! he estssesse3d
In addition to my or i g i na 1 permit leer,er, to resolve any que ;t i onab I e prac:t i oes (:)r
roblems that have been discovered . I further understand that this Investigation will
e scheduled a,, time allows . Unt i I resolution of any/ all problems no ( F i na l
Inspeotion) will he granted for the residence .
« 5
OWNER iCON1RACTOR( Indt ,3ate whIc h ) Sigrnattire X
1 3 ) All mobile/manufactured homy I an d i n(as or decks crust be freestanding ( self suppurt i nq) . d
The largest l and l ree) car deck permitted w i t hUlr# draw i rr(fs or a hli i l d i ncr permit it; 36" c
Any landing or deck that Is 30" or more In height from walking surface to finish
Orade requires a guardra 1 I , Anv i and i n or deck that hers 4 or more r l sers vertu i rNs a
hatidra I 1 . Any landing or deck I r�rye+r harr 36" x 3c3" must be perm l tted wh t oh requires
structural drawings and ar building peyrmit application . This Instaltstion Permil. does
NOT include any I and I nq or deck larger gear than the 36" x 36" size .
.14 ) ALL CONSTRUCTION MUST ME F T OR EXC1 E t> I.00AI CODES , If ANY 01I ST I ONE>, M E ASE
CALI. TN I S OFFICE BEFORE CONSTRUCTION .
1
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j\A o u nt ra-,N VIEW RD. Joycelyn Johnson
Certified Designer
PLOT P LA- N Septic Systems
OWNER: WAv ►.tE 'FN(,LIF
P PrK C t L * as 2 19 50 OOQ I ;,
GARY YANDO,DIRECTOR
P�oN srgTFo
A u U N DEPARTMENT OF COMMUNITY DEVELOPMENT
=
s N PLANNING - SOLID WASTE - UTILITIES
�0 N Y o~ BLDG. I • 411 N. 51 ST. • P.O. BOX 578
SHELTON, WA 98584 • (360) 427-9670
1864
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS:
The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created
by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's
willingness to proceed with processing of applications which might be affected by that Order, the undersigned property
owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of
_ a� ,, a i ch .,_-r:�c cr an ro gals (hereinafter"permitting
iv1::Jv...�vUT-y , e-Was III a::.c;�rrCaaiC�,, proc,,ssing ...a...... i...,...._,._..-nF r!, i p ._
actions'), which damages are attributable to the County's decision to take permitting actions despite the risk that changes
to the County's development regulations might later make the County's permitting actions invalid.
- -7 3 2 0C20
Date (Parcel No. or Legal Description)
Property ow is signature otarized) � �C
(or the Cou ty may accept the signature of the u o
owner's authorized agent upon proper proof of anza JV
ACKNOWLEDGEME CERTIFICATE (INDIVIDUAL)
STATE OFJA7
'
COUNTY OF f,
�� fo - S Notary Public.
On iuis _r day of Le yu , b i ...e /
personally appeared personally known tome to be the person whose name is
subscribed to this instrument, acknowl ged that he/she executed it.
9 1. 1S
WITNESS my hand and official seal. _
For County use only
Reviewed by applicant on
14
(Date)
N ' i ture % "� r
�' s s � � � ( ' ,.�. � Staff Initial:
y Commission Expires: 9�.,�u�c ,v"
4� �F W
LJ Permit No.�c.lpk$ b�(�f y
pay 141998 MASON COUNTY
BUILDING PERMIT APPLICATION
alli g From: Seattle 464h6968, Belfa 275-4467, Elm elton, WA 98584 5628
a 482 5269)
PLEASE PRINT
O#1 Owner N� A L Phone# a
I e Address 3 ovn/T ��/ "� Fire District# oZ
City -7—A PU YA St WA Zip QSS"S8
Directions to Job Site r-7,eo M 0�0f4 S-T
n//--r> ou cse�/— /0� S c;, Le
Owner Mailing Address Z16 O 3 5)
city E�4= ^p st-4&�y _zip 9&aS8
Lien/Title Holder
Address
City St Zip
'W, ,e41S,or-
#2 Contractor Name �, - �i��'�-IS .S Contractor Reg# OS39
Address g O. BDrC a Z Expiration Date_ /-,A0—/J—'6-
city Ari!/A-5/ St Zip ;7 -Phone
T Ug-e.V '- 6a/S7,V '?&2.,
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System S �T�`C� Z _/T Wo �-
(If residential, proof of potable water is required)
arcel No. ��3/ - S0 - OD/;Z
Legal Description /-OT /02,� /3 , l-fl [7yTF�nl, r�g l►(� 'T�,uo„��, .�F�-/�
#5 Building Square Footage
1st FI j a'-( 8 gy 2nd FI 3rd FI Loft Basement
# Bedrooms cam- # bathrooms Deck Other
Garage IN /(� Carport � (Circle:Attached or Detached?)
#6 Use of building E3 i p 5,N T! ^-L- Describe work
#7 Type of Job: New_ 1pL Add Alt Repair Other
1�#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year v MakeS�4V,5,:CeVod I
Length 5'2 ' Width • Serial No. AA 7-'C 3/33 &;R
#Bedrooms 2. # Bathrooms -'Z Type of Heat L�7=iC
Purchase Price$ --;?8, 000, D O Tye,
CF
#9 Indicate b circling the applicable source if an water is on or adjacent to subject roe NIEr
Y 9 PP Y 1 1 property:rtY� 11 ,
River Pond Creek Stream Wetlan Lake Marsh Saltwater Seasonal Runoff Other \Voo-r" LAk/e,
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
SFE- A--n-
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
0W.
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review/110 VP e�,nj! Grp
/ooa, �o�i ivies. �a� .so�3 .5-044D
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other
Other
Other
Building Valuation: TOTAL FEE om9 lO 7vIbL
47
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval,
Planning:
Environmental Health:
Building Plan Review No UP eas e�,»j�-7 0*70 6i Ge K
,go /00A /0li, /D/a_ Boa .-soi3 ,moo
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Violation Fee
Site Inspection
Building State Fee
Other
Other
Other I
Building Valuation: TOTAL FEE
I
Plumbing-fixtures 3.35 eachl Fee Mechanical Fixtures ($6.75 each)
No.AToilets CIRCLE FUELTYPE: Gas Electric,
F Bath Basins He tpump, Other � �
Bath Tubs No. Units Fees
Z
__ Furn BTU
Hot Water Htr ��� Heatpumps
Laundry Washer _ Vent Systems
Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
Laundry Basins HP
Dishwasher Air Handling Units
Disposal cfm#
Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 16.75 Auto Fire Sprink Sys 35.00
TOTAL PLUMBING $ No. Other
Gas Outlets
L Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAININ PROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE — /r�— DATE
FOR OFFICIAL USE ONLY: Accepted by: Date: