HomeMy WebLinkAboutBLD2000-00013 Cancelled Mobile Home - BLD Permit / Conditions - 1/23/2003 Line (360) 27-7262
ection
MASON COUNTY PERMIT ASSISTANCE CENTER Phonpe: (360)427 96704ext. 352
Mason County Bldg. 3 426 W. Cedar P O. Box 186
Irflo
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2000-00013
OWNER: CHARLES D CRAIG 360-275-8693 fk$ T To0d
CONTRACTOR: P� yi Fey,�aA RECEIVED: 01/07/2000
SITE ADDRESS: 92 NE RANCH DR TAHUYA & vp1 ISSUED: 03/29/2000
PARCEL NUMBER: 223297500080 {�1V�-�' �• EXPIRES: 09/29/2000
LEGAL DESCRIPTION: TR 8 OF SURVEY 8/150 NE 90 RANCH DR DATE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MOBILE HOME OUT OF BELFAIR ON 300 TO BELFAIR TAHUYA RD TO HAVEN LAKE
LEASE TO RANCH DRIVE 1ST ON RIGHT
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.:
Type of Use: SF Insp. Area: 2 No. of Bathrooms: 1 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories Occ. Load: Building:
Valuation: $1,200 It Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make Fleetwood Length: 48 Ft. Front: S 150.0 Ft. Shoreline: Ft. Water Body:
Rear: N 500.0 Ft. Slope: 350.0 Ft. SEPA?:
Model: Width: 14 Ft. Side 1: W 180.0 Ft. Shoreline Desig.:
Year:1986 Serial No.: orfliaf124804 Side 2: E 15.0 Ft. Com . Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty Type QtV Type By Date Amount Receipt
Mobile Home Submittal KLW 01/07/200 $175.00 52463
Pfthning Review Fee AHB 01/25/200 $38.00 53020
Mobile Home Issuance TLG 02/04/200 $175.00 53020
hNding State Fee TLG 02/04/200 $4.50 53020
Violation Fee TLG 02/04/200 $350.00 53020
Violation Investigation Fee TLG 02/04/200 $42.00 53020
Environ. Health Plan CEW 03/28/200 $50.00 53020
a
Total $834.50
BLD2000-00013 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2000-00013
CONDITIONS FOR
BLD2000-00013
1) Approved per dimensions and setbacks on submitted site plan.
2) All upland areas disturbed or n wl cr ated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X -�
3) Proposed structure or any portion thereof greater than 30" in height fro d li st maintain a minimum of 5' setback from all property lines,
easements and 10' from all County and State Road right of ways. X
4) This application 1 u t ct tazBuffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X (�
5) The use, handling and storage of hazardous r lspr-f telammable and combustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X / J
6) 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 rr ja f ypar)project.
X l J
7) OWNER MUST SHOWr SATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE
RESIDENCE. X d
8) 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
BLD2000-00013 Please refer to the following pages for conditions of this permit. 2 of 3
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
10) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck permitted without drawings or a
building permit is 120 sq ft or less AND 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 thy�#
or more risers requires a handrail. X (( ., (.� 3 or p! in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4
11) 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.
12) 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 occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X —�
13) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. 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 w rk is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection
must be approved before rbfln ca ie �
7
OWNER OR AGENT: DATE:
BLD2000-00013 Please refer to the following pages for conditions of this permit. 3 of 3
i
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 by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date
PLUMBING by date by date by
Groundwork
Attic OTHER
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
i
v
Cri-t-
�T //((�� - �3
PERMIT NO.: BLD R66
MASON COUNTY _
BUILDING PERMIT APPLICATION
• 426 W.Cedar/P.O.Box 186,Shelton,WA 98684
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner_ (aLQ/ s A,, CA IG- Contractor Name
Mailing Address 91eD AJ F RA o)C tj Ile, Mailing Address
City �_ State A" Zip Code 91X5S1f! City State Zip Code
Phone 27,s &Yal0ther Ph.( ) Ph.( Other Ph,(
Lien/Title Holde Contractor Reg. #
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 CAP
PARCEL INFORMATION-12 digit Tax Parcel No. /-2-A—/ 00 ED 8'd Fire District_
Legal Description
Site Address(Please include street name, street number and city)
Directions to site F a
Q4 K)e--, n� Lit j'� At
Will timber be cut and sold in parcel preparation? (Yes/No) AJ6
Is your property within 200' of the followin Body of Water(Name) Saltwater
Lake�o River/Creek--Ao Pond Wetland_ZSeasonal Runoff IVV Stream__AebSlopes or
Bluffsl/o
TYPE OF JOB Newer_Add Alt Repair Other Use of Building 1)%>Al.�P
Describe Work FO /"0rH 4 - l /9e4-*�'
No. of Bedrooms --1L._No. of Bathrooms r SQUARE FOOTAGE-1st Floor 2nd Floor N
3rd Floor Loft A" Basement X-I'A, Deck _Other AtbA/P sq. ft.
Garage A Attache Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make F/ O odel Model Year /q,?C,
Length IVY• Width IY" Serial No.ORF,C/A / o. of Bedrooms_ No. of Bathrooms_
Type of Heat C. - Purchase Price $ i ref),t2-c Replacement Unit ?(Yes/No) /lfd
Installer Name AR ft S . Certification No. 014/4 e.,—
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.
X Date Dateje X Date
FOR OF ICI L USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
.
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
Violation Fee Pre-Paid at Submittal ( )
....::.:.:. . .: ..................
.u;
:Y `n:>:> >< » Y » :;:»>::::::»::» »;:«:<: TOTAL FEES
::•.e.
1
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name PARCEL NUMBER Dateln_,Z�— �9
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
11 Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet o adjacent property line.
adjacent property line4 aa' di E-adjacent property line
31
I tom_
n l _� D I I
cc
y
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adjacent property line- ' ' Fadjacent property line
SAMPLE SITE PLAN RA IV
adja�nt property line- 3io� _ _ Fadjacent property line
v 30' rRLSe_RvE
SEASo w!AL I ^, 77��c L
I r I F-1
a 041j s¢ptic �I
I 1 ,
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VAC AtNT ' gCAMA7G�cS � T /�aazcu�ru.rLA� go'
I f<—4o'—
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80, I
I
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r" •eLL
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14 /DO I
'Il
adjacent property line-.+ ; / 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
d13+ar+Gd- fin
ruGt4.YG
oP a.sta r *o
350/ /Nil, SIoQm to¢
,e
40
500'
Signature Date