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BLD99-0579 Cancelled Mobile Home - BLD Permit / Conditions - 12/6/2001
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Eft I.) I L_. D I N Ca P E_- 1`1 M 1 "T FOR INSPECTIONS CALL. 427--9670 BETWEEN 5pro AND Sam 427-7262 BLD99-0579 PARCEL :2233050002.68 PLAT :HAPI-0 D I V :. BL.K : i COT , JOB ADDRESS : 9790 NE TAHUYA BLACKSMITH RIB TAHUYA PERMIT OWNER : MELV I N SAVAGE 425--882--0156 CONTRACTOR . r4ULL y ip BY EXPIRATIO LEGAL : RAVED LAIE TR. 268 pAT� 2 or BY CLASS OF WORK . . :NEW BEDR : 3 .BATH : 2 TYPE AMOUNT 1Y DATE RECEIPT TYPE A9,01INT BY DATE RECEIPT TYPE OF USE . . . . iPH STORIES . . . . . . . . 1 OCCUP GROUP . . . :7 BLDG . HE 1 GHT . . e 0 .riff t MOST II t75.1i KI 95128109 5D724 TYPE OF CON T . . :? FIREPLACES . . . . c 0 MNSL $ 175.01 KS 07122199 1 4991 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 Siff 11 4.50 KS 07122199 50991 DWELL .UNITS . . . . ; 0 PARKING SPACES : 0 PIC S 71.10 KS 11122199 51199I INSPECTION AREA : 2 SHORELINE? . . . . iN FRCP I 51.11 KS 67122199 51991 ITQTAE: 474.50 VALULATION: 311601 SETBACKS----•-- --------- --_. TOILETS . . . , . . . . . . . 0 FUEL TYPES---- .---- - --- BOILERS/COMP------ MOBILE HOME-- FRONT . . .W 125 .Oft BATH BASINS . . . . . . ; 0 0--3 HP . : 0 REAR . . . .E 50 .Oft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL. :FLEETWOOD SIDF ( 1 ) .N 15 .Oft SHOWERS . . . . . . . . . . . 0 FURN < 1O0K BTU : 0 15-30 HP , : 0 -MAKE-.-- ---- S I DE (2) .S 42 .Oft WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30-50 PIP . : 0 54O3C SHRL I NE: .N 0 .Oft CLOTHES WASHERS . , : 0 FURN -- FLOOR . . . . 0 504- lip . a 0 --YEAR.--- . _-- AREA _._._... _.__..___ ____. __._ KITCHEN SINKS . . . . : 0 HEAT PUMP ., 0 99 LOT SIZE . . : FLOOR DRAINS . . . . . . 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 I_ENGTH :40 BUILDING . . . : Ost DRINKING FOUNT . . . , 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . 1 0 WIDTH . :24 BASEMENT . . . : 03f LAUNDRY TRAYS . . . . : 0 DOMES . INCIN :O -SERIAL #----.- DECKS . . . . . . : Osf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN :O GAR/CARP :? Osf GARB DISPOSALS . . . : 0 <- '10O00 oft . - 0 RELOC/REPAIR : 0 AT/ITT . :? URINALS . . . . . . . . . . . 0 > 100O0 ofm . : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 vma.:^�za.^s,x:.m:.x .^.e:uszwe'�.-rmx�.—xrJ..:..^ta.-�xaxmeamx�:wvt�csx�.-z:.—agar roar«:.m.rrx:star ss:.»:rxexa�,••.,•.•••• ;:mx+mam�awcacm PROJECT DESCRIPTIONtM0B1tE O011 PROJECT LOCATION:HAVEN LAKE RD TO TAROYA BIASKSDITH TURN R 00 Tk"UYA BLACKSMITH RO 200 L01 NEST Of Of IAKE DRIVE. THIS PERMIT BECOMES NAIL ANQ VOID IF NORK OR CONSTRDC1101 AUIOOAIZfD IS NOT C011fNCf6 MITNIN IOI DAYS, Of If CONSTRUCTION 09 MONK IS SUSPENDED FOR A PERIOD Of 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED, EVIDENCE OF GFINTINUAIION OF WORK IS A FRO&RESS dNSPECTION NiTHIN THE 191 DAY PERIOD. FINAL INSPECTION MOST BE APPROVED BEFORE ,BD,ILDIN6 CAN SE OCCUPIED. r" UVO(R 09 ASfNT:� �, :^Fi :< c BID-PONT, rev: 03131191 COMPLIANCE TO ATTACHED CONDITIONS IS REQU I RED 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 I! 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . i BI-D93--0579 For : MELVIN SAVAGE Page , 1 1 ) Approved per dimensions and setbacks on submitted site plan . X-�-4�-�,; 2 ) -Temporary erosion co"roI measures mu.:t be Implemented to prevent water quality de r,&,dat 1 on of ad aoent waters or properties . Sift fencing or straw matting must be in't ' ed and maintained until upland vegetation has became established . X Idd__ 3 ) Proposed structure or port-t-ons thereof with an projection over 30" in height from grade line , must maintain a 6 ' Je atation distance between adjacent structures and that furthest projection . X �/ 4 ) Proposed structure car any Dort i on thereof greater than 30" i n height from grade i i nre, must maintain a tsinimum of F� ' setback from all property lines , easements and 10 ' from al f tC"o;upy and State Road right of ways . X r.. 5) This-__,application is subject to Buffer and Landscaping requirements as established under Mahon` C unty Ord i nonce 1 .03 .036 . 6 ) The use, handling and storage of hazardous materials or flammable and combustible 114u s in excess of 10 gaI !ons is not allowed without the approval of the Masan County Fire a , X shal . ..,ice .�..._..�...��.�._.. �.�...._� 7 ) 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 4,30 . MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 For any construction which is propo-.ed to be located within 25 ' of a Mat;on County read righ-t,, exf way , it is suggested to contact that office to review future planned work which may ! 'feot your pro iectt . 9 ) 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� 9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL ; X / ,� 1 10) The approved plot plan is required to be on-sites for Inspection ppurposes . If inspection is called for and plot plan is not on site, Approval M L.L NOT be granted . In addition , s Re- inspection fees in the amount of $42 .00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further inspections being performed or approval granted . X /,'_._. �!� � _ ___ __ _ w_ —._ 11 ) REQUIRED INSPECTIONS (Footing Inspection-prior to pour , Set--up Inspection-prior to skirting, Final Inspection-prior to occupancy) . I have received a copy of they general Information and Guidelines-Mobile/Manufactured Housing Installations Handout for detailed descriptions of all required inspections on my mobile/manufactured home installation . I hereby assume all responsibility for the scheduling of these required inspections . if these required inspections are not requested, inspected and signed off ( approved) by the inspector in they prescribed order , I understand that reinspection fees and an hourly investigation fee pursuant to the 1994 UBC , Table ,3A will be assessed in addition to my original permit fees to resolve any questionable practices or pproblems that have been discovered . I further understand that this investigation will k�et scheduled as time allows . Until resolution of any/ail problems no occupancy ( Final inspection ) will be granted for the residence . (} OWNER/CONTRACTOR ( Indicate which ) Signature X ?': I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 12. ) All mobile/manufactured home iandin s or decks must be freestanding ( self supporting ) . The largest landing car, duck permitted without drawins car a building permit is 120 sq tt or less AND MUST be under 30" in height from surroundgging rade . No second stork decks , or decks above �30" can be built without a permit . Any landing or deck that. is 30 or more: in height from wa i k i ng surface to- finish grade requires a Permit . Any landing or deck that has 4 or more risers requires a handrail . X__ 13 ) Uwner/bylider assumes all responsibility it drainfield/res+erve area is encumbered . Case No . : BL.D99-0579 _ J Site Plan Suite B•16521 Highway 99•Lynnwood,WA 98037-3199 P ase Check After Doing Site Plan: ®Septic and drainfield to of size Draw North Arrow in ircle TOW[1 I L COuntrq` Everett: (425)258-4171 Puyallup: (253)840-9552 0 Property dimensions Sewer lines g levation of property POST FRAME BUILDINGS Administrative Headquarters: (425)743-1555 Existing buildings etbacks of proposed&existing buildings ❑Bodies of water FAX: (425)742-4378 Toll Free: 1-800-824-9552 • ; Contractor's Lic.x:TOWNCPF099LT Proposed building ain road with name ❑ loorplan - cCB#: 129311 ❑Easements Access to proposed building lopes&Contours(F increments) Qualiry:Ow Future Drpendv On it.'" Job Name: Job Site Address: Z —MIA U"�A-:BLACK SM 1-1-H Rom_ n Legal Description Tax Account#: 22.33 0 Sd Q©2�o p -t. 0, Or0 200' V � i I him-s I �4 TL = I I I � o I I I su o r }v►� _ `PRO 05M— �WELL, Sl-IYrf N 0, 6RAVUL, 'DRAEwky J R E Iti3 .00V 0.0' _ Site Plan , Suite B•16521 Highway 99•Lynnwood,WA 98037-3199 Pjease Check After DoingSite Plan: I�Se tic and drainfield Town & __U11 _ Everett: (425)258-4171 P auup: (253)a40-9552 p �ot size Draw North Arrow in 'rcle POST FRAME BUILDINGS Administrative Headquarters:(425)743-1555 Property dimensions. ewer lines Elevation of property — FAX: (425)742-4378 Toll Free: 1.800.824-9552 Existing buildings - etbacks of proposed&existing buildings ❑Bodies of water a I contractors Lic.M:TOWNCPF099LT Proposed building ain road with name ❑ loorplan CCB4: 129311 ❑Easements Access to proposed building QuaHe':Our Future Depends On IL" p p g - lopes&Contours(5'increments) Job Name:MNAI1 N OTH `AVAM Job Site Address:._170 TA VIA-$lAC K SA MI Legal Description: A jk EN LA KF MBACT a_(A TA N UYA U)A Tax Account#.- 2233 0 Sn o2G 8 +410 { r Ot ' j 200' �- i I Ro'PoS � C � oG ,MAY plc '6E � U O I CA T o N N i cc I a T'Er�►iT ';L -05 i ' l� �D °tq 7`� . E I I I I i T I ; I I .. , , - l.— . 4 At i -r J � V rnl i i I _ f o �w j '�R ROSE Yll� i I EU. -� I 'DR►V ' `�ISTINCo 6 RAY EL, iEWAy ( G ARAGIE 1"13 : 1 ' ! 4.._ I �_ FLEE"MOOD® Berkshire Series • Model 5403C 3 Bedrooms • 2 Baths • 986 Square Feet 40'-0" iH . ur►unY- _ � .' KITCHEN . _ . DINING BEDROOM. .......-; D O OOR ' - . --- ------ 0P7` PANTRY 24 8" t MASTER LIVING (ZOOM 20 ............... ►- BEDROOM 13'S°x 13'o° -.. BEDROOM ... _.Q....._ 9'-0~X li 1o~ -.. .................} ..............._ .........._................ ......... _ : ENTRANCE J PERMI BLD y MASON COUNT BUILDING PERMIT APPLICATION tol 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 INFORMAT N p CONTRACTOR INFORMATION Owner rll ' E �fvv SGLv� Contractor Name Mailin Ad ress /07' / S Mailing Address City State L4 Zip Code Of—Z City State Zip Code Phone(q ) &l1r-Z-e13"(pther Ph.( ) Ph.( Other Ph.( Lien/Title Holder IVO NE Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well—,LkWater System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 4 - �p / S y / 0 6-z & Fire District I Legal Description gvny 4 e- 'rvc ca- fo Site Address(Pleas include ree me, street number and city) Q Ir 1;ii� , Di ct'ons to site e[ P �4 4 (AFC h 1 r ,� krK 44 htf o.C� c 14. , Will timber be cut and sold in parcel preparation? (Yes/No)O I 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 B New Add Alt Repair Other Use of Builqling Ytloa Describe Work � J�t 4o w►e o "fo :?v c�)4+ No. of Bedrooms o. of Ba AGE-1st Floor 21 10 Floor 3rd Floor Loft nt sq. ft. Garage Attic Detached Carport Attached Detac MOBILE I�IIE INFORMATION-Make Model d Model Year Length Width _Serial No. No. of Bedrooms No. of rooms Type of eat S Purch se Pric $� Z1 4- Replacement Unit ?(Ye o)V) Installer Name ? Certification No. ( c R4 tc aN t-t f 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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 j conformance therewith. No chang s hall be made without first obtaining shall be done in conformance therewith. No changes shall be made without appro first obtaining approval. X s� ate G /7 9 9 �( to FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPART ENTAI»'! EVIW �, r? R vED ENtED CONDITION CODES Building Department t 07— '/ / . _ Do o1-3 Occ Group Type Constr. �� Planning Department i Environmental Health Department Public Works Department I Fire Marshal Valuation $ t� FEES Building Permit Fee el I T Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee i Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ( ) Y..ti+•:i i�::i�'i%+rr'i::::":?:{:.::Li:4:•}:4.4'{;i:'r,: :i:•i:'•i::v................• ;:::Jisiiii:•$Yiiiii:4: ....:.:...........:::::::.....::..:...:: x..•.::::: ..::.::.::.:::.::::•.........,.:,:>.:..:.>.::::: :.......:::::::::::::::::::::: TOTAL FEES ���