HomeMy WebLinkAboutBLD99-0935 Final Mobile Home - BLD Permit / Conditions - 5/5/2000 - --- ---------------------------
MASON COUNTY
-� � - Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
E3 lJ i L C) 1 N Cm P E R M 1 -1- FOR INSPECTIONS CALL 427-9670
BETWEEN 5pm AND 8Am 427-7262
BLD99- 0935 PARCEL :2233050003f38 PLAT :HAPL0 D I V : BLI( : LOT :
,10B ADDRESS : 1880 HE HAVEN WY 'IAHUYA
OWNER - DARYL_ HALVORSON 360--377--4240
CONTRACTOR :
LEGAL. : MAVEN LAKE TR. 388
CLASS OF WORK . . :NEW BEDR : 3 BATH : 2 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECFIPTI
TYPE OF USE . . . . :MH STORIES . . . . . . . : 1 — ,, �,. � � :._:. . :_ >. � 5:.. :,• �.�.v:..�.
OCCUP . GROUP . . t7 BLDG . HE I GHT . . a 0 .Oft MHSE 1 175.10 KW 11/12/99 51816
TYPE. OF CONST . . :? rIREPLACES . . . . ; 0 MHBL 1 175.11 TV 02123/0/1 B€LFAIR j
OCCUP . LOAD . . . . : 0 W00D`:TOVES . . . . : 0 Siff 1 4.51 TV 02123100 BELEAIR
DWELL .UNITS . . . . : 0 PARKING SPACES : 0 RIC $ 7/.00 TM 02/23/10 BELFAIR
INSPECTION AREA : 22 SHORELINE? . . . . :N 4110 1 51.01 TV 01/23/11 8EI1AIR i101— 474.50 VALULATION: 510000
SETBACKS-__.-__.-___--.-. _. TOILETS . . . . . . . . . . , 0 FUEL TYPES----------- BOILERS/COMP- -- -- MOBILE HOME- -
FRONT . . .S 29 .Oft BATH BASINS . . . . . . : 0 : 0-3 HP . : 0
REAR . . . .N 64 ,Oft BATH TUBS . . . . . . . . : 0 315 HP . : 0 MODEL ;MODULINE
SIDE ( 1 ) .E 1 3 .Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU 0 15--30 HP . : 0 ...MAKE —
S I DE (2 ) .W 1 3 .0f t WATER HEATERS . . . . : 0 FURN >-100K BTU : 0 30--50 HP . : 0
SHRLINf,..N O .Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 — YE'::AR------__—
AREA ------ —— ._._ _._. ..._ _. .— KITCHEN SINKS _ : 0 HEAT PUMP . . . . . . : 0 99
LOT SIZE . . . FLOOR DR4,1NS . . . . . . 0 VENT SYSTEMS . . . : 0 FVAP COOLERS : 0 LENGTHa51
BUILDING . . . ; Ost DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . :28
BASEMENT . . . - Osf LAUNDRY TRAYS . . . . : 0 . DOMES . I NC I N :0 --SERIAL#-
DECKS . . . . . . .. Osf D I SHWASHERS . . . . . . .. 0 AIR HANDLING UN I T`z'-- COMM , I NC I N :O
GARICARPs? Osf GARB DISPOSALS . . . : 0 �= 10000 ofm . ; 0 RELOC/REPAIR : 0
AT/DT . :? URINALS . . . . . . . . . . . 0 10000 efm . : 0 OTHER UNITS . : 0
MISC PL.M FIXTURES : 0 GAS OUTLETS . : 0
PROJECT. OESCRIPTIONtMORiIF. HOME
PROJEG� LOCAIION:BELIAIR IANUYA RO jUST PAST HAVEN LK DRIVE PROPERTY ON iiP6HT.
[HIS PERMIT BECOMES NULL AND VOID IF WORK 01 CONSTNYCTION AUTHORIZED IS NOT COMMENCED WITHIN i81 DAYS, 01 If CONSTRICTION OR WORK IS SUSPENDED FOR A PERIOD
Of 181 VAYS AT ANY TIME AFTER WORK IS COMILL110ED. EVIDENCE OF CONTINUATION OF WORK IS A PROfRESS INSPECTION WITHIN THE 180 DAY PERIOD. €INAI INSPECTION MUST BE
APPROVED 8E€ORE 891I01116 AN 8E OCCUPIED
' 1
OWNER ON AGENT: DATE:._._ 1 �_1f7 ___.__..__
— - - -`--
Rift Pom1 r.u. e9�st�a1 — -- _-- - - - ('ASAPr. IAWriz Tn ATTAntu;n rr►amiTinwt is RF( mA#::n
vOUCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date 'ma`s' 4
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date._S'f,jr- by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
', "7-
4 vohe ors _
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : BLD99-0935
For : DARYL HALVORSON r.
Paget I
1} Approved per dimensions and setbacks on submitted site plan . X
2 ) All upland areas disturbed or newlycreated by construction activities shall be seeded ,
ve etated o -, 11,1'.."'.e n an equivalent ype of erosion protection ( slit fencing or straw
a m ring ) . r,
3 ) Proposed structure or any portion thereof greater than 30" in height from grade line ,
must maintaLn,& minimum of 5 ' setback from all property lines, easements and 10 ' from
all Count State Road right of ways .
�-4 no
4 ) This applipa-t+on Is subject to Buffer and Landscaping requirements as established under
Mason Cotprfl-� 0eld I nance 1 .03 .036 .
X
5 ) The use, handling and stora e of hazardous materials or flammable and combustible
I I qu I ds I n -eL&-c-es s of 10 ga I ?on s Is not allowed without the approval of the Mason County
Fire Mar-,g:W'-
X
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 draiina?%"sement 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 Countx Road, Contact the Marion c�on County Publl Works Department
r1or to construction at Ext 4. 0 .
0 .
For any construction which Is proposed to be located within 25 ' of a Maf-,on County road
way , it is suggested to contact that office to review future planned work whiq:,h
i your proJec
- - - -- - - - --- - - -- - - - - - - -- -
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
7 ) Owne u-tlder assumes all responsibility if drainfield/ reserve area is
e n tie r o.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. ICE
ASSES SE
, QWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUF..STiNG
INSPEC 0 7
X
9 ) THE FOUN SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE
SOIL . .
10) The approved plot plan is required to be on-site for Inspect. Ion purposes . it
inspection is called for and plot plan is not on site , Approval WILL. NOT be granted . In
addition, a Re- Inspecticar, fee in the amount of $42 .00 per hour (minimum I hour ) will be
charged .And--must be collected bV this department prior to any further inspections being
perforWe approval granted .
X
7
11 ) REQUIRED INSPECTIONS ( Footing Inspection-prior to pour , Set-up inspection-prior to
skirting , Final Inspection-prior to occupancy ) . 1 hereby assume all responsibility for
the scheduling of my required Inspections . tf 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 Ito-ws . Until resolution of anylall
problems no occupancy ( Final Inspection ) will be _d for the residence .
OWNER/CONTRACTOR ( indicate which ) Signature X
12 ) Al I mobs le/manufactured homy: landings or decks must be freestanding ( Self <.upportin(A ) .
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
The largest landing or deck Vermitted without drawings or a building permit is 120 sq ft
or less AND MUST be under 30 , in height from surrounding grades . NO second story decks ,
or decks above 30" can be built without a permit . Any landing or deck that is 30 or
more in him
4ht from walking surface to finish grade requires a Permit . Any landing or
deck 4-.4 or more risers requires a handrail .
moment of structure; must comply with standards e fay h 'fir, 1987 LJ8C Cha ter 18
.ling descending and/or ascending slopes . � �
CaL h99-0935 I
i
`1
FORM MUST BE COMPLETED IN INK
PLEASE MESS MRD MASON COUNTY PROJECT SITE INFORMATION
, ' % Case No.
Name A'LV'6A5cm PARCEL NUMBER z.23`3o 5d6h Date r
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 _ 38� 7� I <—adjacent property line
I ,
I
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I Z8
13 —'
I •
Fw�l► 2q 7 1
I v I
I ,
I I
I + I
1 I
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adjacent property lined I I <—adjacent property line
I��ooOR•t..4?2sr.
SAMPLE SITE PLAN
adjar�nt property line--> 3io' _ _ f-adjacent property line
D 30' raesaRve gel
AS�wJ AL, �• ti 7II� L �-
CREEK \ I � I HOME i .Gf1dE�J
y I £ tp' I HOcw 1�
I > PrLoPas rapt:a
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I R I
VAGn,T I CrArtA& \ t
I Pa•ar son
T A"=LL.L1rL&0.AL So
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I
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I \ i /00"
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L—e.LL
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adjacent property lined ; ► -. '
c ; Fad'acent properf� 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
dts+ar+cm to
rcaGtL4_YL
d;ztaV,LL 4'10
Slops ta¢
dis�a�aa.
to fiL
O
ignature Date
5'-10"
10'-2" 11'-4" 6'-4" 5'-4"
30X39 I 46X39
i
oI
DW
MASTER KITCHEN DINING UTIL BEDROOM X
x
BAT BATH 3
® O
`N/'(
MASTER LIVING ROOM MEDIA C)
SUITE ROOM
BEDROOM
2
62X39 (2)46X53 I 62X39
13'-0"
16'-6" it'-2" 10'-0"
28641 28X50'-8" 1 368 SF Squore footage and room sizes ore cpproximote. Square footage may be affected by recessed widows and
3 B R-2 B-F&R pvchm Some itffm such as ties and axles may have been recycled offer inspection for safety orxi owance,
Due to our poky of progressive prodxt irprovement, of prices ord specifications are subject to dxrge without
1 0-0 7-9 7 prior notice.
ie'-o' DORMER
28'-10 C�
FRONT VIEW
:Vill,
END VIEW
MODEL 28641 28'x50'-8' STANDARD EXTERIOR
C o eN,_UZa (-3
ry\ k F Ac-ri-A-REO e t�477a�, —
WrT�
P. y
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4A-K n-P,�QS '✓
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PERMIT NO.: BLD `xcm
MASON CODUTY
BUILDING PERMIT APPLICATION tpA
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton 360 427-9670 Belfair 360 2754467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner C Contractor Name *4C 40AS' RtAc r K
Mailing Address Mailing Address
City /h State Zip Code City r State Zip Code
Phone ther Ph.L.O ) H?(, 7W Ph. -7 Other Ph.(
Lien/Title Holder Contractor Reg. # A6¢"GOr- * OS/yOB
Address Expiration/2 /_ /
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 Nqg�-_�. �el / (Z/ Fire District
Legal Description 7X t* 8,4yni 4IC .
Site Address(Pleas Include street name,-street number and City)
D' ctions to site �_FAiR I�Nk•ul4 Q. ` _j�ST t�/4St' V�..n LK 17 - ity �
►t�I,T'
Will t4nber be cut and sold in parcel preparation? (Yes/No)_40
Is your property within 200' of the following: Body of Water(Name) Nth 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 A/S'P'if// NftA� H't4ri���c4-1.�22e0 / -
No. of Bedrooms_.? of Bathrooms L SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft. &Z?
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Ali0H (tom Model Model Year
Length/Width 2 Serial No. No. of Bedrooms ,-. No. of Bathrooms
Type of Heat Purchase Price $ Replacement Gnit ?�yes/No) A,0
Installer Name Certification No. A447 VJ-007M
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 erewith. No changes shall be made without
approval. first obtainin pprovaI
X Date X Date4-0&9'�V
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by //2L )a Date Submittal Amount Due /r/a` Z Receipt No.
DEPARTMENTAL Rf�Vll»W ovED DE NIED'' CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
.....................................................
FIEs
Building Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other .11
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
:>>iz......>....«•:::r.:.::::.:::... ...a.f............................:.....:.:::::.:.:::::. TOTA FE S
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