HomeMy WebLinkAboutBLD97-00374 Final Mobile Home Replacement - BLD Permit / Conditions - 11/1/2007 }
Inspection Line(360)427-7262
}t i., SON COUNTY DEPT. OF *.� U�wi VdUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD97-00374
OWNER: LLOYD BURROWS RECEIVED: 4/10/1997
CONTRACTOR: GORST LAND DEVELOPMENT LICENSE: GORSTLD098LI EXP: 6/7/2008 ISSUED: 4/28/1997
SITE ADDRESS: 91 NE COLLINS LAKE DR TAHUYA EXPIRES: 10/25/1997
PARCEL NUMBER: 223315200078
LEGAL DESCRIPTION: COLLINS LAKE#3 TR 78
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MOBILE HOME REPLACEMENT NORTH SHORE RD, TURN RIGHT ONTO BELFAIR TAHUYA RD LEFT
TOWARD TEE LAKE, TURN RIGHT BY FIRE HALL ONTO COLLINS LAKE
DRIVE 3RD ON LEFT ONLY BLACKTOP DRIVE 91 COLLINS LAKE DRIVE.
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: 5N
Type of Use: MH Insp.Area: 1 No.of Bathrooms: 2 Occ. Group: R3 Lot Size:0 Deck: 0
Type of Work: REP Fire Dist.: 2 No.of Stories: 1 Occ. Load: 0 Building:1,600 0
Valuation: Building Height: 0 Occ. Status: Basement:0
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:FLEETWOC Length: 60 Ft. Front: E 5.0 Ft. Shoreline: 0.0 Ft. Water Body:
SEPA?: No
Model:46030 Width: 28 Ft. Rear: W 5.0 Ft. Slope: Ft. Shoreline Desi
Side 1: N 25.0 Ft. g"
Year:97 Serial No.: 14954 Side 2: S 5.0 Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Final Expired Permit CMH 10/25/200 $64.00 B12007000
Mobile home fee....* KS $155.00 44359
Building State Fee KS $4.50 44359
EH Plan Review KS $26.00 44359
Total $249.50
BLD97-00374 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR . 044
BLD97-00374
Y
CONDITIONS FOR
BLD97-00374
1) The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Managment
Hearings Board's Order of October 2, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be
affected by the Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may
arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting 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. X
2) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X
3) Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5'setback from all property lines,
easements and 10'from all County and State Road right of ways. X
4) PURSUANT TO 1994 UNIFORM BUILDING CODE, SECTION 305(C)AND SECTION 513, 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 IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS. X
6) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I have received a
copy of the 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 the prescribed order, I understand that reinspection fees and an
hourly investigation fee pursuant to the 1991 UBC, Table 3A 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 any/all problems
no occupancy(Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which) Signature X
7) 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 36"x 36". Any landing or deck that is 30"or more in height from walking surface to finish grade requires a guardrail. Any landing or deck
that has 4 or more risers requires a handrail. Any landing or deck larger than 36" x 36" must be permitted which requires structural drawings and a
building permit application. This Installation Permit does NOT include any landing or deck larger than the 36" x 36"size.
X
BLD97-00374 Please refer to the following pages for conditions of this permit. 2 of 3
8) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
'BUILDING CODE.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 anytime after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspection.
OWN ER OR AGENT: DATE:
BLD97-00374 Please referto the following pages for conditions of this permit. 3 of 3
` C NCRETE MECHANICAL MANUFACTURED HOMECD c
D
CD _ _ C Date D y
o Footings I Setbacks Gas Piping Ribbons
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Interior Date By Interior-Date By Date By - O
Exterior Date By Exterior-Date B Set-
up
Point Load I isolated Footings INSULATION Date By r
BG I SLAB INSULATION --- - - r
Date By Data By FIRE DEPARTMENT 0
Foundation Walls Floors Date By p
Date By Data By DECKS
FRAMING Walls Date B y
Date By Data B�' PROPANE TANKS
PLUMBING vault Data By
Date By OTHER ----____--
Groundwork Attic
Date By Date By Type:
Date By
D.W.v DRYWALL Typo
Int.Brace Wall pate By
Date By Date By
-0 FINAL IN PECTION W
2 Water Line Fire Separation v
8 Date By Date By Date 4 l 7 ey to
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments w
CD
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0 1 _
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GARY YANDO, DIRECTOR
P�oN.srgrFo
A U O =
DEPARTMENT OF COMMUNITY DEVELOPMENT
o T = PLANNING - SOLID WASTE - UTILITIES
�oJ N Y boy BLDG. I • 411 N. 5T" ST. • P.O. BOX 578
ras a SHELTON, WA 98584 • (360) 427-9670
DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD,
LAND DIVISION APPROVALS, SHORE,LINE 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
Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter "permitting
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.
�1
Date (Parcel No. or Legal Description)
Property owner's signature(Notarized)
(or the County may accept the signature of the owner's authorized agent upon proper proof of authorization)
ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL)
STATE OF
COUNTY OF
On this _day of , in the year , before me Notary Public,
personally appeared personally known to me to be the person whose name is
subscribed to this instrument, and acknowledged that he/she executed it.
WITNESS my hand and official seal.
- For County use only -
Revie ed ky applicant on
_0-Q
Notary's signature (Date)
My Commission Expires: Staff Initial
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