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BLD2011-00771 Final MFG Home - BLD Permit / Conditions - 10/15/2018
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Fail Date Date Deane By Comments y CD 00 - / 7 O 7 O Err CD N CD O 3 FILE COPY PERMIT NUMBER: REVIEWED FOR CODE COMPLIANCE (3t,aao ,t -co?- 1 MASON COUNTY BUILDING DEPARTMENT i Ii0''L Date 'I/Z-71 If NAME ON PERMIT: ADDRESS: 311 N& f4 `1 PARCEL NUMBER: 1 2 3 ► (p13 a/0 See Mason County Manufactured Home Checklist (attached) Review pages 9-12 for general requirements and a manufactured home inspection checklist. All decks, stairs and guards must meet minimum code requirements. Useful details and information are attached to the checklist. See also item numbers 1 , 30, 31 ,32,33,34, 35, 36, 44, 49, 53, 55, 56, 69, 96, and 110. For information about skirting vents and crawl space access requirements see item #51 and #60. Site address must be posted see item #78. fHESE PLANS MUST BE ON THE JOB SITE FOR INSPECTION 28x 48 Mobile Home Floorplan N C4 61ti -3 O t.m.dry W vests r..ry r o0 be�reefn et&Aof aNe r+Sie uo master bed Tiby teesw �� Q be6ene vo BUILDING SLEry 12 L x-rr y THESE PLANS MUST BE ON THE JOE SITE FOR INSPECTION 660' t/ N . SCALE, I INCH 100 FEET RECEIVED 00 SEP 19 2011 426 W. CEDAR ST. 100' SET BACK STREAM SURFACE W NTER 0 .O UPPERMOST EXTENT DF DEFINED CHANNEL + D t 'Q CLEANOUT V t c 1200 GAL 3 B �I1� SEPTIC TANK HOUS 48'X28 • r 4' ASTM 2027 SOLID PIPE APPROVED OR BETTER MASON COUNTY DCD PLANNINQ D1sTRI ION TP3 WATERLINE - TO B� NCASED PRIMARY AND ITHIN 10' OF SE IC COMPONENTS RESERVE SITE PLAN REQUIRED TO BE ON SITE DS CHAN ES SUBJECT TO APPRO�//�� 100' WELL RADIUS T 5' PROPERTY y ate PROPERTr LINE �� ELL TANG v L1PE SETBACK t4X 660' /- EXISTING DRIVEWAY PLANNING : PROJECT/ OWNER/ LOCATIONS ALL SETBACKS ARE MEASURED ' SEPTIC SYSTEM DESIGN FROM THE FURTHEST NAME, JASON RAINES PROJECTION OF THE BUILDING ADDRESS 391 NE HILL ROAD PARCEL NO. 123163204000 `" MASON COUNTY, WASHINGTON DESIGNED BY, � cL CLfDt sT A & J SEPTIC 6424 AMBERLY PL SE "ASH�1' ��� PORT ORCHARD, WASHINGTON 98367 360-731-5241 PLANNING ` a 2 REVIEWED BY, MICHAEL STATEN ENVIROTECH ENGINEERING 43045 r PO BOX 984 'Dx9374 �k-GI-mv. G�`� BELFAI , WASHINGTON 98528 8/0\AL6r Plot Plan 20 MASON COUNTY PERMIT NO. 4_ ______ BUILDING PERMIT APPLICATION �!1`1 1 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATIO.p , CONTRACTOR INFORMATION Owner ,) /c"/? Company Name Mailing Address Rr_7. IjC15(: %�.�~� Mailing Address City%rr, ek-rr ZorA Staten_ Zip Code City State Zip Code Phone ,5 29-_C.2-21 Othe Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address fr' „l 'l).c drf E Mail Address Drivers Lic. '7_7 ? DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well__ X Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No 6/Z ZJ Zu 2000 Fire District — Legal Description 'ir4 rya•-:'LV Site Address (Please include street name, street number and city)3`/ Ve f, izG,.yea"A 'Z?Y 2 P Directions to sit J —0""' P Will timber be cut and sold in parcel preparation?Yes o Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff�Stream Slopes or Bluffs ] 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New < Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL Use of Building ""ors Describe Work -,Z�')J f,/f 4�s'e/ No. of Bedroo, No. of Bath, oms ,,ASS uare Footage- 1 st Floor loor 3rd Floor Basement DeckY% —`/))���Covered Deck✓ OtherSq. ft. Garage Attached Detached A/ Carport Attached�-VgDetached MANUFACTURED HOME INFORMATION - Make /7/740&A ;D Model S/e F;s/jo/P Year/ `--? Length _Width 2F_ Serial No. /.,1ZEf No. of Bedrooms--'. No. of Bathrooms Type of Heat Purchase Price $ ,1 000.()J Replacement Unit? Yes XOD Installer Name C� 2 A j7e�-yj�eF Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and g e ployees of Mason County access to the above described property and stricture for review and inspection. PROOF CONTIN� N WORK IS BY MEANS OF A PROGRESS INSPECTION. 7 l X � Date . ��/ Wn " O er/O s Representative/Contractor indicate which one FOR OF AL USE BEYOND THIS POINT Accepted y: Date-9�( DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 2-7 Of gyp+ O _ S Planning Department Environmental Health Department ? 0 Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES Name S,:, ief Parcel# ,�' b ��n y a� BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X Z = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parkinq Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) / 3 y y If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor. I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. �j' ��� X Owner/ genUContractor(circle one)Date: ( `12 L� �otalImpervious Surfac a is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page I of 2 Homeowner Installation Page I of 2 o w Home I Trades&Licensing Manufactured Homes&Other Mobile Structures Installers&Dealers Homeowner Installation 1OLabwUndustlies � Homeowner Installation Homeowner Installation Mate Code Local Installation Requirements jurisdiction A homeowner can install a manufactured or mobile home that is intended as their primary residence. They may have friends or family help with the installation,but the homeowner cannot pay them for the work. If the homeowner pays anyone to do any part of the installation work,that person must be certified. Installer certification tag requirements Homeowners who perform installation work on their own residence do not need to obtain or post an -400v. installer certification tag for their work. They are exempt from installer certification tag requirements as long as: • They or their friends or family members performed the work, • They did not pay anyone to perform the work, and • The home is intended as their primary residence. For more Wformation: RCW 4:1.22 Sections 335-495 -Manufactured/mobile homes,factory-assembled structures. (apps.leg.wa.gov) RCW 43.22A-Mobile and Manufactured Home Installation. (apps.leg.wa.gov) WAC 20-1soI-Manufactured Home Installer Training and Certification Program,Installation Code. (apps.legma.gov) WAC 2c)6-1.roM -WA Manufactured Home Code. (apps.leg.wa.gov) Access 1"�`aslti t1�?td art��' ©Washington State Dept.of Labor&Industries.Use of this site is subject to the laws of the state of Washington. https://www.lni.wa.gov/TradesLicensing/FAS/InstallerDealer/InstallRegs/Homelnstall.asp 10/3/2018