HomeMy WebLinkAboutBLD2005-01894 Final MH Space 14/15 - BLD Permit / Conditions - 1/3/2006 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone:(360)427-9670,ext.352
Mason County Bldg.III 426 W.Cedar P.O.Box 186
-Shelton,WA 98584
1
RESIDENTIAL BUILDING PERMIT BLD2005-01894
OWNER: HOOD INVESTMENTS,LLC RECEIVED: 11/1/2005
CONTRACTOR: KEN'S MOBILE HOME SET-UP 253-381-0580 LICENSE:KENSMHS984MS EXP:7/12/2006 ISSUED: 11/22/2005
SITE ADDRESS: 6780 E STATE ROUTE 106 SP 15 UNION EXPIRES: 5/22/2006
PARCEL NUMBER: 322325093001
LEGAL DESCRIPTION: UNION HOOD CANAL LAND&IMP CO BILK 93&BILK 100 LOTS:1-30&VAC STREETS EX E OF R/W,EX LOTS:18-22 PTN 23 f
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT MH FOR SPACE 15 ROBINHOOD VILLAGE. GMM SHELTON TO HWY 106 TO ROBIN HOOD VILLAGE
General Information Construction&Occupancy Information Square Footage Information
o.of Bedrooms: 2 Type of Constr.:
Type of Use: MH Insp.Area: No.of Bathrooms: 1 Occ.Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 6 No.of Stories: 1 Occ.Load: Building:
Valuation: Building Height: Occ.Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:SILVERCRE Length: 40 Ft. Front: N 10.0 Ft. Shoreline: Ft. Water o y: NONE
SEPA?: No
Model: Width: 24 Ft. Rear: S 25.0 Ft. Slope: Ft. Shoreline Desig.: Not Applicable
Side 1: E 10.0 Ft.
Year:1980 Serial No.: 324224 Side 2: W 10.0 Ft. I Comp.Plan Desig.: Rural Activity Ctr.
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty, Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KS 11/1/2005 $214.50 S12005000
Planning Review Fee KS 11/1/2005 $155.00 S120b5bbb
EH Plan Review TW 11/3/2005 $75.00 S22005000
Mobile Home Issuance Fee JRN 11/14/200 $214.50 522005000
Total $659.00
BLD2005-01894 Please referto the following pages for conditions of this permit. 1 of 4 t
CASE NOTES FOR
BLD2005-01894
CONDITIONS FOR
BLD2005-01894
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor.Further information can be obtained at
1-800-647-0982.The person signing this condition is either the homeowner,agent for the owner or a registered contractor according to WA state law.
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2) The internatioanl code requires a fire apparatus access road for every facility,building,or portion of a building that is more than 150'from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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3) In accordance with international codes and Title 14,Mason County Building Code,"Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
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4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED,NATIVE SOIL.X �XO
5) Any retailer,manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State
Installation code,chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present
to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified
installer responsible for each major part of the installation. RCW43-63B.090
An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily
located in plain site within three of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each
installer performed or installed. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X _�L
6) If you are installing a manufacturing home and no longer have the installation manual for the home,you must use the instructions of the American
National Standards Institute(ANSI).To order the ANSI instructions you may either get an order form from the Mason County Building Department or you
can contact the Offfice of Manufacturing Housing(360)725-2800.
BLD2005-01894 Please refer to the following pages for conditions of this permit. 2 of 4
7) 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 current fees adopted by the Mason
County Building Dept.,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 any/all problems no occupancy(Final
Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which)Signature X �(3
8) Applicant has indicated this is a replacement unit.Prior to Mason County allowing any occupnacy of the new proposed unit,the existing unit which is
on-site and is being replaced MUST be removed from the parcel. X DR
9) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X :D13
10) 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 may
affect your project.
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11) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections,changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
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12) MOBILE HOME PARK SETBACKS SHALL BE 15'FROM NEIGHBORING ACCESSORY STRUCTURES,10'FROM PROPERTY LINES AND 5'FROM
RIGHT-OF-WAY AS PER MASON COUNTY ORDINANCE#118-91.
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13) 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.
14) All property lines shall be clearly identified at the time of foundation inspection.X D2
15) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration.The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordinances and building regulations.
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BLD2005-01894 Please referto the following pages for conditions of this permit. 3 of 4
16) All permits expire 180 days after permit issuance,or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days,upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
h(;d:r have prevented action from being taken. No more than one extension may be granted.
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17) Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors,and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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18) Approved per dimensions and setbacks on submitted site plan.Setbacks are measured from the furthest projection of the structure.
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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 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 fqj"and inspection.
OWNERORAGENT: _ — i DATE:!1 1.L US%
BLD2005-01894 Please referto the following pages for conditions of this permit. 4 of 4
I
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o CONCRETE MECHANICAL MANUFACTURED HOME
CD Foottnp 1 Setbacks Date By Ribbons
o Date By Gas Piping Date By
w
� nW Fouatlon Walls Date By set-up
Date By INSULATION gate By
BG I Slab insulation Floors FINAL IN EC
Date By Date By Date i By 9
FRAMING Walls FIRE DEPARTMENT
Date By Date By Date By
PLUMBING Attic OTHER
Date By
Groundwork
Date By WALLBOARD NAILING
Date By
D.W.v
Date By
Water Ling FINAL INSPECTION
m Data By Date By Date By
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a Type of Insp. Pass/Fail Request Date Inspect. Date Done By Comments
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Building Permit Information
General Contractor: Kens Mobile Home Set Up
#Kensmhs484ms
wains # 0348
Transporter L&D services George Boren driver
wutc # 61273 dot# 213446
set up manual will be Ansi manual enclosed
ZXX yy
NCSBCS/ANSI
A225.1-1994
BU&IIE\7-G
Revision of
ANSI A225.1-1987
American National Standard
MANUFACTURED HOME
INSTALLATIONS
Secretariat
National Conference of States on
Building Codes and Standards, Inc.
Approved January 4, 1994
American National Standards Institute, Inc.
zryX-71y
t� �OG/ le
NCSBCS/ANSI
A225.1-1994
I Revision of
ANSI A225.1-1987
American National Standard
MANUFACTURED HOME
INSTALLATIONS
Secretariat
National Conference of States on
Building Codes and Standards, Inc.
Approved January 4, 1994
American National Standards Institute, Inc.
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General/Specialty Contractor
A business registered as a construction contractor with LEtl to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License KENSMHS984MS
Licensee Name KEN'S MOBILE HOME SETUP
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602209289 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 16501 4TH AVE CT E
Address 2
City SPANAWAY
County PIERCE
State WA
Zip 983877895
Phone 2535367636
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 7/10/2002
Expiration Date 7/12/2006
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated
License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=KENSMHS984MS 11/18/2005
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
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 INFORMATION CONTRACTOR INFORMATION
Owner Hm rt a, L L G Company Name t- Hn .
Mailing Address 0W 2.1 , Mailing Address 1( 1 4vr
City_______,-, State Zip Code `7 L City a, State Zip Code
Phone - (7 _ i I Other Ph. Phone t 910 Other Ph.
Lien/Title Holder Contractor Reg.# cm<m H` Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. 9-2- Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site Id6b
Will timber be cut and sold in parcel preparation?Yes/No
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 Otherr ,PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length ,L Widths _Serial No. / No.of Bedrooms No.of Bathrooms
Type of Heat Purchase Price$ 'Vt= Replacement Unit?Oes/ No
Installer Name sf- `e jlf f Certification No. '
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit re1focaA3L1LXo4A1"eVejbj
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am titled to receive t is
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary par3i of& OlKis
required from any easement holder or any other parry in interest regarding this application or the work proposed in the application,I have oafbbptc 1
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents th�t�lt� �ok!un
provided is accurate and grants employees of Mason County access to the above described property and structure for review and iFiS�f
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee so EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
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 INFORMATION CONTRACTOR INFORMATION
Owner W'nn0( i_ L. L G Company Name K �a,,�,c 1 -u,2.
Mailing Address 781' Mailing Address
City State Zip Code City State s= . Zip Code '+
Phone "'�' Other Ph. Phone n Other Ph.
Lien/Title Holder Contractor Reg.# tSyr-fS Exp. 7.1<2'J
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city) +� r
Directions to site r''X e
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater NG Lake River/Creek Nc- Pond 1/4,
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 Describe Work
No.of Bedrooms No.of Bathrooms Square Footage - 1 st Floor +1f r 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make r ',s Model Year
Length `L+% Width 2 V Serial No. ;_; No.of Bedrooms No.of Bat6mQmq E
Type of Heat Purchase Price$ Replacement Unit?n/No �
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Ac le e1nj&j
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I 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&01 perrry�� iP
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 grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date: 7
Owner/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department 1/1 I,/
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Buildinq Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbinq & 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
1
STATE OF WASHINGTON
"eftmrnt"(--Ommuaily,Tradc and Economic ikvelopmcnt
Certified
Manufactured Home Installer
Kenneth J Vetter
J tj,e.ku,
' - WAINS0348
w&Aw.owav of M wr.,,u.eu ra,"
Expires: 7/31/2007
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CC01 •KENSMHS984MS 07/12/2006
EFFECTIVE DATE 07/10/2002
KEN' S MOBILE HOME SETUP
16501 4TH AVE CT E
SPANAWAY. WA 98387-7895
S�nata.rr •mac,-.�L-=y� �
iS'"Cd M1v uFPAkTMFNI Of LAiiOR ANU tN0k)S-Tkjt,S
r
i REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL j
' REGIST_ # EXP. DATE
CC01 '-KENSMHS984MS 07/12/2006
EFFECTIVE DATE 07110/2002 ;
KEN'S MOBILE HOME SETUP
16501 4TH AVE CT E
i SPANAWAY. WA 98387-7895
#
Signature i- J
Issued by DEPARTMENT OF LABOR AND INDUSTRIES .AUA
�, a
A GTON
bgwt next of 00di 1y,Thade end sem mw De oonc -
Certified Manufactured Home Installer '
Kenneth J Vetter
�-j e �
WAINS0348
y4•.Otss of W-401 W HM.,
Expires: 7131/2007
s
Part 1: Earnest Money Purchase Agreement
A. Parties Buyer: L'd -
Seller's:Randy Marsh 253-381-0580
6003 98th st east Puyallup Wa
B.Agreement To Purchase:
Buyer agrees to purchase from Seller under the terms and conditions specified in this document the
following described manufactured home together with the,accessories and services indicated hereon.
Make: S,%vC1,,'1zS� length: �G width:77 Model:
New Used �C Year model as titled /�eP Serial Number /
Unit sold inspected by the buyervq Factory Order FloorPlan: Bed: 2
C.Record of Transaction: Charges:$
1.Agreed base price of property allowances
&Specifications
Notice:Sale does not include,wheels
axles,tires or hanger brackets which
by law must be recycled.
Homes are Sold As Is,Where Is,unless implied on this agreement,allow 30 days for title transfer.
Note*there is no Implied warranty on the home. In statement there is no warranty on,I-Beam
frames,floor and wall framing,subfloor,lino,carpet,exterior siding,interior wallcovering,
trim,electrical,appliances,plumbing,roofing and roof truss and framing,roof snow
loads,insulation,rodent barrier,windows,doors,toilets,sinks,bathtubs,sheetrock or paneling.
2.Total Adjustments: Home to be broke down,transported to the site,set with blocks,vapor barrier,tie
downs,exterior trim,interior trim and ridgecap r /Uhr/ /,�/ke�k n a-
3.Delivery to Homesite lot must be level and ready for delivery if the site is muddy,snowy etc.the
customer must make arrangements for cat or other assistance.
4.SubTotal: Adjusted Sale Price $
5.Sales Tax not incl,
6. Fees,Title transfer/Licensing not inc
7.Total Cash Sale Price $
6 d
8.Pay went--Item izatio n
Down Payment,consisting of the following:
A. Earnest Money $
B balance of cash to be paid on Delivery of the home to the property
l,"11-t. V AON L /S SG .
9.Balance due before delivery lot rental at storage is$250.00per month,per
section of the home the home cannot be moved from storage without a Tax Movement Permit.
I0.Delivery:
• Proposed Delivery Date J
• Place of(D�eliv bI �� GGf
Address:
City: C(4vr`�
State: Wa. Park:
Zip Code
11 The Customer is responsible for All Permits.Including taxes current for property either owned
,leased,or rented.the buyer must obtain a tax movement certificate and make arrangements with the
treasures office to aquire the permit,the seller will provide the buyer with the necessary information for this
procedure.In pierce county it will be the tax assesors office.
12.Insurance: this agreement does not provide for any casualty,liability,or life insurance except as
may be specifically stated and included herein.The seller assumes all responsibility for binding any
insurance coverage.
*The seller is a certified Manufactured Home Installer,not a general contractor,all work will be performed
by licensed bonded contractors,the owner,or the seller assisting the owner with the aid of the installer
certification#1523.
* All sales are final and deposits will not be refunded if buyer backs out of the agreement.
Salesman Sign
Customer Signature: 2nd;