HomeMy WebLinkAboutBLD2003-01251 Replacement MFG Home #402 - BLD Permit / Conditions - 9/16/2003 Inspection Line(360)127-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Irflo Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2003-01251
OWNER: PETER PENNOCK RECEIVED: 9/2/2003
CONTRACTOR: ZANDECKI CONSTRUCTION 360-807-2113 LICENSE:ZANDEC*080NC EXP: 1/10/2004 ISSUED: 9/16/2003
SITE ADDRESS: 140 E BLEVINS RD NORTH SP 402 SHELTON EXPIRES: 3/16/2004
PARCEL NUMBER: 420013300040
LEGAL DESCRIPTION: S 543.65' OF E1/2 SW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT MANUFACTURED HOME SHELTON SPRINGS RD TO BLEVINS RD TO EVERGREEN MOBILE
ESTATES
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 2 Type ofConstr.: V-N
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 11 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:Liberty Length: 66 Ft. Front: N 10.0 Ft. Shoreline: Ft. Water Body:
SEPA?: No
Model: Width: 14 Ft. Rear: S 41.0 Ft. Slope: Ft. Shoreline Desi9
Side 1: W 6.0 Ft. Not Applicable
Year:1988 Serial No.: 091-22591 1 Side 2: W 6.0 Ft. Comp. Plan Desig.: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty, Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee TCS 9/2/2003 $211.05 S12003
Planning Review Fee TCS 9/2/2003 $150.00 S12003
EH Plan Review PSD 9/3/2003 $75.00 S22003
Building State Fee LDK 9/9/2003 $4.50 S22003
Mobile Home Issuance Fee LDK 9/9/2003 $211.05 S22003
Total $651.60
1 BLD2003-01251 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2003-01251
r
CONDITIONS FOR
BLD20 0 3-01 2 51
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--8M- 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X .
2) The Uniform Fire 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
s��d�connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
�Tr
3) This applicat` sect to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X � �
4) All upland areas disturbed or nay y cr ated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
5) Temporary erosion control measures must be implemented to prevent water qu '1ky�ggradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
6) Approved per dimensions and setbacks on submitted site plan. X 4� y� i;' ��,,%
7) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
De rior to any further inspections being performed or approvals granted.
X pa�
8) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contr o to post the address on site prior to requesting inspections.
X
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
• BLD2003-01251 Please referto the following pages for conditions of this permit. 2 of 4
10) The "approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot plan is not on site, then
.approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Buildie rtment prior to any further inspections being performed or approvals granted.
` X
11) 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 insta ed. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X� �/
12) 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 Office of Manufacturing Housing (360) 725-2800.
13) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
14) The use, handling and storage of ha da us aterials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X /
15) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
res l in r it revocation.
X
16) 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 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 allows. Until resolution of any/ p�ob, I�rns no occupancy(Final Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which)Signature X^
17) Applicant has indicated this is a replacement unit. Prior to Mason Count lloowii 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
18) This permit is for the_pc ment and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X /�
BLD2003-01251 Please referto the following pages for conditions of this permit. 3 of 4
19) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck allowed without drawings or a
building permit MUST be under 30" in height from surrounding grade. NO second story decks, or decks above 30"can be built without a permit. Any
landing or deck t i 0"or more in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires
a handrail. X
� T
20) 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 pro a t.
X
21) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
Xr regy�_Ijiq�, must be reviewed and approved by Mason County prior to construction.
�/, %
22) MOBILE HOME PARK SETBACKS SHALL BE 15,' F' OTHER STRUCTURES, 10' FROM PROPERTY LINES AND 5' FROM RIGHT-OF-WAY AS
PER MASON COUNTY ORDIANCE#118-91.x
23) 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.
24) All property lines shall be clearly identified at the time of foundation inspection. X A- e
25) 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
Maso o y ordinances and building regulations.
X
26) 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
ho"W!
revented action from being taken. No more than one extension may be granted.
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 any time after work is
commenced. Evidence of conti uation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: / � •��- DATE:
BLD2003-01251 Please referto the following pages for conditions of this permit. 4 of 4
. co
r
0 CONCRETE MECHANICAL MANUFACTURED HOME
0
Footings tback Date By Ribbons
0
Date ri p7 3 ByL-jV-- Gas Piping Date By
CA Foundation Walls Date B y Set-up rfjw
Date By INSULATION Date rt D?U3 Byl-01L
B G I Slab Insulation Floors Final
Date By Date By Date I1 �; 6k' By
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
�° II U 3 - /� U p3— �.�'�clCS '� S2t'-u ,ss Cv� 'Se-e. ��IL c�� r►,�i-f,
m
Re��G1r 11"l� kf 1✓>�� �> ri1�t✓'fl�lL�til
1
cUr►►n ec-4 r►,e -f 70 sC e s. L 101 L.
a
a
cc
cn
6
a G�
a
E
Z
i u✓��� i /C� l O Er
401 ,5
w
� y
0
h
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION �UV� 5 -
426 W. Cedar • P.O. Box 186, Shelton, WA 98584 v 1:;I, S I
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the Web www.co.mason.wa.us
APPLIC TINFORMATION CONTRACTOR INFORMATION
Owner &F"r 11?tjA &CIL Contractor Name
Mailing Addr ss Mailing Address
City StatelM Zip Code City State Zip Code
Phone Other Ph. - J Phone ( ) Other Ph. ( )
Lien /Title Holder Contractor Reg. # Exp.
Email Address AA Email Address
SEPTIC /WATER SYSTEM INFORMATION - Connect to Ne Septic Existing Sept
Connect to Sewer System Name of Sewer System
Well Water System Name of Water System
PARCEL INFORMATION - 2 digit Tax Parcel No. / / Fire District
Legal Description :5 � �J"
Site Address (Please include stre t na (stre t nu ber a city) AJ
Directio s to site AAAA
A&Y
Will timber be cut anid sold in parcel preparation? (Yes/No)
Is property located within 200' of saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
PERMANENT RESIDENCE SEASONAL RESIDENCE ❑
TYPE OF JOB - New Add Alt Repair Other se of Building
Is this permit submittal the result of a Stop Work Notice, Correction Notice or dther enforcement action? (Yes/No)
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE - 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - MakeO Model IVY ko Model Year MW
Length _ idt _ Serial No. No. of Bedrooms No. of hrooms c.
Type of Heat Purchase Price $ Replacement Unit? es o)
Installer Name - Certification No.
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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY
RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware
of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this
that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there-
shall be made without first obtaining approval. with. No changes shall be made without first obtaining approval.
X J � ���a1� Date X Date
FOR OFFICIAL USE BEYOND THIS POINT _
Accepted by Planning Pd I U' Uo Ck# ' ( � S t I f ,.,
Date �� �� Bid Pd. �I �O S Reciept No. ZW ybvS-
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr a ,✓ t .�� r d2
Planning Department
Environmental Health Department GV
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
cat•I 1, (,;
Plan Review Fee EH Review Fee
Plumbing& Base Fee Planning Review Fee ( V (J
,`
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
TOTAL FEES
PLANNING
,ems
APPROVED
a19�
MASON COUNTY DCD PLANNING
(` REQUIRED TO BE ON SITE
` `I� SITE PLAN
y� 1' CHANGES SUBJECT TO APPR�OVAL Z16
3
L
Date
�+ By
i
i
1
1
wId, l
ENVIRONMENTAL
HEALTH
v
�o
� So
ego
ro� .
MN s'iOr
. ; yQLMN
fo3 .03
SOO
lot � MN �
. � yar . M�1 �►
- KH so�c
br - L
3o
s
Mfg � -
�01
310 oe N06
t �
Mk sa? .
31A
N MN
MH 501
s
Ever y r:r rl MOM, Gifsfs t
M a sail Co. , WA
5c4,e
Peter and Darlene Pennock
80 E#201 Blevins Rd. N
Shelton,WA. 98584
• 360-426-2015 Fax 360426-1568
E-mail darlenecpennock@msn.com
EVERGREEN MOBILE ESTATES
August 26, 2003
Mason County
Building Department
Building III
426 W Cedar St
Shelton, WA. 98584
Re: Permit application for 140 E Blevins Rd N, #402
Dear Sirs:
Peter and Darlene Pennock the owners of Evergreen Mobile Estates have
purchased a 1988 14 X 66 manufactured home. This mobile home will replace a
mobile home that moved was recently destroyed due to a fire. The new home will be
greater than 15 ft from any other buildings. The mobile home that was in the space
had two (2) bedrooms and the new home will have two (2) bedrooms. Existing
septic and water systems serve this space. This is an existing space and has been for
many years. Peter(who is a licensed septic pumper) pumped the septic in May of
2003. Peter is the manager of the water system and we have done all the required
water tests.
Please call us if you should have any questions and need additional information.
Sincerely,
Peter and Darlene Pennock
Owner/Managers
Evergreen Mobile Estates
. . . . . . . . . . . . . . . . . . . . . . . . . . . .