HomeMy WebLinkAboutBLD2010-00008 Mobile Home #504 - BLD Permit / Conditions - 3/26/2013 Inspection L:-�e (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)A'-1-9670, ext. 352
Mason County Bldg. III W. Cedar P.O. Box 279
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2010-00008
OWNER: PETER PENNOCK RECEIVED: 1/6/2010
CONTRACTOR: LICENSE: EXP: ISSUED: 3/26/2013
SITE ADDRESS: 140 E BLEVINS RD NORTH SIP 504 SHELTON EXPIRES: 9/26/2013
PARCEL NUMBER: 420013300040
LEGAL DESCRIPTION: S 543.65' OF E1/2 SW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME (revised unit to1978 24x26 Waldon 3.19.13) SHELTON SPRINGS RD TO BLEVINS RD TO SPACE 504
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: MH Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: No. of Stories: 1 Occ. Load: Building:
Valuation: Building Height: 16 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: 56 Ft. Front: S 20.0 Ft. Shoreline: Ft. Water Body: na
Rear: N 25.0 Ft. Slope: Ft. SEPA?: No
Model:WALDON Width: 24 Ft. Side 1: E 8.0 Ft. Shoreline Desig.: Not Applicable
Year:79 Serial No.: Side 2: W 8.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fei GMM 1/6/2010 $264.25 S1201000000001
Planning Review Fee GMM 1/6/2010 $205.00 S1201000000001
EH Plan Review KKK 1/6/2010 $ 103.00 S6201000000001
Mobile Home Issuance Fee LDK 1/19/2010 $264.25 S1 2 0 1 000 0 00 001
Building State Fee TW 2/12/2010 $4.50 S1201000000001
EH Plan Review KKK 3/12/2013 $ 103.00 S6201300000001
Mobile Home Submittal Fei TW 3/19/2013 $264.25 S1 20 1 300000001
Total $ 1,208.25
BLD2010-00008 Please refer to the following pages for conditions of this permit. Page 1 of 5
CASE NOTES FOR
BLD2010-00008
CONDITIONS FOR
BLD2010-00008
1) Prior to final approval, all upland areas disturbed or ne crga ed by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X ,
2) ApproM imensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
3) Application o ledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Shelton Urban Growth
Area. X
4) 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 Xroject/J9 f�
5) 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
1-800jW82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
6) 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
DepartLIP
rior to any further inspections being performed or approvals granted.
X
7) Ownef//j�t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X ���// i
BLD2010-00008 Please refer to the following pages for conditions of this permit. Page 2 of 5
8)` The plan re. w check list and corrections ,i e part of the approved plan ?nd must remain thereto. It is tre responsibility of the applicant ,c: :>>ake the
corrections :_icated on the plans. Once `I-F> Mans are marked "APPRC.". C�", they shall not be changed cr altered without authorization ` ,;.„ the Building
Official. The -,ermit holder is responsible in. etain the complete approvE� set of plans on site for the durat, - of the project. Failure to cc:. :v and/or
remouWfLroved documents will result i failure of required building inspections.
X
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. Xi&
10) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site 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
BuilWrtment 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 d. 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 M Offfice of Manufacturing Housing (360) 725-2800.
X
13) All construction must meet or exceed all local ordinances and the international codes 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 result in
permit Ar,
n.
X
14) Applicant has indicated this is a replacement unit. Prior to Mason County)allo�ayng 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 C 422
15) This permit is for th c ent and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
BLD2010-00008 Please refer to the following pages for conditions of this permit. Page 3 of 5
1� Provisions for surface/subsurface Drainage control must be implemnented with new construction development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either privat, _+itches and drains will meet requirements of the
storm,water ordinance or prior approval will be granted to use an existing utility and drainage easen•ent dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT fo- _r,e installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department p�cr to construction at Ext 450. ;-or any construction which
is proposed to be located within 25' of a Mason County road right of way, it is suggested to contaci that office to review future pianned work which may
affect yourXroje�� ���
17) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordi X
regulation, must be reviewed and approved by Mason County prior to construction.
X
18) 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
X spec e made prior to requesting additional inspections.
19) 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
cleaM
in the installation instructions.
X
20) All property lines shall be clearly identified at the time of foundation inspection. X ,119
21) 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
Xa� ty ordinances and building regulations.
22) 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
hold prevented action from being taken. No more than one extension may be granted.
X f � i
23) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
corrd� and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X�, "
24) Retaining walls needed to support a sure h as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X M
BLD2010-00008 Please refer to the following pages for conditions of this permit. Page 4 of 5
25) By defir:ifion, propane tanks and heatpumps are structures, which m- r meet setback conditions. Please check your"Approved Site Plan"to ensure
these str_,c res meet the setback conditions listed.
X.. - —
26) Landipps and stairs must meet the sarrie setback conditions as any permitted structure-, and, must be shown on your site plan. Please check your
'A e ite Plan" to ensure these structures are shown and meet the setback conditions listed.
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 continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuatio of work is by eans of a progress inspection. The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of s n Cou ty c s to the abov described property and structure for review and inspection.
OWNER OR AGENT: DATE:
III ,
Please refer to the following pages for conditions of this permit. Page 5 of 5
BLD2010 00008 9 P 9 P 9
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. � / �
PLEASE PRESS HARD 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
APPLICA 1 FORM N CONTRACTOR INPRMATIO
Owner — Company Name. _�p1Ya1'I
Mailin A dre s Mailing Address
City State Zip Code City State Zip Code
Phone o-�Z? Other Ph. Phone Other Ph.
Lien/Title Holder — Contractor Reg. Exp.
E mail address E Mail Address
Drivers Lic.#E6 Z DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic_� � 'sting Sec
Connect to Water System _Name of Water System 6f ry
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit ParcelNo. Fire District
Legal Description S G
Site Address (Please include,street name, stre t um era d city
Directions to site - S
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
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye o
TYPE OF JOB - ew Add Alt Repair Other PRIMARY RESIDENCE N SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms —No. of Bathrooms'_Square Footage- 1st Flo oL 3_351 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORM TI N - Make 5r odel Year
Length46&--Widt Serial No. No. of Bedrooms —No. of Bathrooms
Type of Heat � Pu hase Price $ Replacement Unit? es No
Installer Name 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 grants employees of Mason County access to the above
and inspection. This permit/application lication becomes null & void if work or authorized construction is
structure for reviewp PP
described property and stP
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAADIROGRESS IN CTION.INAC IVITYO THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X Date:
w .j Owners lRepresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: 1 Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee PlanningReview Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
Request To Revise An Approved Plan
e Permit Number: BLD �2CJO - e7nOO r� Name ����r P,.::,an��rC
Parcel Number. CO - _- 004!�0 Phone Number daytime CF4!5O qZ6--�%
Project Address Z�jev,,Xq �0� Mailing Address �O e7 e � f
Please provide a complete, detailed descrig tion of the proposed revisions to the approved plans:
N c>s1 64
Are two sets of the revised plans or addendum indicating the changes included? Yes ❑ No
Are the approved site plans included? Kyes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? �! es ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? /❑ Yes ?ONO
If Yes, Has the engineer or architect approved this revision? ❑ Yes No
Is a stamped and signed approval included with this request? ❑ Yes No
(Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? "S Yes ❑ No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?
Yes ❑ No
Additional Information:
Applicant's signature / Date: 0,-"— /
Office Use Only Received by:
Date Sent Assigned To Approved By Date
Original Valuation: $
B � (� Lz,4 i3 Additional Valuation: $
Sq.Ft. x$ $
9� �M �� 3I Zi(3 Sq. Ft. x$ $
Total New Valuation $
Additional Fees:
❑ P.W• Additional Planning Dept. $
Additional Plan Review $
Additional Conditions /Comments: Additional Building Permit $
Additional Plumbing $
Additional Mechanical $
Additional E.H. Dept. $
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
REVISED
ISED
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