HomeMy WebLinkAboutBLD2004-01702 MFG Home - BLD Permit / Conditions - 11/9/2004 • Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
NP10 Shelton, WA 98584 �K-�0t,
RESIDENTIAL BUILDING PERMIT BLD2004-01702
OWNER: DAVID DAVIS RECEIVED: 10/26/2004
CONTRACTOR: LICENSE: EXP: ISSUED: 11/9/2004
SITE ADDRESS: 340 W GOLDSBOROUGH DR SHELTON EXPIRES: 5/9/2005
PARCEL NUMBER: 420177500030
LEGAL DESCRIPTION: TR 3 OF SURVEY 27/159 (GOLDSBOROUGH ESTATES)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME 4.9 MILES FROM SR 101 OFF SHELTON MATLOCK ROAD TURN RITGHT
OVER RAILROAD TRACTS THROUGH THE GATE (1825)TO 2ND LOT ON
RIGHT.
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: 14 Occ. Status: Unknown Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:CHAMPION Length: 66 Ft. Front: S 45.0 Ft. Shoreline: Ft. Water Body:
Rear: N 18.0 Ft. Slope: Ft. SEPA?:
Model:SILVERCRE Width: 27 Ft. Shoreline Desig.:
Side 1: W 8.0 Ft.
Year:2005 Serial No.: Side 2: E 40.0 Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KS 10/26/200 $214.50 S12004
Planning Review Fee KS 10/26/200 $155.00 S12004
Building State Fee ARC 10/27/200 $4.50 S12004
Mobile Home Issuance Fee ARC 10/27/200 $214.50 S12004
EH Plan Review CEW 10/31/200 $75.00 512004
Total $663.50
BLD2004-01702 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-01702
CONDITIONS FOR
B LD2004-01702
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
1-80 -647-09 T 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) 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
Depart nt prior to any further inspections being performed or approvals granted.
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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 plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal ovMents will result in failure of required building inspections.
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5) 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
Build!�!epartment prior to any further inspections being performed or approvals granted.
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BLD2004-01702 Please referto the following pages for conditions of this permit. 2 of 4
6) 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 instttaaL rtification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X=
7) 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)725-2800c��
8) 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 revocatiox
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9) This permit is for thement n installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
10) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinanc guI t be reviewed and approved by Mason County prior to construction.
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11) 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
Inspecto'54all b�erior to requesting additional inspections.
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12) 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. LL
13) All property lines shall be clearly identified at the time of foundation inspection.X l
14) 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 Ginty ordi�and building regulations.
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15) 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 a pr vented action from being taken. No more than one extension may be granted.
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BLD2004-01702 Please referto the following pages for conditions of this permit. 3 of 4
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16) X ate ua�to be degraded to the detriment of the aquatic environment as a result of this project.
17) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X Z /�—
18) Temporary erosion control measures must be implemented to prevent water�lity degradation f adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X'N
19) Xp ved per di nsi sand setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora 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 owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described pro erty and structure for review and inspection.
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OWNER OR AGENT: DATE:
BLD2004-01702 Please referto the following pages for conditions of this permit. 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
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6 "atel
I etback Date By Ribbons
(, (,r r c� By Gas Piping Date B y
N Foundation Walls Date B y Set-up
Date /21,lelXt 'si/ INSULATION Date 'zl Z� B y `
B G 1 Slab Insulation Floors Final
Date By Date By Date -1OS By4-10/C_
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By �v.�;;� , O0,75
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By � - � Date B
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MASON COUNTY ? PE
RMIT NO. 2{A,tL,��!
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 Company Name �+�-•�,,,�
Mailing Address -+ _� � . Mailing Address
City States,—Zip Code City State Zip Code
Phone !. l _;Ze"Other Ph. Phone Other Ph.
Lien/Title Holder -A Contractor Reg.# 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. ya,..-. bow— Fire District
Legal Description -.
Site Address (Please include street nam treet number and city)
Directions to site FA�Tta.��-Ap ;:FjA%# F4CIF -we, W P'q •y pmca 2 APr A!
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 Other 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 .„L, Model r2.i ._ Year
Length Width Serial No. No. of Bedrooms No.of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/ Nol
Installer Name Certification No. £.,, __/}/::t,_%
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 parry 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 � C� �,a:-�C,? Date:
Owner/Owners Re resentative/Co,h*actor 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 , / CL� Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee 222
Violation Fee ? Pre-Paid at Submittal
Valuation $ _ TOTAL FEES
11/02/2004 TUE 14:54 FAX 3604268493 sheltonawashhome.com Q 002/002
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Washington Home Center, Inc.
Floor Plan Silvercrest Classic 4663L-David& Susan Davis
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PLANNING
se.—S.Aee.—o. ibox I>< o zo �1 RECEIVED
? BEOkS00q t' S Btl1Il' LVAI 6000
airnEi5nEal crvzzic venr 7
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° 426 W. EDAR ST.
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BEOkS00W F�3 Bv1H BEDt540W 5 nAMC 900W 1DEDUMM
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1 ( 11 a 5
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1 Location Of Gas Corner Fire Place 9 Utility Sink W/2 Door Base Cabinet(Laminate To Matcl
2 2)4x4 Porches County Approved 10 Sliding Glass Door W/Vertical Blinds Exchange W/Wii
3 1 4x6 Porch County Approved 11 Lazy Susan In Base Cabinet(Not All Kitchens)
4 Single Sink In Mst Bathroom
5 32"+/-Stall Shower In Mst Bath
6 Dormer,24'
7 Frost Free Hose Bib (Each)
8 Additional Passage Door, (Up To 30")
Specifications subject to change. (c)1996 sonseil, Inc. Oct/25/2004
APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES SUBJECT TO APPROVAL
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RECEIVED
IAI OCT 2 6 2004
426 W. CEDAR ST.
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