HomeMy WebLinkAboutBLD2004-00017 MFG Home - BLD Permit / Conditions - 1/26/2204 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
IrP14 Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2004-00017
OWNER: RICHARD OLSON RECEIVED: 1/9/2004
CONTRACTOR: LICENSE: EXP: ISSUED: 1/26/2004
SITE ADDRESS: 320 W GOLDSBOROUGH DR SHELTON EXPIRES: 7/26/2004
PARCEL NUMBER: 420177500020
LEGAL DESCRIPTION: TR 2 OF SURVEY 27/159 (GOLDSBOROUGH ESTATES) 320 W GOLDSBOROUGH DR
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME OFF SHELTON MATLOCK RD. RIGHT HAND SIDE. IN 6060 BLOCK.
General Information Construction &Occupancy Information Square Footage Information
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No.of Bedrooms: Type of Constr.:
Type of Use: MH Insp. Area: 4 No. of Bathrooms: Occ, Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 16 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:FLEETWOC Length: 68 Ft. Front: S 65.0 Ft. Shoreline: Ft. Water Body: WETLAND
Rear: N 675.0 Ft. Slope: Ft. SEPA?: No
Model:BERKSHIRE Width: 27 Ft. Side 1: E 20.0 Ft. Shoreline Desig.: Unknown
Year:2004 Serial No.: 1842514684 Side 2: W 20.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee NJP 1/9/2004 $214.50 S22004
Planning Review Fee NJP 1/9/2004 $155.00 S22004
Building State Fee LDK 1/13/2004 $4.50 S12004
Mobile Home Issuance Fee LDK 1/13/2004 $214.50 S12004
EH Plan Review CEW 1/26/2004 $75.00 S12004
Total $663.50
BLD2004-00017 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
B LD2004-00017
CONDITIONS FOR
BLD2004-00017
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 tin t
p y g g o be obtained ed a
1-800-647 9 2. he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X� ,d
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
such rods connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
3) The use, handling and storage of hazardo s aterials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X 04 C
4) All upland areas disturbed or newly cxea d by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X (y`s-� G
5) Temporary erosion control measures must be implemented to prevent water quality d gradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. Xo�G
6) Approved per dimensions and setbacks on submitted site plan. X
7) 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
contractor fai to ost the address on site prior to requesting inspections.
X
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8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X O&e
9) 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
Building,Department prior to any further inspections being performed or approvals granted.
J
BLD2004-00017 Please refer to the following pages for conditions of this permit. 2 of 4
10) 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 instal d certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X ao°e,
11) 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.
12) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X �y
13) 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
result in pe
X ,
14) 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/all ro lems no occupancy(Final Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X X 'a
15) This permit is for the placgment and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
16) 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 that is,30"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 ,-e C
17) 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.
X llu,
BLD2004-00017 Please referto the following pages for conditions of this permit. 3 of 4
18) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regulation, r;u;t be reviewed and approved by Mason County prior to construction.
X llT aIx
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
clearly marked in the installation instructions.
20) All property lines shall be clearly identified at the time of foundation inspection. X ,_
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
Mason Co t ordinances and building regulations.
x_ C�
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
holder hav p vented action from being taken. No more than one extension may be granted.
X
23) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
X connectors�ar�d flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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24) All structures must maintain an additional 15 foot setback from the 50 foot wetland setback indicated on the plat map.
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 iissfa progress inspection within the 180 day period. Final
inspection must be approved before building can be occupied.
OWNERORAGENT: �� DATE:
BLD2004-00017 Please referto the following pages for conditions of this permit. 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
o
Footings / S tbacks Date By loira-
oC��
o Date �� B Gas Piping Date 2 B
Foundation Wa Date B y Set-up
Date By INSULATION Date
B G / Slab Insulation Floors Final
Date P ; Date B y Date'��9 pel
FRAMING Walls FIRE DEPT
Date B y Date B y Date B y
PLUMBING Attic OTHER
Groundwork Date By IL*4,3 0303
Date By WALLBOARD NAILING ZZs�
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
---------------
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MASON COUNTY PERMIT 1\10.0q� 66�)
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
APPLIC NIT INFORMATION CONTRACTOR INFORMATION 1
Owner i 6 Company Name
Maili Addres Mailing Address _
City State � Zip Code City 23�r State �a1�� Zip Code 3
Phon 7 - Other Ph - Phone -a� Othe� P� -loci
Lien/Title Holder #-An - cw- ('-la Contractor Reg. 'r �xp.
E mail address +r 1N E Mail Address r�,c L. •1 h�
Drivers Lic.#Cutine r K1KD0,C, DOB 6 -- Drivers Lic.#(nrir e r �.34�� 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 j
PARCEL INFORMATION - 12 Digit Parcel No. I Fire District
Legal Descri tiono- LL - -
9 P
Site Address Please include street name street number an i a�( dt c y)
Directions to site
Will timber be cut and sold in parcel preparation?Yes Qo
Is property 'thin 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 0 SEASONAL ❑
Use of Building Describe Work
No.of Bedrooms No. of Bathrooms Square Footage - 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORTZIPSLI
Make Mode T eU it S}t, t Year . ' .,,i$Length��Width SerialNo. of Bedrooms�No. of Bathrooms
Type of Heat ur e al Z Purchase Price$ tea, bbQ Replacement Unit? Yes/ No
Installer Name f7f-,P6 G �ILD.t' Certification No. 3a D(2)
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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or t_ work proposed in the plication, I have obtained permission from the to apply for this permit and conduct the work proposed.
X Date:
Owner/ ners Representative Contractor (indicate which one)
FOR OFFICIAL USE BEYO rTH
IS OINT
. D rvs
Accepted b tanning PcI Ck Date Bld Pd- �! Receipt No.
DEPARTMENTAL]REVIEW APPROVED DENIED NOTES
Building Department AL) r
Planning Department
Environmental Health Department
Public Works Department 003
Fire Marshal 426 W.
FEES
Building Permit Fee Site Ins ection
Plan Review Fee "' 60 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
Washington Home Center, Inc.
Floor Plan -
Berkshire XLE 4684B-Lot 3 Displays
,27 �c6g
4684B 4 Bedroom 2"R&h Approx 1836 Sq. Ft.
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71 ..
M.
_ D�Room Family Room or>
I B� ❑ �i I V 1'x 17 6' 16 11"x 17 6" Bath Bedroom
�--� 10'x 13'6'
0
Fkchen 0
4 Media Carder
Master Bedroom Retreat Uyft Room Bedroom Bedroom
14'x 13'6' 10'x 13'6' 18'ti'x 13'6' IV 8'x ITS' x 13'6'
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1 Carpet Extra Rooms,Per Room D
ry C
2 Plumb&Wire,Washer w 3 Tape&Texture,Per Room
4 36"Steel House Type Door,Replaces Standard
5 Replace 2 Small Window;In LR&FR W/(I)78 x 58 W
Specifications subject to change. (c)1996 SoftSell,Im Jul/14/2003
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PRE-CONSTRUCTION AFFIDAVIT
sTATE of Washington AP#OLSEN.R
LN# 123878
COUNTY of MASON
The undersigned
"Builder"
has been employed by RICHARD OLSEN and MARIE OLSEN
"Borrower"
to fumish material and/or labor for the building commonly known as:
320 'W GOLDSBOROUGH OR,SHELTON.WA 98584
FULL LEGAL DESCRIPTION LOCATED ON PAGE 16. ABBREVIATED LEGAL
DESCRIPTION: LOT 2 LLS NO. 2001-00004, PTN NE NW, 17-20-4. TAX PARCEL
NO. 42017 75 00020.
The undersigned fu,teer siaics that Yd;ho h=fermi=hed :yt:t itM;=ix of v—d inn 1 i.n casts at this
time to be used for labor and materials on said Property.
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EASEMENTS, 12�S1
RESERVATIONS A
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(1 3. SEE ADDITIONAL I!
L4 204 A,,- E05E OF VECsETATION
2001-00067 MITISATIc
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40' EASEMENT FOR o `` �, Ir AF. NO. 173393�4
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