HomeMy WebLinkAboutBLD2002-00665 MFG Home - BLD Permit / Conditions - 6/25/2002 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
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2002-00665
OWNER: CLARE BOUCHEY 426-8438
CONTRACTOR: LICENSE: EXP: PcRMIT RECEIVED: 5/31/2002
SITE ADDRESS: 380 W GOLDSBOBOUGH DR SHELTON VOID By EXP--RATIO"
ISSUED: 6/25/2002
PARCEL NUMBER: 420177500060 11�D�-�- & �Y f
EXPIRES: 12/25/2002
LEGAL DESCRIPTION: TR 6 OF SURVEY 27/159 s'`"OTE
� Lo —1 —
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME SHELTON MATLOCK RD GO 5 MILES AFTER GOING PAST HWY 101
OVERPASS, TURN RIGHT
/ACROSS TRACTS THEN LEFT, GATE KEY
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: V-N
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: U-1 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 16 No. of Stories: 1 Occ. Load: Building:
Valuation: $78,789 J . Building Height: 14 Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:REDMAN Length: 66 Ft. Front: S 20.0 Ft. Shoreline: Ft. Water Body: GOLDSBOUROUGH
Rear: N 115.0 Ft. Slope: Ft. SEPA?: No
ModeI:WYNNWOC Width: 28 Ft. Shoreline Desig.: Not Applicable
Side 1: W 10.0 Ft. pp cable
Year:2002 Serial No.: Side 2: E 11.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KLW 5/31/2002 $194.50 59412
EH Plan Review CEW 6/5/2002 $75.00 59736
Address Fee GMM 6/6/2002 $15.00 59736
Building State Fee RLS 6/18/2002 $4.50 59736
Mobile Home Issuance Fee RLS 6/18/2002 $194.50 59736
Planning Site Inspection RAM 6/19/2002 $70.00 59736
Total $553.50
BLD2002-00665 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2002-W665
CONDITIONS FOR
BLD2002-W665
1) This application is s b* to Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
2) 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.
x
3) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X V Z t/ —
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 projec .
XY,
5) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
6) All construction and demolition debris must be removed from the beach after project completion. Proper disposal of construction debris must be on land
in such a manner that debris cannot enter or cause water quality degredation of State waters. X
7) Approved per dimensions and setbacks on submitted site plan. X
8) 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
Department r* to ny further inspections being performed or approvals granted.
X
BLD2002-00665 Please referto the following pages for conditions of this permit. 2 of 4
9) 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 fail to post the address on site prior to requesting inspections.
X J yLJ3-
10) 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 problems no occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
11) 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
12) 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
13) 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
14) 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, must be reviewed and approved by Mason County prior to construction.
X ��.���
15) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform 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.
X r'1 yvQ
16) All property lines shall be clearly identified at the time of foundation inspection.X %Z_
17) 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 or inances and building regulations.
X
18) 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 have prevented action from being taken. No more than one extension may be granted.
X
19) Subject to conditions of Aquifer Notification letter. X
BLD2002-00665 Please refer to the following pages for conditions of this permit. 3 of 4
20) Approved per dimensions and setbacks on submitted site plan. 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 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 property and structure for review and inspection. /
OWNER OR AGENT: DATE:
BLD2002-00665 Please referto the following pages for conditions of this permit. 4 of 4
CONCRE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up 7_z
date by INSULATION date ,� - (— by L
BG/SLAB Insulation Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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o CONCRETE MECHANICAL MANUFACTURED HOME
0
^' Footings / Setbacks Date B y Ribbons
0
rn Date By Gas Piping Date By
n' Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date 10l(-S
FRAMING Walls FIRE DEPT
D ate B y Date B y Date B y
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 OWN Date By
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Buildirig Permit # MASON COUNTY
OLP ZCG Z — BUILDING 111 426 W. CEDAR
00(g&5 SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 3 bO (?�7otds bo>^v a
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
rc VtcL a hatknl jNik A/ 3 11 ' , j 1 a
S'
S e jz LA,, iC
ON LL t _12Vut 1-P.
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
[� Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department G
Date 9- 12 b Z Inspector
Lo s No vT rk Mo vV ' T 1 , � T A ,� '
PERMIT NO.: BLD
MASON COUNTY �,- l2 l
�I BUILDING PERMIT APPLICATION
P 426 W.Cedar/P.O.Box 186,Shelton,WA 98584
r Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATIOf�V z_
.9
Owner C'1n,re Mar-rki% a,", Contractor Contractor Name V SYVLIW
�y Mailing Address 83 a. . a�Qr cr.,k Rn Mailing Address E V2 �y
City State Swy�._ Zip Code C,yec -�-r City State Zip Code
rA r Phone 3ba 44'26-%,k1j Y0ther Ph.( Ph.0 Other Ph.(
Lien/Title Holder �i�1aA►- _ Contractor Reg. #
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
` System Name of Sewer System Well_YWater System Name of
Water System
r r"'
PARCEL INFORMATION-12 digit Tax Parcel No. LI2.vf`9_' /--ao / Fire District
— Legal Description L aT- 60 ,1 c �+ oy; I, r"s r�re-A 1-9- Lo a u U�
Site Address(Please include street name, street number and city)
Directions to site :
V t
Will timber be cut and sold in parcel preparation? (Ye No ff
Is your property within 200' of the following: Body of Water (Name) (�cr Saltwater
Lake River/Creek Pond Wetla`nT _Seasonal Runoff Stream_,>CSlopes or
Bluffs
PERMANENT RESIDENCE. SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
J 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
MOBILE HOME INFORMATION-Make Model ��o,S Onc.,_• Model Year 7-oo1,
Length 66 Width 2)- Serial No. rt ALA No. of Bedrooms 2. No. of Bathrooms 7
Type of Heat FU Purchase Price Replacement Unit ?(Yes
a Installer Name Certification No. (.A,It1j"
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
cry 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. Acknowledgment of such is by signature below:
} OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
t Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
O ,
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT .
Accepted by Date Submittal Amount Due '7 Receipt No 6'
DEPARTMENTAL. REVIEW APP OVED DENIED' CONDITION CODES
Building D rt nt_ I�lC�>I S �tc;`f I►V S�< <
Occ Grou Type Constr.
Planning Department
Environmental Health Department
I
Public Works Department
i
t Fire Marshal
i
Valuation $
FEES
Building Permit Fee 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
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES
Washington Home Center, Inc.
N Floor Plan CCUre
Wynnewood Classic 2000 DW 4522N+ Cottage Porartha Bouch
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MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
P.O. Box 186 ♦ 426 W Cedar Street ♦ Shelton, WA 98584
www.co.mason.wa.us
Phone (360)427-9670 ext . 352
• Building Belfair: (360)275-4467
Planning Elma: (360)482-6968
• Environmental Health Seattle: (206)464-6968
Fax: (360)427-7798
SITE PLAN INSTRUCTIONS
A complete, accurate, and detailed site plan is important to avoid delays in the review and approval of your proj-
ect. A sample site plan and topography are located on the inside of this form. An easy to use grid, which can
be used to draw your site plan on, is also located inside. The following items will be required, if applicable, to
complete the building permit application package. Additional information may be needed depending upon indi-
vidual site conditions. For more information see submittal standards and instructions on the back of this form.
Dtn = (n 2K XK XD o 0 � ; � 0 o K rn �
v70 3 m 3 = 3 WOW °—' o W c 3 � � c `� o
Submittal o m C m W A = Q o' n p _ -'� c ° E o n 3
(D '.'� .+ 3 7 y CD
Requirements m 3 fD o � co 0 rn • n m -. 0 m ° S
a = a o co W.
Building Permit Application Form
Site Plan 4 4 V OF 4 4 4 4 4 4 5
Septic Records
Septic Permit Application 3
&Septic Design
Water Adequacy Form
Construction Plans 3 3 3 3 3 5
Energy Code ,f
Application Form Heated
Septic Pumpers Report X x�p X X X X
Existingsystems older than 3 ears. Of
Property Lines Flagged
Geotechnical Study* 3 3�P 3 3 3 3 3 3
See instructions on back
Plumbing/Mechanical
Application Form
Engineered Calculations* 2 2 2 2 2 2
Floor Plan
S.E.P.A. *
The number in the table indicates the number of copies required if applicable.
Required for submittal of a complete application.
X A pumpers report may be required when a septic system is existing and has been installed for three or more
years. The pumpers report, dated within the last three years, shall include the size and condition of the tank and
the condition of the baffles.
• Additional information and permits may be required by the Planning Dept. call extension 281 for information.
If applicable, needed when site conditions require the additional information. Rev: 3/1/02
1
SITE PLAN REQUIREMENTS:
A complete, accurate and detailed site plan is important to avoid delays in the review and approval of
your project. Use the checklist below as a tool to help you complete the site plan.
❑ 1. Scale: A scale of 1"=20', is typical but other scales such as 1"=10' or 1"-40' are also
acceptable. Do not exceed 1"=60.
❑ 2. North arrow
❑ 3. Property line location and dimensions.
❑ 4. Label abutting streets
❑ 5. Shoreline/Surface water: Indicate creeks, streams, lakes, ponds, wetlands and other
bodies of water within 300 ft of the proposed project.
❑ 6. Wetlands and Seasonal Drainage: Show setback distances from wetlands or
seasonal-drainage.
❑ 7. Easements: Indicate location and size of road, utility, and private easements.
❑ 8. Show All Existing Development: Identify existing and proposed structures. Include
porches, decks, roof overhangs, cantilevers, and structures that will be demolished.
❑ 9. Proposed Building Footprint: Use scale to show distances to property lines, existing
structures, septic tank and drainfield. Stake or flag footprint of proposed structure.
❑ 10. Sewage Disposal System: Identify septic tank location and drainfield.
❑ 11. Existing and proposed Buffers: Include open space, fences, sidewalks and parking
areas.
❑ 12. Retaining walls: Proposed and existing.
❑ 13. Slopes/Site contours (Topography): Identify any slopes greater than 15%, fills or
cuts greater than 4ft. that are located within 300ft. of the proposed project. Use Contour
lines or arrows to show the direction of the slope.
❑ 14. Wells: Show existing and proposed, need to include all wells located within 100 ft
of property.
❑ 15. Waterfront projects: Show all structures on adjacent property.
❑ 16. Driveway/ Site Access
❑ 17. Stormwater Run-off Path: Identify stormwater run-off path and direction of flow.
❑ 18. Land modification/Grading permits: Site applications for land modification permits
must show topography before and after the proposed work.
Sample Site Plan
Scale: 1"=40'
_.._.._
r.._..— I— — ._.._.._.._.._.._..----.._.._.._.._.::_..._.
_.._.._.._.. .._--_.._.._..__„_.--.._..—.._.._.._..
_..
1 1
I 1 ; it
1 1 .
1 1 Reserve Drainfield
o
1 Drainfield :
1 1 =
1
I 1 i In
f V 1 iv
1
U, 1 Deck I r
1 ; Inmi
1 •tn
I jco
j 1 ; Existing € jm
i
11 ;1 Garage
1 Wetland i Stormwater
Buffer Zone math
D � I
1 G �
1 1 1
a � I
i 1 Proposed i
1 ;
1 m Residence
i
10 € I
1 1 obi ; aG
1 1
1 l it
v �
Metland
Well 1
300' I
North
+45'
+5'
0'
68' 55' 1 40' 25' 36' 1 36' 35'
SUBMITTAL STANDARD INSTRUCTIONS/INFORMATION
A. Site Plan: Site plans must be drawn to scale.On at least K. Aquifer Recharge Areas: Areas where water infiltrates
8%" x 11"paper. A checklist indicating information required on the soil to the groundwater table. Call Planning Department,
the site plan is listed in the site plan application. Incomplete site extension 281
plans will not be accepted.
L. Critical Area: Critical areas include shorelines,flood
B. Construction Plans: Plans must be drawn to scale,
plains,streams,wetlands,important wildlife habitat areas and preferably Y,"= 1'. Dimensions must be noted on the plans. A landslide hazard areas(such as steep slopes and marinebluffs). The planner may need to visit your site to decide
complete set of plans shall include foundation plan,framing whether a buffer zone is required between the critical area and
plans,floor plans,cross sections,and elevations. A complete the proposed structures. Please mark the corners of proposed
building plan will give the building department enough structure(s) with flags or stakes.
information on how your project will be constructed. If you plan
to construct a log home, pole building greater than 864 square
feet,or a metal structure,calculations stamped by a Washington M. Geotechnical Study: A geotechnical assessment or
State licensed engineer or architect,will be required. Also, report will be required if the parcel is located within a Landslide/
masonry or concrete structures, may require an engineered Erosion Hazard Area.
design.The building official may require additional drawings,
details,sections,or stamped-engineered calculations and/or N. Wetland: Areas that are inundated or saturated by surface
details. water or ground water at a frequency and duration sufficient to
support, under normal circumstances,a prevalence of
C. Directions to Site: Provide accurate directions to your vegetation typically adapted for life in saturated soil conditions.
project site. This information will be used by staff when they Wetlands generally include swamps, marshes, bogs,and similar
review the project and by building inspectors. areas.
D. Structural Engineered Calculations: Will be required O. Buffer: An area of land or designated for the purpose of
if the proposed structure does not meet conventional insulating or separating a structure or land use from a critical
construction standards. Include 2 sets with your building permit area or resource land in such a manner as to reduce or mitigate
application. any adverse impacts of the developed area.
E. Road Access Permit: May be required if accessing a P. Parcel Number: a 12-digit tax assessment number
public road or right of way. Contact Mason County Public assigned to each parcel by the Assessor's Office.
Works at(360)427-9670,ext.450 for more information.
Q. Legal Description: This describes the parcel of land
F. Washington State Energy Code and Ventilation & identified by the 12-digit tax identification number. It is
Indoor Air Quality Code (WSEC &VIAQ): Refers to acceptable to submit a brief legal description of the parcel as it
Energy envelope calculations and air quality code compliance. appears on record at the Assessor's office. Legal descriptions
are used to check the dimensions of a parcel and any
G. Existing On-Site Septic System: Documentation of an underlying restrictions such as setbacks from property lines or
approved on-site sewage system will be required. An existing easements, lot coverage,or height of buildings.
system must have records and a pumpers report, dated within
the last three years, per Mason County Health Services Policies. R. Address: Site addresses are assigned through the Mason
These policies are case/job specific if you have any questions County Department of Community Development,for more
please contact Environmental Health at(360)427-9670 ext. information (360)427-9670 ext.291.
352.
S. Contractor Registration Number: Contractors must be
H. Septic Approval or Sewer Permit: A Septic design licensed with the state. The contractor license number can be
application must be approved by the Mason County obtained from the general contractor that will be performing the
Environmental Health Department prior to permit issuance for all work or through the Labor& Industries website at: www.ini.wa.
single family developments using septic systems. If sewer is gov/contractors.
available, sewer permits can be obtained by calling Mason
County Utilities at (360)427-9670 ext. 270 or ext. 296 An owner can be an owner-contractor when building on his or
I. Water Availability: The local water purveyor must her own property.
complete a water availability application if the project will be T. SEPA: The State Environmental Policy Act, RCW 43.21C
connected to a public water system. Private well systems and implementing State and County administrative rules.
require a water well report,or capacity test, and bacteriological
test dated within the previous 12 month period.
J. RLC/Pre-Inspection: Resource Lands and Critical areas
checklist. Includes a site visit by a planner to identify critical
areas on a site.