HomeMy WebLinkAboutBLD2013-00672 MFG Home - BLD Permit / Conditions - 8/27/2013 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
' Mason County Bldg. III 426 W. Cedar P.O. Box 279
Shelton, WA 98584 9
RESIDENTIAL BUILDING PERMIT g 13-00672
OWNER: BRET ALLEN RECEIv /12/2013
CONTRACTOR: LICENSE: EXP: ISSUE7/2013
SITE ADDRESS: 21 E GREAT BEND DR UNION EXPIRES. /2014
PARCEL NUMBER: 322325212009
LEGAL DESCRIPTION: UNION-GRAYS HARBOR & UCRR ADD BLK: 12 LOTS 9-10 &VAC ALLEYADJ
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT MANUFACTURED HOME
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General Information Construction &Occupancy Information uare Footage Information
No. of Bedrooms: 2 Type of Constr.: MH
Type of Use: M Insp.Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NE�/J/ Fire Dist.: 6 No. of Stories: Occ. Load: Building:
Valuation: -//'� Building Height: Occ. Status: Primary Basement:
Manufactured Home I r tion Setback Information Shoreline 14 5aing Information
Make:Liberty Length:INC Front: N 30.0 Ft. Shoreline: Ft. Water Bo
Rear: S 40.0 Ft. Slope: Ft. SEPA?: No
Model: Width: 27 Side 1: E 32.0 Ft. Shoreline Desig.: Not Applicable
Year:1987 Serial No.: Side 2: W 10.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fei TW 8/12/2013 $264.25 S2201300000001
Planning Review Fee TW 8/12/2013 $205.00 S2201300000001
EH Plan Review AAV 8/12/2013 $ 103.00 S6201300000001
Mobile Home Issuance Fee MAU 8/22/2013 $264.25 S1201300000001
Total $ 836.50
BLD2013-00672 Please refer to the following pages for conditions of this permit. Page 1 of 4
CASE NOTES FOR
BLD2013-00672
CONDITIONS FOR
BLD2013-00672
1) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at
(360)427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has
bee2LA
led" and approved.
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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.
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3) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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4) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/Reserve requires a 1 Oft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundation drains within 30ft, down gradient of drainfield/reserve area.
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5) 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 prior to any further inspections being performed or approvals granted.
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6) 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
Building Department prior to any further inspections being performed or approvals granted.
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BLD2013-00672 Please refer to the following pages for conditions of this permit. Page 2 of 4
7) J 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
4 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 in talled. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X ;
8) 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.
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9) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
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10) 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.
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11) All property lines shall be clearly identified at the time of foundation inspection. X
12) 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 CRunty ordinances and building regulations.
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13) 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.
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14) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connecto s, an flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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15) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site-Plan" to ensure these structures are shown and meet the setback conditions listed.
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16) Approved p r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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BLD2013-00672 Please refer to the following pages for conditions of this permit. Page 3 of 4
• 17) . Temporary erosion control measures must be implemented to prevent water quality degradation of adlacent waters or properties. Silt fencing, straw, or
matting must be installed and maintained until upland vegetation has become established. X 132
18) All construction and demolition debris must be removed from the site after project completion. Proper disposal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X^gz 4
19) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
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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 owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason County access to the b e described property and structure for review and/inspection.
OWNER OR AGENT: DATE:
BLD2013-00672 Please refer to the following pages for conditions of this permit. Page 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
O Date By r
w Footings4setba Ribbons m
Gas Piping
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4 Exterior Date By Exterior-Date B Set-up W
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Point Load I Isolated Footings INSULATION Date By -m-I
BG I SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
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Date By Date By -Y
Date By _ --
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Date ey oats By CD FINAL INSPECTION 0
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.�
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 VV. Cedar• P.O. Box 186, Shelton, VVA 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 q_ — L Company Name
Mailing Address i i rbSc,.- Mailing Address
City\AhSLO v'1 State 0,2A.7ip Code IC City State,Z Zip Code
Phone 0 16 V7 Oth r Ph. Phone Other Ph.
Lien/Title Holder O ,e�b "t �: Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic. # DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septicll�
Connect to Water System �5 Name of'Water System-O:u•� 1
Well Sewer Syst= Name of Sewer System 3-124
PARCEL INFORMATION - 12 Digit Parcel No. 1 Fire Distric
Legal Description -2-- k�A P " 1
Site Address (Please include street name, stree, numyber and city) Lll =
Directions to site rj I I t xrL
Wilftmber be cut and sold in parcel preparation?Yes/
Is property within 200' of Saltwater 0 Lake V40 River/Creek WO Pond
1Netland tLo Seasonal Runof 1 Stream_At) Slopes or Bluffs �:, 15% 'tko
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Ye
TYPE OF JOB - New Add Alt Repair Other PRII1IA�Y RESIDENCE X SEASONAL ❑
Use of Building ��V 1P_ Describe Work �'''`� e ►�. '�
No. of Bedrooms No. of Bathrooms— — Square Footage- 1st Floor lob°! (0 2nd Floor
3rd Floor Basement Deck — Covered Deck — Other Sq. ft.
Garage Attached Detached — Carport — Attached Detached
MANUFACTURED HOME INFORMATION - Make L-` yr Model Year_
Length � _Width --;L7Serial No. o. of Bedroomsc— o. of Bathrooms —
Type of Heat t t'«A �uM—ePurchase Price 00 Replacement Unit? ev/ No
Installer Name 25re-`K_ A�l�v. CV -1:2C 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 appiicabon. 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. This permit/application becomes null & void if work or authorized construction is
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 OFAPR GRESS INSP^ TION.INACTIV[TY OF THIS PERM[TAPPLICATION OF 180 DAYS WILL INVALIDATE THEAPPL[CATION.
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Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building DepartmentZ-
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
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
Valuation TOTAL FEES
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Request To Revise An Approved Plan
Permit Number: BLD 2D I-j - Llr tor?)— Name Br6A- N.P*t,
Parcel Number 3aa,3a - 6�9 - I aonj Phone Number daytime
Project Address Mailing Address
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ase provide a complete, detailed description of the pro--P� revisions to the approved plans:
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Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No
Are the approved site plans included? ❑ Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No
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? ❑ 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: - 13-201`4
Office Use Only Received by:
Date Sent Assigned To Approved By Date
Original Valuation: $
❑ B• /3 LD dditional Valuatio $
_^ _ 1 p Sq.Ft. 3Z x$ `7� ,f�(o $
P. 3�1y -A �(Z(� /0, Sq. Ft6T_x$
n� otalNew Valuation $
Additional Fees:
❑ P.W. Additional Planning Dept. $
Additional Plan Review $
Additional Conditions /Comments: Additional Building Permit $ 32 7
V/5✓6h +�irilZ ,1� � _5_ __1� ljho� Additional Plumbing $
Additional Mechanical $
Additional E.H Dept. $
Other : $ , 576
CCt.UxC1 _)AC V_ Le_ I(p ZLX;l tal Amount Due: $
`IA--mount To Be Paid Up-Front$