HomeMy WebLinkAboutBLD2003-00234 Final MFG Home - BLD Permit / Conditions - 6/18/2003 {
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 �jy�G,�,Q
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT
OWNER: THEODORE WORMS
CONTRACTOR: ACE CONSTRUCTION INC. LICENSE:ACECOI"044BD EXP: RECEIVED: 3/5/2003
SITE ADDRESS: 3360 NE OLD BELFAIR HWY BELFAIR ISSUED: 3/25/2003
PARCEL NUMBER: 123094200160 EXPIRES: 9/25/2003
LEGAL DESCRIPTION: TR 16 OF W1/2 SE EX 16-A
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME FROM BELFAIR, GO NORTH 3.6 MILES ON OLD BELFAIR HWY TO BEAR
CREEK DEWATTO RD, DRIVE WAY IS DIRECTLY ACROSS FROM BEAR
CREEK/DEWATTO RD
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.:
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: Lot Size:1 Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:Moduline Length: 60 Ft. Front: N 60.0 Ft. Shoreline: 45.0 Ft. Water Body: BEAR CREEK
SEPA?: No
62.0
Model: Width: 28 Ft. Rear: S 2 Ft. Slope: Ft. Shoreline Desi
Side 1: E .0 Ft. 9•: Unknown
Year:2003 Serial No.: 28987H Side 2: W 45.0 Ft. I Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type City. Type By Date Amount Receipt
Mobile Home Submittal Fee DLC 3/20/2003 $211.05 62049
Mobile Home Issuance Fee DLC 3/20/2003 $211.05 62335
Building State Fee DLC 3/20/2003 $4.50 62335
EH Plan Review CEW 3/21/2003 $75.00 62335
Planning Review Fee KS 3/25/2003 $150.00 62049
Total $651.60
BLD2003-00234 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2003-00234
CONDITIONS FOR
BLD2003-00234
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1) This applicaf�tigQn is,subject 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-§0,0-647-0982. 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) 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
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 r ject.
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5) Subject to approved Habitat Management Plan for site. Applicant shall have copy of HMP o site for�bld dept inspector to review timing information on
installation of plantings. Planning Department shall verify plantings when called by applicant.
6) 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
c nttcc�o�fail to post the address on site prior to requesting inspections.
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7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. XL)
8) 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
u11 mg)Department prior to any further inspections being performed or approvals granted.
BLD2003-00234 Please referto the following pages for oonditions of this permit. 2 of 4
9) '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
installerresponsible for each major part of the installation. RCW43-63B.090
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10) 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. An non-approved change of use or occupancy would
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s It in�ermit revocation.
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11') 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 m required inspections. If the required inspections p Y u are not requested, inspected and signed off(approved) b the
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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 y/ II problems no occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature� �
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. 1J
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 'eck that�s 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. �2�
14) Proposed structure or portions thereof w!ith,(a nprojection over 30" in height from grade line, must maintain a 5' separation distance between adjacent
structures and that furthest projection. (J
15) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
oQregulatipn, must be reviewed and approved by Mason County prior to construction.
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16) 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
Xinstor,shall be made prior to requesting additional inspections.
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17) 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. )
18) All property lines shall be clearly identified at the time of foundation inspection.'/
BLD2003-00234 Please refer to the following pages for conditions of this permit. 3 of 4
r.
o CONCRETE MECHANICAL MANUFACTURED HOME
0
w Footings / Setbacks Date By Ribbons '
0 �
N Date By Gas Piping Date By fJ
w
Foundation Walls Date B y Set-up
Date By INSULATION Date S3� By
B G / Slab Insulation Floors Final
Date By Date By Date —X-e)-3 By 7
FRAMING Walls FIRE DEPT
Date By Date By Date By
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 Date By
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TOPOGRAPHY PROFILE: E�4L•S� (,( 4V 1
--- -- '70
C- 90
Direction: Scale: Approval: for office use
Building Permit number: 14 ; Sol Building:
Owner/Applicant: /' Date of Planning:
(((Parcel Number: application: Env. Health:
rrsrs - 517�-CtlPERMIT CTR 1' 008/010 t7/
FORM MUST BE COMPLETED IN INK
PERMIT NO SLD K ram/ WOIJ/
PLEASE PRIES SHARD MASON COUNTY
BUILDING PERMIT APPLICATION ,
426 W.CedarlP.O.Box 1E6.Shelton,WA 50504 r 1
' Shelton 60 4275670 Belfair 360 275-4467 Elma 760 4825269 Seattle 206 464-6969
APPLICA T INFORMATION CONTRACTOR INFORMATION ,1
Owner /ZAIS Contractor Name p;per
Mailin AddrdsSt/. �( / Mailing Address
City /L Zip Code City State Zip Code
Phone(3(a Other Ph.(— Ph Other Ph.0
Lien/Title Holder Contractor Reg.# Q J
Address I Expiration
'SEPTIC/WATER SYSTEM INFORMATION-Conned to New Septic Existing Septic )< Connect to Sewer
System Name of Sewer System well. XWater System Name of
Water Sysle,
I
PARCEL INFORMATION-12 digit Tax Parcel No 1a:� Z/ / .1/9, 1 069/&O Fire District_
Legal Description 7N ! I 5 - -.-
Site Address(Pleas includg street name,street number and city)d/0 '3366 o L Mlt
Directions to site L e �d � .f,G , d dL r2
d ex,), Le,,,%e 0.k. 4T� sS n a C,e, o IPD,
Will timber ble cut and sold In parcel preparation?(Yes/No) D ��1""
Is your property within 200'of the following:Body of Water(Name) it A Z eke6AL- Saltwater
Lake IRlver/Creeks Pontl Welland Seasonal Runoff Stream Slopes or
Bluffs_1
PERMANENT A,EsiDENCEX SEASONAL RESIDENCE❑
TYPE OF JOB New—Add Alt Repair Other Use of Building
Describe Wdrk
No.of Bedrooms No.of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq.h.
Garage I Attached Detached Carpott Attached Detached
MOBILE HOME INFORMATION-Make/)2701J4//J(t- Model aB // Model Year 9 003
Length 0 Width dLf Serial No. No. of Bedrooms. 3 No.of Bathrooms 1
Type of He Purchase Price Si 30.o`o Replacement Unit?(Yes/No)�eS
Installer Na a Certification No.
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NOTICE: THISI PERMIT BECOMES NULL 3 V0101F WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 PAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 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 acove described property and structures for review and
inspection or this project. Acknowledgment or such is by signature below:
OWNER AFFIDAVIT-I certlly that I am exempt from the regarrements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currenty r egistered as a
Contractor Regrstratlon Law RCW 18 27 and am aware of the ordinance contractor in the State of Washington and that I am aware of[me ordinance
requ remenis for which this permit Is Issued and that all wcrk will lie done in req.liraments regulating the work for which this permit is Issued and al,work
Conformance Ili.Wewith. No changes shelf be made wan"i'irst obtamvng shall be done in con rormanca therewltn No changes sha I be made without
appro`val�/ � 7 first ootaming approval
.
x /" �e`�l "e�G �""15Ste 7 C� X Cate
FOR OFFICIAL USE BEYOND THIS POINT
Accepted bX Dale Submittal Amount Due Receipt No.
DEPE�RZh4ENTA1 REVIEVY _„ APDROVED: •QEN.IED ,'-CONDlT1l7N COf7ES: '
Building Department ` , o eta Gam' toK V,
OccGrou l T e'Constr.v-k) - p v F 0 2 33 ISSVfs fe v'Pd
Planning D partment
Environmedtat Health Department 1�e
Public Works Department
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Fire Marshal
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Valuation
Building Per it Fee Site Inspection
Plan Review ee of (,( J EH Review Fee
Plumbing&B�se Fee Planning Review Fee ( cbo _Op
Mechanical d Base Fee Other
WOOd/Gas/P Ilet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal