HomeMy WebLinkAboutBLD2004-00891 Final MFG Home #20 - BLD Permit / Conditions - 2/11/2005 Ins
tion
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT hope (360)i27-960}427-7262
Phone: {360}427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT
OWNER: JACQUE O'DONNELL BLD2004-00891
CONTRACTOR: LICENSE: EXP.- RECEIVED: 6/10/2004
SITE ADDRESS: 20 NE ROESSEL RD SPACE 13 BELFAiR ISSUED: 8/19/2004
PARCEL NUMBER: 123325000050 EXPIRES: 2/19/2005
LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS TR 20 20 NE ROESSEL RD
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME HWY 3 TO ROESSEL RD GOLDEN BELL PARK
General Information Construction &Occupancy Information7Basement:
quare Footage Information
No. o Bedrooms: Type o onstr.:
Type cf Use: MH Insp.Area: No.of Bathrooms: Occ.Group: R3
Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: Occ. Load:
Valuation: Building Height: Occ. Status: Prima
Manufactured Home Information 1Setback Information Shoreline Planning Information
Make:Bayfront Length: 68 Ft. Front: 5.0 Ft. Shoreline: Ft. ater c y:
Model: Rear: 19•0 Ft. Slope: Ft. SEPA?: No
Width: 14 Ft. Shoreline Desi pp Side 1: 15.0 Ft. 9•� Not Applicable
Year:1976 Serial No.: 8011 HP/146 Side 2: 21.0 Ft, Comp. Plan Desi
9,: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type 0tY Type By Date Amount Receipt
Mobile Home Submittal Fee T 6/10/20D4 $214.50 B12004
Planning Review Fee TW 6/10/2004 $155.00 812004
Mobile Home Issuance Fee DLC 6/30/2004 $214.50 S12004
Building State Fee DLC 6/30/2004 $4.50 512004
EH Plan Review GMM 7/1/2004 $75.00 S12004
Total $663.50
BLD2004-00891 Please referto the following pages for conditions of this permit.
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CASE NOTES FOR
BLD2004-W891
CONDITIONS FOR
B LD2004-W891
1) Contractor registration laws are govemed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There aFp potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800- 7(n2.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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2) Approved dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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3) This pr ect is approved subject to approval upon inspection that the manufactured home identified in this permit complies with Department of Housing SDepaen
evelopment(HUD)regulationsas evidenced by a certificate label from HUD. p using
4) 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
d. In addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged and must be collected b the Building
rior to any further inspections being performed or approvals granted. y g
5) with the Uniform Building Code 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 C ty uilding Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the juri ' ti n and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
insp
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RLD2004-00891 Please referto the following pages for conditions of this peim't' 2 of 4
Tv I I wit IOLCII10 a ,I1C111 1dL;Lu1Ca rrurne warrants tnat 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 ree of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each
installer performed it tt ed. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210
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)725-2800.
8) 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 anA an hourly investigation fee pursuant to the 1997 UBC, and will be assessed in
addition to my original permit fees to resolve any questionable practice lems that have been discovered. 1 further understand that this
investigation will be scheduled as time allows. Until resolution of any/ �robl s no occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which)Signature X
9) This permit is for th ce ent and 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 mobile/manu ed home landings or decks must be freestanding (self supporting). The largest landing or deck allowed without drawings or a
building permit MUS be der 30"in height from surrounding grade. NO second story decks, or decks above 30"an be built without a permit. Any
landing or deck tha i "o ore 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
11) The construction f t e permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the C es as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspecto all a made prior to requesting additional inspections.
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12) MOBILE PARK SETBACKS SHALL BE 15' FROM NEIGHBORING ACCESSORY STRUCTURES, 10'FROM PROPERTY LINES AND 5' FROM
RIGHT- AS PER MASON COUNTY ORDINANCE#118-91.
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1 3) The�inpermithall
be displayed in clear
le instructions,
installation instructions, shall be available in this location OR placed in the location specified by WAC 296150Mr655.1r Subpport configu ationluding shall be
clearly marked in the installation instructions.
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 fi a inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Coun n nces and building regulations.
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'II_D2004-00891 Please referto the following pages for conditions of this permit.
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15) All permits pire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
action for eriod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances bey,-
holder h ented action from being taken, No more than one extension may be granted.
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16) Pressu ed wood manufactured after January 1,2004 may contain high concentrations of copper which could quickly corrode met,
con ne o s, a d flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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
commenced. Evidence of co uation of work is a progress inspection within the 180 dayP period of i80 days at any time after ion
work is by means of a progr s pection.The owneror the period. Final inspection must be approved before building can be occupied.Proof of continuation of
the above described pro nd struc eview and insp�eecnt on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
OWN ER OR AG I DATE:
gLD2004-00891 Please referto the following
pages for conditions of this permit
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W
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^' CONCRETE MECHANICAL MANUFACTURED HOM,1
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� Footings / Setbacks Date By Ribbons
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co Date By Gas Piping Date By
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Foundation Walls Date B y Set-up PC, C/N.
Date By INSULATION Date-z 1/� B y LOjL
B G / Slab Insulation Floors Final
D ate B y Date B y Date 2 j/ vs" B y L D rL—
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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Golden Bell Mobile Home Park
N.E. 20th Ross el Rd-
Beftir, WA 98628
(360)2764623
Mason County Building Department
P.O. Box 186
Shelton, Wa. 98584
As required we are sending you notification of a new lease agreement with the
following new tenant. Lease agrement will commence
hen their MOBILE
HOME arrives on our preexisting lot. The n � will be serviced by t
he
Belfair Water District#1. It you have any questions please call during normal
business hours_
Legal Description
Tract # 20 Sam B. Theler's Nome Garden Tracts Vol. 4 page 20 Records of
Mason County. Parcel # 12332-50-00050
V G�L L in e � �UG
NEW TENANT NAME_ _. —
NEW TENANT LOT # -
Thank you
Deede Schattenkerk
Manager
X2 a HLJ -113E WK1109
s
Golden Bell Mobile Home Park
N.E. 20th Roessel Rd.
Belfair, WA 98528
(360)275-4623
Mason County Building Department
P.O. Box 186
Shelton, Wa. 98584
As required we are sending you notification of a new lease agreement with the
following new tenant. Lease agrement will commence when their MOBILE
HOME arrives on our pre-existing lot. The new tenant will be serviced by the
Belf air Water District #1. If you have any questions please call during normal
business hours.
Legal Description
Tract # 20 Sam B. Theler's Home Garden Tracts Vol. 4 page 20 Records of
Mason County. Parcel # 12332-50-00050
NEW TENANT NAME At
NEW TENANT LOT #
Thank you
Deede Schattenkerk
Manager
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RECEIVED
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1
MASON COUNTY PERMIT NO.
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.,.�s CONTRACTOR INFORMATION
Owner i r"C. :< < , ', 1.
Company Name
Mailing Addres Mailing Address
City / �..'F "i ,r State '�1." Zip Code City State Zip Code
Phone i__'S�,, I - '-t •Other Ph. Phone Other Ph.
Lien/Title Holder T. Contractor Reg.# _Exp.
E mail address -� !T� +� ! t . 1 E Mail Address
Drivers Lic.#l %11►1 ,i i t'' ' DOB -+ "i i. "et Drivers Lic.#_ DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System k, Name of Water System i
Well Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No. 1, `^I� District — .
Legal Description 3—"'`
Site Address (Please include street name, street number and city)} _
Directions to site ' �• r
Will timber be cut and sold in parcel preparation?Yes/'1 o,-'
Is property withir>200'of Saltwater 1 Lake PN ) River/Creek-
Wetland_ E l , Seasonal Runoff :'w Stream_ j�;i.; Slopes or Bluffs 15�/Pond_1 .',1'
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Ye No'
TYPE OF JOB - New __ Add Alt__ Repair_____Other PRIMARY RESIDENCE ff.1 SEASONAL
Lj
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 Detache
MANUFACTURED HOME INFORMATION - Make Model
Length Width = Serial No. No.of Bedrooms =No.1af.Bathrooms
Type of Heat 'E`' --� Purchase Price$ Replacement Unit? Yes/;h1
Installer Name : : t"<' f -4- Certification No. o
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 the necessary parties.If permission is required from any easement holder or any other party in interest r �pp
tion or the vork proposed m the application, I has(e obtained permission from them to apply for this ermtt and condu3#=t
,...-�
X, Date:
.. t wner -6merg-Representative/Contractor (indicate which one)
rJUN 10 2004
FOR OFFICIAL USE BEYOND THIS POINT BELFAIR OFFICE
Accepted by: Planning Pd Ck# Date---- i —Bld Pd— _Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTE
Building Department >c& J0
Planning Department
Environmental Health Department
Public Works Department J-a G
Fire Marshal 1
FEES
Building Permit Fee a 14 DO Site Inspection
Plan Review Fee )7D 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