HomeMy WebLinkAboutBLD2001-01198 Final MFG Home - BLD Permit / Conditions - 9/18/2002 Inspection Line (360)427-7262
j MASON COUNTY DEPT. OF COMMUNITY Phone: (360)427-9670, ext. 352
DEVELOPMENT
Mason County Bldg. 3 426 W. Cedar P-O. Box 186
Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT
BLD2001-01198
OWNER: PAT LOUDIN RECEIVED: 11/19/2001
CONTRACTOR: AL BRITTON CONTRACTING ISSUED: 12/17/2001
SITE ADDRESS: 543 NE NEWKIRK RD BELFAIR EXPIRES: 6/17/2002
PARCEL NUMBER: 123212490020
LEGAL DESCRIPTION: TR 2 OF SW SE NW TR C OF SP#224 AF#313743
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME OLD BELFAIR HWY TO NEWKIK RD RIGHT APPROX 1 ILE TO DIRT ROAD,
LEFT AT 543 SIGN APPROX 500 FT ON RIGHT WHITE SHOP
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: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:
Valuation: $54,745 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make:FLEETWOC Length: 56 Ft. Front:SW 180.0 Ft. Shoreline: Ft. Water Body:
g SEPA?: No
Side 1:NW 194.0 Ft.
Model:4563M Width: 28 Ft. Rear: NE .0 Ft. Slope: 25.0 Ft. Shoreline Desig.: Not Applicable
Year:2000 Serial No.: 23509 Side 2: SE 50.0 Ft. I Com . Plan Desi .: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Ki w ii/iwgnn .nt;nn ri7RFi3
Building State Fee nnFr. 11igni,?nn a.d t;n AAnA.,A
Mobile Home Issuance UP(.. 11/gnignn .017.9;nn c;RnAz
Planning Review Fee r1Rnn 1 1 i97nnn -AA nn r,RnA�
EH Plan Review Ti r, 1giAi,)nn1 grin nn r,Anr,a
Total $442.50
i
BLD2001-01198 Please refer to the following pages for conditions of this permit. 1 of 3
• �• CASE NOTES FOR
BLD2001-01198
CONDITIONS FOR
B LD2001-01198
1) 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
contractorrail to ost the address on site prior to requesting inspections.
X /
2) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
3) 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 in the amount of$47.00 per hour(minimum 1 hour)will be charged and shall be collected by
the Build' D rtment prior to any further inspections being performed or approvals granted.
X ---
4) 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 an II bl ms no_occupancy(Final Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature —
5) 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 0"�'Tii e in hei walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires
a handrail. X -
j
6) 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.
7) All property lines shall be clearly identified at the time of foundation inspection. Xj l/
8) 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�rdi ances and building regulations.
BLD2001-01198 Please refer to the following pages for conditions of this permit. 2 of 3
.9). 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
(older have p���ction from being taken. No more than one extension may be granted.
10) This application is s bject to uffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X
11) The use, handling and storage of hazardous m teria flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X �. s /"
12) 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
13) Proposed structure or any portion thereof greater than 30" in height from ade e,,rpust maintain a minimum of 5' setback from all property lines,
easements and 10'from all County and State Road right of ways. X 6' -
14) All upland areas disturbed or new] re d construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
15) WFI application for the Maggi-Flores-Sargent Water System must be current prior to temporary/final occupancy being given.
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 anytime 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.
OWNER OIL AGEN %' DATE: r -� 762/
BLD2001-01198 Please refer to the following pages for conditions of this permit. 3 of 3
1 CO► GRETE'` MECHANICAL MOBILE HOME
FoAngs-Setback date by Rrbbons
date by Gas Piping date
Foundation Walls date t UP '
date INSULATION date by ZYZ
BG/SLAB Insulation Fl Final
date by date s by date by
FRAMING Walls FIRE DEPT n
date by date by date by
PLUMBING Attic
Groundwork date by
dateby
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
n
c 'z
c 7 -/�-v Z���� "� L !'"�H �/:-✓/,1 c �+� mot' T/�, -
r
PERMIT NO.: BLD
MASON COUNTY
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 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION �,�.
Owner t P / / t4 v f Contractor Name AL $R{�.1 V�..�I�
Mailin Ad—dress .O. /f9l Mailing Address
City T �R. State W^ Zip Code City State Zip Code
Phone(:)&o 07S -4 Other Ph.(3&D )9'7' ' 70�O Ph.( Other Ph.0
Lien/Title Holder� Contractor Reg. # W S rw
Address Expiration
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_�Existing Septick ect to Sewer
System Name of Sewer System Well ( Water System Name of
Water System �� rP tt/a �/ wno iPQ�r� S
PARCEL INFORMATION-12 Igit Tax Parcel No. / .2/ / �! Fire District_
Legal Description � O�SGt�S /vW T G o 5 41 `
Site Address(Please include street nafne, street number a d city) r1 cvw rt'_ IQD
Directions to site v vt!� ,�,' Nc+J +11 o✓" r+t 1 0 P o
a rcidhaz M
Will timber be cut and sold in parcel preparation? (Yes/No)/
Is your p operty within 200' of the following: Body of Water(Name) fly SaltwateyC 144
Lake River/Creek f " Pond IX Wetland_Z Seasonal Runoff_—Stream Q! Slopes or f
Bluff
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work %
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 U _
S . -
MOBILE HOME INFORMATION-MakeFLeef*od Model S Model Year 1000
X Length Width -2K Serial No. SCE o. of Bedrooms No. of Bathrooms oZ.
Type of Heat Purch4se Price $ Replacem t Unit Uf
/No)
Installer Name Lam( N�/ r(- ertification No. 4,r Ed0A -
G Or
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOrbOMMENCED WITHIN 180 DAYS OR IF
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
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.
X��� Date X Date
FOR OFFICIAL USE BEYOND THIS POINT _ pp
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CQNDIT10N CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
i
Fire Marshal
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
Y
t..6CY
i Jp.rsrly�
� rAI
nerer-
hfz-�-� dam.
Ja
f
— ..�.�
i s
�w
i
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name'iZt N PARCEL NUMBERI.2 I -ol l 9ONO Date1/
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S. E, W in relation to the
site plan
Lot Dimensionsi Fences
Existing Structures, Driveways-
Structure Setbacks- Shorelines
Water Lines /
Topography/
Well Location (inclu Ing adjacent Drainage Play
Names of Streets Easements/ S
11 Names of Fronting Streets Septic SysterrY
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 1 0,G f et of adjacent property line.
adjacent roperty line-) I f 3 '� ' 1 E-adjacent property line
I � I
• I � 1 k
� 1 L aP
I
PAP w ti Yl Qt -Ave- okit % IP4,54-a
Ire !
I ZZ
adjacent property line —Turn ROJ7 E-adjacent property line
SAMPLE SITE PLAN
adja t property lined 3io- _ _ Fadjacent property line
1 v 30' FRZ% Rv&
SE./LSo.J AL_
\ � I HOME I .Gr1aGN CREEK � \ I
_ I �ousa
I j PRO Pme0 so-pt.C_
1
/SO
I I
VAGn./T I T CrARAa6 I %
I go t /i
I \ \ 7 A6RLCLLLTU-MAL 50
I IF-40�1 \ yp• I
I
I
I � I
I
80,
1 1
1 I L._,eLL
I I
I
I L e LL
adjacent property line-� Fad'acent ro ert' line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
O' SAMPLE TOPOGRAPHY PROFILE
3( sly dts+ar«. +o
1 ructt.�Y�
clista"ce- to
3 t sly s�ePm to¢
to �
. s
Signature Date
T 7�1• e , • a. , oil
_EETWQOD HOMES OF DAHO. INC. `"�'' '�'"'"° °` No.01619s
1 1 E CON•STGCK AV,-' rnaoeaea re�euve ro aocearanoe and a,e:eooucaae s.tety surwaid•.
0. BOX 1550 . Date Shipped Invoice Date . Brand Name Model No./Yea
IMPA.2 ID.^ TF_B •5`1 07/27/00 07/27/00 BROOKFIELD 4563M/200
2 466-24:�u.. ?rig i.lr,?-.E; F (FAY)
Serial Numbers Total Width Total Length Bedrooms Baths
i subsidiary of Fleetwood Enterprises, Inc. IDFLY04A2 r505-BF13 281 562 .
etailer FLEETWOOL' PETAIL CORP IDFLY04B27509-BF13
2150 WEST 1 STH STREET IDFLY04C2.T.509-BF13 Exterior Material
SUITE 700 H R iPANEL
HOUSTON. TY . 7;002-
71'i"1—??Cie i 71 C;:1:�?-22!i 1 i FAX F.O.B.Point Purchase Auth./Verbal/P.O.Number
NAMPA. ID � � 28S60
,i To F'E_-'.qCj r RE A _ C1=r= 9O A T 1OH OF WASH
G` at. t•�r'1 = � Inspection/Approved by
D H01MES
110 .W AXTON R.D PAT O'KIEF JOE HARTLEY STOCK
BEL LINGHAM. We . ?_'=2E.- X
E•u/' +8-Sc i2 +512371) Customer Name
THIS HOME CONTAINS INSULATION AS FOLLOWS:
Location Ceiling Wall Floor
III ] CASH ON DELIVERY"C.O.D" R-Value 28 19 22
Appraoc.Thkwms7 1/2 6 7 -
ianced byCONSECO FINANCE Appliance/Fumace Serial Numbers: =--:
ATTN: ACCOUNTS PAYABLE RANGE: MAYTAG A V D I C�
PO BOX 25570 REFER: MAYTAG
SANTA ANA CA. 92799-«70 W/H RHEEM
FURNACE: EVCON
oroval Number: 17403.'1 BLEND AIR: EVCON ;r.r
�',r OPr10N 0ESCFY°TiON: Vp IONVESCWTION`
:,5 1 ,Olympic Oak: Cabinet_ **
26 1 �Sgl lever kit. fauce' 45.00 6100 1 Factory paint ^275.80
T2 1 Porcelain deep kit sink 90.00 825 4 Vinyl Shutters. PR i 0.00
31 1 Upgrade Kitchen Tile 120.00 **+� FRONT DOOR SIDE
-5 1 19 cf re=rivvratcr 195.00� COLONIAL BLUE
:.4 1 "ishwasher 43,0.00 9826 1 Mist opt/change Exteri 7,445.00
i1 1 STD Electric Range OPTIONS: ? . ;
1 , 1 Misc ootichanoe - lamina - 2x6 WALLS R-19 - $650
** CouNTERS/TIL.E TO BE; - R-28 ROOF/R-22 FLOOR
KIT - MYSTIQI!E SHALE W/ - OPT 20' POD $6795
,'EARTHSTONE ASH TILE 076 S 6 panel wht Pass Drs,ea •_ 24001.
c i.BATH - MANTRA FORMICA 3082 1 Lit i 1 i t y Door - -Y �70. 0
W/ HEARTHSTONE ASH 211 1 In-swing rear door _430:00
BATH 2 - WOOD VIOLET 9822 2 Misc opt/change - Exteri '"-=400.00
TIL +�*** OPT. 30" QUARTER
i F: eezer recce w/shelr' SF.00 ROUND WINDOW IN POD
78 1 ' ET I) 40 gal =1ec w/ht * *
'C 1 ( Total Electric 9829 1 Misc opt/change - Interi 8135.00
:.1 1 Electric furnace **** INTERIOR FRENCH
r=a:!:'le fi-r w/licrt 145.00 DOORS TO STUDY ##**
** t' CENTER POP 3819 1 Misc apt/change - opt ro
FAMILY ROOM POD _--
_u Firm -eiI ng lights. ea 90.+?0 EL_C FURNACE EB27B
7_5i 1 Ceilirnc lights. ea. 30.00 9800 1 Misc option/chance
I **** STUDY **x* EXTERIOR ACCENT ARE"' &
81 AM/FM/Cassette Radic FRONT DOOR SIDE WINDOWS
**** SEE F•F,INT **** ONLY TO BE OCHRE DAWN 225 r
Sgl lever faucet ,e..ch� c_ .i;d 1 1 Hud fees & inspect- -)s ��- •0
Forcelai; -bath sink.ea. 60.00 2482 Advertising Assist-FRC 400.00
? 43" Shower Steil 2561 Association Due=_ 150.00
E• 1 Porcelain ba.t.`i sini,_es 30.00 2563 National Association r+!.te �14.00
P'T&T Round -_r-. 165.00 4612 Sales-Surcharaes .FF'C _00.00
,Sues' bdrm -s.• 2a- 450.00.
Exterior hose ;it i20.00
tick! E=
c:a:sr Tctb2 570,, C; PAYMENT DUE ON 02 E/0:
+f*>t* �.IT & 32 TH _ iE!t# # �isiFti�i#�F#*k �F*itt•
' TOTAL BASE PRICE
3rks: _=:�'. L�r��,': �_. -: _iiA�ii';_=.,= ', .
i P�: HL !N T A.1 r•p n I'I_ I
I)'OE
* r•T T�'E c•;�j[, =i I -_ ��[—`'j - TFjE F.;ET.;I LER TOTAL OPTION PRICE - - - -
i a
Trlic,-' HOME IS ,"J!O FOR
VA ?PJANCli:�. -�i L+ GL�Uc�TS 70F' TOTAL OMITS
7H r ..1.
-- _r_E ii:u` *Grit= JF 'HO SUBTOTAL
- - FREIGHT 6' ~