HomeMy WebLinkAboutBLD2023-01203 MFG Home - BLD Inspections - 10/4/2024 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY
� SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352
Buildw%Plaiiiting,Environment[HeaiULCommunityiaeahh ELMA:360-482-5269,EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY"
To schedule an inspection call or visit http:/twww.co.mason.wa.us/community-services/bid-inspection.php
Permit Number BLD2023-01203 Date Issued 11/29/2023 Issued By C f vow ors
Project NEW MFG HOME
Site Address 40 E Mountain PI
Applicant JEVEC JAMES E&PATRICIA H
Contractor SOUTH SHORE CONSTRUCTION
Contractor Phone 360-801-4432
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type MANUFACTURED HOME Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
"THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED."
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building Building Official: Community Services Designee
Department
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe /8— -Z j � Mechanical
Gas Piping 10.. _Z 'b6G._ Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building
Manufactured Setbacks Setup :� (�1
Home ,v
Concrete F6ot/Runners Final e —Z L
Other
- 31zzIxq, s.��,����
f
- ' MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
COMMUNITY DEVELOPMENT 360-482-5269 Elma ext.352
Building,Planning,Fire Marshal
615 W.Alder St.Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: aLD ZOZ3 -O 1Zo3
ADDRESS/LOCATION: L4 0 E �� D l GLra3c, tJ i tw
FINDINGS: S4j-,ho 41&, a,l �Lr
AIA^10,1 JQCA- 100 S;l.c -
U1P��gLh C %n L`Cra.✓.
Items listed above must be corrected to gain compliance.
WTHIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
Call for re-inspection when corrections are made before proceeding with any further work.
❑ Make corrections, items will be checked on the next inspection.
❑ OK to
Date: ZZ I-Z-q ❑ Please contact our office regarding possible
Department: T:5 L�0 structural damage incurred by recent
natural/man made"disasters.This is NOT a
Inspector: 5C� ,CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
W
/ A Ail- MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
COMMUNITY DEVELOPMENT 360-482-5269 Elma ext.352
Building,Planning,Fire Marshal
615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: ZOZ3 -60L
ADDRESS/LOCATION: Lz
FINDINGS•
1 r n IrYI e
r
-�
�
�c u
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
all for re-inspection when corrections are made before proceeding with any further work.
❑ Make corrections, items will be checked on the next inspection.
❑ OK to \
Date: �- `'�"I ❑ Please contact our office regarding possible
Department:ad 6-)z structural damage incurred by recent
Inspector: !�Ir "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC 14.12
&VV-V'WOteC'k Eo'9'LwMenV"e)' PLLCC
ceotechvacal- &vkV rovwvCvLb2L-DrRi%v Cloe °R.oAdwad
April 26,2024
South Shore Construction
PO Box 963
Belfair,Washington 98528
RE: Fill Assessment and Certification for Manufactured Home
40 E Mountain Place,Shelton,Washington
Dear Mr.Moore,
Envirotech Engineering, PLLC (Envirotech) previously completed a foundation subgrade assessment for
the referenced property at the exposed southwest comer of the recently placed home. This letter is to
certify the completion of the project is acceptable with relation to our recommendations.
Envirotech certifies that the compacted fill material we previously accepted has been adequately confined
in order to prevent the potential for movement.
Please contact Michael Staten at 360-275-9374 if you have any questions or require additional
information.
Sincerely,
Envirotech Engineering
CLYDE
,r
430
�{;> x
Ois �GJSTkR`"
�rStU,NAL r `T 4/26/24
Michael Staten,P.E.
Project Director
po Sox984
SelfA%r, washiwgtow98528
D f f. 360-2�5�3�4
evevi.rotech@geotechvi.icali.v�,fo.covu.
G-IAVv,roteoh evi,g%v+.ee►%t,vug, T>LLC
CreoteaHVt cal.' 6vtvCrov mevital'Dra%vi.age°Roadway
April 13,2024
South Shore Construction
PO Box 963
Belfair,Washington 98528
RE: Fill Assessment for Manufactured Home
40 E Mountain Place,Shelton,Washington
Dear Mr.Moore,
Envirotech Engineering, PLLC (Envirotech) has completed this foundation subgrade assessment for the
referenced property at the exposed southwest corner of the recently placed home.Envirotech completed a
site visit on April 11,2024 to inspect the foundation subgrade fill soils.
The fill soils were crushed rock quart'of over 2-inch diameter in size.It is concluded that the existing fill
soils as inspected during the site visit exceeded an equivalent of 95%relative density with relation to the
standard Proctor, and is a suitable bearing strata for a typical residential structure. Furthermore, the
bearing capacity of the areas we tested is 1500 psf.
Si , s e _ at co4NJJ1WIacAPNvitKJJJNJkanical vibration
directly beneath the existing concrete slab all exposed quarry. In addition, soil backfill should
nt to
Envirotech appreciates the opportunity to be of assistance on this project. We anticipate that this
foundation assessment meets your expectations. Please contact Michael Staten at 360-275-9374 if you
have any questions or require additional information.
Sincerely,
Envirotech Engineering
AtiL CLYQ,F ST
,a
r• y
r q 43045
rS�Cj 'At 4/13/24
Michael Staten,P.E.
Project Director
PO gox92.4
ge�faCr, washw�.gtovL98528
D f f. 360-2�5-93�4
ewvirotech@geotechwicaliw fo.cow�.
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2023-01203 MANUFACTURED HOME
PROJECT DESCRIPTION: NEW MFG HOME ISSUED: 11/29/2023
SITE ADDRESS: 40 E MOUNTAIN PL GRAPEVIEW
EXPIRES: 05/27/2024
PARCEL: 121185000034
APPLICANT: JEVEC JAMES E&PATRICIA H OWNER: JEVEC JAMES E&PATRICIA H
4202 JESSICA LN 4202 JESSICA LN
CARROLLTON,TX 75010 CARROLLTON,TX 75010
469-348-4052
GENERAL CONTRACTOR'S LICENSE: SOUTH SHORE CONSTRUCTION License: SOUTHSCO16NL
PO BOX 963 Expires: 02/10/2024
BELFAIR,WA 98528
360-801-4432
FEES: Paid Due
Technology Surcharge $11.00 $0.00
Planning Review Fee $240.00 $0.00
Modular/Manufactured Home $275.00 $0.00
Fee- 1 st half collected at
submittal
Modular/Manufactured Home $275.00 $0.00
Fee-2nd half collected at ready
to issue
Building Plan Review/Change of $130.00 $0.00
Use-Onsite Sewage
State Fee-Residential $6.50 $0.00
Totals : $937.50 $0.00
REQUIRED INSPECTIONS
Setback Inspection Connection has been verified by Health or Utilities
Footing Inspection BLD-Final Inspection
Set-Up Inspection
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 1 of 5
f ,
Mason County
li
Mason County - Division of Community Development
615 W. Alder St.
Building 8
p
Shelton, WA 98584
360427-9670 ext 352
www.masoncountywa.gov
MANUFACTURED HOME BLD2023-01203
CONDITIONS
* When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation, at(206)357-2620, ext. 630.
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
* Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly
corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of
pressure treated material.
* A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit
application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the
responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that
Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement
of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel
Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the
development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other,
parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater
management system have been installed as approved on the stormwater site plan. 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.
* 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
contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County
access to the above described property and structure(s)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 OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
* All RED stamped 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.
* All building permits shall have a final inspection performed and approved by 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 ordinances and building regulations.
* The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility
of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked
"APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is
responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 2 of 5
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncoun"a.gov
MANUFACTURED HOME BLD2023-01203
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* The stamped 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, 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.
* The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade
in undisturbed soils.
* 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
contact the Mason County Public Works Department prior to construction at Ext 450
* This permit is for the placement and installation of the manufactured home only and does not imply approval or review for
any other items indicated on the plot plan.
* 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 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 feet 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 installed. Certification number and
signature of the certified installer responsible for each major part of the installation. WAC365-210
* REQUIRED INSPECTIONS (Footing Inspection-prior to pour(set-up manual must be on-site), 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 current fees adopted by
the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable
practices or problems that have been discovered. Until resolution of any/all problems no occupancy(Final Inspection)will be
granted for the residence.
OWNER/CONTRACTOR(indicate which)
* 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 (NCSBCS/ANSI A225.1).
* 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.
* 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 and 14.17.
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 3 of 5
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
MANUFACTURED HOME BLD2023-01203
* Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather,
garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of
3000 psi (IRC Table R402.2).
* 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.
* Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate
building permit and approval prior to construction of the retaining wall.
* 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.
* CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND THE ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All
construction must be in conformance with the international 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.
* All property lines shall be clearly identified at the time of foundation inspection.
* 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. Support configuration shall be clearly marked in the installation instructions.
* When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. 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.
For more information contact Public Works, at(360)427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building
permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled
and approved.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* Setbacks are measured from the furthest projection of the structure.
* On-site Septic System final installation approval required prior to temporary/final occupancy of the residence.
* Applicant/Owner assumes all responsibility if On-site Sewage Components are 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/ Perimeter Drains within 30ft, down gradient of Drainfield/ Reserve area.
D.) No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area.
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 4 of 5
Mason County
Mason County - Division of Community Development
615 W.Alder St.
"C Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
MANUFACTURED HOME BLD2023-01203
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By:
Contracto or Authorized Agent: Date:
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 5 of 5
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
BLD2023-01203 MANUFACTURED HOME
PROJECT DESCRIPTION: NEW MFG HOME ISSUED: 11/29/2023
SITE ADDRESS: 40 E MOUNTAIN PL GRAPEVIEW
EXPIRES: 05/27/2024
PARCEL: 121185000034
APPLICANT: JEVEC JAMES E&PATRICIA H OWNER: JEVEC JAMES E&PATRICIA H
4202 JESSICA LN 4202 JESSICA LN
CARROLLTON,TX 75010 CARROLLTON, TX 75010
469-348-4052
GENERAL CONTRACTOR'S LICENSE: SOUTH SHORE CONSTRUCTION License: SOUTHSCO16NL
PO BOX 963 Expires: 02/10/2024
BELFAIR,WA 98528
360-801-4432
FEES: Paid Due
Technology Surcharge $11.00 $0.00
Planning Review Fee $240.00 $0.00
Modular/Manufactured Home $275.00 $0.00
Fee- 1 st half collected at
submittal
Modular/Manufactured Home $275.00 $0.00
Fee-2nd half collected at ready
to issue
Building Plan Review/Change of $130.00 $0.00
Use-Onsite Sewage
State Fee-Residential $6.50 $0.00
Totals : $937.50 $0.00
REQUIRED INSPECTIONS
Setback Inspection Connection has been verified by Health or Utilities
Footing Inspection BLD-Final Inspection
Set-Up Inspection
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 1 of 5
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
MANUFACTURED HOME BLD2023-01203
CONDITIONS
* When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation, at(206)357-2620, ext. 630.
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
* Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly
corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of
pressure treated material.
* A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit
application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the
responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that
Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement
of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel
Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the
development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other,
parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater
management system have been installed as approved on the stormwater site plan. 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.
* 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
contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County
access to the above described property and structure(s)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 OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
* All RED stamped 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.
* All building permits shall have a final inspection performed and approved by 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 ordinances and building regulations.
* The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility
of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked
"APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is
responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 2 of 5
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
MANUFACTURED HOME BLD2023-01203
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* The stamped 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, 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.
* The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade
in undisturbed soils.
* 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
contact the Mason County Public Works Department prior to construction at Ext 450
* This permit is for the placement and installation of the manufactured home only and does not imply approval or review for
any other items indicated on the plot plan.
* 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 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 feet 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 installed. Certification number and
signature of the certified installer responsible for each major part of the installation. WAC365-210
* REQUIRED INSPECTIONS (Footing Inspection-prior to pour(set-up manual must be on-site), 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 current fees adopted by
the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable
practices or problems that have been discovered. Until resolution of any/all problems no occupancy(Final Inspection)will be
granted for the residence.
OWN ER/CONTRACTOR(indicate which)
* 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 (NCSBCS/ANSI A225.1).
* 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.
* 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 and 14.17.
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Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
MANUFACTURED HOME BLD2023-01203
* Concrete used for basement walls,foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather,
garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of
3000 psi (IRC Table R402.2).
* 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.
* Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate
building permit and approval prior to construction of the retaining wall.
* 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.
* CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND THE ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All
construction must be in conformance with the international 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.
* All property lines shall be clearly identified at the time of foundation inspection.
* 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. Support configuration shall be clearly marked in the installation instructions.
* When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. 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.
For more information contact Public Works, at(360)427-9670, ext.450 or 100 W Public Works Dr. Shelton. The building
permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled
and approved.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* Setbacks are measured from the furthest projection of the structure.
* On-site Septic System final installation approval required prior to temporary/final occupancy of the residence.
* Applicant/Owner assumes all responsibility if On-site Sewage Components are 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/Perimeter Drains within 30ft, down gradient of Drainfield/ Reserve area.
D.) No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/ Reserve area.
Printed by:Cassidy Perkins on:11/29/2023 11:44 AM
Page 4 of 5
Mason County
Mason County - Division of Community Development
615 W.Alder St.
QN Ct? Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
MANUFACTURED HOME BLD2023-01203
hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By: � 1
v
Contractor or Authorized Agent: `SS UV9 \4I h Date: .2A • 2-3
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