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BLD2004-01905 Final Replace Mobile Home - BLD Permit / Conditions - 1/20/2006
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 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2004-01905 OWNER: KIM CHRISTIAN RECEIVED: 12/17/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 8/1/2005 SITE ADDRESS: 71 NE ANCHOR DR BELFAIR EXPIRES: 2/1/2006 PARCEL NUMBER: 123305000057 LEGAL DESCRIPTION: BEARDS COVE DIV 3 TR 57 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPLACEMENT MH HWY 3 TO BELFAIR LEFT AT SAFEWAY TO HWY 300, GO W 9/10 MILES TO SAND HILL RD, GO 2/10 TURN LEFT ON ANCHOR DR, 3RD DRIVEWAY ON LEFT General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: VB Type of Use: MH Insp. Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: 14 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make:CHAMPION Length: 46 Ft. Front: N 42.0 Ft. Shoreline: Ft. Water Body: Rear: S 20.0 Ft. Slope: Ft. SEPA?: Unkn Model:5443R Width: 24 Ft. Side 1: W 25.0 Ft. Shoreline Desig.: bWOApplicable Year:2005 Serial No.: Side 2: E 20.0 Ft. I Comp. Plan Desig.: Rural Plumbing Fixtures FEES Mechanical Fixtures Type Qty. Type Uty. Me By Date Amount Receipt Mobile Home Submittal Fee KS 12/17/200 $214.50 S12004 Planning Review Fee KS 12/17/200 $155.00 S12004 Building State Fee ARC 12/20/200 $4.50 S12005 Mobile Home Issuance Fee ARC 12/20/200 $214.50 S12005 EH Plan Review CEW 12/28/200 $75.00 S12005 Total $663.50 BLD2004-01905 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2004-01905 CONDITIONS FOR BLD2004-01905 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 1-8007-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 ounty ordinances and building regulations. X lam, 3) 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 Departme�i .prior to any further inspections being performed or approvals granted. X �� 4) In accordance with international codes 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 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 international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. J� . X / 5) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the 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 appr d documents will result in failure of required building inspections. X 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 ranted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Departme for to any further inspections being performed or approvals granted. X BLD2004-01905 Please referto the following pages for conditions of this permit. 2 of 4 1 7) 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 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 installedf�certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X W. -- 1 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. 9) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. ccupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X 10) 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 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. I further understand that this investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy(Final Inspection)will be granted for the residence. OWNER/CONTRACTOR(indicate which)Signature X 11) This permit is for the place 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 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 le—, 1 13) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinanc,,e,or regulation, must be reviewed and approved by Mason County prior to construction. X BLD2004-01905 Please referto the following pages for conditions of this permit. 3 of 4 14) '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 Inspect? hall be made prior to requesting additional inspections. X 15) 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. 16) All property lines shall be clearly identified at the time of foundation inspection. X 17) 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 ord I ces and building regulations. X 18) 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 prevente ction from being taken. No more than one extension may be granted. X 19) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and f hing. Install metal connectors approved for contact with the new types of pressure treated material. 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 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 above described property, structure or review and inspection. r OWNER OR AGENT: f DATE: c7 BLD2004-01905 Please referto the following pages for conditions of this permit. 4 of 4 W _ o CONCRETE MECHANICAL MANUFACTURED HOME Fodings 1 Setbacks Date By Ribbons 0 Date By Gass Piping Date By co can Foundation Wails Cate By Setup Date By INSULATION Date Z,) -By BG 1 Slob Insulation Floors FINAL INSPECTION Date By Date By Date 01 1 Zp ke By FRAMING wants FIRE DEPARTMENT Date By Data 8y Date ay PLUMBING Attic OTHER Date By Groundwork Date By WALLBOARD NAILING Date By D.w.v Date By Water Ling, FINAL INSPECTION Dato By I Date .6G 20 O By Date By m s Type of Insp. Pass/Fail Request Date Inspect. gate Done By Comments CD 0 sT —cam bL 0o c� r = v 8 aRCS CD Cn Cn o Zn ?(,o o z Zn 3 �t4- zu s 5 u� s vF 5 E tom. s sq r. Washington Home Center, Inc. Floor Plan Silvercrest Discovery 5443R- Champion Catalog 44'-0" Ln zUJ 8 � EHTRY � U �x �• - c ' 9IE[4[5 = LU O rt u i= OM LINEN FCn' REFER a TU ILITY �_�_ CLOSET J� :.; a ' i VI {. J 6E0_ R001�#2 i 1,:g; . , oar utro rue 4 z o 9-5' xa-7' BATH_ 12 44KITCHEN cr oP L W p �, f � P Q BATH Z �. C. a. DINING AREA 4A . . w�lK-IN 3 E Ix ,..J - -- ---------- D m LIVING ROO MASTER BEDROOM 9-$7x8'-1" La irttl a l '6J SILVERCREST DISCOVERY 5443R m W Z W Q 18EDR0OMS, 2 BATHS A m 73'-4"x44'-O" APPROX. 1026 SO. rT. 0_ S N CM DfH0NS ARE APPOIµTE AD SUBJECT 10 Va.i}sw�' CD z � C/) Q Q ul 7 v J Cl- 'r- u1 ZO u S Specifications subject to change. (c)1996 sonsen,Inc. Dec/l 7/2004 Charles McCoy III - Planting Plan Page MASON COUNTY Shelton (360) 427-9670 DEPARTMENT OF COMMUNITY DEVELOPMENT Be|toir (380) 275-4467 Planni pnw.medo Bnl Robert A" avy�mi|» a (360) 482-5269 '~~~`'' ��uo~ �ohunkm Pm.o.P — ~~��oonnaoonvva� � .ua> J2 �2* : Planting Plan Mr. McCoy, Attached is o rough draft ofour planting plan. | have already started the planting boa small degree. | have started the bank planting with sword ferns, and along the outside mf the eastern fence line w/dwarf Alberta spruce. | have some photos cf the general area and will give you some of those later. ««p|antp|an.pdf>» Robert Christian Supply Technician AsstDMLSSAdministrator Phone: 380-475-4458 tax: 360-475'4355 � � � � � Charles McCoy III - plantplan.pdf Page 1 • MASON COUNTY Shelton (360) 427-9670 DEPARTMENT OF COMMUNITY DEVELOPMENT Belfair (360) 275-4467 Planning !�' Elma (360) 482-5269 Mason County Bldg. 1 411 N.5th P.O.Box 279 Shelton, WA 98584 FT . V) 1.:47 rn x c� ?a z H} 0 -AC 2WA s Q t r '� f C7 S�lnpc�2nd 4r`GA � ��2b' cc�►��n�r«l 7�v 3 Taft--" 5� N • 100 1 1n'� �1e O"•' TAB 1 Jr qq (f TO pres{L . fibs P �6 ON' t23 �1 !J• � A►-�c.h�r fir. pN'STA MASON COUNTY o Py A o N DEPARTMENT OF COMMUNITY DEVELOPMENT o N z Planning Division 7 N y ti P O Box 279, Shelton, WA 98584 (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION December 28, 2004 KIM I CHRISTIAN 71 NE ANCHOR DR BELFAIR WA 98528 Parcel No.: 123305000057 Project Description: REPLACEMENT MH Dear Applicant: You have submitted a permit application (case no. BLD2004-01905) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 577 if you have questions. Si C y Land Use Planner Mason County Planning Department 12/28/2004 Page 1 of 2 BLD2004-01905 NOTIFICATION OF INCOMPLETE APPLICATION 12/28/2004 Case No.: BLD2004-01905 Comments: A preliminary field and office review of the application to replace an existing park model with a new manufactured home was conducted on 12/23/04. The existing home is approximately 50'-75' from a perrenial stream. The Mason County Resource Ordinance requires setbacks from streams. The minimum setback from a Type IV stream for new construction is 115', which consists of a 100' vegetative buffer + a 15' building setback. Existing construction and footprints are grandfathered. The Resource Ordinance also has provisions for small expansions within the buffer. One may expand the existing footprint +10%. Footprint is considered all area of the structure of be expanded that is under roof. Another option for expansion of a nonconforming structure is where existing footprints are combined. This typically occurs when an applicant removes other buildings in the buffer such that the total footprint of the new structure is equal to the footprint of structures removed. The 10% provision does not apply to this option. If the proposal cannot meet the setback requirement, it would require a variance from the Resource Ordinance. A Habitat Management Plan (HMP), prepared by a qualified biologist, would be required to support the variance request. The HMP addresses impacts to the buffer and offers measures to preserve and protect the buffer or mitigate impacts. A copy of the Fish and Wildlife Habitat Conservation Areas chapter is enclosed. It includes details on the contents of an HMP. Application for a variance does not guarantee approval. The proposal must meet specific criteria listed in the Resource Ordinance. Please contact me at your earliest convienence so that we may discuss these options. 12/28/2004 Page 2 of 2 BLD2004-01905 RETURN ADDRESS Land Title Escrow 30 NE Romance Hill Rd #103/P.O. Box 1920 Belfair, WA 98528 Order No.: 15 1 1),0 L47J�'] STA7r'OF WA,SHINGTON MANUFACTURED HOME nmo•�m � MTITLE ELIMINATION icEnsinc APPLICATION 0TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact Is guilty ®REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,imprisonment,or both.(RCW 46.12.210) MANUFACTURED HOME PO/PLATE NUMBER YEAR MAKE LENGTHM/IDTN(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) 2006 Silvercrest 24 X 44 118031076AB-000-H LAND REAL DESCRIPTION ON PAGE REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE ja AFFIXED ® REMOVED 12330 50 00057 LOT f�y BLD PLAT NAME OR SECTIOWTO IP/RANGE QUARTER/WARTER SECTION Fel GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS DOL CUSTOMER ACCOUNT NUMBER NAME OF REGISTERED OWNER Robert A. Christian DOL CUSTOMER ACCOUNT NUMBER NAME OF ADDITIONAL REGISTERED OWNER Kim I. Christian CITY STATE ZIP CODE ADDRESS 71 NE Anchor Drive, Belfair, WA 98528 DOL CUSTOMER ACCOUNT NUMBER NAME OF LEGAL OWNER Ward Lending Group, LLC NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER G ADDRESS CITY STATE ZIP CODE 2950 Limited Lane NW, Olympia, WA 98502 GRANTEE NAME 1 DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I I WE AM/ARE T11 HE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Tide,IF APPLICABLE Fnn' naI Registered Owner and Title,IF APPLICABLE �R�yQ / P NOTARIZATION/CERTIFICATION FOR REGISTERED OWNERS)SIGNATURE L"� Si ned or attested /I�•• t iiir� State of WCountytof 1/yya ���� g before me on ' Ll —©Ca i �' I Robert A. Christian signature• + � byPRINT NAME OF REGISTERED OWNER NOTARY OR AGENT 0 v OPut Q' Z= Kim I. Christian I i ��L'Q ��' ��1j11110�;\\�` PRINT NAME OF REGISTERED OWNERPRINTED NAME OF NOTARY County/Office No.ORTATE OF �� Tide ��� t AND: DealerNo.OR ��� DEALERSHIP POSITION/A NT/NOTARYNotary Expiration Cete LE COMPANY CERTIFICATION that the legal description of the land and ownership is true and correct per the real property records. NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER DATE SIGNATURE/POSITION Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. BUILDING PERMIT OFFICE CERTIFICATION I Certify that: the manufactured home has been affixed to the real property as described. .�.(((TTTYYY a building permit has been issued for this purpose and the attachment will be inspected upon completion. NO,M pED OR PRINTE _BLDG PERMIT OFFICE/PFiONE M B PERMIT M G /POSITION DATE TD42o-7 MAN APPL(Ra02)O PageIof2 i 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 CONTRACTOR INFORMATION Owner IC Company Name QwN4.4- Mailing Address "71 Axar_ &, ar• Mailing Address. City Q�l .� State LsA Zip Code 17YKI--k' City State Zip Code Phone369 -21a- 1044 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Exis ing Septic RJOAAAkt gee j Connect to Water System V"' Name of Water System NAAS Qe c 4iwk . Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. ALI - tj -Gvd 5 Fire District Legal Description 2 Site Address (Please include street name, street number and city) f Directions to site l',"5 3 r, A.lg i. - -r.0 I.AX4 A.r SAC&Wj&, -Fv 6.W.20o 9ZIQ 1., -CAWJ Will timber be cut and sold in parcel preparation?Yes/ o Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream w Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE CZ SEASONAL ❑ 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 Detached MANUFACTURED HOME INFORMATION - Make s., Model c.�c+ +'.? Year-2- Length - L Width—Serial No. Te O No.of Bedrooms.._ o.of Bathrooms - Type of Heat is=Lecx- Purchase Price$ ��, u �- Replacement Unit? es No Installer Name Certification 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 permission from all the necessary parties.If permission is required from any easement holder or any other party 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. PROOF JC O!f�ITIIN�A ION OFVrRK I�S�BY MEANS OF A PROGRESS INSPECTION. ,f 1 Date: Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Ac d by: Date DEPARTMENTAL REVIEW APPROVED DENIED N TES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal `7 FEES Building Permit Fee f 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 e!!O C�� Pre-Paid at Submittal 3(9 .450 Valuation $ TOTAL FEES