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Home My WebLink AboutBLD2003-00734 Final MFG Home - BLD Permit / Conditions - 10/30/2003 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 IP, Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2003-00734 OWNER: JACQUEUNE MAIN RECEIVED: 6/5/2003 CONTRACTOR: LICENSE: EXP: ISSUED: 6/27/2003 SITE ADDRESS: 20 NE PEG LEG CT BELFAIR EXPIRES: 3/2/2004 PARCEL NUMBER: 123305100025 LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 25 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Manufactured Home North Shore Rd. to Sand Hill. Turn right to NE Larson Blvd. left to N.E. Schooner Loop Rd. Corner of Schooner Loop and Peg Leg. 51 Schooner Loop. General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: MH Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: 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:Golden We; Length: 66 Ft. Front: S 93.0 Ft. Shoreline: Ft. Water Body: Rear: N .0 Ft. Slope: Ft. SEPA?: No 11 Model:OK66001 M Width: 14 Ft. Side 1: E 11.0 Ft. Shoreline Desig.: Not Applicable Year:1998 Serial No.: GWOR23N2 Side 2: W 9.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Modular Home Submittal Fee KKK 6/5/2003 $211.05 B12003 Planning Review Fee KKK 6/5/2003 $150.00 B12003 Building State Fee LDK 6/12/2003 $4.50 S12003 Mobile Home Issuance Fee LDK 6/12/2003 $211.05 S12003 EH Plan Review CEW 6/18/2003 $75.00 S12003 Planning Dept. Permit Revision JRN 9/11/2003 $50.00 B12003 Total $701.60 BLD2003-00734 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR B LD2003-00734 CONDITIONS FOR B LD2003-00734 1) Proper erosion and sediment control practices must be used on the construction site and adjacent areas to prevent upland sediments from entering shoreline waters. Erosion control measures must be in place prior to any clearing, grading, or construction. These control measures must be effective to prevent soil from being carried into surface water by stormwater runoff. Sand, silt, and soil will damage aquatic habitat and are considered pollutants. Any discharge of sediment-laden runoff or other pollutapollutants to waters of the state is in violation of Chapter 90.48 RCW, Water Pollution Control, and WAC 173-201A, Water Quality Standards for Surface Waters of the State of Washington, and is subject to enforcement action. Any work in or adjacent to waterways that will adversely affect water quality must receive specific prior authorization from the Department of Ecology pursuant to WAC 173-201A-110. A short-term water quality standards modification may be issued if the proponent agrees to a number of specific construction practices and techniques designed to minimize water quality impacts. All areas disturbed or newly created by construction activities must be revegetated using bioeT ingerriin`g techniques, clean durable riprap, or some other equivalent type of protection against erosion when other measures are not practical. 2) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X ], t 3) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X '�) 4) Approved per dimensions and setbacks on submitted site plan. 5) 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 contractor fail to post the address on site prior to requesting inspections. X 6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X D4_ 7) 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 Building Department prior to any further inspections being performed or approvals granted. X 'n 14- --- BLD2003-00734 Please refer to the following pages for conditions of this permit. 2 of 4 8) 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 x 1 9) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X V'\-, 10) The use, handling and storage of hazardQuuss materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X %D��'11 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 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 any/all problems no occupancy (Final Inspection) will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 12) This permit is being issued to the applicant to allow the moving of this mobile home onto his/her private property to perform the necessary corrections to this unit to bring it into compliance with HUD Standards, and get the unit recertified by the State of Washington Department of Labor and Industries. This unit is not to be occupied. No utilities are to be connected. No permanent set up is to begin. This permit is valid for sixty (60)days only. No extensions will be granted. Any violation of the conditions of this permit or the denial of a permanent installation permit will result in the determination that the unit mu t be removed from the property at the expense of the owner. 13) 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. X 14) 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 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. X 'D�q-vim 15) 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 T—) 16) All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X BLD2003-00734 Please refer to the following pages for conditions of this permit. 3 of 4 , I 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) Owner/applicant must obtain a seper*epermit for the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to the placement of the tank. X —�/� 19) All property lines shall be clearly identified at the time of foundation inspection. Xv� 20) 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 ordinances and building regulations. X T>"A 21) 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 per . holder have prevented action from being taken. No more than one extension may be granted. X �4�u 22) Proposed s ucture(s) must maintain a minimum of a 5' setback from all property lines, easements and 25' from all County and State Road right of ways. X �Vk 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. OWNER OR AGENT: DATE: BLD2003-00734 Please refer to the following pages for conditions of this permit. 4 of 4 CONCRETE MECHANICAL MANUFACTURED HOME 0 G' Footings / Setb cks Date By Ribbons 0 Date By V`j Gas Piping Date By w Founds on wans Date By Set-up Date By INSULATION Date 3 BYR. B G I Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date v_ PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date &9 B v Date By Date By cn T d�2 � 'S�IZII� /t�/N ser kp tG� raj o 0 0 3 - OF, LOS 14Y - G .. 0 m sms4ac.ae cge4i P, gag� OO LS I FD 8 Z ss - r O w � J � w � o Request To Revise An Approved Plan Permit Number: BLD200 - 0 07 3 Name �n h t"S %� Parcel Number I Z.33 d 2 Phone Number daytime �) Project Address Ej I Sch0o rIPY Mailing Address Please provide a complete, detailed description of the proposed revisions to the approved plans: nin KJ Are two sets of the revised plans or addendum indicating the changes included? M 1<es ❑ No Are the approved site plans included? 0`�es ❑ No Are the revisions clearly and accurately identified on the plans or addendum? aeles ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? El Yes M No If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? nYes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included with this request? P hi�'es ❑ No Additional Information: Applicant's signature Date:__�_/ Office Use Only Received by: Forward to departruents indicated below: ADDroval/Date 5t C9�$ui g Q/((/o3 riginal Valuation: $ Additional Valuation: $ 1 Planning h /►� Sq.Ft. x$ $ Sq.Ft. x$ $ nvironmental Health Total New Valuation $ ❑ Public Works Additional Fees: Additional Planning Dept. $ 5t)_O'O New Setbacks: Front / Rear / Additional Plan Review $ Additional Building Permit $ Side1 / Side2 / Additional Plumbing $ Additional Mechanical $ Additional Conditions/Comments: Additional E.H. Dept. $ 3�S Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ Tcch infuai Revised SRG 7/2003 MANUFACTURED/MOBILE HOME Department of Labor&Industries ALTERATION PERMIT Factory Assembled Structures Section 5 �� Permit# INSTRUCTIONS: Do not -- complete Invoice# y� 1. Complete all spaces,In the signature box(marked with an X)• shaded t„ 2. Draw a map on reverse side of WHITE copy only ___ 3. Forward completed permit and fees to the nearest L&I office. See list on reverse. areas Insignia# the checklist. 4. Contact and schedule the inspection(s)with the same L&I office per _ first name Day time phone Date z Owner Mlut name �,�f N Iv j %(ic) 7 1 V — z 9 d cl S /'/ �J ..... ......... 7 ••••••• Sure Z� ...Addresr........... �S z stration number PPhoneContractor s regi Install erPContracxor/Deder ( ) ........ ........................... .................................................................... ......State..........ZIP+4 ........................ .................................................... City I,vAddress _ Serial Numbers) ,HUD Number(s) 4tCttt�—r1�gv�Laf.4�4Si5 j Place fee amount In proper box Pla fee amount in proper box Mechanical Electrical Heat Pump Heat pump Air Conditioner F'=tivtty ;D �00-.3 J YJ Air Conditioning �jt� �l 015955 I Furnace Installation(gas or electric) Furnace Installation iLl V tt mblfjl�53 Gas Piping P;EEEI Wood Stove(if app0� .Wood Stove---- Pellet Stove(if applf,�m �y ; S80.00 Pellet Stove ---- Gas Room Heater Gas Room Heater Gas Decorative Appliance(if applicable) Gas Decorative Appliance Range: changing from gas to electric Range:changing from electric to gas Electric Water Heater replacement I Gas Water Heater replacement Electric Water Heater replacing Gas Water Heater Water Heater:changing from electric to gas Each added or modified circuit Plumbing %& Hot Tub or Spa(power from home electrical panel) Fire sprinkler system (also requires a plan review) Replace main electrical panel Each added fixture Low Voltage Fire/Intrusion Alarm Replacement of water piping system Fire Safety 'E Structural Inspection as part of a mechanical installation (cut truss/floor joist,sheet rocking) Miscellaneous [�AReroofs(may require a plan review) Plan review Joriginal Permit Changes to home when additions bear loads on home per Reinspection-=- - No. , the design of a professional(also requires a plan review) Insignia Other structural changes(may require'a plan ieview) Other Fire Safety �A Note: This permit,iexpires one year after date of purchase. (Non-refundable) , Work is completed at this time. An inspection is requested. Work is NOT completed at this time,I will call when ready. Make check payable to: Dept.of Labor&Industries Sigre o�applicant or authorized representative if FEES DUE $ F W testor , rues#•denied beeatl �6f:specific violations of Washington rules and regulations. :.5t 13i corrected and retnspection requested wif#tin 20 days of the notice of violation date Failure to comply penalties per chapter 43.22 RCW. All violations noted are shown on an "Alteration/Factory Permit _ _C�inlrtu�iton Form". Included are forms required which must beet»npletrd and fees submitted before rcinslx ction. +» T — 7 0 to es Area f Inspecto r L <, _ ------- F622 036 000 mfRd/rnohilc kwmc alteration permit 11-01 White-Olympia Canary-Inspector Green-Contractor Pink-Purchaser<Golden od-Purchase Zip, ��►xh wo�an39 a'i�.Sfi� Xue r+-a-7 m i SM�n�rv�Q 3 1"y3 HJ__L�// ,, ►� ,Z worms -a-ldj Q � oz Q -03-LndV4 J.;;)� I 'Ie`rM r vj �GQ�� r FILE COPY APPROVED MASON BUILDING INSPECTOR CHANGES SUBJECT TO APPROVAL DATE 44 Documents attached to approved plans: Site Plan %/5-S _ Plan review checklist: -3- Pages Engineering: Y N Lateral Vertical Number of pages i No. � ?7 MASON COUNTY TAX CERTIFICATE FOR MOBILE HOME MOVEMENT (AS REQUIRED BY RCW 46.44.170) THIS FORM MUST BE CERTIFIED BY THE COUNTY TREASURER AND ATTACHED TO A MOBILE HOME MOVEMENT PERMIT ISSUED BY THE STATE HIGHWAY COMMISSION OR LOCAL A UTHORITIES BEFORE THAT PERMIT IS VALID. PLEASE FILL OUT COMPLETELY INCOMPLETE CERTIFICATES WILL NOT BE ACCEPTED PLEASE PRINT OR TYPE URRENT TA AYER NEW OWNER IF SALE OR TRANSFER Name: &1CJl�t( - , '1trof / /r1�<.1 Name: j�t 'o�y T Address: Address: City/State: !j', 17 -11W Zip %s 2- City/State: Zip MOVER'SNAME: Address:Ll?0/ 'kf / '41 w Phone: %� " .5�7 _ ,mot Z�' DOT#:��U`(2�f S jv c� Y UTC#: « S' S 9 DESCRIPT ON OF MOBILE HOME: Make: Year l I�g 3 Size *x I y Serial No.�" S 5 7 S-Ft $ Personal Property Parcel No.: •.yCj"' MOVEMENT INFORMATION: TAXES MUST BE CURRENT ADVANCE TAX REQUIRED Within County ❑Out of State ❑Out of County ❑Tribal Land ❑Storage ❑To Dealers Lot ❑To Be Destroyed ❑Repossession ❑Trade-In CURRENT LOCATION: Address: `� - ��' Ss£ fJ f-lt'A rR 1",4 ��'>Z /°Y/A S pl-t R��,,aal Prop rty arcel No.: City/State/Zip County DESTINATION- Address Jl �• • car ue,�r Uv C_ F,�l/r� lt'4� F9 S-'>S /YrASoAl Parcel No.: City/State/Zip County OWNER/AGENT CERTIFICATION TREASURER'S TAX CERTIFICATION I hereby certify that the information contained in the foregoing I hereby certify that all past and current taxes due Mason County have been certificate is true and correct to the best of my knowledge and belief. paid in full. ELISABETH(LISA)FRAZIER,MASON COUNTY REASURER U3/ Taxes forAOCX-3 have also been paid iinlftxl . $ •��} Date Signature of Owner or Agent Advance Tax for have also been paid$ Print Name Df _ -� --- ` By• Deputy Phone Number 3L - 2 75 - 97P 6,77 Dat . 3 WHITE—TREASURER CANARY—APPLICANT PINK—ASSESSOR CURRENT LOCATION GOLDENROD—ASSESSOR NEW LOCATION MASON COUNTY Wk zoo 3 - Ov tO(o DEPARTMENT OF COMMUNITY DEVELOPMENT 411 No. Fifth Street//P.O. Box 279, Shelton WA. 98584 Request for j* Reduction in the Required Side Yard Setback Applicant: Dl Sij is JAci4tf ffjAl" Mailing Address: S c Non la Loan City: ee 1(PO✓Z State: (Jc, , Zip: Telephone No.: Parcel Number(s): zone _A In your request to reduce a side yard setback standard, please state which of the following circumstances apply in your situation and illustrate these in your site plan: �) existing lots of record as of March 5, 2003; c_2)' one of the following exists on the lot: a) steep slopes, wetlands, or streams present; b) soils that restrict building or septic development; c) lot width at the front yard line of no more than 50 feet; d). lot size of no more than one-half acre; ,e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the 20-foot side yard setback standard for Rural Residential 10 and Rural Residential 20 zones. ACK 2 Wig_ i rc.tC o2cr-f oeT -Q €9�l6✓LE �Ft2<*�tr i� ��t r r S S 7 /� 7�� r�c��>` boo Theo Pp-jo? 4 A d clIE +'LAN iFIZUI F' '1-() '�F 'iN ,;1 r By Signature and date RECEIVED OCT 0 9 2003 HAVvT61\C0MPLAN\side yard reduction request.doc (ahb) March 2003 BELFAIR OFFICE � I0 1 I t Yx 6 d� ` 1cp i 7- 6 � I �1� a °N ' 0 vv W 1 \ti�nTER `/• �. APPROVLD> I MASON COUNTY Du-D PLANNI NG C REQUIRED TO BE+ �C� 'ES ON SITE SUBJECT TO APPROVAL I By Date i I APPROVED MASON CJU;v i Y 1DS ; , to SITE PLAN REQUIRED TO C R EE I V`, E ANGES SUBJECT TO A;-,, � By - c OCT 9 2003 , BELFAIR OFFICE P°se i 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 Contractor Name Mailing Address Mailing Address' City State Zip Code City State Zip Code Phone( ) Other Ph.( ) Ph.O Other Ph.(� Lien/Title Holder Contractor Reg. # Address ., Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic ,, Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. 3 U /S11 U610) 1 S- Fire District Legal Description sLa40-,4 Site Address(Please include street name, street number and city) al 6T' �L S R;GR 1Tr IMIM& Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) 'U,? - Is your property within 200' of the following: Body of Water (Name) M42 Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Re p1c.c e fn Describe Work 11 No. of Bedrooms-2- No. of Bathrooms_ SQUARE FOOTAGE-1st Floor 851 2nd Floor 3rd Floor Loft Basement Deck _Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make 6clidiMJ&Msr Model ()J(4 Model Year / q ! Length 1,U Width Icf/ Serial No. tjf'wi2lXJtJ i !a IL No. of 136drooms No. of Bathrooms Type of eH atile.AAWD a,g Purchase Price $ Z_ yo. —' Replacement Unit ?(Yes/No) Installer Name n nr r Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED 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 Accepted by !' Date_ _Submittal Amount Due OS Receipt NO. I DEPARTMENTAL.<R�VIEIN APPROVED DENIED ` CONDITION CORES Building Dep sit I _I ' Occ Groups Type Constr.l�� N &//z 103 Planning Department Environmental Health Department Public Works Department I Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee U 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