HomeMy WebLinkAboutBLD2004-00308 Final MFG Home - BLD Permit / Conditions - 12/23/2004 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
,r+ Shelton, WA 98584
11rf4 RESIDENTIAL BUILDING PERMIT BLD2004-00308
OWNER: DONALD CLARK RECEIVED: 3/11/2004
CONTRACTOR: LICENSE: EXP: ISSUED: 5/3/2004
SITE ADDRESS: 440 NE LARSON BLVD BELFAIR EXPIRES: 11/3/2004
PARCEL NUMBER' 123305100042
LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 42
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME LARSON BLVD PREVIOUSLY CLEARED LOT. RIGHT DIRECTLY ACROSS
STREET JUST PAST SCHOONER LP RD ON RIGHT
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.: V-N
Type of Use: MH Insp.Area: OT No.of Bathrooms: Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: 1 Occ. Load: Building:
Valuation: Building Height: 13 Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:PALM HARE Length: 52 Ft. Front: E 60.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: W 50.0 Ft. Slope: Ft. SEPA?: No
Model:2P452D9 Width: 27 Ft. Side 1: N 8.0 Ft. Shoreline Desig.: Rural
Year:2004 Serial No.: ON ORDER I Side 2: S 8.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee NJP 3/11/2004 $214.50 S12004
Planning Review Fee NJP 3/11/2004 $155.00 S12004
Address Fee GMM 3/11/2004 $140.00 512004
Mobile Home Issuance Fee RLS 3/17/2004 $214.50 S12004
Building State Fee RLS 3/17/2004 $4.50 S12004
Total $728.50
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LD2004-00308 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-00308
CONDITIONS FOR
BLD2004-00308
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- 982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) The Uniform Fire Code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads c ith a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
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3) Approved per dimensions and setbacks on submitted site plan. X Q51
4) 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
bioengineering Wr
s, clean durable riprap, or some other equivalent type of protection against erosion when other measures are not practical.
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5) Temporary erosion control measures must be implemented to prevent water quali a tion of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established, X
6) 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
7) 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
Department prior to=er inspections being performed or approvals granted.
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LD2004-00308 Please refer to the following pages for conditions of this permit. 2 of 4
8) 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
1 contractor fail to address on site prior to requesting inspections.
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�) —THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
10) 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 install e ation number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X
11) 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.
12) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code 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 rev
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13) 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/ _p lems no occupancy(Final Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
14) This permit is for the pla and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X i
15) 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 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
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 '#rved and approved by Mason County prior to construction.
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LD2004-00308 Please referto the following pages for conditions of this permit. 3 of 4
17). The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
s Inspector shall be.ma rior to requesting additional inspections.
,18) -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.
19) Owner/applicant must obtain a seperate perm o lacement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank. X -)
20) All property lines shall be clearly identified at the time of foundation inspection. X
21) 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 na nd building regulations.
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22) 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( rom being taken. No more than one extension may be granted.
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23) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, an� Install metal connectors approved for contact with the new types of pressure treated material.
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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 oontinuation 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 owneror 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 and tructure for review;and ins pectio .
OWNER OR AGENT: _ ATE:
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LD2004-00308 Please referto the following pages for conditions of this permit. 4 of 4
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CONCRETE MECHANICAL MANUFACTURED ME
0
0
•A Footings / Setbacks Date B y Ribbons
0
Date By Gas Piping Date By 7`/2 '
co Foundation Walls Date B y Set-up clsi
Date By INSULATION Date 4 v _ Z --oYBy
B G / Slab Insulation Floors Final
Date By Date By Date J Z3 U!Z By C-O)L
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
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PLANNiNG
52'-0"
OPTION
1`�0 S4' TUB LINEN D °
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MASTER „ , FAMILY ROOM
FR. BEDROOM #4
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DINING
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LIVING ROOM
MASTER BEDROOM t3-8" 54 TU9
BEDROOM #2 BEDROOM #3
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MODEL 2P452D9\'
APPROXIMATELY 1404 SQ. Ft. 27'x 52' KEY FEATURES
Luxury Bath Option
4 Bedrooms
Separate Living Room/Family Room
Because Palm Harbor Homes has a continuous product updating and Eat-in Kitchen
improvement process, specifications are subject to change without notice or obligation. Wall(-in closets ��'�
Likewise,the floor plan shown is representative only and may vary from the actual home.
Square footage calculations are based on nominal widths and all room dimensions are Harbor
approximate subject to industry standards R-values may vary in compressed areas. Some
transportation components may have been recycled after close inspection for safety and COPYRIGHT O 1996 BY PALM HARBOR HOMES, INC. Homes
appearance. ALL RIGHTS RESERVED
'Aff_WX-tj M . •
Standard Features and Specifications
• Exterior • • Kitchens • • Baths •
Hardi-panel siding (50 year) Kitchen drawer bank per plan Polis:ied edge mirrors
20 Year Felt Base shingles 14.4 CF frost free refrigerator Bath fan
3/12 roof pitch 30" free standing electric range Tub/Shower
Patio electric outlet 30"rangehood
Transverse floor system Stainless steel sink
• General Construction •
• Interior • Frameless building construction
Utility • R-34-11-22 insulation
Tape and texture walls throughout 200 amp electrical service
Cathedral ceilings throughout
Trimmed window surrounds Forced air electric furnace 30 gallon water heater
Carpet throughout living areas, all bed- Freezer.space 20 lb. roof load
rooms and baths
Linoleum kitchen and utility
Valances throughout home • Lase Option Package
Tuffpex waterlines Removeable hitches
Mortised interior door hinges Plumb for washer
Pre-hung interior doors oa sa a Wire for dryer
Graduated fiberglass heat ducts °ry Rear eave
Grill over door air returns 3 Water shutoffs
s Palm Harbor Steel front door
E of N Factory Base and center shelves
Exit '35
YOU'RE INVITED TO VISIT
_�?I,N OUR FACTORY NEAR ALBANY, OREGON!
FREE FACTORY TOURS
-1-800-928-2083
Palm
Harbor
Homes
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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 NFORMATION CONTRACTOR INFORMATION
Owner_/ o Al /a-�r/�, (�1��� Company Name
Mailing Address - Mailing Address
City State L U Zip Code �1'c[5"2-13 City State Zip Code
Phone In 34s ---j 5:- 2-. tl4er Ph. lo y/`~- n:�Eg 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 4-- Existing Septic
Connect to Water System Name of Water System u F G"'6E2n=!z �C 4.r-;47
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. 0010 Fire District
Legal Description Q-t 4!! 22, 4?C & 4C o &
Site Address(Please include street name, street number and city) .T AN/J IXi%/ , tu/�/V L Ear; o•y
Directions to site 9,gfoN .64vd, �O.Q',�viec,rZtu or-y A-dj-_ Rt c-//feE-c-t(�
Will timber be cut and sold in parcel preparation?Yes /�
Is property within 200'of Saltwater �Lake O&AI River/Creek X/4- Pond f i�-
Wetland--odtA._Seasonal Runoff Stream Slopes or Bluffs > 15% aa
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
I TYPE OF JOB - New_j/Add—Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Buildings i lL LCN:t-4 4/hescribe Work ZI u b ! / h yir_
No.of Bedrooms—t, No. of Bathrooms Square Footage- 1 st Flcir /�f�'�f 2nd Floor
A114-
3rd Floor_Basement_,6Z Deck XLL_Covered Deck-Other !1/A Sq.ft. y
Garage Attached Detached ALA Carport-1J!!1 Attached _AeA— Detached A1,&
MANUFACTURED HOME INFORMATION - Make g,&I-fia } 11 odel Z. If Year 0 V
F Length_4L_-2JVidth____2,_Z6erial No. No.of Bedrooms No. of Bathrooms 2
Type of Heat LPL-2-e-trZX Purchase Price$ _� `j' °� Replacement Unit? Yes
Installer Name Certification No.
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 hayp'QtWip tb rmis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in inferes`t'reafdi�t plica-
tion or the roposed in the application), 4,ave obtained permission from them to apply for this permit and conduct the work proposed.
X Date: 3
Owner/Owners Representative/Contractor (indicate which one)
QR OFFICIAL USE BEYOND THIS POINT
Accepted b Planning Pd tj Ck# Date ! -_)(- _Bld Pd" uMeceipt No. /
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department -3VN C� 4, e d 1,x rc
Planning Department ` 'y
Environmental Health Department
Public Works Department
Fire Marshal
f FEES
Buildinq 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
Valuation $ TOTAL FEES