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BLD2004-00309 Final MFG Home - BLD Permit / Conditions - 3/14/2005
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 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2004-00309 OWNER: DONALD CLARK RECEIVED: 3/11/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 4/1/2004 SITE ADDRESS: 471 NE LARSON BLVD BELFAIR EXPIRES: 10/1/2004 PARCEL NUMBER: 123305100063 LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 63 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME UP SAND HILL RD TAKE LEFT LARSON BLVD. LOT IS LOCATED ON LEFT 5 LOTS PAST SCHOONER LP RD, LOT NEWLY CLEARED General Information Construction &Occupancy Information Square Footage Information No. o Bedrooms: Type ot Constr.: V-N Type of Use: MH Insp.Area: 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 Harbo Length: 52 Ft. Front: 29.0 Ft. Shoreline: Ft. Water Body: g Rear: 430 Ft. Slope: Ft. SEPA?: No . Model:2P452D9 Width: 27 Ft. Shoreline Desig.: Not Applicable Side 1: 18.0 Ft. Year:2004 Serial No.: Side 2: 8.0 Ft. Comp. Plan Desig.: Rural j Plumbing Fixtures Mechanical Fixtures FEES I Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee KS 3/11/2004 $214.50 S12004 Planning Review Fee KS 3/11/2004 $155.00 S12004 Address Fee GMM 3/11/2004 $140.00 S12004 Mobile Home Issuance Fee RLS 3/17/2004 $214.50 S12004 Building State Fee RLS 3/17/2004 $4.50 S12004 Total $728.50 BLD2004-00309 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR • BLD2004-00309 CONDITIONS FOR BLD2004-00309 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. X 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 roa nect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) Approved per dimensions and setbacks on submitted site plan. X 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 bioengineerin / iques, clean durable riprap, or some other equivalent type of protection against erosion when other measures are not practical. T" 5) All upland areas disturbed or newly construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 6) Temporary erosion control measures must be implemented to prevent water quality d tion of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. 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 p ether inspections being performed or approvals granted. BLD2004-00309 Please referto 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 contractor fail he address on site prior to requesting inspections. X 9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 10) 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 Depart riot to any further inspections being performed or approvals granted. X 11) 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 rtification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X / r 12) 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. 13) 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 W shington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit evoc 'on. X 14) 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 pr s no cupancy(Final Inspection)will be granted for the residence. OWNER/CONTRACTOR(indicate which)Signature X 15) This permit is for the placem tallation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X 16) 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 3 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 BLD2004-00309 Please referto the following pages for conditions of this permit. 3 of 4 171• 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, viewed and approved by Mason County prior to construction. X 7. 1,8), 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 Inspector sha a ade prior to requesting additional inspections. X 19) 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. 20) Owner/applicant must obtain a seperate peW placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to the placement of the tank. X / 21) All property lines shall be clearly identified at the time of foundation inspection. X i 22) 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 ordin ilding regulations. X M222 23) 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 prev n from being taken. No more than one extension may be granted. X n2t� 24) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, ing. Install metal connectors approved for contact with the new types of pressure treated material. X1 This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora 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 ins ection.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 prope nd structure for review a nsp n. OWN ER OR AGENT: DATE: BLD2004-00309 Please referto the following pages for conditions of this permit. 4 of 4 `oo t `� - o CONCRETE MECHANICAL MANUFACTURED a.:'OME - o — o ! ootings I Setbacks Date By Ribbons co o Dat.e By Gas Piping Date Foundation Walls Date B y Set-up Date By INSULATION Date By B G I Slab Insulation Floors Final Date By Date By Date 1�10,t' By f FRAMING Walls FIRE bEPT 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 70 -R�- M,l�, SCT-� rAst l0L0,5Lo� l� (� o LS C� 45U(tEL CC2J-t Fi(A4t0k; Cn 5005 CL IG5L o cn °= ILL-c 9to - N o 3 3 /0 oc . f5�",-ram, A ,l-5 colIn f fc-c-eu/L &,t �V ,4 C'5 le cis ,Ts �� ' 'toz� po."(4-n �L cm if- 01 C 60- �sl 0 SON OMEN ME 0 Norms ■■■■■■■■N■NN■■N■ONE■f11OO■■O■■NNN NOON■ ■�■ NX ■■■■■■■ ■■■■■■■■■■■■■■1NIN�t��r,�re �`!�■■■■ ■■■■MEN■■ ■EN' ■■ i�i.������1' NOON ■NIOE M 111y■■■�/1IIIO mummo■■■■ ■ _USE HE MI EE■■N■■MEN ■■ ■■■MPmq.wk:lpi■■!ENoil, ■■■■■■■■■■M■■■ ■iiYWl�1��■�t�c■■!■■■��■■■■■■■■■■��■■NNE ■IIi�WiwSmOmmums M ■■■■■■■■■■■��'■■■■ ■■■N MWEENIM■OImmumm lmmommilmi■■■■ EMEMMIN■■■■■■■■■■■;■liii�li� a■■■.�■mmommim ■■■■■I■N■N. ■NOON■■■NONE■OMEN■■■■■■■■■M■■■■ ■EN■■N■■NN■NNN■■mNNN ZFE■■■■■ ■N■ONNN■■■■N■N■N■ NNNNN■■N■■■■■ MEN OONN■■■NO■■■N■NONNNNN■■■N■N■ ■■■N■■N■N NNE NNONE NN■NNNNN■■■■O■ MEN NNN■■N■■N■N NONE■ ■N■NN■■■NOON■■■■■■■NNON■NN■■N■■ -EI■�■�■■■■■mmE■■M■■■■■■E mmm■■ r �r • • ri• i OPTION 7c?t MASTER - FAMILY ROOM BEDROOM #4 ruaN BATH 11'-t0" 10'-3" c, y � I _1_-1 JI'U 1 DINING W/H i`.11 1l oPnONAI ; T Al. 1 1 ® -1 M2W 1 V21U7 1 p & PASS THRU 0 I OPTION MASTER BATH ® N LIVING ROOM MASTER BEDROOM . 13'-8• BEDROOM #2 10'-0" BEDROOM #3 9.-9. , AI NAO®EL 2P452®9 APPROXIMATELY 1404 SQ. Ft. 27'x 52' KEY FEATURES • • • • • 1 Luxury Bath Option J4 Bedrooms OSeparate Living Room/Family Room Because Palm Harbor Homes has a continuous product updating an Eat-in Kitchen improvement process, specifications are subject to change without notice or obligation Walk-in closets ��' Likewise,the floor plan shown is representative only and may vary from the actual home. m Square footage calculations are based on nominal widths and all room dimensions are lHomes Harbor approximate subject to industry standards R-values may vary in compressed areas. Sometransportation components may have been recycled after close inspection for safety and COPYRIGHT© 1996 BY PALM HARBOR HOMES, INC. appearance. ALL RIGHTS RESERVED -52'-0" OPTION �0 54» TU8 LINEN D `� ° O F3O ' MASTER FURN FAMILY ROOM BEDROOM #4 11'-10" a BATH <' 10'-3" . ya , d+ - ? DINING `Ti E A131NTT SYSTEM , ® i w2837 i IQ6)] I II i� y& PASS THRU 0 i OPTION MASTER BATH ® N LIVING ROOM MASTER BEDROOM s, TUB �"f 12'_3» BEDROOM #2 BEDROOM #3 �1 ®®EL 2P452 9 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. Walk-in closets Palm 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© 1996 BY PALM HARBOR HOMES,INC. Homes appearance. ALL RIGHTS RESERVED Id 6- Clark 21910 No� 3 W4, q rs,28. to ZOO PLANNING Rrl . 1.0 A P' Ro It- 10 A 3(, =3`0 Z C "U;� p Gel 3-Ss40A, ticSt r1lC. -- SG w-�G. ♦S p 1'i 4,e,,,..� ,S�la„( T f�sc.rJC /01�36 -660� �� o pso " T z t 64 'DMJtwo�, I 51Y 28 LI Q;,,JOYCELYN C,JOHf�SON.„�y ��-N CENSED DESIGNER PL o T EXPIRES >u N L n CL n£?K f_&Q- _L t� 3 54 00o42 oa - _s S38ldx3 :�At)v(1 qcc 34 2.GNJlS�Cl C3 SN3�1`I 7d Nos or 0 NA130AOr �O �105210-1 4 a �s : ? w ,6i' Y�nl L 09 -12 SV �y ,,oqQ-� , L 2 01- 9�r0) Oz of a RCS$b 'hM mw � �"'h0181Z •< I �Jv)1') `9 ��p. MASON COUNTY PERMIT NO. 00331 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 ;►r' ,/t/.1 / 'l.. l d Company Name Mailing Address All Mailing Address City State = Zip Code City State Zip Code Phone- Other Ph. . 1 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 Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description t- , Site Address (Please include street name, street number and city) Directions to site v Will timber be cut and sold in parcel preparation?Yes/ No Is property within 200'of Saltwater , i Lake River/Creek ,tf Ir Pond Wetland ! Seasonal Runoff Stream 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 4, Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building _' i / i) i , Describe Work No. of Bedrooms LJ No. of Bathrooms Square Footage - 1st Floor IZ104` 2nd Floor 3rd Floor Basement o; Deck ,r Covered Deck A Other ,;' Sq.ft. Garage Attached Detached Carport -' Attached Detached MANUFACTURED HOME INFORMATION - Make Model " Year Length Width Serial No. No.of Bedrooms No. of Bathrooms - Type of Heat Purchase Price $ L Replacement Unit? Yes/No Installer Name 0.1 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 have obtained the permis- sion from all the necessary parties.If permission is required from any easement holder or any other party in interest re4$db p ic pa- tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work 1P d9z ti X w - ,. Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: : Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department 45D — t Cyr'► u. Ct� Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES