HomeMy WebLinkAboutBLD2004-01088 Final MFG Home - BLD Permit / Conditions - 11/9/2004 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
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2004-01088
OWNER: DEOMAR BRAZ RECEIVED: 7/1/2004
CONTRACTOR: GORST LAND DEVELOPMENT LICENSE: GORSTLD098LI EXP: 6/7/2006 ISSUED: 8/19/2004
SITE ADDRESS: 661 NE BELFAIR MANOR DR BELFAIR EXPIRES: 2/19/2005
PARCEL NUMBER: 123307500220
LEGAL DESCRIPTION: TR 22 OF SURVEY VOL 2 PG 149 661 NE BELFAIR MANOR DR BELFAIR
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME TOWARD BELFAIR STATE PARK..RIGHT ON SAND HILL LEFT ON
BELFAIR MANOR RAD. APPROXIMATELY 1 MILE TO 661 ON LEFT.
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.:
Type of Use: MH Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: No. of Stories: 1 Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:Fleetwood Length: 60 Ft. Front: W 135.0 Ft. Shoreline: Ft. Water Body:
Rear: E 135.0 Ft. Slope: Ft. SEPA?: Unkn
Model: Width: 28 Ft. Side 1: IN 175.0 Ft. Shoreline Desig.: NetlApplicable
Year:2004 Serial No.: 29793 Side 2: S 290.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee CMH 7/1/2004 $214.50 B12004
Planning Review Fee CMH 7/1/2004 $155.00 B1M04
Mobile Home Issuance Fee RTB 7/15/2004 $214.50 B12004
Building State Fee RTB 7/15/2004 $4.50 612004
EH Plan Review CEW 8/11/2004 $75.00 B12004
Total $663.50
BLD2004-01088 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2004-01088
CONDITIONS FOR
B LD2004-01088
1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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2) In accordance with the Uniform Building Code 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 Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to
requesting inspections.
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3) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X %,7 %�-
4) 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 tailed. certification number and signature of the certified installer responsible for each major part of the
installation. WAC365-210 X 1 7_
5) 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.
6) 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 anyoII problems no occupancy (Final Inspection) will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
BLD2004-01088 Please refer to the following pages for conditions of this permit. 2 of 3
7) This permit is for the pl ment and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X b
8) 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 Tre 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 b
9) 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.
10) 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-compliantplA(ith Mason County ordinances and building regulations.
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11) 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 holde ave prevented action from being taken. No more than one extension may be granted.
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12) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors,rd flashing. 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 continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proofof
continuation of work is by means of progress inspection.The owner or the agent on the owners behalf,represents thatthe information provided is accurate and grants employees of
Mason County access to the above described DrQnerty and structure for review and inspection.
OWNER OR AGENT: 2, ���i,QM�_---- DATE: _U
BLD2004-01088 Please refer to the following pages for conditions of this permit. 3 of 3
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il Footings {Setbacks Date B y Ribbons
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Date By INSULATION Date y /
B G I Slab Insulation Floors Final
Date By Date By Date
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
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FLEE-TWOODe Green Hill WS series Model 4603S
M:�•m 2 Bedrooms - 2 Baths - 1,600 Square Feet
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OPT.BLOCK AML
WwDOW ENiRANCF
Finally a Home with a lot of ftandard ftatures at a fair prkall
Some of the As-Shown Features included:
-T&T T/O-Including Closets and Panties(STD) -Oak Raised Panel Cabinets T/O(STD)
-Rounded T&T Corners T/O(STD) -Super Good Cents Package(STD)
-T&T Bullnose Window Sills(STD) -Vinyl Dual Pane Windows(STD)
-Upgrade Carpet w/more Color Selection -2x6 Exterior Walls(STD)
-Raised White Interior Doors(STD) -12 FDS and Endwall Eaves(STD)
-Upgrade Door and Floor Molding(STD) -Hardi-Board Cement Siding(STD)
-Metal Mini-Blinds T/O(STD) -2x2 Skylight in Each Bath
-(1)Piece Fibergglass Tub/Shower in G. Bath(STD) -50 Gallon Electric Hot Water Heater(STD)
-Fiberglass SoaEg Tub in M. Bath(STD) -20 cu. ft.Side by Side Refer w/Ice and Water(STD)
-Separate Shower in M. Bath(STD) -Dishwasher(STD)
3454 NWl!16 W.-8REMt7tT04 WA 9331Y
*Prices,Features,and Availability are Subject to Change without notice or Obligation. Measurements are approximate. ANi(360)373-5001-FAx(360)377-2999
i 10
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 1= r'1 b �baa bra-z Contractor Name(r,J�a ut Cv4&IQQ '1r1P,t�1
Mailing ddress_ &6t ark fr. W1&g0_l. *-I Mailing Address I. ue!
City , jr State W&_ Zip Code city&j r State s Zip Code9
Phone( a7.r_1q S Other Ph.L____) Ph.(360 )3'73•3`00! Other Ph.(
Lien/Title Holder Contractor Re #�rnnctL�00�j Ll
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. J—s� 3 3 O / '75'J O 0 nt a Fire District
Legal Description
Site Address(Please include street name, street number and city) Gra
Directions to site
Will tim er be cut and sold in arcel prepa ation? (Yes/No) 1no_
Is your property within 200' of the following.- Body of Water (Name)JILI Saltwater
Lake River/Creek Pond Wetland Seasonal unoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE lij SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make �ko JModel Model Year '4y
Length_ C) Width Q_Serial No. No. of Bedrooms__&_No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No)
Installer Name 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 Date2-_i-(2q
FOR OFFICIAL USE BEYOND THISwPOINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAiA`R EVI W APPROVED p NllEp;l C0NDITI+ N COQE$
_. . ..
Building Department
Occ Group Type Constr. / .oVliao
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
r
Valuation $
FEES
Building 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 ( )
TOTAL FEES