HomeMy WebLinkAboutBLD2003-00887 Final MFG Home - BLD Permit / Conditions - 9/2/2003 Inspection Line(360)127-7262
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 ^ 2 ,c0
RESIDENTIAL BUILDING PERMIT BLD2003-00887
OWNER: GORDON SIPE RECEIVED: 7/1/2003
CONTRACTOR: LICENSE: EXP: ISSUED: 7/15/2003
SITE ADDRESS: 421 NE LARSON LAKE RD BELFAIR EXPIRES: 1/15/2004
PARCEL NUMBER: 123312390024
LEGAL DESCRIPTION: TR D-1 OF SP #1198 TR D OF GOVT LOT 2 TR 1 OF SP #2110 421 NE LARSON LK RD BELFAIR
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT MANUFACTURED HOME 3 MI WEST ON HWY 300. TURN ONTO LARSON LK RD. .5 MILE. ACROSS
FROM BONANZA RD
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: V-N
Type of Use: MH Insp.Area: OT 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: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:Champion Length: 52 Ft. Front: S 53.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: N Ft. Slope: Ft. SEPA?: No
Model:4523V Width: 28 Ft. Side 1: W 24.0 Ft. Shoreline Desig.: Not Applicable
Year:2003 Serial No.: Side 2: E 30.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee NJP 7/1/2003 $211.05 S22003
Planning Review Fee NJP 7/1/2003 $150.00 S22003
EH Plan Review CEW 7/2/2003 $75.00 S22003
Building State Fee LDK 7/3/2003 $4.50 S22003
Mobile Home Issuance Fee LDK 7/3/2003 $211.05 S22003
Total $651.60
BLD2003-00887 Please referto the following pages for conditions of this permit. 1 of 4
« CASE NOTES FOR
BLD2003-00887
CONDITIONS FOR
BLD2003-00887
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 techni designed to minimize water quality impacts. All areas disturbed or newly created by construction activities must be revegetated using
bioengin r i n hniques, clean durable riprap, or some other equivalent type of protection against erosion when other measures are not practical.
X
2) All upland areas disturbed or ne c tsd by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
,fencing or straw matting). X
3) Temporary erosion control measures must be implemented to prevent water qual, elation 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. X
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
inspectio . A r spection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
co
ntr or post the address on site prior to requesting inspections.
X
6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
7) The "appro d" 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
approv ill no ranted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour) will be charged and shall be collected by the
Buil De ment prior to any further inspections being performed or approvals granted.
X
BLD2003-00887 Please referto 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 r s or each major part of the installation. RCW43-63B.090
X
9) 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 orde form from the Mason County Building Department or you
can contact the Offfice of Manufacturing Housing (360) 725-2800.
10) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
11) The use, handling and storage of hazard o Is or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X
12) 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 potpfijj risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0 rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
13) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
iend the S Wa gton. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result i ermi ocation.
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 practic s o.f problems that have been discovered. I further understand that this
investigation will be scheduled as time allows. Until resolution of an ms no occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
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 MUS and 0" in height from surrounding grade. NO second story decks, or decks above 30" can be built without a permit. Any
landing or deck t is 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
16) 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 C9,wTity Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be Ioc ithin 25' f 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
BLD2003-00887 Please referto the following pages for conditions of this permit. 3 of 4
1 7) All chan o " proved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
• or reg st be reviewed and approved by Mason County prior to construction.
X
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) All property lines shall be clearly identified at the time of foundation inspection. X
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 f I inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason nces and building regulations.
X
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 d not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder h nted action from being taken. No more than one extension may be granted.
X
22) Applicant has indicated this is a replacement unit. Prior to Mason County all W any occupnacy of the new proposed unit, the existing unit which is
on-site and is being replaced MUST be removed from the parcel. X
23) Proposed structure(s) must maintain 25'from all County and State Road right of ways. X
This permit becomes null and void if work or construction zed i of 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 Conti wor 's a ro r insp on within the 180 day period.ORI inspecti must be approved before building can be occupied.
OWN ER OR AGENT: el-_ DATE:
_ s
BLD2003-00887 Please referto the following pages for conditions of this permit. 4 of 4
q00 2-q
o CONCRETE MECHANICAL MANUFACTURED HOME
0
ca Footings / Setbacks Date By Ribbons
0 Date By Gas Piping Date a^ 2- 2 Byco
Foundation Walls Date B y Set-up
Date By INSULATION Date By 7f
B G / Slab Insulation Floors Final
Date By Date By Date By ]'/Z
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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Model 4523V
i SHORT PLAT
DATE APPROVED: 'z3'q/
DIRECTOR OF GENER L SERVICES
119r, `',-113/3a-77
SHORT PLAT OF TRACT "D "
OF SHORT PLAT x I l 98
AF * 408592 ( 10115182 )
PARCEL s i�331 _ - q oozy
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OWNER: ��l�N 2V' I�L EY �YERL Y M s s u I ()
P..o. 809 0i
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NOTE: MASON COW 1' HAS NO RESPONS I N I L I TY 10 EIU I I L+, SP 11bO rL N�1 L
IMPROVE MAINTAIN Ok OTHERWISE SERVICE THE PRIVATE ROADS
WITHIN OR SERVICING fHE PROPERTY WITHIN THIS SHORT PLAT RECEIVED
THIS IS NOT A SURVI Y I I I ' BEARINGS AND DISTANCES JUL 01 2003
SHOWN HEREON ARL Ndf IJASO ON AN ACTUAL FIELD SURVEYIII
t Qi +' ci�c+> oat' r,gSFU
curs a w p e b �� •. 3wa�Py �,�o�pFo 426 W. CEDAR ST,
� ,fol,�,r.o 110� �8.��.ys ����; �
WATER SYSTEM: LYNt COVE 1VITEa SYSTEM
SHORT PLAT NO: 2l1 D
DATE APPROVED: T e 5--7/
13 f Ste/ 319 Z
DIRECTOR OF GENERAL SERVICES
TOTAL TRACT
THAT PORTION of the South half of the South half of the East half
of the Northwest quarter of Government Lot 2, Section 31,
Township 23 North, Range 1 West, W.M. , in Mason County,
Washington, EXCEPTING right-of-way for Larson Lake County Road
No. 8587 and excepting road right-of-ways.
SUBJECT TO a perpetual non-exclusive easement for access and
utility purposes over and across the East 30 feet of the South 3
quarters of the East half of the Northwest quarter of Government
Lot 2, Section 31, Township 23 North, Range 1 West, W.M. , lying
Northerly of the Larson Lake County Road No. 8587.
TRACT 1
THAT PORTION of the South half of the South half of the East half
of the Northwest quarter of Government Lot 2, Section 31,
Township 23 North, Range 1 West, W.M. , in Mason County,
Washington, described as follows:
BEGINNING at the intersection of the centerline of Larson Lake
Road with the South line of the said South half of the South half
of the East half of the Northwest quarter of Government Lot 2;
thence Northeasterly along the centerline of said Larson Lake
Road 28 feet; thence Northwesterly to the Northwest corner of
said South half of the South half of the East half of the
Northwest quarter of Government Lot 2; thence South along the
West line of said South half of the South half of the East half
of the Northwest quarter of Government Lot 2 to the Southwest a
corner of said South half of the South half of the East half of
the Northwest quarter of Government Lot 2; thence Easterly along
the South line of said South half of the South half of the East
half of the Northwest quarter of Government Lot 2 to the POINT OF
BEGINNING.
EXCEPTING right-of-way for Larson Lake County Road No. 8587 and
excepting road right-of-ways.
I73 M.RAKROAD AVE•V.O.601f 2•SHELTON,WA f65M
SHELTON OW 426/626•BREMERTON OW 277 5017
FAX(206)426-9493
1
GARS Ile RD.
RECEIVED
JUL O 12003
426 W: CEDAR STf
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 GoX9al/4-/1 ,&9if Qt- Contractor Name c< e�
MailingAddress 9139 Il%d LT L-r S� Mailing-Address -O•
City -r- Stater Zip Code fir?l
City f State A Zip Code /Z
Phone(76o ) Other Ph.( Ph.( 76,0 -771-94i'Other Ph.
�
Lien/Title Holder Contractor Reg. # Jf<&:!DZ *��
Address Expiration /2- / ewl / 10 JP
'I
[SEPTICIWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic /- Connect to Sewer
' m Name of Sewer System Well Water System 4--- Name of
r System k Co u e
PARCEL INFORMATION-12 digit Tax Parcel No. / Z 3 / / Z 3/��4 Fire District Z
Legal Description u1OP"r`7"' 1 of -S to *#` / I d
Site Address(Please include street name, street number and city) A/F 4 Z l WjeSaN 1J R0 a
Directions to site S ii ,,, W. e►1 1AVJK 300 rTu it" 12"To tj UK f4 i&. Fo 1E'
fZ 1nn % 4 � A0leaS5 f& In "V4.�, - LA jka -Will timber be cut and sold in parcel preparation? (Yes/No) P46
Is your property within 200' o the followin Body of Water (Name) Saltwater'
Lake River/Creek PondWetland 141W Seasonal Runoff-&V 1A,-Stream lopes or
Bluffs l
PERMANENt RESIDENCE QjI,, SEASONAL RESIDENCE❑
TYPE OF JOB New Add Ali 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.
'I Garage Attached Detached Carport Attached Detached
f Z ACZ-,oll 01 D /L
MOBILE HOME INFORMATION-Make pi Model !ZS2-,TV Model Year .700
Length 5_Width Serial No. No. of Bedrooms No. of Bathrooms ?�
Type of Heat O CC,Purchase Price $� /,,5y}6. 00 Replacement Unit ?(Yes/No)
Installer Name KePk n- 4-,, (' Certification No. 002ff?-
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtain' g a val.
i
X Date X Date �/
FOR OFFICIAL USE BEYOND THIS POINT -�
Accepted by i t^-)" r`` Date Submittal Amount Due",:?ll Receipt - 4 z�
DEPARTMENTAL !fEVLE;W APPROVED DENIED CONDITION CODE$
Building Dep rtMent
Occ Grou Type Constr. V'( ,' 3 D -Q r S d fue
Planning Department
II0�<<�n
Environmental Health Department
Public Works Department
Fire Marshal
V
Valuation $ JUL 012003
FEES 426 M
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee Planning Review Fee '��0 0(�
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
TOTAL FEES
FORM MUST BE COMPLETED IN INK NF_ 4'zi
PLEASE PRESS HARD MASON C NTY PROJECT SITE INRMATION
Case No.
Name PARCEL NUMBER 12331 Z3 90014 Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by Indicationg N, S, E, in relation to the
site plan
Lot Dimensions ✓Fences
Existing Structures -Driveways
Structure Setbacks P 0 Shorelines
Water Lines I-Topography
�w Well Location (including adjacent) vt�rainage Plan
o+�
Names of Streets f4asements S'ca�E l"= 50"
Names of Fronting Streets ►peptic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I adjacent property line
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PL , NING
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Mas Cf A
163
►Vr,r L)CD P N11V
ro�~ By i '��C� 1'. A���S/TF
AL
Date 7
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adjacent property lined '^' �^' I E-adjacent property line _
SAMPLE SITE PLAN
adja�nt property line--> 3io� rtiu�R�E I E-adjacent property line
D 30 30>
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P ILo PasGD sap*.C_
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adjacent property line-� i f �A c \; E-adjacent properi� line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
dlsta—an. to
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a1Sf�r+LG titiC
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V E D
JUL 01 2003
426 W.,, CEDAR ST.
(re Date
FILE
COPY
1
3� I 2-3 qo O 2 s �,VA-
`� � O, f
MASON BUILDING INSPECTOR
CHAN ES SUBJECT TO APPROVAL
DATE .7__3
Documents attached to approved plans:
Site Plan Yc—S
Plan review checklist: Pages
Engineering: Y (M Lateral Vertical
Number of pages ---
; l A N G E S
SuBMIT C,4ANGES FOR APPROVAL
PRIOR r0 rrR-)RMING WORK
THESE PLANS MUST BE
ON THE JOB SITE
FOR INSPECTION.