HomeMy WebLinkAboutBLD2003-01037 MFG Home - BLD Permit / Conditions - 5/11/2004 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
• too
RESIDENTIAL BUILDING PERMIT BLD2003-01037
OWNER: RALPH EDWARDS JR. RECEIVED: 7/28/2003
CONTRACTOR: LICENSE: EXP: ISSUED: 5/11/2004
SITE ADDRESS: 1.401 NE TAHUYA RIVER DR TAHUYA EXPIRES: 11/11/2004
PARCEL NUMBER: 222055000024
LEGAL DESCRIPTION: TAHUYA RIVER VALLEY DIV#7 LOT: 24
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME N TO TAHUYA RIVER DRIVE APPROX ONE MILE ON LEFT DRIVEWAY
NEXT TO EVERGREEN DRIVE BARE LOT SEEN FROM ROAD
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: V-N
Type of Use: MH Insp. Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:FLEETWOC Length: 28 Ft. Front: N 57.0 Ft. Shoreline: Ft. Water Body:
Rear: S 38.0 Ft. Slope: Ft. SEPA?: No
Model: Width: 44 Ft. Side 1: E 13.0 Ft. Shoreline Desig.:
Year:1989 Serial No.: ORFK48A101 Side 2: W 13.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Planning Review Fee TW 7/28/2003 $150.00 S12003
Mobile Home Submittal Fee TW 7/28/2003 $211.05 S12003
Mobile Home Issuance Fee LDK 7/29/2003 $211.05 S22003
Building State Fee LDK 7/29/2003 $4.50 S22003
EH Plan Review CEW 8/6/2003 $75.00 S22003
EH Permit Revision CEW 5/5/2004 $35.00 S12004
Planning Dept. Permit TW 5/10/2004 $50.00 S12004
Building Plot Plan Revision TW 5/10/2004 $58.00 S12004
Total $794.60
BLD2003-01037 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD20 0 3-01 0 37
CONDITIONS FOR
BLD20 0 3-01 0 37
1) 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 topost the address on site prior to requesting inspections.
2) The use, handling and storage of hazardousI
t(2rials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X 4
3) 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
1 73-201A-1 10. 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
bioengineerijt hniques, clean durable riprap, or some other equivalent type of protection against erosion when other measures are not practical.
X /� {�
4) This application is t(Z Buffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X rt /n
5) All upland areas disturbed or newly creat d y 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 quali e r datiQn of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
7) Approved per dimensions and setbacks on submitted site plan. X
8) 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
BLD2003-01037 Please referto the following pages for conditions of this permit. 2 of 4
9) 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 it to post the address on site prior to requesting inspections.
X
10) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
11) 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 Departure fior to any further inspections being performed or approvals granted.
X n
12) 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 `
13) 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.
14) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
15) 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 connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
16) 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
X sult in PT
revocation.
17) 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 rms o occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which)Signature X —
18) This permit is for the p e ent%nd installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
BLD2003-01037 Please referto the following pages for conditions of this permit. 3 of 4
19) 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" r 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 I/_ 0/2
20) 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
21) 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, t be reviewed and approved by Mason County prior to construction.
X
22) 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.
23) All property lines shall be clearly identified at the time of foundation inspection. X
24) 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
X Mason County�r �ces and building regulations.
25) 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 re nted action from being taken. No more than one extension may be granted.
X
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. Proof of continuation of
work is by means of a progress inspection.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 property and structure for review and inspect
c
OWN ER OR AGENT: __ DATE:
BLD2003-01037 Please referto the following pages for conditions of this permit. 4 of 4
r
0
CN CONCRETE MECHANICAL MANUFACTURED HOME
0
If Footings / Setbacks Date By Ribbons
0
o Date By Gas Piping Date2;'—cry By
4 Foundation Walls Date B y Set-up -cf/ _Z�•_ �
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
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 B y
Date By Date By
v
Zug
-
a
zr
CD
22 Z i ��- ,�✓9s ?—T-�'� ��
v
CD
Cl
CD
0
/mac p 00, le--�rs
� O
O
O
W
� r
b
0
q O' -- /10 Wtib W A)wm ISO,
Q + I
�qw
+
i T
+
i
j.
b a7q- ! i
t ,
APPR D
MASON COUNTY DCD MANNING
�_. ..
T . Qra�„G+e1cJ /8" SITE PLAN REQUIRED TO BE ON SITE
Are0. .- _....'.. C NGES SUBJECT TO APPROVAL
e esecl I, By 0 — Date
r .
_ r
i4teo
E
i I
• r
. J
f
• ,
-t-- -- _ a
j
I
d. ,A
TOPOGRAPHY PROFILE: - - -r
f^ ti'x t� �,ir� U1YIf1�7j 3 tuj-, . ar,f :�i'�71i .r
�r Flu o�,3 s3lnEar'., gnu ^r bhp ot�c;c rhfc t t t:h9 t c�`c
T�``.,�.'
Direction: Scale: Approval:for office use
Wilding Permit number: Building:
owner/Applicant: Planning:
Date of
'arcel Number: application: Env. Health:
I
r
l
tu
i
L;,;I
' J
PLANNING
q o' ____V
fit wa115 W%4l'n ice"
Q
Ale
--
c
,
x
e
v €
,
I ,
1
t
t
i
TOPOGRAPHY PROFILE: - ---
Direction: Scale: Approval:for office use
Wilding Permit number: Building:
timer/Applicant: Date of Planning: t
'arcei Number: application: Env. Health:
Edwards i?ct /f FILE
A(4141444Ct(At )40A,,2 COPY
APPROVED
MASON BUILDING INSPECTOR
CHA GES SUBJECT TO APPROVAL
DATE ag u 3
Documents attached to approved plans:
Site Plan ye-5
Plan review checkli Pages
Engineering; Y (W Lateral Vertical
Number of pegs _<S
�., i � l
RETURN ADDRESS RECEIVED
�� %d G, f r ub` E� w�/1`�s JUL 1�Z006
pai3a ,� s5��
�� �2 G✓a �5 2 8 MASON COUNTY
La,50T�AQE a f5H1NGTON MANUFACTURED HOME '
TITLE ELIMINATION
YCEnSinG APPLICATION TRANSFER IN LOCATION
Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY
of a felony, and upon conviction may be punished by a fine,imprisonment,or both.(RCW 46.12.210)
MANUFACTURED HOME
TPO!PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
t� OCR/ S" gq ��w X 2 o�P� �A/o/3dcG
LAND LEGAL DESCRIPTION ON PAGE
REAL PROPERTY TAX PARCEL NUMBER
MANUFACTURED HOME WILL BE m AFFIXED [:] REMOVED ;t2 2 J't 0, 'D of e0 Z �/
LOT BLOCK PL� a /wP�M 7 SECTION!TOOWNSHIP/RANGE
GRANTOR(S)REGISTERED/LEGALOWNER( ADDITIONAL[//N,LAAME- ON PAGE
COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS
NAMEAF REGISTERED OWNER
W14 F iiak�f �/z
NAME OF ADDITIONAL REGISTERED OWNER
14 e 4 ;
ADDRESS CITY STATE ZIP CODE
0 .6�
NAME OF LEGAL OWNER
ee/ �h�HrkS
NAME OF ADDITIONAL LEGAL OWNER
ADDRESS CITY STATE ZIP CODE
j0 S"2- If/q 9 8 2, 7-5-
GRANTEE
NAME
I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS
VEHICLE AND THIS INFORMATION IS ACCURATE: _
Signature of Registered Owner and Title,IF APPLICABLE V rxJ4 -0
x C��
Sign yrye 01 A04i ionai Registered Owner and Title,IF APPLICABLE)e
\\.\\�q�A,Ff UqO �AMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE
\ �.X P f RFS �'� State of Washington Signed or attested
County of _ before on
C
�j ro : ?0 i by nature
TPR T NA E4 REGISTERED OWNER ARY O EN
PRINT�OF REGISTERED ERED OWNER PRINTED NAME&NOTARY
/�'ATEII0��� \\\ I Title AND: County/OfffiDealerNo.OR IR d
DEALERSHIP OSITIO AGENT/NOTARY Notary Expiration Date
TITLE COMPANY CERTIFICATION
I certify that the legal description of the land and ownership is true and correct per the real property records.
NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER
SIGNATURE/POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs.
BUILDING PER TOFFICECERTIFICATION
I Certify that: a manufactured home has been affixed to the real property as described.
a building permit has been issued for this purpose and the attachment will be inspected upon completion.
N�AMJYPED OR P ) BLDG PERMIT OFFIC?PNE R I!LDG PERMIT q
S GN URE/POSI ON ATE
C lib- _ C
.
TD-420- MANUF HOM PP /8/98)OR Page 1 of 2
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION 6-P2r025 -C) n--7
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 �i%p�, fr,c�,' �cfA leis Contractor Name
Mailin,qAddress r�'�!? / t?��� < < / cw�,, pq Mailing Address
City /Ml" State 4, Zi Code S�I b
� � p City State Zip Code
Phone (3 )—T1343Other Ph. ( ) Phone ( ) Other Ph. ( )
Lien/Title Holder 5111iiel Contractor Reg. # Exp.
Email Address Email Address
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic—77 Existing Septic
Connect to Sewer System Name of Sewer System
Well * Water System:9— Name of Water System lrl ✓D
PARCEL INFORMATION - 12 digit Tax P el No.:( Fire District
Legal Description v el,
Site Address (Please include st et name, street number and ci ) (J
Directions to site dN-T� v ivc/Z tom. a 9GX Zw+% P can Lf F f D Rr e
r1 E V QIC h . o .s e F v% �G✓V1 iZ&4
Will timber be cut and sold in parcel preparation? (Yes/No)
Is property located within 200' of saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
PERMANENT RESIDENCE 91 SEASONAL RESIDENCE ❑
TYPE OF JOB - New N Add Alt Repair Other Use of Building
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/No)
Describe Work 5e"tir,y UP /4 X 6(; -)-?cW e
No. of Bedrooms 3 No. of Bathrooms Z SQUARE FOOTAGE- 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HO INFORMATION - M 1 odel Model Year is
Length (o(,P idth Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purch se Price $ Replacement Unit? (Yes/No) yU
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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY
RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION.ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware
of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this
that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there-
shall be made without first obtaining approval. with. No changes shall be made without first obtaining approval.
` ' Date 7-;S-6 3 X Date
FOR OFFICIAL USE BEYOND'TNfS POINT
Accepted by �_ Planning Pd I Ck#
Date 'O�') ' C)_-;� _ Bld Pd. I U Reciept N
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department 7f2'03
Occ Group "_ kpe Constr. ' �
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee Site Inspection
Plan Review Fee I G G EH Review Fee
Plumbing&Base Fee J Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal I
TOTAL FEES