HomeMy WebLinkAboutBLD2004-01326 Final MFG Home - BLD Permit / Conditions - 11/16/2004 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
NP4 Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2004-01326
OWNER: ERIN MITCHELL RECEIVED: 8/17/2004
CONTRACTOR: THE HOUSING MART, INC. 360-273-8812 LICENSE: HOUSIM1044RO EXP: 12/6/2005 ISSUED: 9/10/2004
SITE ADDRESS: 90 E KILMARNOCK RD SHELTON EXPIRES: 3/10/2005
PARCEL NUMBER: 321275400087
LEGAL DESCRIPTION: LAKE LIMERICK 5 TR 87
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME MASON LAKE RD, TAKE RIGHT ON LYME RD, LEFT ON KILMARNOCK ON
RIGHT SIDE OF ROAD
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 2 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.: 5 No.of Stories: 1 Occ. Load: Building:
Valuation: Building Height: 16 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:GOLDENWI Length: 44 Ft. Front: S 140.0 Ft. Shoreline: Ft. Water Body:
Rear: N 20.0 Ft. Slope: Ft. SEPA?: No
Model:GE442-F Width: 27 Ft. Side 1: W 30.0 Ft. Shoreline Desig.: Not Applicable
Year:2004 Serial No.: Side 2: E 40.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KS 8/17/2004 $214.50 S12004
Planning Review Fee KS 8/17/2004 $155.00 S12004
EH Plan Review CEW 8/25/2004 $75.00 S12004
Address Fee GMM 8/26/2004 $140.00 S12004
Building State Fee LDK 8/31/2004 $4.50 S12004
Mobile Home Issuance Fee LDK 8/31/2004 $214.50 S12004
Total $803.50
BLD2004-01326 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-01326
CONDITIONS FOR
BLD2004-01326
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.
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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 connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
3) In accordance with international codes 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 international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
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4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
5) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved"site 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 Department prior to any further inspections being performed or approvals granted.
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6) 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 installed. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X
BLD2004-01326 Please referto the following pages for conditions of this permit. 2 of 4
7) 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.
8) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X �2
9) All construction must meet or exceed all local ordinances and the international codes 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 cation.
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10) 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 current fees adopted by the Mason
County Building Dept., 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 problems no occupancy(Final
Inspection)will be granted for the residence.
OWNFR/CONTRACT'OR(indicate which)Signature X
11) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
12) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
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13) 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.
14) Owner/applicant must obtain a seperate permit for the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank. X n,�L—r
15) All property lines shall be clearly identified at the time of foundation inspection. X A j_., �
16) 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 ordinances and building regulations.
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17) 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 prevented action from being taken. No more than one extension may be granted.
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BLD2004-01326 Please referto the following pages for conditions of this permit. 3 of 4
18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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19) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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20) Applicant acknowledges that this development is subject to policies and regulations of Mason County Comprehensive Plan and Development
Regulations.X -y --
21) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5.
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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. 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 inspection.
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OWN ER O�AGENT �\ _ DATE:
BLD2004-01326 Please refer to the following pages for conditions of this permit. 4 of 4
.I' CONCRET
MECHANICAL MANUFACTURED HOME
Footings etbacks Date Bq Ribbons
Date `l/z�lt`y gy h%LS as Piping Date LZ to • B
Foundation y L
� Date 'By Set-up
Date. By INSULATION . Date iv IK od, B /Z
B G 1 Slab Insulation Floors Final
- Date By Date By Date ii It vq By i)V
FRAMING WaIls FIRE DEPT
Date By Date By Date B
PLUMB Att
ING y
ic OTHER
Groundwork Date By 5;r?-
Date By WALLBOARD NAILING Gcrf• W7ga 7
D.W.Y. Date B GJ �. s y3t3
y
Date
By FINAL INSPECTION
Water Line Date By
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S at By
S 3+�spec au Date B y
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Sep 02 04 12: 51p APREVA NW 3607053145 p. 2
Sterling Ward/Jack Smith
Northern Pacific Ridge Homes LLC
316 10''Ave SE
Olympia, WA 98501
Mason County Planning Department
Att: JoAnn Long-Wood
September 2, 2004
RE: Erin Mitchell application for Building Permit.
Dear JoAnn,
Jack Smith and I own the property located at 90 E. Kilmarnock, Shelton, WA under our
LLC Northern Pacific Ridge Homes.
I am authorizing that Erin Mitchell be able to apply for a building permit to construct a
manufactured home on the parcel.
If there is any additional documentation needed on our part to allow her to get this permit
issued,please do not hesitate to contact myself or Jack Smith.
Thank you for your assistance on this issue.
Sterling Ward 360-956-7016
Jack Smith 360-427-6667
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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 INFORMATION trZai-j r, ;; CONTRACTOR INFORMATION
Owner :E=M4 _ " Company Name
Mailing Address
Mailing Address�!�—C=—��'���, � Sr "
City tate_(-ka_Zip Code City Mh State ;i Zip toae a _
Phone z/��Q?p-?Q7 Other Ph. Phone - "14 Z - 0 4I ? 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. ;(,6 Fire District
Legal Description
Site Address (Please include street name, street number and city) A
Directions to site WAscAo I kk, tz 4 �43 kk a%943 19��1 6;4,3 0 0.� �
Will timber be cut and sold in parcel prepara ion?Yes/,�o
Is property within 200'of Saltwater Lake River/Creek 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 Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No.of Bedrooms No. of Bathrooms Square Footage - 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make CxaL�s►� t _% crs Model Q: Lj�4 Z - , Year
Length—Width �:lSerial No. No.of Bedrooms 2 No.of Bathrooms
Type of Heat �, Yam•'• Purchase Price $ J4 Replacement Unit? Yes/No
Installer Name '' - Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or it revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I furtl � rlt' entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the I)es.If permission is
required from any easement holder or any other party in interest regarding this application or the work propojri the application, I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owne allrgr � that the information
provided is accurate and grants employees of Mason County access to the above described property an, tructure for re nd inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. `}16 N/, CED'4p ST
X r, Date: - / y
Owner/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal I f7z/
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
Valuation TOTAL FEES
FORM MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name EVZ4 hJ r1�TQJ'ELL- PARCEL NUMBER 000 87 Date 8 - 7 -�
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography t
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System S
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line- I I E-adjacent property line
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30, tin'
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APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQ�IRED TO BE ON SITE
CHANGES SUBJECT TO APPROVAL
BY ! _. Date - -v
O I
adjacent property lined I <-adjacent property line
SAMPLE SITE PLAN
adja t property lined 3Lo� _ _ _ E-adjacent property line
a 30" r UE 304�
V-rlIf
� GaaEN
Ct2seK
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I j oPastD smptiC_
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adjacent property line- ; \; Fad'acent ro ert 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
dt 5+a"C_a. +n
ru1r_tL4_r^c
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1 So �d +O dL
Date
Signature
MIS
Kristin French
Senior Planner—Code
Enforcement
Phone:(360)427-9670 ext. 593 1
Fax:(360)427-8425 MT
frenchk(-.co.mason.wa.us
PO Box 279 Shelton,WA 98584
***VIEW FROM 100 KILMARNOCK—
COMPLAINANTS MOTHER'S ADDRESS
ENF NUMBER: ENF2004-00145
TAX PARCEL NUMBER: 32127-54-00087
ZONING DESIGNATION: not relevant
ADDRESS: 90 E. Kilmarnock Rd.
OWNER: Smith,Jack and Jane
. .......................................... ..................
VIOLATION(Description and citation to applicable ordinance):
1) New culvert placed in a seasonal stream channel,not adequate for winter flows and unpermitted—
Please photograph stream channel and culvert
STATUS UNSURE INVALID
VALI
PRIORITY H STANDARD LOW
DATE OF INSPECTION: O
INSPECTOR:
SITE EVALUATION NOTES /SKETCH OF SITE /MEASUREMENTS TAKEN:
caa �5o tina� ie 1. sus 7'1 u 20D`f d-S
LAI
T n, i3 C D
C"1 OAX
CONTACT WITH OWNER/
OCCUPANT YES NO
CONTACT PHONE/ PHONE: ADDRESS:
ADDRESS
PHOTOGRAPHS TAKEN YE:S):_ NO
STOP WORK ORDER
POSTED YES rNO
***Please input digital photographs into the applicable ENF case. If a Stop Work Order is posted,
please retain photograph of posting and a copy of the Stop Work Order for file records—attach to
this field sheet and return to Kristin French***
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