HomeMy WebLinkAboutBLD2005-00416 Final MFG Home - BLD Permit / Conditions - 8/9/2005 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 BLD2005-00416
OWNER: DON LOUDERBACK RECEIVED: 3/16/2005
CONTRACTOR: LICENSE: EXP: ISSUED: 3/24/2005
SITE ADDRESS: 80 E KILMARNOCK RD SHELTON EXPIRES: 9/24/2005
PARCEL NUMBER: 321275400086
LEGAL DESCRIPTION: LAKE LIMERICK 5 TR 86 E 80 KILMARNOCK RD
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME HWY 3 TO MASON LAKE RD TURN LEFT UP HILL PAST STORE TURN ON
OLD LYME RD E FOLLOW TURN LEFT ON KILMARNOCK RD 2 DRIVE
RIGHT SIDE
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: V-B
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: Occ. Status: Primary Basement:
Manufactured Home Information Setba k Information Shoreline& Planning Information
Make:CHAMPION Length: 44 Ft. Front: E 7 7.0 Ft. Shoreline: Ft. Water Body:
Rear: W 30.0 F . Slope: Ft. SEPA?: No
Model:5443R Width: 24 Ft. Shoreline Desig.: Not Applicable
Side 1: N 27.0 F .
Year:2005 Serial No.: TBA Side 2: S 43.0 F . Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical ixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee TW 3/16/2005 $214.50 S12005
Planning Review Fee TW 3/16/2005 $155.00 S12005
Building State Fee LDK 3/17/2005 $4.50 S12005
Mobile Home Issuance Fee LDK 3/17/2005 $214.50 S12005
Address Fee GMM 3/21/2005 $140.00 S12005
EH Plan Review CEW 3/23/2005 $75.00 S12005
Total $803.50
BLD2005-00416 Please refer to th@ following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2005-00416
CONDITIONS FOR
BLD2005-00416
1) Contractor registration laws are governed under RCW 18.27 aid 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. Tk 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 internationnl 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,�f?ne "with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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3) 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
or t ny further inspections being performed or approvals granted.
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4) 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
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5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
6) 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 Depar,�men tior to any further inspections being performed or approvals granted.
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BLD2005-00416 Please refer to the following pages for conditions of this permit. 2 of 4
7) 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. RC 43-63B.090
An approved Installer cerification tag shall be placed on the enij 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 ira ailed. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X
8) 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 get an order form from the Mason County Building Department or you
can contact the Offfice of Manufacturing Housing (360)725-2 00.
9) Owner/builder assumes all responsibility if drainfield/reserve a ea is encumbered.X
10) Concrete used for basement walls,foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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11) All construction must meet or exceed all local ordinances and I he 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 revocatio��
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12) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, et-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all
responsibility for the scheduling of my required inspections. If he required inspections are not requested, inspected and signed off(approved) by the
inspector in the prescribed order, I understand that reinspectio i 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 c riginal 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.
OWN ER/CONTRACTOR(indicate which)Signature X z2Z
L"11 4.
13) This permit is for the pl me nd installation of the manufa tured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
14) Provisions for surface/subsurface drainage control must be im lemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County S1 ormwater 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 o 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 wit ' 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.
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BLD2005-00416 Please referto the following pages for conditions of this permit. 3 of 4
15) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or r gulation, must be reviewed and approved by Mason County prior to construction.
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16) The installation permit shall be displayed in clear view of the si a 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.
17) Owner/applicant must obtain a seperate p it f he placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank. X
18) All property lines shall be clearly identified at the time of foundation inspection. X
19) 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 jdi;pgas and building regulations.
20) 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 oi a written extension request indicating that circumstances beyond the control of the permit
holder hav rev ted action from being taken. No more than one extension may be granted.
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21) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, nd flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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22) Approv per imensions and setbacks on submitted site plan Setbacks are measured from the furthest projection of the structure.
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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 anytime 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 owneror the agent on the owners b.Nhalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structu for r r and inspection.
OWNER OR AGENT: fh //i� '� DATE:
BLD2005-00416 Please referto th following pages for conditions of this permit. 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
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T Footings / Setbacks Date By Ribbons
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C) Date By Gas Piping Date By
rn Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date jj 0X_ By�L
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 cf f- -D SAS
Water Line Date By
Date By Date By
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Proudly Produced By: New 2004 Features:
•Taped and textured interior
�D/•� Nt As -4" tile backsplash in the kitchen'& a 's
� :James-James ® exterior siding
C H a�1�1 P l O C1 '
Steel insulated front & rear doors'
HOMES OF OREGON • ,
Vinyl Framed Dual Pane Windows '
-Exterior design with roof gable
Floor Plan: Optional Features:
----44'-0"
OPT °
U CLOSET
TILITY __
oPT kcwE TUB
BEDROOMI2 3
9'-5'x8'-75'x8'-7' BATH KITCHEN % BATH
w� O
DINING AREA
--------------------- ----
HALL 7'-0'x6'-3' WALK-IN cEosET
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N
BEDROOM 3 LIVING ROOM MASTER BEDROOM
9'-8'x8'-7' 19'-8'x11'-2' 13'-O'x11'-2'
ENTRY =--_
Model 5443R - 1026 Sq. Ft., 26' X 4493 3 Bedroom, 2 Bath
All room dimensions are approximate and subject to change.
Disclaimer: NONE 11�
Champion reserves the right to modify features and
specifications, exchange materials, and discontinue
features to meet market conditions without prior notice.
All specifications and illustrations are subject to change.
www.championoregon.com
03/08/2005 13:08 FAY Ian 127 7708 MASON CO PERMIT CTR lih009/O10
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AP ROVED
MASON COUNTY DCD PLAi'lNINC 1o'
SITE PLAN FilQUIRED TO BE. ON SITE R�
CHANGES SUBJECT TO APPROVAL
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION C (o
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 INF RMATION CONTRACTOR INFORMATION
Owner C_ Company Name
Mailing Add ss Mailing Address
Ct State A)4--Zip Code City State Zip Code
Phone V U— fC/ Other Ph„160 q2640 FS 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 t9,N Septic Existing Septic x
Connect to Water System ° Name of Water System 6 r Li e,ti c
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. "� - - Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site L4 � "'
Will timber be cut and sold in parcel preparation?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 O her PR_ M4RY RESIDENCE ❑ SEASONAL ❑
Use of Building C"� Describe Work D
No.of Bedrooms No.of Bathrooms Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFA TURED HOME INFORMATION - Make aA4a ari Qe'kmuriModel Year
Length 4/—Width2_Serial No. No.of Bedrooms No.of Bath 0c s _
Type of Heat Purchase Price$ Replacement Unit? Yes/
Installer Name Certification No Z
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 permission from all the necessary parties.If permission is
j required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on 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.
PROOF OF CONTINyATION F W RK IS�BY MEANS OF A PROGRESS INSPECTION.
X e,-;192�4 /z Date:
owner/Owners Re resentative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department -5 U-9
Planning Department
Environmental Health Departmen 5
Public Works Department
Fire Marshal
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