HomeMy WebLinkAboutBLD2002-00376 Final MFG Home - BLD Permit / Conditions - 12/26/2002 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
P14
RESIDENTIAL BUILDING PERMIT BLD2002-00376
OWNER: VERN STRATTON 360-262-9015 RECEIVED: 4/8/2002
CONTRACTOR: LICENSE: EXP: ISSUED: 5/16/2002
SITE ADDRESS: 2150 E JENSEN RD SHELTON EXPIRES: 11/16/2002
PARCEL NUMBER: 321307590112
LEGAL DESCRIPTION: TR 11 B OF SURVEY 4/74 LOT B OF SP#798
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME TAKE BROCKDALE TO JENSEN RD GO TO END OF ROAD
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 4 No. of Stories: 1 Occ. Load: Building:
Valuation: $54,079 Building Height: Occ. Status: Unknown Basement: pod" @ mh
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:LAKEPOINT Length: 60 Ft. Front: N 25.0 Ft. Shoreline: 90.0 Ft. Water Body: WETLAND UNREGU
Rear: S 150.0 Ft. Slope: Ft. SEPA?: No
Model:FLEETWOC Width: 28 Ft. Side 1: E 27.0 Ft. Shoreline Desig.: Unknown
Year:2000 Serial No.: 27403 Side 2: W 90.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KLW 4/8/2002 $194.50 58893
Building State Fee JRN 4/10/2002 $4.50 59306
Mobile Home Issuance Fee JRN 4/10/2002 $194.50 59306
Planning Site Inspection RAM 5/13/2002 $70.00 59306
EH Plan Review ADR 5/13/2002 $75.00 59306
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�7 Total $538.50
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BLD2002-00376 , , J Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2002-00376
CONDITIONS FOR
BLD2002-00376
1) This application is su ect to Quffer and Landscaping requirements as established under Mason County Ordinance
1.03.036.X ^�y
2) The use, handling and storage of hazardous matey Is or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X , i�.
3) 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 <` -
4) Proposed structure or any portion thereof greater than 30" in height from grade Ike, ust maintain a minimum of 5' setback from all property lines,
easements and 10'from all County and State Road right of ways. X
5) A Road Access Permit or Approval must beS ante by the Mason County Department of Public Works. For more information contact Charell Holcomb,
at (206)427-9670, ext. 450. X
6) Proof of Lab o and In ustries' approval for the change in window layout is required to be provided and accepted before final Mason County approval.
X
7) Approved per dimensions and setbacks on submitted site plan. X "'
8) 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 pogst t e address on site prior to requesting inspections.
X
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
BLD2002-00376 Please referto the following pages for conditions of this permit. 2 of 4
10) 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 Depaent riorto any further inspections being performed or approvals granted.
X _ ,
11) 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/al��rms o occupancy(Final Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which)Signature X j/
12) This permit is for the plaM
installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
13) 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 i r re 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 ��---
14) Proposed structure or any portion thereof greater than 30" in height from gracle�e, rust maintain a minimum of 5' setback from all property lines,
easements and 10'from all County and State Road right of ways. X �/
15) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector s all e ma prior to requesting additional inspections.
X ,
16) 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.
17) All property lines shall be clearly identified at the time of foundation inspection. X
18) 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 ason County ordi a ces nd building regulations.
.19) 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.
X ��i '
BLD2002-00376 Please referto the following pages for conditions of this permit. 3 of 4
20) All upland areas disturbed or newly cMp
construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
21) Temporary erosion control measures must be implemented to prevent water qualit a radati n of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X `�
22) 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
1-800-647-0! pe on signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X �j/
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 issaa progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWN ER OR AGENT: DATE:
BLD2002-00376 Please referto the following pages for conditions of this permit. 4 of 4
CONCRk-i't MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons .
date by Gas Piping date by '
Foundation Walls date by Set Up
date by INSULATION date C� U z
BG/SLAB Insulation Final
Floors
date by date by date /o� Z� 6Z
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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Depzriment of Labor&Industries 0,11,
ALTERATION PERMIT
Factory Assembled Structures SectionDo not complete shaded areas
INSTRUCTIONS: 161861
Permit#
1. Complete all spaces,including the signature box marked with an P P e i; el ( �• Invoice#
2. Draw a map on reverse side of WHITE copy only.
3. Forward completed permit and fees to the nearest L&I office. See list on reverse.
4. Contact and schedule the inspection with the same L&I office within 15 days. Insignia
Owner last name first name Day time phone Date
----._._ _-____.1_—._—.—_ _
Address / / Y ,fi l f ' City State ZIP
Installer/Contractor/Dealer Phone Contractor's registration number
.
11.
�� L 5 { i �-! _— Wit') Z 6 '���
..._..........Y._...._:___ . �_ _..._...._..__._.......
Address City- --. --...._....................... State ...- ..ZIP+4
Check the appropriate boxes In section A and section B. FEES
_
A ❑ Commercial Coach B Alteration Inspection(check appropriate boxes below) $ `."/,�� •r 7i_}
x '
(, Air Conditioning/Heat Pump
a �Q Electrical
Mobile Home Electrical Appliances
Fire Safety
Serial No.
Gas Furnace
'tiity ID ,
--- Gas Piping
HUI)No
Plumbing
Structural
Recreational Vehicle or ❑ Park Trailer Wood/PeIlet Stove -- 11 t wpm'
V
Serial No.
Plan Review ----- -- - - --- - -- --- $
RV Inspection - - $
Mo4cl No.or Plan Approval No. £
Rernspection - -- a $
` Technical Inspection - -- .. - - - - - - - - $
Note: This perinit expires one year after date of purchase. (Non-refundable)
Signature pf applicant or authorized representative Make check payable to: Dept.of Labor&Industries
X FEES DUE
Department use only
IRequest approved or Request denied because of specific violations of Washington rules and regulations. Violations must
be corrected and reinspection requested within 10 days for recreational vehicles and 20 days for mobile homes and commercial coaches
of the notice of violation date. (This does not apply to technical inspections). It is unlawful to offer for sale, rent, or lease any
non-tomplying mobile home,commercial coach or recreational vehicle.
-- - - - - - - - --- - --
-- - - - - - - - -- -
Included are forms required which must be completed and fees submitted before reinspection.
Date Area office lnspector Total pages
F622-012-OW alteration permit 7-01 White-Olympia Canary-Inspector Green-Contractor Pink-Purchaser Goldenrod-Purchaser
l
F11
SIDEYARD SETBACK S/T �� G L b�Y yY
' AV structures, or any portion thereof, greater
/ than 30-Indies in height above grade must ( Q
f Maintain a 5-toot setback from property tines
and easements
it . Structures shag
f+` include roof overhangs, gutters, decks,
porches, mechanical equipment, etc. APPROVED
t MUST MEET ALL CURRENT
MASON BUILDING INSPECTOR WASHINGTON STATE CODES
CHANGES SUBJECT TO APPROVAL
DATE 6�-I()-na
HESE PLANS MUST BE CHANGES
ON THE JOB SITE
SUBMIT CHANGES FOR APPROVAL
FOR INSPECTION. PRIOR TO PERFORMING WORK
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APp
MASON B �` a '.
CHANGES o DING 1�
SUBJECT TO NSPECTOR'v
n .r�' �' 0 APPROVq�
/1 r�. ✓ ''� j'/Z A���'�/ --DATE_...�p _-� - 1
3
roN Ir SIof anj SETBACK L
All structures, or any Portion the
than 30.inches in height ahoy. �f' greater `
maintain a 5-foot setback grade must
and easei%'nts and 10-feetro om rall lines
and state road right of ways, county 4
Include ys• Stru roof overhan s, cxWes shall ___ __........_...._.
Porches, meatianical o , decks, f ��....
�uroment, etc. -
- s rl��
05 � IG/< y � N
A5 Klk PLAN PLOT REVISION
RtCEIVED
DATE 4'-0'8-0 D--
BIG k vl� k
PERMIT ASSISTANCE CENTER
15L-D P-COa -CC -7
Cc`o�
FILE
COPY
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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 E R 1VA I— S r 9 A LL0& Contractor Name -5,8ML
Mailing Address Mailing Address
City J*ALAS KA State ip Code City State Zip Code
Phone(3A,9 147- Other Ph.( ) Ph.( Other Ph.(__
Lien/Title Holder Contractor Reg. #
Address Expiration
I
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well__,2�_Water System Name of
Water System
r
PARCEL INFORMATION-12 digit Tax Parcel No. 3 3. 1,3 D / :Z!� _/ ZD.4/-2. Fire District
Legal Description
Site Address(Please Incllicle street'harne street number and city)
Directions to site
Wilf imber be cut and sold in rcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond 'X Wetland Seasonal Runoff Stream Slopes or
Bluffs ""e
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
1TYPE OF JOB New�Add Alt Repaid #ei --=Me�of�uilding r1d/14 �.
Describe Work r � .l
No. of Bedrooms_;�__No:-eflK fhrooms�� F OTAGE-1 st Flo /X Z/2_2nd Floor
3rd Floor r- oft Basement Deck --Gilber sq. ft.
Garaae:.L7 y;' 3 Attached Detached Carport Attached' Detached
MOBILE HOME INFOR IO Make L. I kE of lode) (=L/'�r"y OO e Model Year ,7-000
Length 6-' Width V w� erial No. Z ! D No. of Bedrooms._No. of B throoms Z-
Type of Heat C,;' Purchase Price $ Replacement Unit ?(Yes oo
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-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 obtaining approval.
X Date Z- X Date
FOR OFFICIAL USE BEYOND THIS POINT K49
Accepted by f Date's Submittal Amount Du eceipt No. l"1
DEPARTMENTAL REVIEW APPROVED DENIED'; CONDITION CODES
Building Department cat t G
Occ Group " Type Constr.
Planning Department Vfr1 .p H� 'i`uys
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
FEES
Building Permit Fee L` Site Inspection
Plan Review Fee C.` L. 6° EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee r'G
Violation Fee Pre-Paid at Submittal
TOTALFEES