HomeMy WebLinkAboutBLD2003-01057 Final MFG Home - BLD Permit / Conditions - 1/22/2004 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
Ir Shelton,WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2003-01057
OWNER: EARL SMITH RECEIVED: 7/31/2003
CONTRACTOR: LANCOR DEVELOPMENT 3602534350627 LICENSE: LANCODT144B7 EXP: 11/3/2003 ISSUED: 9/5/2003
SITE ADDRESS: 3161 E BROCKDALE RD SHELTON EXPIRES: 3/5/2004
PARCEL NUMBER: 321314490000
LEGAL DESCRIPTION: TR 4 OF W1/2 W1/2 SE SE TR 1 OF SP#2206 SEE SP#1305
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME HWY 101 TO BROCKDALE, TURN RIGHT LOT ON LEFT.
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: MH Insp.Area: No.of Bathrooms: Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 9 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:PALM HARE Length: 66 Ft. Front: E 100.0 Ft. Shoreline: Ft. Water Body:
Rear: W 277.0 Ft. Slope: Ft.
SEPA?: No
ModeIAP466AZ Width: 27 Ft. Side 1: N 97.0 Ft. Shoreline Desig.: Not Applicable
Year:2003 Serial No.: FACTORY Side 2: S 50.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KS 7/31/2003 $211.05 S12003
Planning Review Fee KS 7/31/2003 $150.00 S12003
Mobile Home Issuance Fee JRN 7/31/2003 $211.05 S22003
Building State Fee JRN 7/31/2003 $4.50 S22003
Address Fee GMM 8/6/2003 $140.00 S22003
EH Plan Review CEW 9/3/2003 $75.00 S22003
Total $791.60
BLD2003-01057 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2003-01057
CONDITIONS FOR
BLD2003-01057
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647, 8$.-\T a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X V �J
2) 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 V
3) 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 to pos L�d ss on site prior to requesting inspections.
4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X�
5) 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 Departm�""y
further inspections being performed or approvals granted.
X
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
X WW
BLD2003-01057 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. 0 n
8) 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 e o occupancy(Final Inspection)will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
9) This permit is for the place V�%
q�itallation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X �� \\ t
10) 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"or mQ( i fight from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires
a handrail. X \,I
11) Proposed structure or portions thereof with an ir ' �er 30" in height from grade line, must maintain a 5'separation distance between adjacent
structures and that furthest projection. X
12) 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 shall be to requesting additional inspections.
X � 1
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) All property lines shall be clearly identified at the time of foundation inspection. X [ANW
15) 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 Co r 'n s and building regulations.
X
16) 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 preve ed a tion fr being taken. No more than one extension may be granted.
X
17) All upland areas disturbed or newly ' nstruction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X / 4
BLD2003-01057 Please referto the following pages for conditions of this permit. 3 of 4
18) Approved per dimensions and setbacks on submitted site plan. X tm
19) OWNER MUST SHOW PRO M
ISFACTORY WELL LOG AND WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF
THE RESIDENCE. X
This permit becomes Ilan void if work orc stru d 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. Evide ce of uation of wor is a r tin ithi the 180 day period. Fin innsp /icon must be approved before building can be occupied.
OWN ER OR AGEN DATE: J (/
BLD2003-01057 Please refer to the following pages for conditions of this permit. 4 of 4
r
o CONCRETE MECHANICAL MANUFACTURED HOME
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l' Footings / Setbacks Date By Ribbons
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8 Date By Gas Piping Date /p-�ra.�3 B y
4 Foundation Walls Date B y Set-up kian�s iz
Date By INSULATION Date 12/2 o3
B G / Slab Insulation Floors Final
Date By Date By Date I 2Z/v,
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
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APPROVED
MASON BUILDING INSPECTof
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PLAN PLOT EVISION
IVED
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REVISED
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Request To Revise An Approved Plan
Permit Number: BLD200 .5 � Name a L r�_-
Parcel Number3Z /3 yam/ - 7 000 Phone Number daytime (2049 24, Z S
Project Address 1�0(Ldl_l ,/��l Mailing�ddress (� 2- /-Z .5
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Please provide a complete, detailed description of the proposed revisions to the approved plans:
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Are two sets of the revised plans or addendum indicating the changes included? Er'"Yes/1//f4 -a-No
Are the approved site plans included? ,lf Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? 2 Yes k111f 0-No ;
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes -0'No
If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record)
Does the proposed revision modify the footprint or location of the structure? -e'Yes ❑ No
If Yes, Is a revised site plan,with all new setback dimensions included with this request?
Yes ❑ No
Additional Information:
Applicant's signature Date:
Office Use Only Received by:
Date Sent Assigned To Approved By Date
Original Valuation: $
❑ B. a(7 7 Additional Valuation: $
❑ P. Sq.Ft. x$ $
Sq. Ft. x$ $
E.H. Z`� ��) C Total New Valuation $
Additional Fees:
❑ P'w' Additional Planning Dept. $
ram, Additional Plan Review $
New Setbacks: Front / Rear / ZZ�O Additional Building Permit $
Side1 / 6n_Side2 JE Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical $
Additional E.H.Dept. $ 315.
Other $
Total Amount Due: $ ?✓" •O
Amount To Be Paid Up-Front$
Tech iitiY
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STATE OF WASHINGTONr<x
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DEPARTMENT OF COMMUNITY, TRADE AND ECONOMIC DEVELOPMENT
OFFICE OF MANUFACTURED HOUSING
The person named hereon has met the requirements and
is certified,as provided by law,as a
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Manufactured Home Installer c:
;r KEN R HOUSER
Number Issued Date Expiration Date
Manager,Office of Manufactured Housing , +f
'f WAINS1232 7/15/2003 9/30/2006
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STATE OF WASHINGTON
Department of Community,Trade and Economic Development
Certified Manufactured Home Installer
KEN R HOUSER
Number: 32
S12
Manager,Office of Manufactured Housing WAIN WAIN 12
Expires:
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------ -- --- -- - DEPARTMENT OF LABOR AND INDUSTRIES
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REGISTERED AS PROVIDF..D BY LAW AS 'ee
CONST CONT GENERALS'
to
REGIST. .# -EXP. DATE 01
CC01 LANCODI144B7 !11103/2004
EFFECTIVE DATE O1/27/1986
LANCOR DEVELOPMENT INC '
15415 SE. GREEN VALLEY RD
AUBURN WA 98092
— Donch Aihl Display Cotiliwla
REGISTERED AS PROVIDhD BY LAW AS
CONST CONT GENERAL Please Remove.
REGIST. # EXP. DATE And Sign
CCO1 LANCODI144B7 11/03/2004 Identification
DATE O1/27/1986
Card Before
LANCOR DEVELOPMENT INC Placing III`
15415 SE BEEN VALLE RD Billfold
PLUBURI1� 98092 1
Signature %_ .
Issued by DEPAR-rMFNT OP-t..ABOR AND INDUS'rltlES A
.0
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
APPLIC T INFOR ATION CONTRACTOR INFORMATION,�
Owner a Y �'1 Contractor Name L.,Avle r' J1-yekowlei'l
Mailing Address Off"- -N Mailin ddress! S
City L State WA Zip Code jgjqq City I v State /tom Zip Code
Phone ) 5�5- they Ph. ( ) Phone QiJ ) ZIZSOther Ph. ( )
Lien /Title Holder nL' Sp yii i Contractor Reg #L.4W0I72Jg0kxp. 1L/ 3 6
Email Address Email Address
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic ✓ Existing Septic
Connect to Sewer System Name of Sewer System
Well Water System Name of Water System
PARCEL INFORMATION - 12 digit Tax Parcel No. / jQ06 O Fire District
Legal Description j1z I 0 r 5I�' 22y10
Site Address (Please nclude street name, street number and city)
Directions t�sjte W v4 C� — Vy^)
U
Will timber be cut and sold in parcel preparation? (Yes/No)_ /O _
Is property located within 200' of saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
PERMANENT RESIDENCE SEASONAL RESIDENCE ❑
TYPE OF JOB - New Add Alt Repair Other Use of Building S FR
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/No)
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE - 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOM5INF0RMATION - Make l! /Modely Mode Year
Length_; _Wid z— /1 Serial No. No. of Bedrooms No. of Bathrooms/—
Type of Heat e U Purchase Price $ 7 Replacement Unit? (Yes/No)�!
Installer Name Fie Erlu Y— Certification No. "/A/S /7 3,:2
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 � FI FLOW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I m curren ly regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Was ke
n<h�fg aware
of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating work for which this
that all work will be done in conformance therewith. No changes ermit is issued and all work shall b eyp.ceg0r*Ridelthere-
shall be made without first obtaining approval. with No changes all ade without first obtaining approval.
II ,. / 3
X Date IX lO L Date '3
FOR OFFICIAL USE BEYOND HIS POINT
Accepted by Planning Pd f r� V Ck# �3uu
ri Date Bld Pd. ! Reciept No�L 2(1/1J_�_C
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department 31.0
Occ Group Type Constr.V'r .- U / N.Y ) R
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee o5 Site Inspection
Plan Review Fee 2-1 I O F EH Review Fee
Plumbing& Base Fee J Planning Review Fee
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee gp
Violation Fee Pre-Paid at Submittal ( )
TOTAL FEES