HomeMy WebLinkAboutBLD2003-01578 Final MFG Home - BLD Permit / Conditions - 3/5/2004 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 BLD2003-01578
OWNER: JOHN JANSON RECEIVED: 11/6/2003
CONTRACTOR: BUTCH'S BULLDOZING LICENSE: BUTCHB1994QE EXP: 11/5/2005 ISSUED: 11/25/2003
SITE ADDRESS: 741 E CATFISH LAKE RD SHELTON EXPIRES: 5/25/2004
PARCEL NUMBER: 321347590223
LEGAL DESCRIPTION: TR 22-C OF SURV 2/98 TR C OF SP#881 #377786
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME HIGHWAY 3 LEFT ON MASON LAKE ROAD TO CATFISH LAKE LANE ON
RIGHT
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.: 5 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:Liberty Length: 66 Ft. Front: W 192.0 Ft. Shoreline: Ft. Water Body:
Rear: E 75.0 Ft. Slope: Ft. SEPA?: Unkn
Model:427003 Width: 39 Ft. Side 1: N 24.0 Ft. Shoreline Desig.: hWttApplicable
Year:2004 Serial No.: Factory Side 2:NW 34.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee CMH 11/6/2003 $211.05 B12003
Planning Review Fee CMH 11/6/2003 $150.00 B120o3
EH Plan Review ADR 11/10/200 $75.00 S12003
Address Fee GMM 11/12/200 $140.00 S12003
Mobile Home Issuance Fee JRN 11/12/200 $211.05 S12003
Building State Fee JRN 11/12/200 $4.50 S12003
Total $791.60
BLD2003-01578 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2003-01578
CONDITIONS FOR
B LD2003-01578
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
X 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.
2) 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 eMVon site prior to requesting inspections.
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3) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X qo c�
4) 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 Department p 'or to any further inspections being performed or approvals granted.
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5) 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. ce ifi a 'on nu ber and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X
6) 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.
BLD2003-01578 Please referto the following pages for conditions of this permit. 2 of 4
7) 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 conneAt with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
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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 proble s no o cupancy(Final Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X "� �
9) This permit is for the placement an in tad Ilation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
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 rrlore n height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires
a handrail. X Ne
11) 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
In
X or t rspector shall be questing additional inspections.
12) 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.
13 All property lines shall be clear) identified at the time of foundation inspection. X
P P Y Y P
14) 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 an uildin regulations.
X
15) 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 preventeaction fr m being taken. No more than one extension may be granted.
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16) All upland areas disturbed or newly created by n ruction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
17) Approved per dimensions and setbacks on submitted site plan. X
BLD2003-01578 Please referto the following pages for conditions of this permit. 3 of 4
18) Proposed stru ure(s) must maintain a minimum of a 20'setback from all property lines, easements and 25'from all County and State Road right of ways.
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This permit becomes null and void if rk 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 oontinuat' of work is a p ogress insp op/within the 180 day period. Final ins ection mu be approved before building can be occupied.
•'
OWNER OR AGENT: _ TE:_ l 0-3
BLD2003-01578 Please refer to the following pages for conditions of this permit. 4 of 4
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Date By Date By Dated C5 6q By �
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Date By FINAL NS ECTION
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262 !�F{42:o o 3 Serial; 09L34?24XTU
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
APPLICAr INF RMATION CONTRACTOR INFORMA I N
Owner A/ .. ' "V G a nl Contractor Name fJk LC®ozrc�G/
Maili dress 2 0 17� A Mailing A�dre s G) • 5o)e 7 3
City 6A$tate Zip Code 7 Zr City /�� L State Zip Code '
Phone (fi�) 79 41 they Ph. ( ) Phone &G rJ) Z 7 S=S they Ph )
Lien /Title Holder Contractor Reg. # w7eAiPI�'94' 11/ aS`/ C)S
Email Address Email Address
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic_� Existing Septic
Connect tp Sewer System Name of Sewer System +
Well X Water System Name of Water System
PARCEL INFORMATION - 12 digit Tax Parcel No. ?Z 1 S 4 / 7 Z5' / 6 ZZ :�? Fire District
Legal Description ' "� -r"-S '`v
Site Address (Please include street name, street number and city) ( 4 Z4 ,,Q 12
ire2i ns to Ite �kJ o 1.,o ?`
!(r!� I-rT is AJ fctr f i51 L.
:. Will timber be cut and sold in parcel preparation? (Yes/No) /V0
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 lovse
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?(Yes/No) /V O
Describe Work F4 d 7c4.h race o-,r c ,
No. of Bedrooms _ No. of Bathrooms 2 SQUARE FOOTAGE- 1st Floor 2L® 2 O 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION -Makel(r mA71t Model 4zZ 70 0- lodel Year a"a °
Length (f ED Width Serial No. ;,�' N of Bedrooms '�. No. of Bathrooms 7-
,Type of Heat -Ac-9 ii2 Purchase Pr ic $ 0 Fs' 3 Replacement Un" es/No)
Installer Name o Cc!' 56!112' D 7Q Aa 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 ap oval.
X Date // o 3 o �C' ! Date
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FOR OFFICIAL USE BEYOND THIS POINT
jAccepted by � . � Planning Pd 'Ck# 10 ti -2 6,
Date ) ' 0 Bld Pd. ' ' Reciept No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group T e Constr.
Planning De artment
Environmental Health Department
is
Public Works Department
Fire Marshal NOV U 6 2003
Valuation $ RFLFAig OFFICE
FEES
Building Permit Fee Site Inspection
Plan Review Fee vS EH Review Fee
Plumbing& Base Fee Planning Review Fee !F,0
Mechanical&Base Fee Other 1 lJ
Wood/Gas/Pellet Stove Fee State Fee L
Violation Fee Pre-Paid at Submittal ( CIG
TOTAL FEES