HomeMy WebLinkAboutBLD2006-00488 Final SFR - BLD Permit / Conditions - 7/18/2006 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
� Shelton,WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2006-00488
OWNER: PATRICIA CHORBA RECEIVED: 3/29/2006
CONTRACTOR: DUTCHS MOBILE HOME SERVICE 253-631-0653 LICENSE: DUTCHMH254KA EXP: 5/1/20 ISSUED: 4/24/2006
SITE ADDRESS: E WILLOW BLUE LN SHELTON
90 EXPIRES: 10/24/2006
PARCEL NUMBER: 321367500080
LEGAL DESCRIPTION: TR 8 OF SURVEY VOL 2 PG 49
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW MH From Shelton go east on Hwy 3 left on Lavander Ln. to right on Willow Blue Ln.
700 'to site 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: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No.of Stories: Occ. Load: Building:
Valuation: Bui►ding Height: Occ.Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:KARSTEN Length: 28 Ft. Front: N 100.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: S 130.0 Ft. Slope: Ft. SEPA?: No
Model:BAYCREST Width: 66 Ft. Side 1: W 110.0 Ft. Shoreline Desig.: Not Applicable
Year:2006 Serial No.: FACTORY Side 2: E 32.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KS 3/29/2006 $214.50 S12006000
Planning Review Fee KS 3/29/2006 $155.00 S12006000
Address Fee GMM 4/3/2006 $140.00 S12006000
Mobile Home Issuance Fee RTB 4/5/2006 $214.50 S12006000
EH Plan Review TW 4/18/2006 $75.00 S12006000
Total $799.00
BLD2006-00488 Please referto the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
B LD2006-00488
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CONDITIONS FOR
BLD2006-00488
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&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 international 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
X such road s go ect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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
Departm nor to any 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
inspections.X //f1
5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL.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
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 inst II d. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X '
BLD 48 Please refer to the following pages for conditions of this permit.2006-00 8 g p 9 P 2 of 5
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.
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8) 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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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 revocation'���
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10) Lake Cushman area is designated with a 551b snow load rating. The owner/agent of this permit acknowledges that if the unit permitted under this permit
does not meek t recommended snow load rating, there is a potential for failure due to weight accumulation beyond that of the design criteria.
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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 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 schedul as time allows. Until r9solution of any/all problems no occupancy(Final
Inspection)will be granted for the residence.
OWNER/CONTRACTOR(indicate which) Signature X
12) This permit is for the plac ent and inst Patio of Ke anufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X_
BLD2006-00488 Please referto the following pages for conditions of this permit. 3 of 5
13), Permanent Address must be posted and visible from the road
Deck must be safe and meet code for year building permit was issued. Rebuilt decks are required to meet current code. All guardrails and handrails
must be in good condition and meet code for year built or current code if replaced.
Skirting must be vented 1:150 and backfill sloped away from unit 2%for a minimum of 5'around the perimeter of the unit
Gutters and downspouts must be installed with splash blocks provided
All exterior penetrations must be sealed
HWT Pressure relief line and dryer vent must exit skirting a minimum of 6"with a maximum of 24"above grade.
The unit shall have a minimum of 16"x24"crawl space access provided HOWEVER, if the unit has not received a set up inspection and is skirted, 4
panels centrally located (one on each side of unit)shall be removed by the owner/applicant prior to requesting the inspection.
All conditions on the original or issued permit must be met
If the unit was installed by a WAINS certified installer/contractor since July 1, 2003, CTED Installer Tags must be available
It shall be the responsibility of the person requesting the inspection to provide the
manufacturer specifications, ANSI Standards or approved engineered design for the installation of the unit and have them available on site for inspection.
Each inspection required will be assessed a fee as adopted under Mason County current fee schedule. Re-Inspection fees will be assessed each time an
inspection is requested and required items are not completed prior to the inspection being performed
ENFORCEMENT PROVISION:
Any manufactured/mobile home and/or appurtenant structures found non-compliant with any county or state regulation are subject to enforcement action
and subsequent violation and penalties pursuant to the Mason County Code.
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14) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regula�iq{i, must be reviewed and approved by Mason County prior to construction.
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15) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector s V
made prior to requesting additional inspections.
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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.
BLD2006-00488 Please referto the following pages for conditions of this permit. 4 of 5
9 III
17) All property lines shall be clearly identified at the time of foundation inspection. X
181, 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 ord' s and building regulations.
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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 pre d action from being taken. No more than one extension may be granted.
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20) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, hing. Install metal connectors approved for contact with the new types of pressure treated material.
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21) Approved imensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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22) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X_� ��
23) ***FIRE MARSHAL REVIEW: BURN PERMIT REQUIRED FOR ALL LAND CLEARING. PLEASE CONTACT THE FIRE WARDEN AT 427-9670,
EXTN. 459 FOR ADDITIONAL INFORMATION.
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 a ructure for rev' d'an sp on.
OWN ER OR AGENT: DATE:
BLD2006-00488 Please refer to the following pages for conditions of this permit. 5 of 5
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CONCRETE MECHANICAL MANUFACTURED HOME _
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Footings 1 Setbacks Ribbons
rn Gas Piping X
IrNerior Date By Interior-Date By Date 5 8y / 03
co Exterior Date By Exterior Rate By
Set-
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Point Load I Isolated Footings INSULATION - Date By D
BG!SLAB INSULATION I
Date By Data By FIRE DEPARTMENT X
Foundation Walls 0
Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
rx:t By Data t y PROPANE TANKS
PLUMBING vault Date By
Dates 8y OTHER
Groundwork Attic
Date By Type:
L'at By Date By
D.W.v DRYWALL Type:
Int Braes Wall Date By W
Date By Date By FINAL INSPECTION v
Water Line Fin Seperation
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USL I TLAvY PEN MANAGEMENT' Tacoma, WA 98404 FOR 1NFIR ICTIONS
.� LABORATORIES rw. {253)531-3]21
INORGANIC CHEMICALS (IOCS) REPORT
System ID 1Va: NA Systerr, Naive; �f1d 2W _D s i 'r ralC
I -,b/Sample No: ne gD b Date Collected: O�-I p DOH Source No: Nk
Nvlultiple Source Nos: Alh Sample Type: a. St-rnple Purpose: C+,
Date Received: 03� Date Reported: Supervisor: LJIVA
County: Date Digested: N� Group: A li C)thrr Pvi-
Sample Location: Lj Ftr=�D
Send Results cot Bill TO; f Remark-:
J22T4 /hoU.rsfli .4 14/
I)C)H# ANALYTES RESULTS UNITS SRI, TRIGGER M<'l. EXCEEE>S Mcllwd/Analyst
EVA REGULATED Trigger? MCL7 -
4 Arsenic T, /1 0.002 0.05 0.05 Npluo 3113B
5 Barium m9/1 0.1 2 2_. _ 311313
6 Cadmiumo.o0 n 1 0.002 ().(N)5 0.005 F3113B
7 Chromium . 0 m /1 0.01 0.1 0.1 3113B
1.1 Mercu oa m l 0.0(H1S 0.002 0.002 _ 3112B
12 Selenium _ 412.oo,57 _ rn I uo 0.05 0.05 3113B
110 }3e Ilium o.p p m 1 0.003 0.(N)4 0.004 3113B
Ill Nickel Q,O ni /l 0.04 0.1 0.1. 3111B _
112 Antimon D,a0-5- mg/l 0.M.5 0.006 0.006 3113B
M Thallium 40.002- nt I (1-002 0.002 0.002 _ _ 2W.9
116 gyanide v m I 0.05 0.2 0.2 450U-C N F
19 fluoride <,O.Z m. /1 ().2 2 4 411013 LJIL
114 Nitrite-N �U,L m /l 0.5 0.5 1 4110B
20 Nitrate-N p m /1 0.5 5 10 4110B
161 Total Nitrate/Nitrite D nt /1 0.5 5 10 _ _ / 4'110R 4
EPA.REGULA(H:1)(Secondary)
S Iron Mg/1 0.1 0.3 0.3 3111B
10 Manganese mg/1 0.01 0.05 0.0.5 3111B
13 Silver m /l 0.01 0.l 0.1 1 3111B
21 Chloride mg/1 20 250 250 41108
22 Sulfate m 1 10 250 250 411013
24 Zinc m /1 Q. 5 5 1. 3111B
STATE RE(;111.ATED
14 Sodium p ra /1 5 3111B
15 Hardness m /I 10 2340C
16 C'cmductivi umhos/Cn 10 700 7(1() 2510B
17 Turbidi .$ NTU 0.1 1 O 213013
18 Co1ur culur units 5 3 15 2120H
26 al Dissc,lved Solids m ,'1 I- 5U0 500 2540(:
_ S'fAi'F,UNRECULATED
9 Lead p,qZ m*/l U.(102 _ 31136
23 Copper p,p�" mg/l 0.02 3111B
COMMENTS: PG'/�i
LAB USE ONLY: BAC( } VOC( ) soc( ) MISC( )
1986'PnOPERTY OF WATER MANAGEMCNT LABORATORIES.INC. pavrad 2i3
2/2'd S2820t78ZS2:01 1:9L29t782S2 Sdwnd SN3-13H:wo.,d 9S:60 9002-L2-&W
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ACCESS & GRADE WORKSHEET DATE:
ADDRESS
INSPECTOR
DRIVEWAY ACCESS
Length: Width: J-- Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
A-.r
need post at end of driveway with reflective address numbers
GRADE,OF DRIVEWAY % OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition:
Vertical clearance:
( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE SMZ, 4X4 FIRES ONLY.
( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES.
REMARKS
(continue remarks on back)
MASON COUNTY PERMIT
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 INFORMATIQ N 'CONTRACTOR INFORMAT ON
Owner ;'i 'A C rbA Company Name DyA KS mv6l,, tr�bKk_5p< •t(x
Mailing Address 2C� 1 1✓t nC� Or, ,-P Mailing Address �a3o7 .5c`_� 2 S r ITT
City !tPQA_State 1c '/-Zip Code Q v City $-<-T State Z-14 Zip Code 9,FQ Y 2-
2 Other Ph. 3 GO KC,•` CW Phone .253 Ia31- 065*3 Other Ph.='�3��>-`�/1�
Lien/Title Holder Contractor Reg.#D.�tc ,Ph Zsr/K,4 Exp.
E mail address E Mail Address sV"A
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic x Existing Septic
Connect to Water System Name of Water System
Well 2C Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Z 1 Fire District
Legal Description
Site Address (Please include street name, street number and city) 9 O
Directions to site uw `
I" I ,
Will timber be cut and sold in parcel preparation?Yes/ o
Is property within 200'of Saltwater Lake A- 0 River/Creek e-/" Pond 4 10
Wetland Azo Seasonal Runoff !. Stream Slopes or Bluffs 15% X""
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New_�C Add Alt Repair Other PRIMARY RESIDENCE 0 SEASONAL ❑
Use of Building rl,\oh,U Describe Work 0
2Q 1—k ��� jVtof�. 0- r
No. of Bedrooms No. of Bathrooms I.- Square Footage- 1st Floor f PV 2nd Floor
3rd Floor Basement � c Deck2-X%�J Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make ell^ Model Ba.yt,Qr Year-22926
Length-Z-Z--Width �Serial No. No. of Bedrooms —No. f Bathrooms Z-
Type of HeatF 4CT• 3 Purchase Price$ ��ZToZ 7.r Replacement Unit? Yes
OS
Installer Name n / ��� SC `C Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or p cation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representaf ii a ctor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declar tamed the permission from all
the necessary parties. If permission is required from any easement holder or any other party ardin application or the work
proposed in the application, I have obtained permission from them to apply for this permit and% ct the��yy �sed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees 4k, s6n�ounty acmes to the above
described property and structure for review and inspection. This permit/application becomes null & vbb11 if wort( zed construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF Of��Q�yylti�d ATION OF WORK IS BY
MEANS OFA PROGRESS INSPE TIO .INACTIVITY OF HIS PERMIT APPLICATION OF 180 DAY `4MVALIDATE THE APPLICATION.
X ✓ Crt. e � r:'_ { �� Date: -3
Owner/Owners Representativ(/Contractor indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: 1 Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department �� � _�/ I 1,Je C_..
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee -S EH Review Fee
Plumbinq & Base Fee PlanningReview Fee'
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee S d6 Pre-Paid at Submittal
Valuation $ TOTAL FEES