HomeMy WebLinkAboutBLD2001-00652 Final Replace MFG Home - BLD Permit / Conditions - 12/30/2004 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
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2001-00652
OWNER: JAMES WEAVER 3830 RECEIVED: 07/05/2001/200
CONTRACTOR: HERITAGE HOME CENTER 425-353-5464 ISSUED: 07/ 1
SITE ADDRESS: 2291 NE TAHUYA RIVER RD TAHUYA EXPIRES: 01/31/200
PARCEL NUMBER: 322132300080 �aM1T aA.T10N
LEGAL DESCRIPTION: W 320' OF S1/2 SW NW S OF R/W vO`D BY E11CPt .
PROJECT DESCRIPTION: DIRECTIONS TO SITF14ML & Y Iw`�
REPLACE MANUFACTURED HOME TAHURE YA MIL
�R Ft O MILES R AT OUTHOUSE AHUYA RD GO
RAT 4, R�
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.:
Type of Use: MH Insp. Area: No. of Bathrooms: 2 Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 8 No. of Stories: Occ. Load: Building:
Valuation: $42,526 Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make MARLETT Length: 44 Ft. Front: W 173.0 Ft. Shoreline: Ft. Water Body: wetland
Rear: E 120.0 Ft. Slope: Ft. SEPA?: No
Model: Width: 28 Ft. Side 1: N 276.0 Ft. Shoreline Desig.: Unknown
Year:2001 Serial No.: Side 2: S 60.0 Ft. Comp. Plan Desi .: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal KLW 07/05/200 $175.00 56687
Pining Site Inspection SAL 07/16/200 $70.00 BELFAI
Building State Fee MEC 07/19/200 $4.50 BELFAI
Mobile Home Issuance MEC 07/19/200 $175.00 BELFAI
EPP!Dlan Review CEW 07/24/200 $50.00 BELFAI
Total $474.50
BLD2001-00652 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
1 BLD2001 -00652
CONDITIONS FOR
BLD2001 -00652
1) This application i subject to Buffer and L ndscapin requirements as established under Mason County Ordinance
1.03.036.X
2) The use, handling an storage of hazardous materials,or flam abl and com ustible liquids in excess of 10 gallons is not allowed without the approval
of the Mason County Fire Marshal. X
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 ay affect your project.
X
4) Proposed structure r any portion thereof greater than 30" in height from grade line, n st main ain a minim u of 5' setback from all property lines,
easements and 10' from all County and State Road right of ways. X
5) All upland areas disturbed or newt created by onstruc0*onctivities hall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X %�'�
6) Approved per dimensions and setbacks on submitted site plan. X ,
7) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
8) Existing mobile home must bq removed and properly disposed of within 120 days of the final inspection of new residence.
X
9 A demol ion permit will be obtained from Mason Count prior to the removal of the existing mobile home. X
P YP 9
10) Applicant has indicated this is a replacement unit. Prior to Mason County allowing any occupancy of the new propos d unit, he existing unit which is on
site and is being replaced MUST be removed from the parcel.
BLD2001-00652 Please refer to the following pages for conditions of this permit. 2 of 4
11) 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
contr4ptor fail to post the a ldr ss on site pri r to requesting inspections.
X
12) THE FOUNDLION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
13) 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 in the amount of$47.00 per hour (minimum 1 hour) will be charged and shall be collected
by the B 'Iding De rtmen prior to a y further inspections being performed or approvals granted.
X ,
14) REQUI ED 4SPECTIONS (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 II pro le no occu ancy (Final spection) will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature
15) All mobile/manufactured home landings or decks must be freestanding (s If 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 more in h ht from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers
requires a handrail. X
16) The installation permit shal 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 Mason C unty ordinances and building regulations.
X
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 pr vented actin from being taken. No more than one extension may be granted.
X
BLD2001-00652 Please refer to the following pages for conditions of this permit. 3 of 4
-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. (/
OWNER OR AGENT: DATE:
BLD2001-00652 Please refer to the following pages for conditions of this permit. 4 of 4
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Footings / Setbacks Date By Ribbons
0 Date By Gas Piping Date By
N Foundation Walls Date B y Set-up
D ate By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
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 3�' Uy( B y
Date By Date By
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Setback date by Ribbons
by
date by Gas PIPWQ date
Fourj&itlon walls date Set UP �c 'r
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date INSULATION date /- Z/' I
BG/SLAB Insulation Floors Final
,e by date date
by
FRAMING FIRE DEPT.
Walls
date by date by date by
date
PLUMBING Attic OTHER
Groundwork date by
date by WALLBOARD NAILING
D.W.V. date by
to by
FINAL Line NAL INSPECTION
date by date by date by
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Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location ���y�i� 2 ? '�
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
J`i TG
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
1OK to �i'lit�,;� �' Ci C�-►� /1/EC
❑ This is not a complete inspection Department e C .Z�'
Date '�%� Inspector
■ ok s :J M k OV T H 1 _ TAnT
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Building Permit # MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
ORRECT10N NOTICE
Job Location
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
e2
F cL E-�- T/�Ti�-,-✓-
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department 25C-42
Date Z '�� Inspector /
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PEk'tNIETER
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HERITAGE HOME CEN ER, INC.
10825 Highway 99 South
3 ` Q EVERETT, WASHINGTON 98204
(425) 353-5464
BUYERIS) _ PHONED �e�0 DATE
yt n h Lm— S.r4a1f�S__ --- - _
AODRE Spr RA SALESPERSON
DELIVERY A15DRESS
MAKE&MODEL YEAR W.ROOMS FLOOR SIZE, '� HITCH WE STOCK NUMBER
; t Crams s _ a®o a L��y L w
SERIAL NUMBER COLOR PROPOSED DELIVERY DATE KEY NUMBERS
NEW ❑ USED
Do
LOCATION R-VALUE THICKNESS' TYPE OF INSULATION _ BASE PRICE OF UNIT $
_CEILING OPTIONAL EQUIPMENT c}�
EXTERIOR 19 FI ka, COST OF ADOITIONAL SET UP CHARGES
FLOORS &-D F` d SUB-TOTAL $ J
THIS INSULATION INFORMATION WAS FURNISHED BY THE MANUFACTURER A_ND_
IS DISCLOSED IN COMPLIANCE WITH THE FEDERAL TRADE COMMISSION RULE SALES TAX tad Jr'1
16CRF,SECTION 460.16.
' , OPTIONAL EQUIPMENT, LABOR AND ACCESSORIES NON-TAXABLE ITEMS t
ff$ VARIOUS FEES AND INSURANCE
1.CASH PURCHASE PRICE $ 03
TRADE-IN ALLOWANCE $
LESS BAL.DUE on above $
NET ALLOWANCE $
CASH DOWN PAYMENT $Sppp D
CASH AS AGREEDGEMARKs) $
mom
2.LESS TOTAL CREDITS $
SUB-TOTAL $
1. $3000 DEPOSIT REQUIRED TO ORDER HOME. SALES TAX(If Not Included Above)
2. SET-UP IN ACCORD TO PARAGRAPH 16 ON 3. Unpaid Balance of Cash Sale Price $
REVERSE. REMARKS:
3. WE FURNISH 20 FEET SEWER LINE. _
4. WE FURNISH 20 FEET WATER LINE.
6. TIE DOWNS NOT INCLUDED. C7
6. CUSTOMER RESPONSIBLE FOR BUILDING PERMIT. _
7. CUSTOMER RESPONSIBLE FOR ELECTRICAL
HOOK UPS. J
8. BANK POLICY STATES HOME CANNOT BE
OCCUPIED UNTIL PAID FOR.
9. WHEELS, AXLES RECYCLED TO FACTORY NOT
INCLUDED IN PRICE OF HOME.
10. THE DEALERSHIP CANNOT BE RESPONSIBLE FOR _
ANY GROUND SETTLIN THEREFORE AFTER THIS
INITIAL INSTALLATION RANDOM SHEETROCK -- PRICE GUARANTEED
CRACKS MAY APPEAR AND ARE NOT COVERED _
UNDER WARRANTY. FOR 90 DAYS
BALANCE CARRIED TO OPTIONAL EOUIPMENT $
• Sugmau, • Dealer and Buyer certify that the additional terms and
DESCRIPTION OF TRADE-IN YEAR SIZE conditions printed on the other side of this contract are
* agreed to as a part of this agreement, the same as if printed
MAKE MODEL BEDROOMS above the signatures. Buyer is purchasing the above
TITLE NO. SERIAL NO. COLOR described trailer, manufactured home or vehicle; the optional
equipment and accessories, the insurance as described has
AMOUNT OWING TO WHOM been voluntary; that Buyer's trade-in is free from all claims
ANY DEBT BUYER OWES ON TRADE-IN IS TO BE PAID BY[:] DEALER❑BUYE whatsoever,except as noted.
BUYER(S)ACKNOWLEDGE RECEIPT OF A COPY OFT T
HERITAGE HOME CENTER, INC. SIGNED Y, BUYER
DEALER
Not Valid Unless Signed and Accepted by an Officer of the Company or an Authorized Agent SOCIAL SECURI N0. -
SIGNEDX_.._ BLIYI R
Approvod SOCIAL SECURITY NO.—. ._ -
Request To Revise An Approved Plan
Permit Number: BLD200�- "' -�A
Name �(�
Parcel Number , l Phone Number (_ ) 7,� �3&
Project Addres c20 g fi� �a� Mailing Address
Please provide a complete, detailed description of the proposed revisions to the approved plans:
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No
Are the approved site plans included? ❑ Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? 0 Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ 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 an engineered plan will be approved without the written consent of the engineer or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No
If Yes, Is a revised site plan, drawn to scale, included with this request? ❑ Yes ❑ No
Additional Information:
Applicant's signatur Date: /Q
Forward to departments indicated below: Approval/Date Original Valuation:
❑ Building Additional Valuation:
Planning
Sq Ft x
Sq Ft x
❑ Environmental Health Total New Valuation:
Public Works Additional Fees:
Additional Plan Review
Additional Conditions/Connnents: Additional Building Permit
Additional Plumbing
Additional Mechanical
Other
Total Amount Due: $
V.�
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Receipt a No. 41693a
RECEIVED FROM qq
Fa DOLLARS
FOR RE R� ✓ C ram`
Vl FOR •
FROM TO 1—II
ACCOUNT cash
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PAYMENT �60 V check plf)la
BALANCE DUE money BY
order
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JAMES D. WEAVER 2012
MARY ANN WEAVER
2291 NE TAHUYA RIVER RD. Date `�� �of 98-8234/32511
TAHUYA,WA 98588
PaOrderofytothe�7TiA�i� h?!i —h I $
$ Li,& ! ,� Dollars
° Q=00-427-"39
Community Federal
Credit Union
on•B•lfair•Port Orchord
For -- - ----
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PERMIT NO.: BLD �
7V 416 eT -6b&5
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 11
Owner Contractor Name �t r, r,e_ /7�v,�,� C0,14-.tl-
Mailing Address v ueT RrJ Mailing Address n
City -r State L&,q Zip ode 2,fykdr City L tc ` 'State Zip Code 5$17�QL1
Phone 17S 3&030Other Ph.( Ph.( y ag; )�'x�3 ,5'.61 Other Ph.(�
Lien/Title Holder Contractor Reg. #
Address Expiration ! /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic X_connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. 13. / / 00 0 9 Fire District
Legal Description -5w 1V uJ 0
Site Address(Please include street name, street number and city)
Directions to site /
u G 4
Will timber be cut and sold in parcel preparation? (YeslNo) MO o
Is your property within 200' of the following: Body of Water (Name) Q 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 L zaWcd 40mo
Describe Work
No. of Bedrooms_ J. No. of Bathrooms SQUARE FOOTAGE-1st Floor //A 2nd Floor -�.,....
3rd Floor _ _ Loft --- Basement Deck -- Other ----- sq. ft
GaraLe Attached,,..,•__Detached..._....Ca rpo rk........-- Attach eck_.+Detache d-----=
-, WTA 4 r _I G p7cZh
MOBILE HOME INFORMATION-Makebj AR4e4&-P Model Model Year 74 o 1
Length �/y Widths Sf Serial No. No. of Bedrooms -,2. No. of Bathrooms
Type of Heat !%-.14 d Purchase Price $ y.1,3-glee . 1ir 3 Replacement Unit ?(Yes/No) GI e� s
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-I 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.
IX ate X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL» REVIEW PPROVED 0EN1ED CONDIT]1 E5
Building Department j /,V lY al
Occ GroupType Constr. ,0 v��J♦ $+
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
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 ( )
TOTAL FEES
T BE COMPLETED IN INK Ff K
MPPRESS"ARD MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name 1/�L PARCEL NUMBER Xel?ODate
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indic8tiong N, S, E, W in relation to the
site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
adjacent property line4 I I <-adjacent property line
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adjacent property line4 ' ' <-adjacent property line
SAMPLE SITE PLAN
adja�nt property lined 310� _ _ E-adjacent property line
D 30' rResr-Rv& gel
SEACo%J AL_ I L _Y'PT7L__,I J
I c I HOM t I .Ci 46.EA1
CReE1C � I rk I
I i�ousa
I j 1PIM0 PostD sQ f �I
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PcPa3d 0. r �\n' T A&R=LLLTWR—AL-/30SO
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adjacent property lined f-adjacent ro ert' line
TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
degree of slopes. See sample topography profile.)
SAMPLE TOPOGRAPHY PROFILE
d15tr-"Ca. to
ruttLA-Yt
'CJ &Mta r+ce. t o
51opa f-c¢
dis+a..ca.
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Signatur Date
r n
nJbLcc�\3 0C O
427-9670 MASON COUNTY CCC72
BUILDING DEPARTMENT
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
TOP WORK
On these Premises at
This order is issued because
A.M.
Posted P.M. 19 By
WARNING The failure to stop work, the resuming of work without permission from the
Building Official, or the removal, mutilation,destruction or concealment of this
Notice is punishable by fine and imprisonment.
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