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HomeMy WebLinkAboutBLD2004-01831 Final MFG Home - BLD Permit / Conditions - 3/23/2006 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 Irf Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2004-01831 OWNER: JERRY MARTIN CONTRACTOR: LICENSE: EXP: RECEIVED: 11/29/2004ISSUED: 2/3/2005 SITE ADDRESS: 1980 NE BLACKSMITH DR BELFAIR EXPIRES: 8/3/2005 PARCEL NUMBER: 223097500320 LEGAL DESCRIPTION: TR 32 OF SURVEY 7/17 SEE SURVEY 4/121 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME PLACEMENT HWY 3 TO OLD BELFAIR HWY, LEFT ON BEAR CREEK/DEWATTO RD. LEFT ON BLACKSMITH DR. FOLLOW TO END. LEFT AT 'T' General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: MH Insp. Area: OT No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: 14 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make:KARSTEN Length: 66 Ft. Front: E 165.0 Ft. Shoreline: Ft. Water Body: NONE Rear: W 90.0 Ft. Slope: Ft. SEPA?: No Model:BAYCREST Width: 27 Ft. Side 1: S 140.0 Ft. Shoreline Desig.: Conservancy Year:2005 Serial No.: FACTORY Side 2: N 140.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee NJP 11/29/200 $214.50 S22004 Planning Review Fee NJP 11/29/200 $155.00 S22004 Building State Fee ARC 11/30/200 $4.50 B12005 Mobile Home Issuance Fee ARC 11/30/200 $214.50 B12005 EH Plan Review ADR 12/7/2004 $75.00 812005 Total $663.50 BLD2004-01831 Please refer to the following pages for conditions of this permit. 1 Of 5 CASE NOTES FOR BLD2004-01831 CONDITIONS FOR BLD2004-01831 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- rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) The int/rnatioanl 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 road n t w,h a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X L 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 Departmen io t further inspections being performed or approvals granted. X 4) In accor dancewith 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 an the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X 5) The plan/eview check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of appr e c ents will result in failure of required building inspections. X 6) The "appro/ed-site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site 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 Depa 0 e i to any further inspections being performed or approvals granted. X BLD2004-01831 Please refer to the following pages for conditions of this permit. 2 of 5 7) 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 staed. certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X 8) If you are installi 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. 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 revocatio . X 10) REQUIRED I SPECTIONS (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 scheduled as time allows. Until resolution of any/all problems no occupancy(Final Inspection)will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 11) This permit is for the p acwm-er.A and installation of the manufact Zedhome only and does not imply approval or review for any other items indidcated on the plot plan. X 12) Provisions for surfs /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 withi 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 J 13) All changes to"a prov d" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or r I t be reviewed and approved by Mason County prior to construction. X BLD2004-01831 Please refer to the following pages for conditions of this permit. 3 of 5 14) 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 sh a de Prior to requesting additional inspections. X v .15) 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. 16) All property lines shall be clearly identified at the time of foundation inspection. X 17) All building permits shall have a final inspection performed and approved by the M son County Building Department prior to permit expiration. The failure to request a final insp tion or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason Countylr�i n nd building regulations. X 18) 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 n t exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have a tion from being taken. No more than one extension may be granted. X 19) OWNE MUST SHOW PRO O R.ATSFACTORYTHE RESIDENCE. X WATER SAMPLE AND WELL LOG PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF 20) Prior to final approval, all upland areas disturbed or ney c ed by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X -21) Approved Ph 1�s ns and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 22) Clearing has encroahced into a Category III wetland buffer. Prior to final approval, wetland restoration must be emplaced per the provisions of the wetland report, prep red by Lee Boad and dated January 4, 2005. A planning department site inspection to verify that plantings have been emplaced is required pri f, roval. Please contact Chuck McCoy at 360-427-9670 to schedule the inspection. X 23) A wetlan restoration bond in the amount necessary to perform the restoration is required to be filed with Mason County prior to final approval. A monitoring plan shall be enacted whereby a qualified biologist shall submit a report detailing the condition of the restoration area. This report shall be due on the anniversary date of the issuance of the building permit and shall be submitted annually for three years. A survival rate of 90% of plantings is required each y r d ring the three-year monitoring period. If survival falls below 90%, the applicant shall replant to restore the required survival percentage a s tend the monitoring report the necessary period to address the replantings. X c� BLD2004-01831 Please refer to the following pages for conditions of this permit. 4 Of 5 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 anytime 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 prope and structure7forriew and inspecti n. OWNER OR AGENT: '1'r DATE;G�=—� BLD2004-01831 Please referto the following pages for conditions of this permit. 5 of 5 C r o CONCRETE MECHANICAL MANUFACTURED HOME 0 a Footings / Setbacks Date B y Ribbons 0 o, Date By Gas Piping Date By w Foundation Walls Date B y Set-up Date By INSULATION Date //—/ -GtS'—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 By M Date By Date By m CD CD aL o: �' �yG�< c C� / l% �- d�cS�/��/�/ fr��✓/tG. O ►may 00 ffi9`�%= yFil �' lei i ��G-i✓ ,C ©7 0� "17(e 4 C 0 0 ■■■N ��■■■■�■■■/mom■ ■■ ON Mgo■■■S�■■■ES%■ME Mal■1:1 ■■ fad SEEM■ ■ � �r►'�{■�!■/_.r�.�� .�ii,l► ■SEE E SE '■ ' D_�i%SEE �M No E 1■■■■■■■om■■ ME■ No ■■■/� �It�■■■M■■■M■■■■■■■■ WHO , ',�IUS�R:■■■■■■■M■■ ■►r i■■ ,w ry■■ �� ►M�WNUMOU ��■ !MONSON" I Muslim SENIOR '"MEMO ME on ma'am _ ■ErIr� MEN NO i M■■M■■■M■■■M� r ■ 1s MEN 1 ■m■o■■So■■■E� ■■ ESE:■■■!■SMS IIwEE■■■s SEES■ ON No a moil ON pd own Moll Noll No MENNEN MOMEEMENEW 0111 ■■ S■■� ■■►IIIIi201.:"■■S OMNIKm■I IN M 1■■M■■■■O■■EN1■IN1M■■SE....26600-0■0 S■1■■■■Et■■�!�!!�:iiii(�© EZ��SSE■SEE■ • r • l •• • S W Cs H 8#t A3H i I ,0, JOA0 -wMot6.09'AM WOOAJ;0e iOnL-Pwa I-oJ;do db�x9t• �I�IS9 HQGx9b HQSx9b n9Sx9b n9Sx9b wooupoq Jaasow ; wood} 6uw1 p woo�pap Z wooupa9 II II II win qa +/�IvS O iJLL t#o6 W R u' I .ti,ll wood FpwoH rn P-opuo75 wooN 6uiva x I In O n,eo IC)Ul VE Kxi7l Ab£x9b H8Sx9b ;H8Sx9b I I � .o,Zp ; 1 , 1 ; 91WUVAV 9V1 IVNOI1dO ^ 1 L---------------------------------J Hld9 Z WOOK39 S 133d hAS ZbLT PERMANENT FOUNT * * T INSTALLATION INSTRUCTR .� I. INSTALL SUPPORT COLUMNS TO SPACING SHEET. �7 � W¢ 2. FOUNDATION FOR CHASSIS BEAR EEI EllI T I SHALL BE LOCATED AND SIZF.0 8 a LOADS,AS SHOWN BY MANUFAC n F INSTALLATION INSTRUCTIONS. - Q x 3. LEVEL SOIL AND PLACE REINFC CAST CONCRETE FOOTING BEU FACTURED HOME, AS PER LAYOI w w y y SHEET. SAND OR'/,^MINUS MAY I A O FILL IN VOIDS UNDER FOOTIN( U q p z GROUND IS UNEVEN. a w��jj a a x 4. SINGLE AND DOUBLE UNITS: CW7 Oa PREFERRED FOOTING ORIENTATP W I'j v EVER POSSBLE IS THAT a < Q DIMENSIONS OF THE FOOTINGS O TRANSVERSE DIRECTION. UP TOO ® * * THE FOOTINGS MAY BE ROTATE ED —{— THE LONG DIMENSIONS OF THE FO z PARALLEL TO THE MAIN FRAME,I W OR SET-UP CONDITIONS. y 1 5. SET SUPPORT COLUMN TO P] SETTING, PLACE IT ON CONCRE" AND ATTACH IT TO FOOTING WITH cV y * 6 RAISE TOP SECTION OF SUP N UNTIL IT TOUCHES BOTTOM CM THEN LOWER UNTIL HOLES LI ADJUSTING BOLT. INSTALL I THROUGH SUPPORT COLUMN THE'. } 7. TURN LARGE NUT UNDER HEAD I CONTACTS BEAM INSTALL 2 CL AND TIGHTEN FIRMLY. * 8 FOR FINAL FINE ADJUSTMENT rt-� DTI TRANSFER TO FOOTING ANC COLUMNS,TURN LARGE NUT UNU 5'maximum s .-N 22'maximum * • needed for Exposure C only zT -10'12'14'OR16—A 101214'OR16—� INSERT FOR /4 T c N 11 1" - 38 FOOTING NOTE T T� FOOTINGS ARE 28"SQ.INCITES MAGNUM PIER PRECAST,REINFORCED, OVERSIZE TO ALLOW FOR MAGNUM PIER DBNENSIONSABCDE SUESLIGHTWEIGHT,CONCRETE FOOTING CHIPPING. INCLUDE 4•'FOUNDATION FOOTINGS A. 13"TO 16�'A' PIER HEIGHTS THAT EXCEED 35'• B. 16"TO 23" MUST BE CROSS AND C. 19 W TO 3l" LONGITUDINALLY BRACED D.24"TO 35" SEE DRAWING OF MAGNUM BRACING AND CLAMPING E. REFER TO LOW RIGHT HAND CORI ENGINEEI FOUNDATIONWORKS,INC. COTTAGE GROVE, OR 97424 Fo PHONE (541) 942-3465 DP M( BEAM SIZE NOTES GENERAL NOTES SPECIFICATIONS AND SPACING SHOWN ON THUS PLAN ARE FOR HOMES DESIGN LOADS: WELD ACCORDING TO A.W.S.D.1.1-98 THIS WITH 10"AND 12"BEAMS. ROOF LOAD-30 PSF SPECIFICATIONS FLOOR LOAD-40 PSF A.W.S.SOLID WIRE ER70S-6 ANY 6"-9"CHASSIS BEAM IS NOT TO CANTILEVER PLATES A.S.T.M.A36 'PORT MORE THAN 8'ON EACH END OF UNIT. SPACING DOUBLE-WIDE: PIPE SCHEDULE 40 THE OF FOUNDATIONWORKS FOOTINGS AND SUPPORT WIND 80 MPH EXPOSURE C SUPPORT COLUMN BOLTS S.A E. HOME COLUMNS CANNOT EXCEED 16'0". SEISMIC ZONE 4 GRADE 5 SINGLE-WIDE: FOOTINGS 3000 PSI @ 28 DAYS LIGHT- PRE- HOME LENGTHS NOTES WIND 80 MPH EXPOSURE C WEIGHT REINFORCED CONCRETE �J SEISMIC ZONE 4 THIS WINDS FOUNDATIONWORKS SUPPORT ASSEMBLIES WINDS 80 MPH EXPOSURE C WITH 4 TIE-DOWNS THE DESIGN LOADS SHALL BE SHALL BE COATED WITH FOREST TECHNICAL ED TO UP TO 44': 8 FOOTINGS&COLUMNS CONSISTENT WITH ROOF LIVE LOAD,WIND LOAD COATINGS CHASSIS PAINT 88-E-203 OR 'HERE 45'-66': 12 FOOTINGS&COLUMNS AND SEISMIC ZONE AS ESTABLISHED FOR EQUIVALENT. 66'-72'(MAX): 16 FOOTINGS&COLUMNS PERMANENT BUILDINGS WITHIN A SPECIFIC SINGLE-WIDE: LOCAL AREA. TESTING WINDS 80 MPH EXPOSURE C THIS FOUNDATION IS DESIGNED TO BE TESTS PERFORMED BY: PSI LAB LONG UP TO 44': 4 FOOTINGS&COLUMNS CONSTRUCTED ON SITES WITHOUT EXISTING #689-36125-1 1 TLIE 45'-66': 6 FOOTINGS&COLUMNS SOIL PROBLEMS. FOOTINGS ARE DESIGNED FOR MAX VERTICAL TEST LOAD: 40000 LB& IF OF 66'-72'(MAX): 8 FOOTINGS&COLUMNS 1000 PSF SOIL AND SHALL BE COMPATIBLE WITH RATED VERTICAL CAPACITY: 13333 LBS. THAT LOCAL SOIL CONDITIONS. RATED LATERAL CAPACITY AT 25"MAX SARE TIE DOWN NOTES IN AREAS WHERE SETTLEMENT OR EXPANSIVE HEIGHT IS 4733 LBS. SITE SOILS OCCUR,MANUFACTURED HOMES SHOULD RATED LATERAL CAPACITY AT 24"-35" SINGLE-WIDE HOMES SHALL HAVE AN AUGER BE RE-LEVELED WHEN IT MAY ADVERSELY MAX HEIGHT IS 3800 LBS. WEST AND STRAP-TYPE TIE-DOWN,PLACED AS SHOWN AFFECT THE MANUFACTURED HOME. ON SINGLE-WIDE PLAN.PLAN )TING FOR TRIPLE-WIDE AND WIDER HOMES, USE THE CERTIFICATION: )LTS. TIE-DOWNS SHALL BE AN AUGER AND STRAP- LAYOUT FOR EACH SECTION, AS SHOWN FOR THIS IS TO CERTIFY THAT THE SUBJECT SYSTEM TYPE RATED FOR A MINIMUM OF 4250 LB. EACH SECTION OF A DOUBLE-WIDE HOME OF THE IS CAPABLE OF WITHSTANDING ALL RATED LUMN PULLOUT SAME LENGTH, DESIGN LOADS. THLS CERTIFICATION IS PREDI- BFOR DOUBLE-WIDE HOMES IN 80 MPH WIND AREAS INSTALLATION NEAR ASCENDING AND DESCEND- CATED UPON THE PROPER INSTALLATION AND BOLT WITH EXPOSURE C, THAT WEIGH MORE THAN ING SLOPES SHALL BE IN ACCORDANCE WITH TIGHTENING OF THE SUPPORT COLUMNS. TEN. 50600 LBS., OR ARE CONSTRUCTED WITH UBC SECTIONS 1806.5.2 AND 1806.5.3, UNLESS A COMPOSITION ROOFING AND SHEETROCK SITESPECIFIC GEOTECHNICAL REPORT RECOM- ?IATE CLADDED WALLS,DO NOT NEED THE FOUR'TIE- MENDS OTHERWISE. SPECIAL.CONDITIONS LATES DOWNS SHOWN ON THE.PLAN. SINGLE-WIDE HOMES IN 80 MPH WIND AREAS COMPACTED GRANULAR FILL GREATER THAN 12" PLEASE CONTACT FOUNDATIONWORKS,INC.FOR LOAD WITH EXPOSURE B, NEED TIE-DO S AT EACH IN DEPTH SHALL HAVE A COMPACTION TEST INFORMATION ON ANY OF THE FOLLOWING ?PORT OORNER ONLY. PERFORMED TO ENSURE ADEQUATE COMPAC- CONDITIONS: \D. TION. SNOW LOAD OVER 30 PSF AUGER TIE-DOWNS SHALL BE LISTED AND FLOOD PLAIN LOCATION INSTALLED IN ACCORDANCE WITH THE AUGER TIE-DOWN MANUFACTURER'S INSTALLATION INSTRUCTIONS AUGER TIE-DOWN LISTING AND INSTALLATION INSTRUCTIONS SHALL BE SUBMITTED WITH THIS PLAN, AND PERMIT APPLICATION IF INSTALLA- TION OF AUGER TIF DOWNS ARE REQUIRED(SEE TIE-DOWN NOTES)OF THIS PLAN. FxL5rm-r BEAMmm All,BOLTS%DIA•EXCEPT AS NOTED s� A N6LP.6"LONG r�BO[T31S'z I^ �I-Dr 1 �- •� I BEAM Cl AMP-END VBiWW I L (so loJ , PEER HEIGHTS 35"TO 52"MUST BE -•� �f c 1 CROSS AND LONGITUDINALLY BRACED I TUBING I'Ai x I h"+c 5ti � 4 I l.. U-BOLT DUNDATION SYSTEM I Tcn;Baa z .r 'i x : Q 'NUMBER INC. U.S. PATENT # 5,862,635 =NUMBERMFS-22F � ,•�,�. -� ���'��p� UMBER MFS-01 F _" �I�rrrlrrr,:ff. •.td�4:: Itl t,r• _/ jly• ry r1 i...:::,�/Fltr.art I /_.. 'r•' �� ...,:,•���� �i".a' a 41II➢ .!.• I. .tr.. ••y, iy: r1 s,, tit=!rfty r t'4 .tld•• P•. "�.`: - ��' g�i�d V Ii �i'� 1 ,tlu�y Hlr r. r �-w I ,��• Ir .1.! I,111 m :yN tip ��iN! Ij�� r STATE OF WASHINGTON DEPARTMENT OF COMMUNITY, TRADE AND ECONOMIC DINIJ.0I'MEN"1' OFFICE OF MANUFACTURED ROUSING •' yll ,3 r The person named hereon has ntei the requirements and v ni is certified,as provided by law,as a x, Man i , ufactured Home Installer •iyS r �11 f£ GARY DETRAY Ray Price Assistant Director,Housing Division k Number Issued Date Expiration Date Ytis' r,l Manager,Office of Manufactured Housing WAI NS0072 6/18/2002 4/30/2005 �:I r4Yti�ll" IIIIt.nl 1„1� I,IIr R•1 1 t� 1111'I•d.. 1 1� ...111� 1 1'� w;:,;� �11 .:;;�� i�` :;tn � `; ;� �'��a����... I., Er+� :A,•� ... �� �� - •'I 1 111 IIIiilllrl 1 ■ ... I�II Ili•. �Y1�I ON.STArF MASON COUNTY o Py A c - DEPARTMENT OF COMMUNITY DEVELOPMENT o o N z Planning Division 7 N T y P O Box 279, Shelton, WA 98584 0 (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION December 20, 2004 JERRY MARTIN P O BOX 3295 BELFAIR WA 98528 Parcel No.: 223097500320 Project Description: MANUFACTURED HOME PLACEMENT Dear Applicant: You have submitted a permit application (case no. BLD2004-01831) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 577 if you have questions. 4ck Mraz Land Use Planner Mason County Planning Department 12/20/2004 Page 1 of 2 BLD2004-01831 NOTIFICATION OF INCOMPLETE APPLICATION 12/20/2004 Case No.: BLD2004-01831 Comments: A field inspection of the subject property was conducted on 12/17/04 to assess critical areas issues and setbacks relevant to the construction of a single-family residence. Much of the site had been cleared at the time of inspection. An area near the northwest edge of clearing vegetated primarily with Lodgepole Pine and sedges was inundated at the time of inspection. This area may meet the criteria for a wetland per the provisions of the Mason County Resource Ordinance. The Wetlands chapter of the Resource Ordinance establishes buffers and setbacks from wetlands. The size of the buffer depends on the category of the wetland. Prior to approval of the permit, this area must be evaluated by a qualified wetland biologist to determine the following: 1. Is the area a wetland that is jurisdictional per the provisions of the County regulations? 2. If so, what category of wetland is it? 3. Based upon the category, has clearing encroached into the buffer and, if so, by how much? If clearing has encroached into the buffer a restoration plan will be required as a condition of permit approval. No other critical areas issues affect his parcel. If you have questions or require clarification regarding these issues, please contact me. A copy of the wetland regulations and a list of wetland consultants is enclosed for your convenience. 12/20/2004 Page 2 of 2 BLD2004-01831 MASON COUNTY PERMIT NO. , 1816:) l 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 INFORMATION CONTRACTOR INFORMATION Owner lemi 4, k, i Company Name Mailing Address_C a Mailing Address City State a Zip Code� e City State Zip Code — Phone Qjn Other PK-49 ,47• 1-k- Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic y` Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District, 1 Legal Description ` tti'�-�t-ur' O `'l v-v Vr. , cc I Lj r, Site Address (Please include street name, street number and city) !40 (.,)AL. 9 Directions to site ',,Q ir iAW3, ON C eeLPC4. aw 1a'ck1zP.*c4& uw Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater NIL Lake River/Creek `'A Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE 0 SEASONAL ❑ Use of Building Describe Work L No. of Bedrooms No.of Bathrooms Square Footage - 1 st Floor 1?4• 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make f4en Model Year Length Width _serial No.Ir-Ac-tui 4 —No. of Bedrooms No. of Bathrooms Type of Heat -ilz( 1,; Purchase Price $SD 1 rN Replacement Unit? Yes/ No Installer Name rr, ' T`� Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other parry in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF W OF CONTIN ATION OF RK IS.B,.Y�MEANS OF A PROGRESS INSPECTION. f X Date: //(�'9/<?' Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department i Public Works Department Fire Marshal FEES Buildinq 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 No emsc Pre-Paid at Submittal J Valuation $ TOTAL FEES