HomeMy WebLinkAboutBLD2005-00884 Final MFG Home - BLD Permit / Conditions - 4/4/2006 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 i
RESIDENTIAL BUILDING PERMIT BLD2005-00884
OWNER: MARTIN OLSON RECEIVED: 5/26/2005
CONTRACTOR: GORST LAND DEVELOPMENT 1-360-373-5001 LICENSE: GORSTLD098LI EXP: 6/7/2006 ISSUED: 7/28/2005
SITE ADDRESS: 1090 NE MUNSON BLVD BELFAIR EXPIRES: 1/28/2006
PARCEL NUMBER: 223097700320
LEGAL DESCRIPTION: TR 32 OF SURV 13/234
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW MANUFACTURED HOME Bear Creek Dewatto Rd to Blacksmith Tahuya Rd. aspprox 1 mile on left dirt rd
crosses creek lot 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.: 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:FLEETWOC Length: 66 Ft. Front: N 240.0 Ft. Shoreline: Ft. Water Body: CREEK/RIVER
Rear: S 70.0 Ft. Slope: Ft. SEPA?: No
Model:#6 Width: 28 Ft. Side 1: W 349.0 Ft. Shoreline Desig.: Unknown
Year:2005 Serial No.: Side 2: E 320.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures FEES
Mechanical Fixtures
Type Qty. Type a By Date Amount Receipt
Mobile Home Submittal Fee CMH 5/26/2005 $214.50 B12005
Planning Review Fee CMH 5/26/2005 $155.00 B12005
Building State Fee ARC 6/1/2005 $4.50 612005
Mobile Home Issuance Fee ARC 6/1/2005 $214.50 B12005
EH Plan Review ADR 7/20/2005 $75.00 B12005
Total $663.50
BLD2005-00884 Please refer to the following pages for conditions of this permit 1 of 5
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5) 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.
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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 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 and building regulations.
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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 not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevented action from being taken. No more than one extension may be granted.
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19) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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20) The internatioanl 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 connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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21) 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
1-800-647-0982. 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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22) Water q ality is not to be degraded to the detriment of the aquatic environment as a result of this project.
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23) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X , "
24) Approved.per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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BLD2005-00884 Please refer to the following pages for conditions of this permit. 4 of 5
i' 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
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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 Offfic f Manufacturing in e o Housing (360) 725-2800.
8 Concrete used for basement walls foundation walls exteriorcarport slabs,
walls, porches, c po 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) 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 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 placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X\_1
12) 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.
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13) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordirlanc�or regulation, must be reviewed and approved by Mason County prior to construction.
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14) 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 shall be made prior to requesting additional inspections.
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BLD2005-00884 Please refer to the following pages for conditions of this permit. 3 of 5
CASE NOTES FOR
BLD2005-00884
CONDITIONS FOR
BLD2005-00884
1) 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
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De artment prior to any further inspections being performed or approvals granted.
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2) 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.
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3) The plan review 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 approved documents will result in failure of required building inspections.
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4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
5) The"approved" 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 Department prior to any further inspections being performed or approvals granted.
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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. RCW43-636.090
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 thr e of e hom . front entry. There shall be one certification tag for each certified installer accounting for the work that each
installer performed. instal,ece cation ano signature of the certified installer responsible for each major part of the installation.
WAC365-210 X1�
BLD2005-00884 Please refer to the following pages for conditions of this permit. 2 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 age ,t on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described prope an structur r review�and inspec
OWNER OR AGENT: \ —t- DATE:
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BLD2005-00884 Please referto the following pages for conditions of this permit. 5 of 5
CONCRETE MECHANICAL MANUFACTURED HOME
CD
C) Footings f Setbacks Date By Ribbons f(-'V
C) Date By Gas Piping Date //-.3-0�By j
Foundation Walls 00
Date By Set-up
Date By INSULATION Date It - E,Csey T/2
BG 1 Stab Insulation Floors FINAL„I NSPECTION
Date By Date By Date By
FRAMING Walls FIRE DEPARTMENT
Date By Date By Date By
PLUMBING Atdc OTHER
Groundwork Date By
Date By WALLBOARD NAILING
a.w.v Date By
Date B y
CD
0) Water Line FINAL INSPECTION
Date By I Date ey �A Date By
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a Type of Insp. Pass/Fail Request Date Inspect. Date Done By Comments
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3 Bedrooms - 2 Baths - 2,002 Square Feet
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MUST MEET A L i:URRENT
WASHINGTON STATE CODES
UNTHOMES,
3450 NWY 16 W.-itRfAIUM14 WA 99312
*Prices,Features,and Availability are Subject to Change without notice or Obligation. Measurements are approximate. Nlr(36013"-5001-IIAX(360)377.2999
RETURN ADDRESS
OLYMPTIC NORTHWEST ESCRf1W, INC_
1480 NW SIT) TlHTNICK ROAD #100
SILVERDALE, WA 98383
ATTN' PATRICIA T, DUNLAP
( 360 ) 337-0118
C*- 1 S-A607
^'A';,„N�;T"^' MANUFACTURED HOME
L�I'r I 'l �l APPLICATION ®TITLE ELIMINATION
/unstnG ❑TRANSFER IN LOCATION
Anyone who knowingly makes a false statement of a material fact is guilty UREMOVAL FROM REAL PROPERTY
of a felony, and upon conviction may be punished by a fine, imprisonment,or both.(RCW 46.12.210)
MANUFACTURED HOME
1p�
/PLATE NUMBER YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
2006 FLEETWO D 66X 27 ORFL548A831016 AE 13
LAND LEGAL DESCRIPTION ON PAGE
REAL PROPERTY TAX PARCEL NUMBER
MANUFACTURED HOME WILL BE 2 AFFIXED Q REMOVED 22309 77 00320
LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE I QUARTER/QUARTER SECTION
Section 9,Township 23 North,Range 2 West I Southeast Quarter
GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE
COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS
1 1
NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
Martin E. Olson,Jr. OLSONM E37145K
NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
1090 NE Munson Blvd. Belfair WA 98528
NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
Eagle Home Mortgage,Inc.
NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
10510 NE Northup Way#300 Kirkland WA 98033
GRANTEE
NAME
I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE T E REGISTERED OWNER(S)OF THIS
VEHICLE AND THIS INFORMATION IS ACCURATE:
Signature of Registered Owner and Title, IF APPLICABLE
ty
Signature Ik,pu 4#iq al Registered Owner and Title, IF APPLICABLE
�.\P�. NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE
h
,= g�DN EA�8-•A•, �� State of Washington Signed or attested
4f
pRY ��`N; �Q County of (TSA f Ise -_me on
,� Z
:O G :O by MART1 N E. 5t'/�. JK Signatur LC c 1�
A :•tJ QUw ;�_ PRINT NAME OF REGISTERED OWNEN NOTARY OR AGEN
01•'•Z�� by
{'A1R.ICIA L. .DVAILAP
••••.,•• ...,1.• �� PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY
44 It �OF�Jf PC'� I Title /�It TAf2Y ��/l�L—�� County/Office No.OR
%kL�% �• AND: r Dealer No.ORt+ir Jtr'1
DEALERSHIP POSITION/AGENT/NOTARY CIVOtaiy -X.�il;itta0_�ate'
TITLE COMPANY CERTIFICATION
I certify that the legal description of the land and ownership is true and correct per the real property records.
NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER
SIGNATURE/POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs.
BUILDING PERMIT OFFICE CERTIFICATION
I certify that. he manufactured home has been affixed to the real property as described.
t building permit has been issued for this purpose and the attachment will be inspected upon completion.
NAM PE.DQR P INTED) BLDG PERMIT OFF PHONE# ', B G PERMIT M
z� < lI'lf�s ly-f,�� Will
7� �C0 Z��5 -b
SI URE/POSITION DATE
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TD-420 729 MANUF HOME APPL(R/2/02)OR(W)Page 1 of 2
MASON COUNTY PERMIT 1\10. ��(
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
OwnerMAt-tin 0)SM11 Company Name of st LQnd �2ri��arornor>�
Mailing Pddres V4'1 1 Mailing Address 345'0 St, hli ..4 /6 Ni•
City N'T ^G And State bda., Zip Code gX s67 Cityb^arr, State Wa— Zip Code2'93co
Phone 9:7- 19g Other Ph. Phone 3bD-373-r0o1 Other Ph. f1/
Lien/Title Holder h1A Contractor Reg.#�pt-3*G 0171.1 Exp. -
E mail address E Mail Address AAA
Drivers Lic.# DOB 01//a /� Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well �' Water System Name of Water System
PARCEL INFORAVIATION - 12 Digit Parcel No. Fire District
Legal Description 42-k-3119 of q=?--4 6 'Tt-AP ' 3a yF S r1194, �ecw.�lr..G r,-, Volw,., t, 13 pg d34
Site Address (Please include street name, street number and city) 10 4 11, r1714rijagn 611,
Directions to site F/ror" 69i1 Ftirr `46- Old /,k Fw+ , 14u.„ to r Grk. .¢wnyb .*11!1111111ill
�' o T�h " "F* o rn n!s /z l
Will timber be cut an sold in parcel preparation?Yes N rncaa.G o Fr„j't L ter- 1, qt j—;rtt /J W. on
Is property within 200'of Saltwater Lake River/Creek 0,; Pond 12
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% in 0
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New. V Add Alt Repair Other PRIMARY RESIDENCE,] SEASONAL ❑
Use of Building Describe Work
No.of Bedrooms No. of Bathrooms Square Footage - 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make PQ.2�"t�.yv Model Year
Length Width Serial No. h�� C1r4�' No.of Bedrooms _No.of Bathrooms
Type of Heat Purchase Price $ gS+o��d_Dv Replacement Unit? Yeslo
Installer Name Gr k Certification No. w/�i ITT 00 '78�
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 o tractor.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 h ' t - ht pe�mis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest reg r i lica-
tion or the work propos in the application, I have obtained permission from them to apply for this permit and co the work proposed.
Date: S-d6-OS- RAY 2 6 2005
X Owner/Z5wners Representative Contractor (indicate which one) SELF
ICe
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning I'd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department () l92 IL .2(/
Planning Department
Environmental Health Department 700 j- -�
Public Works Department
Fire Marshal
FEES
Building Permit Fee Z S"D Site Inspection
Plan Review Fee EH Review Fee
Plumbinq & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ ��- TOTAL FEES