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BLD2005-01723 Final MFG Home - BLD Permit / Conditions - 3/17/2006
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 � RESIDENTIAL BUILDING PERMIT BLD2005-01723 OWNER: STEPHEN WEBER RECEIVED: 9/29/2005 CONTRACTOR: LICENSE: EXP: ISSUED: 11/4/2005 SITE ADDRESS: 180 NE MAHOGANY CT BELFAIR EXPIRES: 5/4/2006 PARCEL NUMBER: 223097700250 LEGAL DESCRIPTION: TR 25 OF SURV 13/234 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW 2005 LIBERTY MANUFACTURED HOME. BEAR CREEK DEWATTO TO BLACKSMITH TAHUYA TO LEFT A"Y" MONSON TRACTS TO 180 MAHOGANY CT. 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 Water Body: Make:LIBERTY Length: 60 Ft. Front: E 472.0 Ft. Shoreline: Ft. SEPA?: Unkn Model: Width: 40 Ft. Rear: W 310.0 Ft. Slope: Ft. Shoreline Desig.: UnNnown Side 1: S 37.0 Ft. Year:2005 Serial No.: KL42406 Side 2: N 132.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures FEES Mechanical Fixtures Type Qty. Type e By Date Amount Receipt Mobile Home Submittal Fee CMH 9/29/2005 $214.50 B12005 Planning Review Fee CMH 9/29/2005 $155.00 B12005 Building State Fee ARC 10/18/200 $4.50 S12005 Mobile Home Issuance Fee ARC 10/18/200 $214.50 S12005 EH Plan Review ADR 11/4/2005 $75.00 S12005 Total $663.50 BLD2005-01723 Please refer to the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2005-01723 CONDITIONS FOR BLD2005-01723 1) Water quali is not to be degraded to the detriment of the aquatic environment as a result of this project. X 10 2) Prior to final approval, all upland areas disturbed or new y Za ed by construction activities shall be seeded,vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 3) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X ��W 4) Appro ed pef dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X �X �✓ 5) 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 1-800-6,47 098 . The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X _,il 6) 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 Departr�e�t prpr to any further inspections being performed or approvals granted. x �d'<j� 4 7) 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 inspect' X � BLD2005-01723 Please refer to the following pages for conditions of this permit. 2 of 5 8) ' 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 appr ved documents will result in failure of required building inspections. X .Jig 0,1 9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X -,41Z �✓ 10) 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 ment prior to any further inspections being performed or approvals granted. X g 11) 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 verification 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. certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X 10 12) 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. 13) 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 reW�tio�. X �d� 14) 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. OWN ER/CONTRACTOR(indicate which)Signature X � 15) 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 ,Q i4� BLD2005-01723 Please referto the following pages for conditions of this permit. 3 of 5 16) 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 sto:mwater 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) .�� 17) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County Xdinanc or re u ation, must be reviewed and approved by Mason County prior to construction. 18) 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 a made prior to requesting additional inspections. X XJ 19) 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. 20) All property lines shall be clearly identified at the time of foundation inspection. X =Z"),4 21) 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 X Mason County ances and building regulations. 22) 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 hwe preve ted action from being taken. No more than one extension may be granted. X 23) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connM�E and lashing. Install metal connectors approved for contact with the new types of pressure treated material. X BLD2005-01723 Please referto the following pages for conditions of this permit. 4 of 5 This yermit 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 and st uc ure for review and inspection. OWN ER OR AGENT: __ __ DATE: // /U L BLD2005-01723 Please refer to the following pages for conditions of this permit. 5 of 5 Sep 13 200S 10:S3RH HP LRSERJET 2330 p.3 Z2 3oq„ 7.7 Do A cL CJ �, 5c1AC_E = 1 ret".- (LqF.r-. — � Z r m z (7 � �' C Pp / I 4' n m © O C� 0 00 u , i X z 10 LU CD x C? co Q g�h ZQLILco w �m O C,o J 1 � Q 7VY1A41o�New: ` 1, 1 RETURN ADDRESS t>J0 Z 5 c TATf 06 WA...... )1J MANUFACTURED HOME XTITLE ELIMINATION iCEnsinG APPLICATION (]TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty REMOVAL FROM REAL PROPERTY oIf a felony, and upon conviction may be punished by a fine,imprisonment, or both.(RCW 46.12.210) MANUFACTURED HOME TPD I PLATE NUMBER YEAR AKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) X D O L 5 T� LAND LEGAL DESCRIPTION ON PAGE A PROPER TAX PARCEL NU. MANUFACTURED HOME WILL BE AFFIXED F1 REMOVED LOT BLOCK PLAT NAME SECTION/TOWNSHIP/RANGE GUAR,ERIOUAR7 77 2-3N LJ �,t�Vl . .�, a GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE -j COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF ^EGAL'.OWNERS:- NAM O REGISTERED OWNER Dbl.CUSTOMER ACCOUNTNUht ER h e-,v- NAME OF ADCATIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE NAM F LEr OW R S DOL CUSTOMER ACCOUNT NUMBER NAME OFoADDITIONAL LEGAL OW R DOL CUSTOMER ACCOUNT NUMBER AgB(i� G S � O CITY O ^ STATE ZIP COPE YYRANTEE NAME II , I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AMIARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE Signature of Additional Registered Owner and Title, IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE tale of Washington Signed or attested BRENDA W. HCW ICK� County of %f3:de before me on b NOTARY PUBLIC 11 f S� P 6 1� (�e b�-� Signature,;.C��raA STATE OF WASHINGTON� y PRIN-T NAME OF REGISTERED OWNER NOTARY OR AGENT COMMISSION EXPIRES ;' ;e r,e� L�J - o w l Ck AUGUST 2007 y A)/ PRINT44AME OF REGISTERED OWNER PRINTED NAME OF NOTARY County/Office No.OR Title N 4mrt� AND: Dealer No.OR �0 DEALERSHIP POSIT DN/AGENTINOTARY Notary Expiration Date 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 Certify that: the manufactured home has been affixed to the real property as described. 0 a building permit has been issued for this purpose and the attachment will be inspected upon completion. NA (TYPED OR PRINTED) BLDG PERMI 6 PDATE B ?ERMIT k� JSIAT/ E/POSITION 1 TD-4 MANUFFOMEAPPL(R/2102)OR(W)Pagelof2 � I � ZOOS- 011z3 FILE Y � Zzso � - ��-- ooZs COP STCp� we �c2. SECOND MORNING 9Eo(eoOM I =` ROOM II 170.R•r 17•e'.1Tr r.. II GRFAT M I iv.o. II ROOM 17-11'.to,a I L1 IYfCHEN_L L 1.. _L..tr,., _. WTER R L L'_LLI I,. -L BEDROOM LLL LLi ��a-- A cal DINING A L'_LLLLi. — _l__L ILLLLLLL LL.L. mmm 11,1,.L.I..I_LL-LLLL RE7AEA1 oEDROOM ,I_LLL, .. +^ II.LLLIr�LL e�.e. IR.vt'j- LL.Lf�' ,+ -1.,1_..L:6 L L.I.�... L:,Lee I `I I �oawr I I 2143 SQ.Ff. 30R,28A, MASTER SURE,PORCH KL426406 GR64T LLLL.___ ' NOom LLLL_1_.C.' ---- LI_WCHEN L rvr.v�,o we IILLLI_LLI, LI_ u+c.M LL LL� LLI.0 EAl ILL oeae _I otter fj6 LLl _I_I_ LLL..L. I L f l I P�,O,CI,fN �,iOtW G111/{,4,,i11M11A[9 OIIO/ML IRf\iM(NR1,' MASON" 'Pp THESE PLANS MUST BE 0 BUI(RovED ON THE JOB SITE — HHAANGESS�LDI NG INSPECTOR FOR INSPECTION Future Homes �—OgrE T�opPROVq( 5620 Kitsap Way 8_o�� CHANGES u Bremerton, WA 98312 360-479.4663 SUBMIT CHANGES FOR APPROVAL PRIOR TO PERFORMING WORK MUST MEET ALL CURRENT WASHINGTON STATE CODES r 1 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar • FO. 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 nn Owner " '��. Company Name i�?rJ("7�► if+�., l,t�.� Mailing Address , U Mailing Address 6 - 7 City State_4)#4,Zip Code �/OK City ¢' State Zip Code Phone '�' Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# `"7' vim- EYp. ° V E mail address E Mail Address Drivers Lic.#G/ 4S'/ DOB Drivers Lic.# A.° 10 IDOB } 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 INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please i lude street narffe,}street number and ci ) / ee B D Al . ey Directions to site ar—E Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Lake b&River/Creek ''' Pond JQ( Wetland---Li e—,- Seasonal Runoff Stream ik s C` 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 ❑ SEASONAL ❑ Use of Building � Describe Work /. etea No. of Bedrooms No.of Bathrooms Square Footage - 1 st Floor /443 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOMEJNFORMATION - ke, Model ICtJS Year Length LC) Width -- ,Serial No. No.of Bedrooms No.of Bathrooms Type of Heat OL41' D Purchase Price $ Replacement Unit? Yes/No Installer Name 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 party 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 OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. / 1%0/-� X 1061 �� z Date: J'l z �d c I, Owner/Owners Representative/Contractor indicate which one V e FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Da DEPARTMENTAL REVIEW APPROVED DENIED NOTES �F Building Department i Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Feet' Gx-`'r Pre-Paid at Submittal i Valuation $ 1 (S7 Oo ®O TOTAL FEES