HomeMy WebLinkAboutBLD2004-01960 Final MFG Home - BLD Permit / Conditions - 4/5/2005 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
RESIDENTIAL BUILDING PERMIT BLD2004-01960
OWNER: TIM DIEHM RECEIVED: 12/30/2004
CONTRACTOR: L& L CONSTRUCTION INC. 360-697-3456 360-271-8551 LICENSE: LLCONI*044NA EXP: ISSUED: 2/3/2005
SITE ADDRESS: 1621 NE BLACKSMITH DR BELFAIR EXPIRES: 8/3/2005
PARCEL NUMBER: 223107800420
LEGAL DESCRIPTION: TR 42 OF SURVEY 10/138 (S1/2 NW) 1621 NE BLACKSMITH DR BELFAIR
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
MANUFACTURED HOME 1621 NE BLACKSMITH DRIVE - BELFAIR
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
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:KARSTEN Length: 60 Ft. Front: N 140.0 Ft. Shoreline: Ft. Water Body:
Rear: S 20.0 Ft. Slope: Ft. SEPA?: No
Model:MCKENZIE Width: 27 Ft. Side 1: W 50.0 Ft. Shoreline Desig.: Not Applicable
Year:2005 Serial No.: Side 2: E 93.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee CMH 12/30/200 $214.50 B12004
Planning Review Fee CMH 12/30/200 $155.00 612004
Building State Fee ARC 1/4/2005 $4.50 612005
Mobile Home Issuance Fee ARC 1/4/2005 $214.50 612005
EH Plan Review CEW 1/11/2005 $75.00 612bM
Total $663.50
BLD2004-01960 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-01960
CONDITIONS FOR
BLD2004-01960
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- 7-0982. 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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2) 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
sugtf9,ads 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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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
De�a�gient prior 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
insp_es t�gns.
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5) 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
renZcm of approved documents will result in failure of required building inspections.
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BLD2004-01960 Please refer to the following pages for conditions of this permit. 2 of 4
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� alled. certification number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X
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.
8) 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
permi evocation.
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9) 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. c ,,
OWNER/CONTRACTOR(indicate which) Signature X
10) 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
11) 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 projpG4-,)
12) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordina>Zce,pr regulation, must be reviewed and approved by Mason County prior to construction.
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13) 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
Inspec�r all be made prior to requesting additional inspections.
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BLD2004-01960 Please refer to the following pages for conditions of this permit. 3 of 4
-14) 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. ��
15) All property lines shall be clearly identified at the time of foundation inspection. X =�1
16) 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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17) 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
(ol�r have prevented action from being taken. No more than one extension may be granted.
18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
cork ors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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19) Prior to final approval, all upland areas disturbed or I,�created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
20) ApprgvRd per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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21) A type V stream is onsite. The minimum setback from the stream is 90', which consists of a 75' buffer+ a 15' building setback.
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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 property apd structure for review and ins n.
OWN ER OR AGENT: DATE:
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BLD2004-01960 Please refer to the following pages for conditions of this permit. 4 of 4
^' CONCRETE MECHANICAL MANUFACTURED HOME
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Footings / Setbacks Date B y Ribbons
Date By wj,, Gas Piping Date By
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0 Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date '-S' GAS-By j 1
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
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Date By Date By
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The McKenzk 1600 SQUARE FEET 3 BEDROOM Z BATH • RETREAT
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BELF411� OFFICE
96x58H 46x39V ; 46x58V
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Bedroom 3 ° 6o TyS Dw Nook wyH ; Opt, Pantry & Wardrobe
> 12 0' uest Dining ORoor L itche 10'-0' opt utility Replacing Std. Retreat
xi Bath !0 12i8. Door
r�i °pt ur W D_ i Ur __W D
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$� I Wardrobe r0 a antry Glass Doors lun
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CU I ^, Retreat 1`1 Walk-in
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Shlv's
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6' Mst, im 36' J Mst. M
` el Da Rods hw Bath O Cl) hw Bath O x
ai s v nw 1018, hw 1018'
Bedroom 2 I al " �� Master Bedroom
LIVIn Room ���� y rn 14'8' Step 1 Step
1 12 0' i 1 18, ��I 3 D t, Tub I Opt. Tub
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30x58V 96x58H 30x58V 30x58V
60'-00
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Construction&Exterior Energy Features Baths
Fiber Cement siding with 50-year warranty 2"x 6"exterior wall construction Bullnose ceramic edging
12"Eaves R-33 roof insulation 4"ceramic tile backsplash
30#roof load R-19 fiberglass sidewall insulation Single handle diverter in tubs and showers
Fiberglass shingles with 25-year warranty R-22 fiberglass floor insulation Extra wide beveled mirrors
Class A shingle fire rating, high-wind fastening pattern "Energy Star"white vinyl Low-E windows with"lift Decorative light above mirrors
20'eyebrow dormer with columns and lap out"for easy cleaning Ceramic sinks
Shutters front and front door side Residential fresh air ventilation system Fiberglass tub/shower in guest bath
Heavy gauge steel I-beam frame construction with 36"x 80"exterior insulated steel doors Tub valances
full depth outriggers for superior support Perimeter heat duct system Master bath:Cosmetic light bar,stall shower,Corner
tub with step,Corner decorative Mirrors, 14 x 39
Interior Kitchen master bath window,Towel bar/tissue holder
96"x 58"windows in living and dining rooms Drawer-over-door cabinet construction Utility
Textured and painted interior walls Bullnose ceramic edging Privacy air return system
Washable interior paint 4"ceramic tile backsplash Washer/Dryer overhead shelf
Rounded corners on walls and windows Oak cabinet doors with oak face frames
Painted wood residential window sills White-lined base and overhead cabinets Additional Features
90"sidewall height Overhead cabinet with white finished interior
Vaulted ceilings throughout Cove molding overhead cabinets Convenient exterior G.F.I.
Rocker-style electric switches Convenient adjustable overhead shelves Water shut-off valve at each fixture
Toe kick heat registers kitchen and baths Easy glide metal roller drawer guides Full-length concealed "continuous ridge"beam
Decorative glass dining room chandelier G.E. Nautilus dishwasher Bedroom overhead ceiling lights
Elegant white flush interior doors and wardrobes Recessed canned lights (3) Master bedroom walk-in wardrobe organizer with
Triple passage door hinges and mortised doors G.E. 14-cubic foot double door frost-free refrigerator double rod
Residential knockdown ceiling finish 5-year Homeowners Protection Plan
5/8 sheetrock ceilings
Brushed chrome hardware&lighting highlights
Entry linoleum
31/4"wood baseboard living and hall areas
Designers Choice cut pile carpet: Living areas ,M
6#rebond carpet pad - 1/2"
Metal mini-blinds throughout
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n VaI a ce window treatment
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Due to our continuous program of technological improvement, 1200 Wilco Road
specifications and prices are subject to change without notice.Karsten PO. Box 537
Homes reserves the right to improve models without incorporating these
changes in similar models produced at an earlier date.Dimensions shown Stayton, OR 97383
and square footage are approximate. 1-800-826-0150
Internet: www.thekarstenco.com
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The McKenzk 1600 SQUARE FEET • 3 BEDROOM • 2 BATH • RETREAT
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THESE P LAN,3 MUST BE 13PTIONAL TAG AVAILABLE COPY
RECt 1 VF p
ON THE JOB SITE 17 -4 DEC'3 �
FOR INSPECTION. 2004
-------------------------i--------96x58H ------ 46x5-- ------------------ BELF'q►12
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Bedroom 3 ' 6o Tis a Dw Nook W/" Opt, Pantry & Wardrobe
>; 12'0' Dining Room (a '
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Re lacing Still Retreat
00I uest 12'0 itc ot utalt
x Bath 0 Dr 80'
128
Opt DIstnd ur _ - - --- ur
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Pantry
Micr Refer Hutch
I� Wardrobe antry Gtass lU
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ICU I Retreat ,`' walk—in
10 g• i"-I Ward.
/ I I Shlv's
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6' Mst, i� 6' Mst.
DW RadS by J Bath i x hW J Bath ,x
10'8' 1018'
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Bedroom 2 Livin Room N I
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12 0' 1 '8' 0 t.,^1 Tub i t. Tub
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30x58V 96x58H 30x58V 30x58V
60'-0'
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MASON BUILDING INSPECTOR SUBMIT CHA.'
CHANGES SUBJECT TO APPROVAL � OV�'
PRIOR TG P��{ Cil: it ,V6RK
DATE_
MUST MEET ALL CURRENT
IV REV#12 WASHINGTON STATE CODES
MASON COUNTY PERMIT NO.3L"l 01 q&0
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 INFQfIMATION CONTRACTOR I FORMATION
Owne I IrIlal Company Name t -
Mailing-'Address O 1 71 1 Maili g Address
City tateLOO Zip Code `'1—10 U City State 108 Zip Code;:
Phone Other Ph. Phone '11 - I L;;ILL Other Ph.
Lien/Title Holder 01A Contractor Reg. IJA Exp. -s
E mail address < < • E Mail Address 1
Drivers Lic.# DOB Drivers Lic.#I i.1(j4f! t DOB "►
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connec,Vo Water System Name of Water System
Well Water System Name of Water System
PARCEL INFOR AT N - 2 Digit Parcel No Fire District
Legal Description I
Site Address (Please include street name, street number and ity) t L
Directions to site � ,^
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Will timber be cut and sold in arcel reRaration?Y s/N
Is property within 200'of Saltwater p prc$�_River/Creek Pond
Wetland Sea of*Runoffi Stream Slopes or Bluffs > 15%.
Is this permit submittal toe result of a Stop Work,Notice,Correction Notice or other enforceme t ac ion?Yes/No
TYPE OF JOB - New Add Are Alt' ' Repair__Other PRIMARY RESIDENCE SEASONAL ❑
Use of Building Y<` ' D scribe Work
No.of Bedrooms _N6.`of'Bathrooms I Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model G Year2=?
LengthJ6—Width a he" Serial No. No.of Bedrooms No. athrooms _
Type of HeatI Purchase Price$ '� I-)C)n Replacement Unit?,Yes/ o
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 necessa r n is
required from any easement holder or any other party in interest regarding this application or the work proposed in the applRl==d
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 revi sr
ie�sp�ctip �
PROOF OF CONTINUATIQN OF WORK IS BY MEANS OF A PROGRESS INSPECTION. cc77 �� LLUUUU
X ..�r _ -- -- Date: 12- 9- 614 BELFAIR OFFICE
Owner/Owners Re resZntative/ ontractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Departmen Q
Public Works Department -�
Fire Marshal
FEES
Building Permit Fee 2 / 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 Feed E Pre-Paid at Submittal
Valuation $ TOTAL FEES