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BLD2004-01904 Final MFG Home - BLD Permit / Conditions - 7/25/2005
Inspection Line(360)127-7262 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 i� RESIDENTIAL BUILDING PERMIT BLD2004-01904 OWNER: JADE GARRARD RECEIVED: 12/16/2004 CONTRACTOR: GOLDEN HOMES 1-360-697-3456 OR1-360-271-8551 LICENSE: EXP: ISSUED: 3/10/2005 SITE ADDRESS: 793 NE BLACKSMITH DR BELFAIR EXPIRES: 9/10/2005 PARCEL NUMBER: 223107990664 LEGAL DESCRIPTION: TR 66-D OF SURV 11/17 TR 4 OF SP #2795#635688 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW MANUFACTURED HOME BEAR CREEK DEWATTO ROAD TO BLACKSMITH DRIVE. 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.: No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: 14 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make:GREENBRI) Length: 49 Ft. Front: N 180.0 Ft. Shoreline: Ft. Water Body: Rear: S 37.0 Ft. Slope: Ft. SEPA?: No Model:6335CT Width: 41 Ft. Side 1: W 20.0 Ft. Shoreline Desig.: Not Applicable Year:200 Serial No.: Side 2: E 34.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty, Type By Date Amount Receipt Mobile Home Submittal Fee CMH 12/16/200 $214.50 B12004 Planning Review Fee CMH 12/16/200 $155.00 B12004 Address Fee GMM 12/17/200 $140.00 612005 Building State Fee ARC 12/17/200 $4.50 612005 Mobile Home Issuance Fee ARC 12/17/200 $214.50 612005 EH Plan Review CEW 1/6/2005 $75.00 612005 Total $803.50 BLD2004-01904 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR B LD2004-01904 CONDITIONS FOR BLD2004-01904 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 s and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-64 h erson si ning this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 Department prior rther inspections being performed or approvals granted. X 3) 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 D partment 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 a ternational codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X 4) 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 i esponsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approvedldo ts will result in failure of required building inspections. X IV 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. I ddition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior o further ctions being performed or approvals granted. X BLD2004-01904 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 or insta ertification 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. Occ ancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X 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 schedul d as ime allows. Until resolution of any/all problems no occupancy (Final Inspection)will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X 10) This permit is for the placeme d 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 wit n f 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 12) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, u reviewed and approved by Mason County prior to construction. X 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 Inspector shall be prior to re ing additional inspections. X BLD2004-01904 Please referto 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 byWAC 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 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 inspe ion or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason Count es and ilding regulations. X 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 holder have preve e n from being taken. No more than one extension may be granted. X pi ____ 18) Pressure treated wood nufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and istall metal connectors approved for contact with the new types of pressure treated material. X 19) Water quality i(not to r ded to the detriment of the aquatic environment as a result of this project. X 20) Prior to final approval, all upland areas disturbed or nevy d b ruction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 21) All construction and demolition debris must be removed from the beach after project completion. Prop I of construction debris must be on land in such a manner that debris cannot enter or cause water quality degredation of State waters. X 22) Approved per nsion ticks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 23) All other necessary permits from Mason County, Washington State and/or Federal Agencie that a ired fpfepased deve4oprqent and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. This permit becomes null and void if w or construction a horized 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 contin ion of wor pr gr 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 progr inspectio .T own r or t e agent on rs behalf, represents tha the information provided is accurate and grants employees of Mason County access to the above de p erty nd struct e f revie a d nspe n. OWN E O ENT: DATE: ` BLD2004-01904 Please refer to the following pages for conditions of this permit. 4 of 4 C1 • o CONCRETE MECHANICAL MANUFACTURED HOME 0 c. Footings /Setbacks Date By Ribbons D ate B y Gas Piping Date B y Z 0 Z, Foundation Walls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final _ Date By Date By Date y ZS B 40� FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By .—rke3 CcH 1or3K Date B WALLBOARD NAILING ,,-t qfL - y 7�� ccrt �i L1S�S D.W.V. Date By m S't+w�fk4� c�n•� © �, SNl�o�i d aK��� sysxc�. Date By FINAL INSPECTION Plkµ.b/Mud Water Line Date By Date By Date By 0 o ` v r y 8 � ai S O rccm 7r. 28 03cficf SITEBUILDI COPY NG Nw 1= �� -C haE fi �M 5DBtll"E BEDROOMBEDROOM FAMILY ROOM sNo.2 No.3 17'4" FAMILY ROOM OPTION10' t0• 17'-4" DECK 57 4 ¢ C =ur.JuF OP O vDEWE CEIMG \ KRCH m b 13'd S `` UTILITY pR00LF � � q i w�SMiDnr qqw�p a = i :, i--------- wRDDEEN,DB 9w * b $ KITCHEN /MORNING ROOM o DBIf -- -- R� r.w,ar — 0-0 ADO a. p COVERED— p; �f B MASTER noeas (rz 4 $=P ORCH= e BEDROOMS~ Mwt - OPTION LIVING ROOM �,yl�p LIVING ROOM ;No.1 20' 20' DECK PO L 4 wRDENiie 13'-8' 8 s? 4� r� _ $ ; 6335CT/42'8'V42� '8 1E4 3BEDROOM•2BATHS 1, OPTION (i 745 S WI.) VERED PORCH OPTION MORNING ROOM IL 04 /cow u 'TUB I 4 DEN OPTION RECESSED ENTRY � I 10' I B MEM OWN yE5 MUST MEET ALL CURRENT RECEIVED TION CORNER TUB BATH OPTION DEN WASHINGTON STATE CgDES DEC! 16 2004 9ELFAIR OFFICE Pr VED MASON BUILDING INSPECTOR THESE PLAIV,� MUST Bk • CHANGES SUBJECT TO APPROVAL UN`,+IE JOB SITE DATE— I: - I?.-OV- FOR INSPECTION. M �'S�� SUBMIT C:iANGES Fr'R APP PRIOR TO PERFURfv11NG WORKa' MAINTAIN A MINIMUM OF 1 2-- INSTALL TRENCHES NO DEEPER THAN , VERTICAL SEPARATION DISTANCE. INSTALL SYSTEM ONLY WHEN 60I1rS K nv. -�•�— MAINTAIN 1d0'FROM_WELLS 8 SURFACE WATER. ARE PROPERLY DRY. EL.IS* 17 t' EL. D1MEN IONS ARE CRITICAL - �l DO NOT DEVIATE FROM )ESIGN. .00 USE E TREME CARE IN ITE PREP. � a� S ALL A17ACHE�C UCTION NOTES. c- � a� lkb � 3 44 41 44 • rc 4J � 4' i - G 4J 4J 4-1a �C ►� ----�� eyt, m �: o n / P 4-1 �y all � / 9rj e~ 1 -' E ai m r� � � /4fASp1V PPS cri �/�/� W. � .Q nl 1p ' SST C �L DF-�L a a ���" N c a � �°, ) Y A�GEs sFP�/�E 8CD p� A� . 'I~ ,3 N•�'i3 c a� � �&✓E�,T To e o� CAll'" a sa o AP / 11 o sa „+ ALL SANDY C YER- INIM M 5 MIN/IN A pR0 >a o NO VEHICU AR TR FFI ON SEPTIC SYST bate a 2 CURTAIN DRA EQUIRED AT THIS TINLE. A1 � �; W 3E a; 41 b ^J a ,� ►- a �1 LATERALS t0 FOLLO ONTOUR OF SLOPE, �+ 4 a) 4-J y f u c� > Q +1 4, J. G zoo N 41 (Dro CJ O r- dME p C r4 G' rs a / �.� 02.....�.U. 100129 J..N.�A.". � � � � z 3 k 4 LICENSED DESIGN R7 W ofuj a v; to v a; EXPIRES RECEIVED j 3 3 41 f , ' DEC 16 OI 41 tv-r-i f�i� ictS7,e�3 3ELFAIR O FIgE Zu�3 0 V v � -w � N �A u 00 a � Go � °Ju / T a�� OWO a u •� sa 3 a , 1 cn }QU)0 la fa •r; 0a) rn a I c EL. +• 'D-L36X / (6 Z S -H Ea a-) Ea I I g 10 3Z U C6 U cn Ei < C I yam_ f H CL�W� EL, 3 x w�C7 � Q I 1 -7 - `� �LA��Srn rN LAB )DfZJY� MASON COUNTY PER No. `t ��� ` � }! 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 Owner. Company Name Mailin Address Mailing Address _� Cit Sb State Zi ode City��\I_iU L� State Zip Codef 8 S-7 h Y ��. p Phone 3bD-l�l 3y510 Other Ph. Phonel fit., 1)N5 1160 Other Ph..J4 i i-4 lt 953 1 Lien/Title Holder y/o2�� u.��.l Contractor Reg.# Lla a y Exp. E mail address E Mail Address Drivers Lic.# DOB 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 ., ''(\i1f.�k PARCEL INFORMATION - 12 Digit Parcel No. -Z_ _ Fire District Legal Description Site Address (Ple4ae include street yaMe, street number 4nd city) M'►j- ; Directions to site Will timber be cut and sold in parcel preparation?Yes(/No Is property within 200'of Saltwater Lake Nti7tt River/Creek- Pond N Wetland r?r Seasonal Runoff t 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 ❑ SEASONAL ❑ Use of Building Describe Work No.of Bedrooms_:' No. of Bathrooms 2-- 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 ti+'>�1'i't c x:1:;r Model Year Length � ` •�Widthh Serial No. No of Bedrooms No.of Bathrooms Type of Heat �r„ Purchase Pripe$ U Replacement Unit? Yes/:No Installer Name V rhffication No. " Z 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 i sion from all the necessary parties.If permission is required from any easement holder or any other party in interest r 11 pli - tion or th rk pr� s in' he application, I have obtained permission from them to apply for this permit and conduc46,014 ro sed. { ��------ N04 X Date: _ IT Owner"/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 7 Planning Department Environmental Health Department 0-1 -11 Public Works Department Fire Marshal (p 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 �d Violation Fee ® E_/W�- Pre-Paid at Submittal Valuation $ TOTAL FEES