HomeMy WebLinkAboutBLD2004-00723 Final MFG Home - BLD Permit / Conditions - 11/29/2004 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
1p; Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2004-00723
OWNER: SANDRA STENSON RECEIVED: 5/13/2004
CONTRACTOR: SOUTH SHORE CONSTRUCTION LICENSE: SOUTHSC016N2 EXP: 3/13/2006 ISSUED: 6/8/2004
SITE ADDRESS: 2300 NE TAHUYA-BLACKSMITH RD TAHUYA EXPIRES: 12/8/2004
PARCEL NUMBER: 223195000085
LEGAL DESCRIPTION: WOOTEN LAKE TRACTS TR 85 2300 NE TAHUYA BLACKSMITH RD TAHUYA
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Manufactured Home North Shore to Belfair Tahuya to Blacksmith Tahuya to address
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type ofConstr.: V-N
Type of Use: MH Insp. Area: OT No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 8 No. of Stories: 1 Occ. Load: Building:
Valuation: Building Height: Occ. Status: Unknown Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:Champion Length: 52 Ft. Front: 236.0 Ft. Shoreline: 142.0 Ft. Water Body: Wooten Lake
Rear: 142.0 Ft. Slope: Ft. SEPA?: No
Model:55236 Width: 24 Ft. Side 1: 20.0 Ft. Shoreline Desig.: Urban
Year:2004 Serial No.: factory I Side 2: 53.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Modular Home Submittal Fee JRN 5/13/2004 $214.50 B12004
Planning Review Fee JRN 5/13/2004 $155.00 612004
EH Plan Review PSD 5/21/2004 $75.00 S22004
Building State Fee LDK 5/24/2004 $4.50 S22004
Mobile Home Issuance Fee LDK 5/24/2004 $214.50 S22004
Total $663.50
BLD2004-00723 Please referto the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
B LD20 04-00723
CONDITIONS FOR
BLD2004-00723
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 pote I risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647�8 ;h r n signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) The Uniform Fire 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 roa e w a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
3) All upland areas disturbed or newly a# b o struction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
4) Temporary erosion control measures must be implemented to prevent water quart dat' n f adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
5) Appro di e sions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
6 In accordance with the Uniform BuildingCode and Title 14 Mason Count Building Code, "Standards for Fire Apparatus Access Roads," all new
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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 jurisdAon and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspectio
X
7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
8) The "approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" plot 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 D e t ri r to any further inspections being performed or approvals granted.
X
BLD2004-00723 Please referto the following pages for conditions of this permit. 2 of 5
9j 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 o s':
,pjn II c ti 'cation number and signature of the certified installer responsible for each major part of the installation.
WAC365-210 X
10) 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.
11) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
12) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code 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 pe r c t, n
X
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13) 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 1997 UBC, 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/a 5em no occupancy (Final Inspection) will be granted for the residence.
OWN ER/CONTRACTOR(indicate which) Signature X
14) This permit is for the plane t a in Ilation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
15) All mobile/manufactured home landings or decks must be freestanding (self supporting). The largest landing or deck allowed without drawings or a
building permit MUST be under 30" in height from surrounding grade. NO second story decks, or decks above 30" can be built without a permit. Any
landing or deck that is "o o i eight from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires
a handrail. X
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
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 locat ithin 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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BLD2004-00723 Please refer to the following pages for conditions of this permit. 3 of 5
i t) - All changes to "approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regulatio u t be iewed and approved by Mason County prior to construction.
X
18) 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.
19) All property lines shall be clearly identified at the time of foundation inspection. X Lzzz Z�
20) 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 Coun Jd a and building regulations.
X
21) 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 ted c n from being taken. No more than one extension may be granted.
X
22) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors-arr�l f s Install metal connectors approved for contact with the new types of pressure treated material.
X�
23) Applicant has indicated this is a replacement unit. Prior to Mason County all y o u racy of the new proposed unit, the existing unit which is
on-site and is being replaced MUST be removed from the parcel. X //
24) The existing mobile home must be removed prior to final approval. X
25) Approved per dimensions and setbacks on submitted site plan, including the requirement that the new residence and all associated structures be placed
behind n e setback. Setbacks are measured from the furthest projection of the structure.
X
26) X Water q��l'? o� egraded to the detriment of the aquatic environment as a result of this project.
27) The proposed project must be consistent wit is le licies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program.X
BLD2004-00723 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 owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described grope stru�c`tuor rev a i tion.
OWNER 44EN �� - DATE
BLD2004-00723 Please referto the following pages for conditions of this permit. 5 of 5
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o CONCRETE MECHANICAL MANUFACTURED HOME
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Footings Setbacks Date By Ribbons
4 Date ( Q By ��%� Gas Piping Date 07 1(0 0Y By
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w Found ion on Walls Date B y Set-up
Date By INSULATION Date `j• 2,3'� By
B G / Slab Insulation Floors Final
D ate B y Date B y Date By C_
FRAMING Walls FIRE DE VT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL NS ECTION
Water Line Date j/ ( By I
Date By 4 Date By
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HOMES OF OREGON
Authorized Retailer:
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Model 5523C 24 X 52
1213 Sq. Ft. 3 Bedrooms 2 Baths
View all our floor plans online at www.championoregon.coml
Due to continuous product impro-ements Champion reserves the right to change features and
specifications without prior notice.All dimensions arc nominal.See homeowners package
for complete details pertaining to component warrantees. Revision Date 07/3112001
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COPY
APPROVED
MASON BUILDING INSPECTOR
CHANGES SUBJECT TO APPROVAL
DATE
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MASON COUNTY PERMIT NO. OC Q,3
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
APPLICAN INFOR TION CONTRACTOR INFORMA 10
Owner Company Name
Mailin Ad s Mailin Ad r ss
City �+ ✓ State Zip Code City ti7State Zip Code
Phone Other Ph. Phone Other PLien/Title Holder Contractor Reg
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to er System Name of Water System
WeII�Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. Fire Distri -
Legal Description
Site Address (Please include street name, street nu ber an c y)
Directions to site
Will timber be cut and sold in parcel preparation?Yes �__ �Rver
Is P P Y ro ert within 200'of Saltwater Lake /Creek 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 RESI ENCE [] SEASONAL }
Use of Building Describe Work
No. of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd FI or
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attache Detached
MANUFACTURED HOME INFORMATION - Make C /04 Mod L Year,-` -
Length Length y-W )h 2'r'� Serial No. M o,E3edrooms of Bathrooms --
Type of Heat Pu ha rice$ ��GhA� Replakcement nit o
Installer Name u r�"c",e Certificatio o.
OWNER/BUILDER Acknowledges submission of inaccu a nformation may result in a sto ork or err�r,�permit revocation.
Acknowledgement of such is by signature below.I declare tha m the owner,owners leg representatiJ!!,or the contractor.I further
declare that I am entitled to receive this permit and to do the wor roposed in the appl* ation.I declare that I have obtained the permis-
sion from all the necessary parties.If permission is required from any ement hato®r:o any ot}aer party in interest regarding this applica-
tion or tie ork pr sed in th plicatio , I have obtained permission ?gm them to ly for thh permit and conduct the work proposed.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS PO K
Accepted by: Planning I'd Ck# Date Bld Pd, Receipt No.
DEPARTMENTAL REVIEW APPROVED D,FNIED NOTES
Building Department .3 V-YV JUJ Qjate---
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee A SAe Inspection
Plan Review Fee Review Fee
Plumbing & 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 j