HomeMy WebLinkAboutBLD2004-01155 Replacement MFG Home - BLD Permit / Conditions - 12/23/2004 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
r Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2004-01155
OWNER: SHERRI ROOD RECEIVED: 7/16/2004
CONTRACTOR: GORST LAND DEVELOPMENT 1-360-373-5001 LICENSE: GORSTLD098LI EXP: 6/7/2006 ISSUED: 8/19/2004
SITE ADDRESS: 40 NE VISTA PL TAHUYA EXPIRES: 2/19/2005
PARCEL NUMBER: 223305000372
LEGAL DESCRIPTION: HAVEN LAKE TR. 372 40 NE VISTA PL
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
replacement 2005 Manufactured Home PAST BELFAIR STATE PARK. R ON BELFAIR TAHUYA. R ON HAVEN
WAY. R ON VISTA WAY. FIRST LOT ON R
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: MH Insp. Area: OTI No. of Bathrooms: Occ. Group: R3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make:FLEETWOC Length: 68 Ft. Front: E 60.0 Ft. Shoreline: Ft, Water Body: NONE
Rear: W 98.0 Ft. Slope: Ft. SEPA?: Unkn
Model: Width: 28 Ft. Side 1: N 13.0 Ft. Shoreline Desig.: U&Hn
Year:2005 Serial No.: FACTORY Side 2: S 14.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee NJP 7/16/2004 $214.50 S22004
Planning Review Fee NJP 7/16/2004 $155.00 S22004
EH Plan Review CEW 7/22/2004 $75.00 612004
Mobile Home Issuance Fee DLC 7/26/2004 $214.50 61M04
Building State Fee DLC 7/26/2004 $4.50 612004
Total $663.60
BLD2004-01155 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
B LD2004-01155
CONDITIONS FOR
BLD2004-01155
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
1-800-647-0982. 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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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 s connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
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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
Departme t prior to any further inspections being performed or approvals granted.
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4) In accordance with the Uniform Building Code 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 Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to
requesting inspections.
5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
6) 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 Builgng Department prior to any further inspections being performed or approvals granted.
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BLD2004-01155 Please refer to the following pages for conditions of this permit. 2 of 4
7) 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 installed. certification number and signature of the certified installer responsible for each major part of the
installation. WAC365-210 X Yb ,
8) 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.
9) All construction must meet or exceed all local ordinances and the 2003 International 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 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 2003 International Code(s), 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 75 -t,
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 6 V.
12) All mobile/manufactured home landings or decks must be freestanding (self supporting), shall not exceed 4'0"x 60" dimensions, and shall be less than
30" in height from surrounding grade. Decks or landings that exceed the height or dimensions listed above will require a separate building permit and
approval prior to construction of the decks or landings. Any landing or deck that has 4 or more risers requires a handrail.
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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
ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
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14) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspectors hall be made prior to requesting additional inspections.
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BLD2004-01155 Please refer to the following pages for conditions of this permit. 3 of 4
15) 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 IJ
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
X n-c�rr�p9iant with Mason County ordinances and building regulations.
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 hT
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,
X connectors flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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20) Approve per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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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 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 describedla-L'r
rty and structure for review and inspection.
OWNER OR AGENT: 16 DATE:. _—
BLD2004-01155 Please refer to the following pages for conditions of this permit. 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
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11 Footings f Setbacks Date By Ribbons
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Date By Gas Piping Date ��/ B y —�
01 01 Foundation Walls Date B y Set-up
Date By INSULATION Date 171,11 uy By 'rff1
B G I Slab Insulation Floors Final
Date By Date B y Date !Z By LjL__
FRAMING Walls FIRE NE PT
Date By Date B y Date B y
PLUMBING Attic OTHER
Groundwork Date B y
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date B y
Date By Date By
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APPROVED
rel RC90d MASON COUNTY DCO PLANNING
SITE PLAN REQUIRED TO BE ON SITE r C
to m g. V i s+o P� ' scg�e I�=aD NGES SCi BCE T TO APPROVAL
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MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
P.O. Box 186 ♦ 426 W Cedar Street ♦ Shelton, WA 98584
www.co.mason.wa.us
Phone (360)427-9670 ext . 352
• Building Belfair: (360) 275-4467
• Planning Elma: (360)482-6968
Seattle: (206)464-6968
• Environmental Health Fax: (360)427-7798
SITE PLAN INSTRUCTIONS
A complete, accurate, and detailed site plan is important to avoid delays in the review and approval of your
project. A sample site plan and topography are located on the inside of this form. An easy to use grid, which can
be used to draw your site plan on, is also located inside. The following items will be required, if applicable, to
complete the building permit application package. Additional information may be needed depending upon
individual site conditions. For more information see submittal standards and instructions on the back of this form.
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D Q �? p' 2 @ � � CD O,
ro Cd7, M �i o. 3 c B
Submittal ri 5 c2 c� -0 CDC7 chi
Requirement _ cw: , .
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4 4 4 4 4 4 4 4 5
NVO
Sep. 3
Water Adequacy Fo1r tx
Constriction Plans 3 3 3 3 3 5
Energy Code VO if
Application Form Heated
Septic Pumpers Report X X X X X X
Existin s stems older than years,-
Property Lines Flagged' YOv vV, vVOv
Geotechnical Study* 3 3 3 3 3 3 3 3
See instructions on back
Plumbing/Mechanical
q Apylication Form
Engineered Calculations*' 2 2 2 2 2 2
Floor Plan v
S.E.P.A.
Road Access Permit v
The number in the table indicates the number of copies required if applicable.
Required for submittal of a complete application.
X A pumpers report may be required when a septic system is existing and has been installed for three or more
years. The pumpers report, dated within the last three years, shall include the size and condition of the tank and
the condition of the baffles.
• Additional information and permits may be required by the Planning Dept. call extension 281 for information.
* If applicable, needed when site conditions require the additional information.
Rev:3/1/02 I
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PERMIT NO.: BL —tollnb COUNTY
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 Seattle 206 464-6968
APPLICANT INFORM TION CONTRACTOR IN ORMATION
Owner Contractor Name rdlk W hi 0? 1v r
Mailing ddress Mailinn Address 345,0 W.
City StateU/'a, Zip Code City State K/4 Zip Code
Phone(-I&c)' gIM-O&W Other Ph.( Ph.(3bo Other Ph.(
Lien/Title Holder WA Contractor Reg. #F,»�098t, 1
Address yllk Expiration_ _/�_/�_
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic connect to Sewer
System Name of Sewer System WeII_,X Water System Name of
Water System &, -
PARCEL INFORMATION-12 digit Tax Parcel No. a.1330 -aW /5-0 / 0 0 17A Fire District_
Legal Description
Site Address(Please include street name, street number and city) qQ 12,IS, IZIJ7"A
Directions to site A6,01 &)Fku, St Pankwo 901if ontti o _
l►. d12 /1 is y h ,-
Will timber bb cut and sold in parcel pre atioO (Yes/No)
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCEM SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year 5'
Length 6,2 Widthgh_Serial No. o No. of Bedrooms 3 No. of Bathrooms,a
Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) ' ..
Installer Name Certification No.0!0-?qr
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and stru� or review and
inspection of this project. Acknowledgment of such is by signature below: �'(QED
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am cu �gistered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am M f f elgrd
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this per it is issued d=k
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No chan LPA YA made without
approval. first obtaining approval. e �K OFFICE
f
X Date X 8 Date -- 04J
FOR OFFICIAL USE BEYOND THI8 POINT
Accepted by Date Submittal Amount Due Receipt No.
PEP RTM NTAI»?R V1 1N APPROVED p DENIED CONDITIO COPES
Building Department
Occ Group Type Constr. - - D TA
Planning Department
opt--,
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee 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 S�
Violation Fee Pre-Paid at Submittal ( )
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TOTAL FEES
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