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BLD2004-00683 MFG Home - BLD Permit / Conditions - 5/14/2004
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 Shelton, WA 98584 P10 RESIDENTIAL BUILDING PERMIT BLD2004-00683 OWNER: ERIK BJORKQUIST RECEIVED: 5/7/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 5/14/2004 SITE ADDRESS: 670 NE HAVEN LAKE DR TAHUYA EXPIRES: 11/14/2004 PARCEL NUMBER: 223305000331 LEGAL DESCRIPTION: HAVEN LAKE TR. 331 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME NORTHSHORE RD RIGHT ON BELFAIR TAHUYA RD RIGHT ON HAVEN ALEK WAY LEFT ON HAVEN LAKE DRIVE 500 YARDS ON LEFT General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: Type of Constr.: V-N Type of Use: MH Insp.Area: No.of Bathrooms: Occ. Group: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 8 No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: 13 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make:Moduline Length: 48 Ft. Front: W 219.0 Ft. Shoreline: Ft. Water Body: Rear: E 130.0 Ft. Slope: Ft. SEPA?: No Model:Ardmore Width: 28 Ft. Side 1: N .0 Ft. Shoreline Desig.: Not Applicable Year:1991 Serial No.: Side 2: S 13.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee NJP 5/7/2004 $214.50 S22004 Planning Review Fee NJP 5/7/2004 $155.00 S22004 Mobile Home Issuance Fee NJP 5/7/2004 $214.50 S22004 Building State Fee NJP 5/7/2004 $4.50 S22004 EH Plan Review NJP 5/7/2004 $75.00 S22004 Total $663.50 BLD2004-00683 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2004-00683 CONDITIONS FOR BLD2004-00683 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. x z 13 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 suchhloads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and legible from the street or road fronting the property. 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 it to post the address on site prior to requesting inspections. X 4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 5) 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 installed. certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X � 6) 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. BLD2004-00683 Please referto the following pages for conditions of this permit. 2 of 4 7) 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 permit revocation. X 8) 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/all problems no occupancy(Final Inspection)will be granted for the residence. OWN ER/CONTRACTOR(indicate which) Signature X L j;;2 9) Applicant has indicated this is a replacement unit. Prior to Mason County allowing any occupnacy of the new proposed unit, the existing unit which is on-site and is being replaced MUST be removed from the parcel. X 10) 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 30"or more in height from walking surface to finish grade requires a Permit. Any landing or deck that has 4 or more risers requires a handrail. X 11) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance Xr regulation must be reviewed and approved by Mason County prior to construction. 12) 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 !^ X Inspector shall be made prior to requesting additional inspections. 13) 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. /�, 14) Owner/applicant must obtain a seperate permit for the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to the placement of the tank. X 15) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think such feat_ure� exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X � 16) All property lines shall be clearly identified at the time of foundation inspection. X BLD2004-00683 Please referto the following pages for conditions of this permit. 3 of 4 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 (older h vP prevented action from being taken. No more than one extension may be granted. 18) 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 and building regulations. 19) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, conne rs, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X i�7 20) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 21) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 2_�� 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 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 property and structure for review tdn ion. OWNER OR AGENT: DATE: S BLD2004-00683 Please referto the following pages for conditions of this permit. 4 of 4 i Will P406 �■ ■■■� ■"wMM■M■/ •, ■■ ■1�1■■■■M■■i■ ©■! ■ mbm- m WINNER r�■1■rr■I■i 100■■111W I MINO i!M lis ind! OEM HOMO WE. 0 MEN ■■ IS M MEN I Nal a MW ENE EMIR ■■■■■■■■■1■■■■■■■WEIRP F1■■■■■■■■■■Iw ■■■■■■■■�1■■■■■■■■■1►'�.�i■■■■■■■■■■III ■■■■■■■■■I■■■■■�■�■■1��■� i!Je■■� ■■■■■■■■I■ ■i■1 ■■ •i►�. r/ ■�l�f aim A■■I�Mmm ■■Ib 0 NMI MMMM19am�m�w MEN ■■■mom■■n■0l mom■■NONE ■■■■■■mom MEMO ME II eee eee ■ �■■�■■■■■■ ■■mom■■■UP IS 1606 NOON ■r IS WE WOMMEENESHER011010111 �r■■_■■■eee■eao ON r.■■■■■■■■■i.:I ■■■�■■�■■■■■■■■■ n�■ � .''■■■■■■ .ras • ' •• • . . Mode : INQUIRY REAL PROPERTY Auto Roll : OFF ry { Parcel # 22330 50 00331 Rng 2 Twp 23 Sec 30 Tax Yr 2004 Taxpayer * BJOR 2580 BJORKQUIST, ERIK W T/P Chg Dt 10/22/2002 Title Owner # BJOR 2580 BJORKQUIST, ERIK W T/P Chg By BURCHD Contract Owner # Loan # Plat/Condo Type PL Code HAVE 0100 Blk Lot Unit Dock Description HAVEN LAKE Assoc M/H TR. 331 Chg Dt 10/22/2002 Chg By BURCHD Chg Rs RO FS 05484 : Tax Code 0262 1 403 D P3 F2 L H Land Use 9115 VIEW < 5AC Zoning Code Tax Stat TX TAXABLE Reval 2 Chg Rs F/P? Y Ac Land: Improved Unimproved Timberland Total Land Improvement Total AV Acres Taxable 12, 000 12, 000 12, 000 Market New/C 0/AV Mob Home AV Sub Cd Into Sr Cit Cd Reg Exmpt O/R Regular Taxable 12, 000 Lien Date AF # As-Tx Yr App # Agr # Command Keys : 5, 6, 7, 9, 12 INQUIRY BY NAME Name Cd BJOR2580 BJORKQUIST, ERIK W 710 NE HAVEN LAKE DR TAHUYA, WA 985889528 1 RP 22330 50 00331 HAVEN LAKE 12 , 000 T TR. 3 31'-,. 9115 Inquiry Type VL Select Line # 00 -or- Search for Parcel . . . . . . , , , , - , END OF DATA CMD 7 for EOJ HELP key Allowed -- iofL vow /ofY S�F.s'F aAk �9 ow o ll�� tll+i� �o►.fY ♦ .ri w z� • I � fJ � I Orr . ol 1 317 C� 4 t MASON COUNTY PERMIT NO. 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 INF RMATI CONTRACTOR INFORMATION Owner t �� ��� Company Name Mailin.�-Acl res /b vow Mailing Address City _State w6e. Zip Code City State Zip Code— Phone-3[en A 7 s L,2 f6 Other Ph. Phone Other Ph. Lien/Title Holder "-A& — " Contractor Reg. # Exp. E mail address V4 Is/l ey j 4e 5a e,z <Lh4 E Mail Address Drivers Lic. # 15-' vy.2 d -DOB ' Z -(-- > 1. 1 Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic_ Existing Septic Connect to Water System Name of Water System WelLK Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please incluPle street name, street number and city) /O /� �.�Q✓v L,��< E' Directions to site ✓` ",T- ) !44,t 7 k L, A, �u Will timber be cut and sold in pa cel prepara n?Yes o Is property within 200'of Saltwater _g_5x-_—Lake River/Creek Pond_ Wetland C Seasonal Runoff Stream +- Slopes or Bluffs > 15% j Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/ o TYPE OF JOB - New_= Add Alt Repair Other PRIMARY RESIDENCE EASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms_ Square Footage - 1st Floor ` ��� 2nd Floor — No. Floor - Basement �'"- Deck_Covered Deck--Other Sq.ft. Garage L, Attached f Detached ?4--' Carport Attached _ Detached - MANUFACTURED HOME INFORMATION - Make 4o .t 4 Model cw"-t Year Lengthth Serial No. /71(o f? No.of Bedrooms—No.of Bathrooms _ Type of Heat F es Purchase Price $ 12A 000 Replacement Unit? /No Installer Name Certification No. 4 4 2 U Z CWNER/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 o e permis- sion from all the necessary parties.If permission is required from any easement holder or any other party inor �e i its applica- tion or the work proposed in the application, I have obtained permission from them to apply for this permit a MICR he work proposed. X - Date: �o' i, � MAY 0 7 2004 Owner/Owners Rgpr sentaU IF—Contractor (indicate which one) jt FOR OFFICIAL USE BEYOND THIS POINT 426 ' Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department (. 1�7,11,01 Planning Department Environmental Health Department i Public Works Department i Fire Marshal FEES I Building Permit Fee Site Inspection I Plan Review Fee EH 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