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BLD2006-01880 Final MFG Home - BLD Permit / Conditions - 2/9/2007
Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,WA 98584 too RESIDENTIAL BUILDING PERMIT BLD2006-01880 OWNER: ROSE STARR RECEIVED: 10/19/2006 CONTRACTOR: SOUTH SHORE CONST 1-360-275-0818 360-509-1342 LICENSE: SOUTHSCO16NL EXP: ISSUED: 11/13/2006 SITE ADDRESS: 1170 NE COLLINS LAKE DR TAHUYA EXPIRES: 5/13/2007 PARCEL NUMBER: 223315100059 LEGAL DESCRIPTION: COLLINS LAKE#2 TR 59 PROJECT DESCRIPTION: DIRECTIONS TO SITE: 2006 LIBERTY MANUFACTURED HOME BELFAIR TAHUYA ROAD TO COLLINS LAKE DR. FOLLOW TO RIGHT AROUND LAKE TO 1170 PROPERTY ON RIGHT. General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: 4 Type of Constr.: Type of Use: MH Insp.Area: No.of Bathrooms: 3 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: Unknown Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make:LIBERTY Length: 70 Ft. Front: S 150.0 Ft. Shoreline: Ft. Water Body: Collins Lake Rear: N 20.0 Ft. Slope: Ft. SEPA?: No Model:QG327404 Width: 32 Ft. Side 1: E 20.0 Ft. Shoreline Desig.: Not Applicable Year:2006 Serial No.: Side 2: W 20.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee CMH 10/19/200 $214.50 B12006000 Planning Review Fee CMH 10/19/200 $155.00 612006000 Address Fee BLJ 10/23/200 $140.00 S22006 35 Mobile Home Issuance Fee ARC 10/24/200 $214.50 S12006000 EH Plan Review TW 11/3/2006 $75.00 S12006000 Total $799.00 BLD2006-01880 Please referto the following pages for conditions of this permit. 1 of 6 CASE NOTES FOR BLD2006-01880 CONDITIONS FOR BLD20 0 6-01 8 80 1) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these struc s mee the etback conditions listed. X 2) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors m lashin Install metal connectors approved for contact with the new types of pressure treated material. X 3) 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 r v ntgd cti n from being taken. No more than one extension may be granted. X 4) 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 Co u or ina es d building regulations. X 5) All property lines shall be clearly identified at the time of foundation inspection. X 6) 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 to tion OR placed in the location specified by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. 7) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. 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 sh b mad prior to requesting additional inspections. X BLD2006-01880 Please referto the following pages for conditions of this permit. 2 of 6 8) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance xm( , must be reviewed and approved by Mason County prior to construction. X - / 9) 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 project X 65 z 10) Permanent Address must be posted and visible from the road Deck must be safe and meet code for year building permit was issued. Rebuilt decks are required to meet current code. All guardrails and handrails must be in good condition and meet code for year built or current code if replaced. Skirting must be vented 1:150 and backfill sloped away from unit 2%for a minimum of 5' around the perimeter of the unit Gutters and downspouts must be installed with splash blocks provided All exterior penetrations must be sealed HWT Pressure relief line and dryer vent must exit skirting a minimum of 6"with a maximum of 24"above grade. The unit shall have a minimum of 16"x24"crawl space access provided HOWEVER, if the unit has not received a set up inspection and is skirted, 4 panels centrally located (one on each side of unit) shall be removed by the owner/applicant prior to requesting the inspection. All conditions on the original or issued permit must be met If the unit was installed by a WAINS certified installer/contractor since July 1, 2003, CTED Installer Tags must be available It shall be the responsibility of the person requesting the inspection to provide the manufacturer specifications, ANSI Standards or approved engineered design for the installation of the unit and have them available on site for inspection. Each inspection required will be assessed a fee as adopted under Mason County current fee schedule. Re-Inspection fees will be assessed each time an inspection is requested and required items are not completed prior to the inspection being performed ENFORCEMENT PROVISION: Any manufactured/mobile home and/or appurtenant structures found non-compliant with any county or state regulation are subject to enforcement action and subseqyent violation and penalties pursuant to the Mason County Code. X A/ 11) This permit is for the e e t and installation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X BLD2006-01880 Please refer to the following pages for conditions of this permit. 3 of 6 12) 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. �J OWN ER/CONTRACTOR(indicate which) Signature X /( 13) Lake Cushman area is designated with a 551b snow load rating. The owner/agent of this permit acknowledges that if the unit permitted under this permit does none. ecommended snow load rating, there is a potential for failure due to weight accumulation beyond that of the design criteria. X 14) 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 permit r tignA , 15) The international 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 ro ne h a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 16) Per 2003 IRC - SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordan thh pl' ble provisions of this section and the manufacturer's installation instructions. X 17) Per 2003 IRC - SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC PE ( SECOND GUST)the wind speed for Mason County is 85 MPH. X log 18) 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 m y either get an order form from the Mason County Building Department or you can contact the Offf ice of Manufacturing Housing (360)725-2800. 19) 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 install e rtifica 'on umber and signature of the certified installer responsible for each major part of the installation. WAC365-210 X BLD2006-01880 Please refer to the following pages for conditions of this permit. 4 of 6 20) 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. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building m ment prior to any further inspections being performed or approvals granted. j,.- p-4 21) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 22) 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 removal of a r ed doc4ments will result in failure of required building inspections. X 23) 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 inspections.X 46 24) 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 Depar urther inspections being performed or approvals granted. X 25) 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 1-800-647-098 heApe son signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X A(� � 26) Approved per a sions prid setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 27) This parcel is Ige dd smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information. X BLD2006-01880 Please referto the following pages for conditions of this permit. 5 of 6 28) 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 d the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X zl 29) Mason County Building Code Standards for Fire Apparatus Roads Chapt r 4.17.060 and chapter 14.17.70 require a minimum 10 foot width and 12 clearance overhead clearance. Established before Final Inspection. 30) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 31) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approve Pin' o ensure these structures are shown and meet the setback conditions listed. X 32) Water Ii�jr is o to be degraded to the detriment of the aquatic environment as a result of this project. X 43 , 33) Prior to final approval, all upland areas disturbed or newly ncrX=btruction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 34) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X Z46 Z� 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 described propert and struct or review and ipp!�� OWN ER OR AGENT: DATE: BLD2006-01880 Please referto the following pages for conditions of this permit. 6 of 6 W o u) CONCRETE MECHANICAL MANUFACTURED HOME N O 0 Footings/Setbacks Date By Ribbons Gas Piping o Interior Date By Interior-Date By Date /L •S�^�6 By 1 T O Exterior Date By Exterior-Date B Set- Point Load/Isolated Footings INSULATION BG/SLAB INSULATION. Date )-•23 -cv 7 sy T/ m Date By DaCe By FIRE DEPARTMENT Foundation Wails Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING Vault Data By Date By OTHER Groundwork Attic Data By Date By Type:Date By D.W.V DRYWALL Type: Date By Int.Brace Wall Date By W -0 Date By FINAL INSPECTION p 2 Water Line Fire Seperation tuC �6 Date By Data By Date �• d Byi CD m 0) Pass or Request Inspect. o s Type of Insp. Fail Date Cate Done By Comments C0 o ''//r` „i,,•�;, 1-/. /L Scams /,/L 8 a 0 M' 0 0 L f Tce RECEIVED ►�:+rr3t�"�b :�:� �+}+�!►- ,?l� sk4 r,€w t;41^w Stitt rmx as/as OCT 19 2006 BELFAIR OFFICE PJR S►EFMC.E�+_ t: P.O. IWASK WA 9W2t Al Wlkv%s LK aR+ 31-SI-400 59 2 6 0 v 00 F Ki4vD+�*' +r Ila _ �Z ti t 1 s ue 1170 r--f RICE 1V v .-J OCT 19 2006 NIS BELFAIR OFFJCt � n W y, f � RETURN ADDRESS 4 kPLE w # �nxol/-7/ 73 S7co WASRINCTON STATE DEPARTMENT OF Manufactured Home [TITLE ELIMINATION C1r LICENSING Application ❑TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,imprisonment,or both.(RCW 46.12.210) MANUFACTURED HOME TPO/PLATE NUMBER YEAR �KE LENGTHIVJIDT�E� VEHICLE IDENTIFICATION NUMBER(VIN) 12CU7 LAND 77 XX LEGAL 4 DESCRIPTIO(J_NON"IPAGE REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE [AFFIXED ❑ REMOVED 223315100059 LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/OUARTER SECTION 59 Collins Lake Division No. 2 GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS I NUMBER OF LEGAL OWNERS 1 � 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Rose Ann Starr NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER 114 ADDRESS CITY STATE ZIP CODE 1170 NE Collins Lake Dr. Tahuya WA 98588 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER Golf Savings Bank NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE P.O.Box 5010 Lynnwood WA 98046 GRANTEE NAME I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I!WE AM/ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE % Signature of Additional Registered Owner and Title, IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE EiRENDA W. HOWCK tale of Washington Signed or attested NOTARYPUBL�� County of /A I T.SAr' before me on / 7 '(I STATE OF WASHINGTON� y R05e- Anti .S-�a.r-r Signature G✓ 2�'�c� COMMISSION EXPIRES PRINT NAME OF REGISTERED OWNER NOTARY OR AGENT AUGUST 9 2�►7 v PRINf A AME OF REGISTERED OWNER PRINTED NAME OF NOTARY I 1 County/Office No.OR l 2� Title .t;'C'ra. , E+�/c AND: Dea!er Nc.OR Y/9 1G'� DEALERSHIP P ITION/AGENTINOTARY Notary Expiration Date TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records. .A,'.tE(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER LIGNATURE /POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. BUILDING PERMIT OFFICE CERTIFICATION I Certify that: the manufactured home has been affixed to the real property as described. a building permit has been issued for this purpose and the attachment will be inspected upon completion. NAM PED OR PRINTED) i BLDG PERMIT OFFICE/PHONE N J� Vl BLDG PERMIT N SIG A U /POSITION/ I ^ i Q TD-420-7 9 (R/6/06)W age t of 2 31 D 2co(o of # 2 Z-5 - s - oa o g - ROSE A 2 iZ- . . 0 v mil. / C.a kn4ive-y -c u FILE %-j ui CHANGESopy c SUBMIT CHANGES FOR APPROVAL, �? O �SQBGjpR PRIOR TO FERFJRMiNG WGr4 v' G 1 FP Rp�pl THESE PLANS MUST BE cr�aspN 8 ��� �'6 GHPti S SUB p�E �� 2 �� v'' ON THE JOB SITE D ,� FOR INSPECTIONcp CIJRREN S � MUST MEET ASTATE CODES N GT©N ^ m -• -�--- - - ---tr:�i;s.-;.n:�r�,aa:� � cry ks T•-= LLLcKm W�siiw OOY LL LLLL �c m J CA> 1 I / slE�ala ao ?M lM. LL L LL. c4 ajoaSQ 7`T ,�iF . �rt,��ooua�u� semi MIA ACCESS & GRADE WORKSHEET DATE: ADDRESS 17 C, %L= L le INSPECTOR S ,(3L�Flo^ DRIVEWAY ACCESS Length. `> Width: Surface: _L* Size of turn-around• Condition of shoulders: Vertical clearance: need post at end of drivewa re ective ss numbers. GRADE,OF DRIVEWAY /o ROAD ACCESS Length: Width• Surface• Condition: Vertical clearance: ( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. LOT INSIDE SMZ, 4X4 FIRES ONLY. ( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS — 4X4 FIRES. REMARKS _ (continue remarks on back) MASON COUNTY PERMIT NO. o�OCD CAI �rkV 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 NFORMATI N CONTRACTOR INFORMATION Owner Company Name Mailin Address Y Mailin Add ss 4Y4 Id City State ip Code City T State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. Exp. G' E mail address E Mail Address Drivers Lic.# DOB Drivers Lic. # 'DOB .� SEPTIC /WATER SYSTEM INFORMATION - Connect to New ptic ox o Existing Septic Connect to Water System _Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please incjyMe street ngMe,street num r city) Direction to site 6 ©�! Will timbe a cut and sold in parcel preparation?Yes Is property within 200' of Saltwater Lake River/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 RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms_ No. of Bathrooms Square Footage- 1st Floo 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Z2 dt Serial No. No' of Bedrooms s" No. o athrooms � Type of Heat T Pureha P ice$ Replacement Unit? �`� Installer Name ceje' / 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 necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained 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 review and inspection.This permit/application becomes null & void if work or auth �ed'�6ii�t�ris t not commenced within 180 days if construction work is suspended for a period of 180 days. PROOF OF CONTINUAT II_ p {3 �g'� MEANS AP RESS INS 10 CTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WI INVALIDATE THE APPLICATION. X Date: �� OCT [L UU Owner/Owner Representative/Contractor (indica a which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APP OVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee 1 `� Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee /Uv L NF Pre-Paid at Submittal Valuation $ —7 6 600 TOTAL FEES