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RECEIVED APPROVED
MASON COUNTY DCD PLANNING
AVN 18 2018 SITE PLAN REQUIRED TO BE ON SITE
eC NG SUBJECT TOAPPR VAL
615 W. Akler Street o By DateIJI
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TOPOGRAPHY PROFILE:
Direction: Scale: Approval: for office use
Building Permit number ; SQ Building:
I Owner/Applicant: C1,11 A Date of Planning:
application: Env. Health:
Parcel Number: 1 Z33 2.3���f 4 Lo � �� j
'r.NIQTE'-DRAW,:—..G.IS:N ET:TO A �,A-.LE:AND MA,:Y:BE:);tE1lI,5]EU.PRIOR'>i�;1��LEASE �INITI�[LS).
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jy. si5�, 30 1�2ic40 46 8 ze 1/Zk59
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STOP
I HAVE REVIEWED THE.
CONFIRMATION
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b0Ml ibHT:.�20,I8'.6YOALM.HAFE6OR H+�MEt Wb". suiu+pgs ts�Bdll�,� RAYS �1p�f�,',�° IUHG>:s •CftN1,4:INVE ti1%I.E �'S� �wt��euesette��B
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Alf.RIOW Reserved ATIeLy (J- t evi8ed:
Name _ -- EC�� V �i�# 233 I23�to 'L DfMaR-Opn
R 2018 Mason County
Department of Community Development
Small P6tWMV4 kW"ft ieManagement Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment ,with more than 2,000 square feet of impervious surface .
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings X = f C1 (Q
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
- eaves/gutters)
- - X _
Driveways _/�/ X Z D =
X = Length of drive begins at the right of way
X =
Parking Areas ' X �' = t_( 0(_,
X = Any paved, gravel or packed area per definition
-- X above table
=
Patios/Walks X =
X = Any paved, gravel or packed area per definition
X _ above table
Others (p X = Z
f`C_lC_c X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) _1 SZ
If the Total Impervious Surface Area is I,.ESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the information you have provided a Stornnvuter Site Plan IS NOT required for this development activity.
OwnerBuilder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by Sig ture below. 1 declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that e r fo ion provided is accurate and employees of Mason County are granted access to the above-
described p perty f r iew ;�79)eqin as may be required.
X _ Owner/Agent/Contractor(circle one)Date: L a/
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Page I of?
LASI COUNTY COMMUNITY SERVICES Permit No/w ao ` G_d6
PERMIT ASSISTANCE CENTER:
.BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427--9670 ext.352•Fax:(360)427-7798 Phone APR 1 8 2018
Belfair:(360)275-4467•Phone Elma:(360)462-5269 I L U
•i
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: �} I��f G�T �IJZ�1 u''(/ NAME: _!5.A Val l4
MAILING ADDRESS: FP 0, &-X 5LZ& MAILING ADDRESS:
CITY: LACt,'P,t( STATE: W p ZIP: I lb 5 CITY: STATE: ZIP:
PHONE#1: 346 iOl 118.5. PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG# 01401AC.GL$5A 09 EXP. it
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME YVI!f'(Ir A'[3 g s4 EMAIL rV10.11�l1Jb�'1 �j°�a't '
MAILING ADDRESS P a R eX S ZZ 2 CITY I—A-C 4 STATE WA ZIP 9 5;02
PHONE CELL_ 6U. r• Z^r r
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 1 Z 5312 3 9 0(`f(1.1:1 ZONING RWS
LEGAL DESCRIPTION(Abbreviated)161: 6 OF Sp * ISS`S PfN T2)N FIRE DISTRICT
SITEADDRESS ZO Me QuA�lt f(LPHL CITY � L�fltr2
DIRECTIONS TO SITE ADDRESS S ON NE ST iST SOO I. (2'( &P..t QJA-LL, _TA-*rL fg6y
gtle trt 12S'r H-o✓V►tr_-5�� at4 al[ .Li7l
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER �EPLfrC�
USE OF STRUCTURE(Residence,Garage.Commercial Bldg,Etc.) IZS51 00',NM
IS USE: PRIMARY X SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 7-
HEATED STRUCTURE? YES(Whole Bldg);K YES(Part[sl of Bldg)❑ NO❑
DESCRIBE WO Y—e FU2— Lt1L-tG
SQUARE FOOTAGE: (propose+existing)
I ST FLOOR I29 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 5> sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE FP L A 4 Pr(t,ftk MODEL NOV&WOOO YEAR ZD I Qj LENGTH %
WIDTH_ BEDROOMS_ BATHS 2 SERIAL NUMBER WZ.Z"bKb 3UJ
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW ❑ EXISTINGA
PLUMBING IN STRUCTURE? YES � NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[. EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS_�1 TOTAL BEDROOMS 3
OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permitlapplication becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATIO 4 OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Signature of OWNER(Must beA. ianed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENTJTZ- 1t17-1 y
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Part Ia'Purchase Agreement
A.PARTIES:
1. Seller: DeTrav)s LLC 2. Buyer:Matt_BbYaY, Cb"a BRA CRMA Tnvnai-manta
Address: 4621 Lacey Blvd SE
Date Prepared: December 04, 2017 City:Lacey St:Wa Zip: 98503
Prepared By: Del Dexray Res: (,360)701-9985 Bus:.t360)888-0805 Chad
B. AGREEMENT TO PURCHASE: Buyer agrees to purchase from Seller under the terms and conditions specified in this document the following
described manufactured home together with the furnishings,accessories and services indicated hereon.Property described as"new"is property on which no
state certificate of title has been issued.See also Part II,para.2 and 4(d).
Make: Palm Harbor Model: Norwood Approx.Floor Size:L 48 W 27 (w/o eave)
n New ❑ Used Year model as titled: 2018 Serial Number: ❑ Unit Sold Inspected by Buyer
Factory Order,substantially the same as Serial Number: Floor Plan: W128483W No.Bedrooms: 3
C. RECORD OF TRANSACTION: CHARGES E.ENTIRE AGREEMENT,CONTRACT PARTS:
1. Agreed Price of Property $76,7i6.00 This Agreement includes Parts II through V and all other written terms,
g p Y conditions and understandings accepted by the parties as part of this
transaction which are deemed to comprise a single contract document and
2. ADJUSTMENTS: constitute the entire agreement of the parties. Each paragraph and
Additions,Deletions,Allowances&Specifications. provision of this contract and all parts hereof is severable;If one portion
List Below Particular or Special Choices of Buyer as to Colors,Materials, thereof is invalid the remaining portion shall,nevertheless,remain in full
Accessories,Furnishings,Etc. force and effect.
Notice: F.PRIOR AGREEMENTS,MODIFICATIONS:
•Sale does not include wheels,axles,tires or hanger brackets,which are This Agreement supersedes all prior negotiations, orders, offers,
recycled back to the manufacturer. agreements and representations, either oral or written. This Agreement
•Downspouts,gutters,decks,awning,skirting,tiedowns,steps,furniture, may be modified or partly superseded by later written agreement of the
decor items and other options in our display models are options and not parties attached thereto and incorporated herein.
included in the sale unless specified herein showing the additional cost,
of each item. G.FINANCING:
Per opts of attchd sales Ord If this Agreement is conditioned on Buyer obtaining financing. Buyer
agrees to make application for a loan within five(5)business days,and to
Foundation Wks system Inst 3,150.00 use good faith best efforts to obtain a loan in an amount sufficient to
finance the balance of the purchase price.If Buyer cannot obtain required
Tie downs installed 750.00 financing within a reasonable time,Seller may seek financing for Buyer,
Further Specifications Attached and if obtained, this condition shall be deemed satisfied. If a binding
P commitment for a loan is not obtained within (30 if not filled
(Go to page 5) in) days, then either party may terminate this Agreement, unless this
3. Total Adjustments(as shown above) $3,900.00 condition is waived in writing by the Buyer.In the event of rescission due
to failure of this condition,Buyer shall be entitled to a refund of payments
4. Delivery to homesite&installation made, less any out-of-pocket costs incurred by Seller in processing this
subject to Part II para 7,and Part N. order or in applying for financing.If Buyer has provided a trade-in,Buyer
Delivery, Installation&Site Requirements shall also be entitled to(i)return of the trade-in,at Buyer's cost,if it has
Agreement. not been sold,or(ii)the net proceeds of the sale of the trade-in less all
expenses incurred by Seller,including the sales persons commission,and
5. Subtotal:Adjusted Sale Price $60,616.00 less a twenty percent(20%)service charge.
6.10 Sales Tax(Rate 8.500 %) $6,852.36 H.TRADE IN:
if on receiving possession of the trade-in property by th Seller there has
been a material change in its description, fumrshi , accessories or
7. Non-taxable Fees(Title/Lie) 46.oo physical condition from initial appraisal,normal w and tear excepted,
Dealer documentary prep fee 35.00 then the Seller may make a reappraisal.Said re raisal then determines
the trade-in allowance. THE BUYER W TS SUCH PROPERTY
TO BE HIS PROPERTY, FREE AND C AR OF ALL LIENS AND
ENCUMBRANCES, INCLUDING L ASSESSED PROPERTY
TAXES,LICENSE FEES AND AC UNT SHORTAGES,EXCEPT AS
OTHERWISE NOTED HERE, D THE BUYER WARRANTS THE ,
TOTAL AMOUNT THEREOVrO BE NO GREATER THAN STATED
IN THIS AGREEMEN Necessary. corrections, and adjustments
8. TOTAL PURCHASE PRICE $87.549:36 contenting changes in payoff on trade-in shall be made at the time of
settlement Tl1e value allowed herein for trade-in may be arbitrary and
9. PAYMENT-Itemization: may differ from Cual fair market value by mutual agreement for the
Down Payment,consisting of the following: purpose of thi ransaction. Therefore, in the event of rescission or
Y g cancellation o he sale,the parties are not bound by such allowance.If the
a.Cash paid 43,775.00 trade-in coulists.of real estate,then details of the trade-in transaction and
an itemi ion and calculation of allowances for same are set forth on the
b.Balance cash down
payment: attach Real Estate Trade-in Agreement and Closing Statement which is
Due date: mad a part of this Agreement. The Buyer agrees to deliver the original
bit f sale,or the title to any property traded in as partial payment along
c.Trade-in:gross value w h the delivery of said property and the keys for same to. Seller's
(See Paragraph H) premises.
d.Less:Payoff Debt I. FINANCE COST:
(balance owing) < > Seller will order a customer's new home at a mutually agreed upon date.
Ten(10)days after Seller notifies Buyer in writing that the home is ready
e.Net trade-in Allowance(Buyer's equity) 0.0o for delivery to-Buyer's property,the Buyer agrees to pay interest to Seller
on the unpaid balance of the purchase price at the highest legal rate per
f.Total Down Payment(items a,b&e) S43,775.00 month and in no event less than twelve percent(12%)per annum.
10.BALANCE DUE PRIOR TO OCCUPANCY J. ASSENT:
SUBJECT TO PART 11,4&13: 1. OFFER OF BUYER.The undersigned agree to this sale including
OR Before delivery $43.774:36 the terms and conditions on page two hereof and on all other parts of this
Description of Trade-In: document, and.acknowledge receipt of a completed copy thereof. The
Year Model or Style undersigned further acknowledge and agree that in entering this Purchase
Size Serial No:or Address Agreement the undersigned is not relying on any representations or
may- promises of any agent or employee of Seller unless such representation or
Debt to be paid by:❑ Wer"''l. Buyer promise is set forth in writing and did to this Agreement.
Debt owed�� Branch: �u
De I )chi h udes: ❑Appliances ❑ Skirting El Drapes El Carpets Matt�Abhad Roraback
g �NOther(see attached)❑Furniture❑Awnings❑Porches and/or Steps DHA ents
D. DELIVERY: Date Signed:
December 04 2017
Proposed Delivery Date Salesperson:Del DeTrav
Place of Delivery
2. Acceptance by Il
Addresses: `
City Belfair Court Mason Accepted by:
Del Delray
State Washington Zip Code 98528 Title:Owner / Sales Manacter
Park N/A Space No. N/A Date: December 04, 2017
Page 1 of 5 COPYRIGII O 1999 By the Washington Manufactured Housing Association,1530 Evergreen Park Dr.SW,Olympia,WA 98502•(360)357-5650 Rev.5i99
Produced with zipForm®by zipLogix 18070 Fifteen Mile Road,Fraser,Michigan 48026 www.zipLouix.com
DeTrays LLC 3801 Pacific Ave SE Olympia,wA 98503 Phone:36OA59-1500 Fax: 360-491AS25 CRMA Inveamen