HomeMy WebLinkAboutBLD2019-01112 MFG Home - BLD Application - 10/1/2019 ® MASON COUNTY COMMUNITY SERVICES Permit No:
I PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
I.
615 W.Alder Street,Shelton,WA 98584
• Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone E�
Beltair(360)275-4467•Phone Elma:(360)482-5269
UN. I IT APPLICATION OCT Q � 2019
PROPERTY OWN CONTRACTOR INFORMATION:
615 w
NAME:J AM -1-T6C-('SSA OoS'�r &I J NAME:?1n�1 C.VI� C1T� 14W L r Street
MAIL G DRE S: MAIL G ADDRESS:/0 [C n A l
CITY: A STATE: %. ZIP-92 CITY: ; NAAdri STATE:'LOA
PHONE#I:'3 6 4 y3 (393�- PHONE: CELL:zS3 �1,$'Ag08
PHONE 2: EMAIL:
EMAIL: Gnc9 &I REG# EXP. / /
PRIMARY CONTA •1 OWNER❑ CONTRACTORK OTHER❑
NAME 0 h v\$ EMAIL
MAILING ADDRESS a s CITY � TATE_W^-ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ` 9 S ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS V[r�d q,, Z n CITY Q Ct V A
DIRECTIONS TO SITE ADDRESS Hw%? l C/ r a6C o L
G(JG&'ood 2, m ' or Xiivif0 It n In
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NOX
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 fl, ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Cammereial Bldg,Eic.)-KSi �h Lt'
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(whatelIldg)a YES(P art(SJofBldg)❑ NO❑
DESCRIBE WORKWI-At1 MA V%4C akA rC A �6rft`-
SQUARE FOOTAGE;(proposed)
IST FLOOR11eeT' sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 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 C M CI A(,6 A IJ TJ MODEL C P 76 I G YEAR a-0 1 01 LENGTH
WIDTH 30 / BEDROOMS BATHS vZ. SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES g NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
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 1 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 permittapplication 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
x p q _
e of OWNER(Must be signed by the OWNER) T Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT VEI— I/Ill./
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Nime3 p�-,� C:c,SA-� rV OA Parcel# i al d l S al 19 0 BLD#
Mason County
Department of Community Development B U I L D t N ,;
Small Parcel Stormwater Management 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 f i X 30 = 1k, U
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
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)
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent 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,owner's legal representative,or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and i spection as may be required. >
X V/�Z Owner/Agen Contracto (circle one)Date: 9` 01-C t / e7
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 1 of 2
Name_ A►J Oa k Parcel# I d d I b 011 `I O S `f j,- BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
httpHwww.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)OrThe relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in the ntirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions, guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT.450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has, or will have,a septic/drainfeld system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent 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 1 am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and ins ection as may be required.
X Owner/Agent/ ontractor 'rcle one)Date: /
Page 2 of 2
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MASON COUNTY.DCD PLANNI G
SITE PLAN EQUIRtD TO BE ON SIT
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TOPOGRAPHY PROFILE: y .
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OCT 01 2019
615 W. Alder Street
Building Permit number, �� 11 Direction: S�ral 1 Approval: for ofiiceuse
9 y x Building:
Owner/Applicant: `l �b �V � s' Date of Planning:
11S application: Env. Health:
Parcel Number:
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CHANCES
THESE PLANS MUST BE _
ON THE JOB SITE SUBMIT CHANGES FOR APPROVAL,
FOR INSPECTION 0 N D I T I®NF PRIOR TO PERFORMING WORK
PERMIY
MUST MEET ALL CURRENT
APPROVED
WASHINGTON STATE CODES MASON BUILDING INSPECTOR
CHANGES SUBJECT TO APPROVALt.
DATE-A�
Documents attached to approved plans:
Site Plan U�C
Plan review checkii t V&S f
Engineering: Y Lateral Vertical
Number of pages
Cover p ye
Ply-A
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SET-UP NOTES: cc
■ _ ® 1.CENTERLINE PIERS HUS1i DE LOCATED UNDER RIDGE 2.THE SfONDAAO CONFIGURATION OF THIS HONE MAY NAVE BEEN �• 2,28Q 7-18-13 V
KAM SUPPORT POSTS. MODIFIED A CUSTOM PRINT SHOULD BE PROVIDED. IF NOT,THE mar LL
SET-UP CONTRACTOR SHALL CALL CMH MANUFACTURING WEST FOR >—A,f�, d
A CUSTOM PIER PRINT.
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RECEIVED
OCT 01 2019
615 W. Aker Street v,r
SALES AGREEMENT CMH Homes,Inc.
CUSTOMER NO.: I90
N 37 37802
DATE; 9-17-2019 �
BUYER(S): JAN OOSTERVELD - SSN:
THERESA OOSTERVELD
ADDRESS:PO BOX 1709 PORT ORCHARD WA 98366
DELIVERY ADDRESS:281 EAST UNDERLINE ROAD BELFAIR WA 98528
TEI.F:PIIONE: (253) 225-2808 HOME CONSULTANT: DERRICK ROCK
BASF PRICE:...............................................S Make: CMH ALBANY Model: CP761G
SUIt1'01-AL:.................................................$_ Year:2019 Length: 76 Width: Stock#: ' RSO
SALES TAX:................................................S 13.315.76 Serial#: RSO 30 Q New 0 Used
...•.......$_ _ Trade: Make:_ Model:
.-
-----------$_..__ Year: Length: Width: Stock#: "
......••.. Serial#:
1. CASH PRICE ..........................................$ 169,971.76 Amount owed will be paid by: Q Buyer ❑Seller
Trade Allowance:..................................S _ Owed to: _
Less Amount Owed:..............................S OPTIONS: NEW DUPLICATE OF DISPLAY MODEL GO5165.
Trade Equity:.........................................S FURNITURE. SKIRTING AND STEPS NOT INCLUDED. ,
Cash Down Payment:............................S 16.997.00 STANDARD DECOR TO BE SELECTED BY CUSTOMER.
Other Payments:....................................$
2. LESS At..[-CREDITS:................................$ SELLER RES!ONSIBILITIr_s:DELIVER AND INSTALL HOME
3. REMAINING BALANCr:...........................S 152.974.76 PER MANUFACTURING GUIDELINES.
ESTLtUTEU,110RT(;;w1-.. Buyer is solantar•il),purchasing any
insurance products listed below.,-Ill numbers are estimated
A.Othcr Charges:....................................... BUYER RESPONSIBILITIES: 10 PERCENT DEPOSIT DUE ON
Property Insurance:................................S SIGNING. FINAL BALANCE DUE PRIOR TO DELIVERY.
Credit Life Insurance:............................ BUYER RESPONSIBLE FOR ALL SITE IMPROVEMENTS.
HBPP:....................................................$
Title Fees:.............................................. ' .'►fav not meet local codes and standards. New homes meet
License Fees:.........................................S Federal,Uantrfaciured Home standards.
$ Buyer(s)agree:(1)that the terms and conditions on page two
are part of this agreement; (2) to purchase the above home
........... —�—_ including the options; (3) they received and acknowledge
...........$ receiving a completed copy of this agreement; (4) that all
promises and representations made are listed on this
TOTAL:..................................................$ 152, 74.76 agreement; and(5) there are no other agreements, written or
B.Unpaid Bal./Amt.Financed(3+A):.......$_ verbal.unless evidenced in writing and signed by the panics.
C.Interest Rate:.........................................% L ,ER: BU 'E ✓r-'
D.Finance Charge:.....................................S _
E.Total of Payments(B+D):.....................$ _ logo^'=I
F. Total Sales Price(I I•A+D):...................$ X J"4
G.Number of Payments:..................................# X
H,Payment Amount:..................................$
This is not a loan commitment X
Irww�el
Rev.08/17 Multi State Sales Agreement(excludes NC&VA) CMH 1179
Sales Agreement•Mutti/2943 Page 1 of 2
ADDITIONAL TERMS AND CONDITIONS
1. APPLICABILrry. The terms and conditions stated herein are in addition to any provisions of the sale of the home by Seller to
Buyer(which may include a manufactured home or a modular home)stated on the front of the agreement. Unless specifically
modified by written amendment to this Sales Agreement,the terms and conditions stated herein control this sale.
2. SWE'R RESPONSIBIl.l7'IES. Delivery and installation: Normal delivery and installation are included in the purchase price
Buyer agrees:(1)delivery is generally scheduled in order of sale;(2)the exact date for occupancy cannot be guaranteed because
of weather,site conditions,equipment and labor availability,and other variables involved;(3)the decision to purchase the home
is not based upon any representations as to the anticipated date of occupancy.
3. DEPOSIT. The Buyer will complete the transaction by paying the full purchase price and related fees and charges in cash or by
obtaining a loan or other financing arrangement from the lender selected by Buyer. If Buyer fails or refuses to complete the
purchase within seven(7)days of the date of this Sales Agreement or within two(2)business days of delivery of a retail ordered
home,or within an agreed upon extension of time,for any reason(except cancellation due to being refused financing),Seller may
keep the cash deposit as liquidated damages for its expenses,other damages,attorney fees,court costs,and any construction costs
incurred in connection with the sale to the extent permitted by applicable law. Nothing in this Sales Agreement shall preclude
Seller from electing to pursue any other remedies available to Seller.
4. FINANCED PURCHASE. If Buyer does not complete the purchase as a cash transaction, Buyer will enter into a loan or other
financing arrangement with a lender selected by Buyer or other agreement as may be required to finance the purchase. Buyer
shall apply for credit for financing the purchase within two(2)business days of entering into this Sales Agreement.
S. INSPECTION. Buyer has examined the home and items related to the purchase and found it acceptable for Buyer's particular
needs. Buyer's own judgment and inspection of display model(s),the brochures and bulletins and/or the floor plans provided to
Seller by the manufacturer,in making the decision to purchase the home described on the reverse side of this agreement.
6. CHANGES BY MANUFACTURER. Buyer agrees that the manufacturer of the home may make any changes in the model,designs,
or any accessories and parts from time-to-time, and at any time. If the manufacturer makes changes, neither Seller nor the
manufacturer are obligated to make the same changes in the unit covered by this Sales Agreement either before or after it is
delivered.
7. LIMITATION OF DAMAGES. If any warranty is limited to repair or replacement and such warranty fails because attempts at repair
are not completed within a reasonable time or the warrantor(s)has(have)gone out of business,Buyer(s)agree(s),that if they are
entitled to anv damages against the Seller,the damages are limited to the lesser of either the cost of needed repairs or reduction in
the market value of the unit caused by the lack of repairs. In no event,will the Seller be liable to the Buyer(s)for any incidental
or consequential damages. Buyer(s) also agree(s) that once the unit has been accepted, even though a warranty does not
accomplish its purpose,the Buyer cannot return the unit to the Seller and seek a refund for any reason.
8. WARRANTIES BY THE MANUFACTURER. The manufacturer warrants that the home complies with applicable law, both statute
and rule, as to construction and fire protection and detection, in effect at the date of manufacture. The manufacturer shall
take corrective action at the site of the home in instances of breach of this warranty which become evident within one (I)
year from the date of delivery of the home to Buyer if Buyer notifies the manufacturer, in writing,of the defect-not later than
one(1)year and ten(10)days after delivery to the Buyer. There may be other warranties covering the home,items sold with
the home or its contents which have been provided by the manufacturer of the home, items sold with the home or any of its
contents. Seller will provide Buyer copies of any and all written warranties provided by the manufacturer.
9. MEASUREMENTS. Buyer acknowledges that all measurements of dimensions,construction thickness, and insulation values are
normal. Seller has not performed the measurements and does not warrant the accuracy of any measurement.
10. ORAL REPRESENTATION& Buyer acknowledges that neither Seller nor any of its agents have made any oral representations
concerning the quality or character of the home or its contents. All representations concerning the quality and character of the
home are stated in this Sales Agreement,including any addenda,and the Retailer Closing Agreement.
1 I. COMPLETE AGREEMENT. This Sales Agreement, including any addenda,the Retailer Closing Agreement,and any arbitration
agreement establish the complete agreement between Buyer and Seller and there are no other agreements or understandings
between the parties hereto. This Sales Agreement supersedes any prior,signed Sales Agreements,and may only be modified by
written agreement of the parties hereto.
Rev.Oa/17 Mu1G State Sales Agreement(excludes NC&VA) CMH 1179
Sales Agreement-MUW2943 Page 2 of 2