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HomeMy WebLinkAboutBLD2006-02125 MFG Home - BLD Permit / Conditions - 1/12/2007 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 oto RESIDENTIAL BUILDING PERMIT BLD2006-02125 OWNER: LARRY CORDLE RECEIVED: 12/19/2006 CONTRACTOR: LICENSE: EXP: ISSUED: 1/12/2007 SITE ADDRESS: 360 W GOLDSBOROUGH DR SHELTON EXPIRES: 7/12/2007 PARCEL NUMBER: 420177500040 LEGAL DESCRIPTION: TR 4 OF SURVEY 27/159 (GOLDSBOROUGH ESTATES) PROJECT DESCRIPTION: DIRECTIONS TO SITE: New Manufactured Home General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: Type of Use: MH Insp.Area: No.of Bathrooms: 3 Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 6 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make:liberty Length: 70 Ft. Front: S 25.0 Ft. Shoreline: Ft. Water Body: SEPA?: Model:gh327404 Width: 30 Ft. Rear: N 101.0 Ft. Slope: Ft. Shoreline Desig.: Side 1: E 5.0 Ft. Year:2007 Serial No.: Side 2: W 45.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee KKK 12/19/200 $214.50 S22006000 Planning Review Fee KKK 12/19/200 $155.00 S22006000 Mobile Home Issuance Fee RTB 12/27/200 $214.50 S22007000 EH Plan Review CEW 1/4/2007 $75.00 S22007000 Total $659.00 BLD2006-02125 Please refer to the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2006-02125 CONDITIONS FOR BLD2006-02125 1) Approved}der dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X L-r 2) 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- 47-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 4 A 3) 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 roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 4) Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project. X -�t IQ . 5) Prior to final approval, all upland areas disturbed or newjy created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X � 6) Temporary erosion control measures must be implemented to prevent water qualit a radation of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X C 7) Off street parking shall be located on the subject parcel, per the Mason County Development Regulations. On-street parking or parking in Mason County or State of Washington Right-of-Way or access easement shall not be construed as meeting these criteria. x 8) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. 9) All other necessary permits from Mason County, Washington State and/or Federal Agencies that ar a fired for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X ;6 (o- BLD2006-02125 Please refer to the following pages for conditions of this permit. 2 of 5 10)• 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 Depa��ent prior to any further inspections being performed or approvals granted. X ;LL C- 11) 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 in XspeIns 12) 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 rem of proved docum ov ents will result in failure of required building inspections. X , � v 13) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X �_ 14) 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 BuildingD rtment prior to any further inspections being performed or approvals granted. X �S 15) 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 orpnolled. certification number and signature of the certified installer responsible for each major part of the installation. 7-WAC365-210 X c _ 16) 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. r I n t 17) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X �I BLD2006-02125 Please referto the following pages for conditions of this permit. 3 of 5 18)* 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 repofation. X c 19) 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. OWNER/CONTRACTOR(indicate which) Signature X 20) This permit is for the placent and installation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X �� 21) 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 X XC: 22) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance o r ulation, must be reviewed and approved by Mason County prior to construction. X 23) 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 shall be made prior to requesting additional inspections. X 5e 1!� r, 24) 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. 25) All property lines shall be clearly identified at the time of foundation inspection. Xc BLD2006-02125 Please referto the following pages for conditions of this permit. 4 of 5 26) . . 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-com pliant with X Mason,_ no ordinances and building regulations. 27) 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 �rev,�nted action from being taken. No more than one extension may be granted. X �� 28) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors,�nd flashing. Install metal connectors approved for contact with the new types of pressure treated material. X Z 29) 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- � 30) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your XApprov Site Plan"to ensure these structures are shown and meet the setback conditions listed. �v 31) OWNE MUST SHOW PROOF OF SATISFACTORY WATER SAMPLE PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF THE RESIDENCE. X . 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 anytime 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 property and structure for review and inspec ion. OWN ER OR AGENT: n-j (y DATE: BLD2006-02125 Please referto the following pages for conditions of this permit. 5 of 5 co o CONCRETE MECHANICAL MANUFACTURED HOME ,n _ _____ O o Footings !Setbacks Date By Ribbons --- _._.,."`_„_.__-- v 91 Gas Piping o Interior DatIli e By Interior-Date By Date B r N Exter"Date`y'1 4#1 By LAI Exterior-Dale B Y I'n Y Set-upr Point Load r Isolated Footings INSULATION __. Date )(, cn By � BG/SLAB INSULATION ---- � Date By Data By FIRE OEPARTMENT < Foundadan Walla Floors Date By Date . gy Data By DECKS FRAMING walls Date By Date By Data By PROPANE TANKS PLUMBING Vault Date By By OTHER Groundwork AM Type_Pu I tiCu� Date By Date By Date riJ tic— By � n.w.V DRYWALL Type: Date By Int.Braes Wall Date S y W Date By FINAL INSPECTION 0 Water Line Fin Sept ration IV m 7 � [n Date By Data By Date By O m � Pass or Request Inspect. N ° Type of Insp. Fail Date Date Done By Comments ry �' aNk( SS 11. � (4S In LA)IL s .'tea t CW L"ii fk- A i(Owtlk z`b n L✓a/� p ro j eta -n wws j � 1 0 8 �.�; old a I to 0� s0-� � ►�c a o' Z) 0 �^ AC- m _7 0 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION T►�r�nm t 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 INFORMATION CONTRACTOR INFORMATION Owner ft 'IV\OL( )e Q_ ��JC)/-&A Company Name A Mailing Address' - Mailing Address City . State Zip Code _ City State Zip Code Phon ��"�SO5 Other Ph. Phone Other Ph. Lien/Title Holdeyr—. Contractor Reg. # Exp. E mail address idii 1r�2 0dnaA,_5 . ne f- E Mail Address Drivers Lic. # DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic Connect to Water Sys tem Name of Water System Well Water;;;ystem Name of Water System PARCEL INFORMATION -J2 Digit Parcel No' o Fire Distri t Legal Description, V Site Address(Please include street name street um er and c' DirBc:tiunS to site nC. l,ems Will timber be cut and sold in parcel preparation?Y /No LCadAL L10 ,O) Is property Within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs ] 15% Is this permit subm ittal the result of a Stop Work Notice,Correction Notice or other enforcement action?YesAUo TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE 5] SEASONAL ❑ Use of Building_ Describe Work No. of Bedrooms_—No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other. Sq. ft. Garage 4ttached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make M o d e I Q -li-1 Year��' Length4CLWidth 20 Serial No. Mo. of Bedrooms 3 _ No. of Bathrooms Type of Heat Pu ch e Price$'7q�t>1EL Ln Replacement Unit? Yes No 3VI Installer Name `: Certification No. 1 LA kw 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,represerits that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X > -.� (/bL-40 f'_. C�f/ _ _ Date: rl - `4 �- p Owne /Owners Representative/Contractor (indicate which one) FOR OFFICIAL U:i'>E BEYOND THIS POINT Accepted by:<qWip Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department / 7 f " Planning Department Environmental Health Department <' P YA _ Public Works Department Fire Marshal �j mZ FEES Building Permit Fee Site Inspection Plan Review Fee 11 4/_Jlc� EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fe 3 Other Wood/Gas/Pellet Slove Fee I State Fee Violation Fee Z - o"G Pre-Paid at Submittal Valuation$ TOTAL FEES AN • • ' Fa 4� #'.jam i f- } ■ _ ■■w= ^ ■■■■■■■■■ SOME ■■■■;■■■�...■■ ■■■■■■■■■ ■■■ ■EMMUNRA"RM■ ■ENOMMEM■ ■E■ ■EMri IUNFAMmo■ ■MEMMEMM■ ■■■ ■■■mi ■�:mMMM, EM■MMEM■ . 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Lot 6 H Lot d "N' N 7 v 232 AC. 2=9 AC.CO CK I to `� �1 U 15'- i.ot 7 1,06 AC ---------•------- ' 5E r13�4Gk ??2 AG-. _ 3 76.45 L 4 ' 4 �49'00'� 'N I~DGE � �TL,AAIU� ;z cm CI cli SEE DET.4 I L30. Q hj cn to rJ O - " O U'TILI DR.4INA C E (PRJvA1 CO I N C7 )crn TApD — i ♦ 1 rl ee> Rr,OM LLLL.LLLLLL �DL " FAfil.tc 1lJ OM ter _L L L L t l t I I L L BEEPOO1 L�LL L LLLL sYax v� r LLLLLf— L 1 1 L ww u W L J LL L L LL. n"laz9J" >i FRST MAM MA 1�1 00 SECOND ROOM bRC3CkM LLL , AL-L L�L-, �- "'• sLLL LLB 1 R 2100 SQ. FIT, 4�, 3K DOLM« MASTER SWE QG327404 OLD � 00 6- o z/I-s- p as 0 . 3 6 a. s . 90 [c�fbOrp,,,s � �r � Cordle- ' �� JJ.JJJ_..i � .. J_' I IJJ J_ aJJ • ..�... 4.-J.,.1 J_ tJJ J--J I..jJJ ..l.�..J. J..J jJ.l JJ JJJ_1 • --1--1 , H V-S iJ P LA N S w+U b ON TH.L Jars :D T FOR MUST MEET ALL CU4nENT WA&dNGTON STATE CODES RRR � L y � C R W m - T I�7 'Per 15o Ft JJ-jJ , JJJJJ �I Documents atta hed to ap rov plans: Zte Plan revie checkh _ __ rdge,, cv Engineering: Y N ateral, Number e€gages APPP ,� ��� MASON BUILDING INSPc.� � NNGES SUBJcOI 1 "` /� DATE1 1/ P6 LL� ,�. e ACCESS & GRADE WORKSHEET DATE: 2-1Z /(f ADDRESS 3 (o0 W ` DL-ac-G npto6(t!)R— INSPECTOR �`� )3LL-D 2z,r& ---e" z I DRIVEWAY ACCESS r Length: Width: Surface: ell Size of turn-around: / Condition of shoulders: Vertical clearance: ( ) need post at end of driveway with reflective address numbers GRADE,OF DRIVEWAY = % OF ROAD % 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) L Request To Revise An Approved Plan Permit Number: BLD200-5"-- (;1 Z/ _ Name (it Parcel Number d O / - 7 - Phone Number d vnme ) 507— O Project Address Mailing Address 0 Please provide a complete,detailed description of the proposed revisions to the approved plans: . '✓1 r S WK Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No Are the approved site plans included? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural chances to a"desicned"elan will be aooroved without the written consent of the engtnrer and/or architect of record) Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No If Yes, Is a revised site plan,.with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: Applicant's signature Date: Office Use Only Received by: Date Sent Assigned To Approved By Date, $ Original Valuation: $ Additional Valuation: $ 1 / Sq.Ft x$ $ Sq.Ft. x$ $ .H. i / Total New Valuation $ P.W. Additional Fees: Additional Planning Dept. $ New Setbacks: Front / Additional Plan Review $ Rear / Additional Building Permit $ Side1. / Side2 / Additional Plumbing $ Additional Conditions/Comments: Additional Mechanical $ Additional E.H.Dept. Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ Tab Litld RevbW SRO W2VM to PLAN PQL , REVISI()N VED g DATE J OF i . i door �1,4 o AP P ROv ED BANNING a � CO iq7`� DCO P SITE MASON TO BE ON gtff PLAN REQ` ,. TO APPROVAL CHANGES SUBJECT pate—� f APPROVED MASON COU�M DCD PLANNING SITE PLAN REQI:E '.E� TO BE ON SITE CHANGES SUBJECT TO APPROVAL :-?y ; _ Date r --- ------ This policy is valid only if Schedule B is attached MASON COUNTY TITLE INSURANCE COMPANY Schedule A Policy No.77337 Date of Policy:October 30,1998 at 4:56 p.m. Policy of Title Insurance Policy Amount:$55,000.00 Premium:$308.00 1. Name of Insured: GOLDSBOROUGH ESTATES,L.L.C. 2. Title to the Estate,Lien or interest insured by this policy is vested in: THE NAMED INSURED. 3. Estate,lien or interest insured: FEE SIMPLE ESTATE 4. The land referred to in this policy is located in the County of Mason State of Washington and described as follows: SEE EXHIBIT"A"ATTACHED t00/ZOO[P] w00•0w0ggsum0u01T0gs £6V99Zt09£ Xd3 0£:£T IHq 600Z/90/TT Schedule B No.77337 SPECIAL EXCEPTIONS: 1. 1998 Real Estate Taxes paid in full ; original amount: $134.18. Parcel No. 42017 21 00000 OPEN SPACE TAXATION AGREEMENT. Between: Donna Coleman And: Mason County, Washington Property classified as Farm and Agricultural or Timberland. Agreement for at least 10 years; any change during ten year period shall be considered breach of Agreement, and subject to applicable taxes, penalties and interest as provided in RCW 84.34.108 for Removal of Designation and exemption from penalties. 2. UTILITY EASEMENT. To: P.U.D. No. 3 of Mason County, Washington, and Pacific Northwest Bell . Recorded: June 26, 1964. Auditor's File No. 205185 Granting right to construct, operate and maintain a power and/or communications line, including right to remove any trees and/or brush which may interfere with said operation, with the right of ingress for said purposes. 3. Subject to the terms and conditions set forth in "Easement Agreement" recorded August 18, 1998, Auditor's File No. 673194. Includes maintenance provisions. Refer to .instrument for a more particular statement. 4. Subject to the terms and conditions set forth in "Easement Agreement" recorded October 30, 1998, Auditor's File No. 677926. Refer to instrument for a more particular statement of same. V00/£OO12j WOO-0W0ggSVM@u01T0gs £6V99Z609£ XVd 0£:£T IHA 600Z/20/TT POLICY FOR TITLE INSURANCE EXHIBIT "A" IN MASON COUNTY, WASHINGTON Order No. 77337 All that portion of the Northeast quarter (NE 1/4) of the Northwest quarter (NW 1/4) of Section seventeen (17) , Township twenty (20) North, Range four (4) West, W.M. , lying Northerly of the Northerly right-of-way line of the Simpson Timber Company's railroad main line, as described in Volume H of Deeds, page 535; excepting therefrom road rights-of-way. rarcel No. 42017 21 00000. ETHER WITH an easement for ingress, egress and utilities, 40 feet in width, ascribed in instrument recorded August 18, 1998, Auditor's File No. 673194. TOGETHER WITH a perpetual , non-exclusive easement for road, utility and drainage purposes, 40 feet in width, as described in instrument recorded October 30, 1998, � Auditor s File No. 677926. too/too[A moD•0m0gg9sM0u01j0gs £6VfMV09£ YVA I£:£T INA VOOZ/90/TT IIIII IIIII IIIIIII III IIIII IIII IIIIIII)III IIIII IIII IIII Pass: I of 3 9211512005 1830983P LAW TITLE CO swo 21.00 Mason Co, WA AFFIDAVIT AFTER RECORDING MAIL TO: No.... ( �L:I .• WA EXCISE TAX Name Kimmel Escrow,LLC Address 1065 SE STATE HWY 3,P.O.BOX 1397 FEB 2005 City,State,Zip Shelton,WA 98584 e) G LAJ IS) FRAZiER Mason County G �5 U3/7 Statutory Wa ed THE GRANTOR GOLDSBORO HjES LLC, A WASHINGTON LIMITED LIABILITY COMPANY for and in considera' oiars and other valuable consideration in hand paid,conveys and warrants to LARRY L.CO VEVE CORDLE,HUSBAND AND WIFE the following described real estate,situated in the CounN,State of Washington: TR 4 OF SUR C2,7/ jGOLDSBOROUGH ESTATES Assessor's r ax el Account Number(s): 42017-75-00040 Dated of February,2005. GOL BOROUG ESTATES LLC ,qCK R SMITH, AGING MEMBER E OF WASHINGTON COUNTY OF MASON ss I certify that I know or have satisfactory evidence that JACK R SMITH Is the person who appeared before me,and said person acknowledged that HE signed this instrument,on oath stated that HE IS authorized to execute the instrument and acknowledged it as the MANAGING MEMBER of GOLDSBOROUGH ESTATES LLC to be the free and voluntary act of such party for the uses and purposes mentioned in this instrument. IIIII�i Dated:FEBRUARY 15,2005 ,�f.� /4 .: Mks '' ">� = • --:./ otty Public in and for the State of Washington estrig at SHELTON A tiB� r appointment expires:2-10-2006 O KAREN A. KIMMEL 908 V—F—SDD02WA R..IWQM LPB-10 IIIIII IIIII IIIIIII III IIIII IIII III I III IIIII IIII IIII 1830983P SPECIAL EXCEPTIONS: Lo TITLE co 21.N 11uen Cc, W1 1. Any prohibition or limitation on the use,occupancy or' ovemen of the land resulting from the rights of the public or riparian owners to use any w l s h'ch may cover the land or to use any portion of the land which is now or may formerly h be covered by water,and thg right of use, control or regulation by the United States of Amer ercise of power over navigation. 2. Easement Agreement executed by and betw i erein named upon conditions therein provided,including its terms,covena and p 'sions,dated August 5, 1998,recorded August 18, 1998,under Auditor's File No.6 3194. 3. Easement Agreement executed by and ee rties therein named upon conditions therein provided, including its terms, enants d provisions,dated October 30, 1998,recorded October 30, 1998,under Auditor's Fit 0.6779 4. Covenants,conditions,restrictions,ass and easements in declaration of restrictions,but omitting any covenant,condition or restriction based on race,color,religion,sex,handicap, familial status,or national origin;unless and only to the extent that said covenant(a)is exempt under Chapter 42, Section 3607 of the United States Code or(b)relates to handicap but does not discriminate against handicapped persons recorded August 6,2001 under Auditor's File No. 1736848. 5. Agreement,including its terms, nts,provisions, restrictions and equal share of the cost of the construction,mai air of the roadway described herein,dated March 18,2001, recorded March 18,20 n itor's File No. 1751451. 6. Covenants,condi res i ions,assessments and easements in declaration of restrictions,but omitting any cov n , di n or restriction based on race,color,religion,sex,handicap, familial status tiona in;unless and only to the extent that said covenant(a)is exempt under Chapt r 42,Se 3607 of the United States Code or(b)relates to handicap but does not discriminate ainsl ha icapped persons recorded March 18,2002 under Auditor's File No. 1751452. 7. Any u i��ents or charges,and liability For further assessments or charges,for which a en h (or may arise),as imposed by Goldsborough Estates,L.L.C.recorded under Au t is i No. 1751452. B. l eme cting a portion of said premises and for the purposes hereinafter stated,as granted n me ecorded April 8,2002,in the office of the Auditor for Mason County,Washington Auditor's File No. 1753073 in favor of PUBLIC UTILITY DISTRICT NO.3 for underground / overhead transmission and electric lines and appurtenances thereto, ment disclosed on the face of Large Lot Subdivision;,recorded under Auditor's File No. 17 652,for ingress,egress,drainage,utilities,setbacks and wetlands. cIs said premises. Covenants,conditions,restrictions,recitals,disclaimers,notices,agreements and/or easements as contained in Large Lot/Survey recorded April 16,2002,under Auditor's File No. 1753653. 1 �ti IIIII TITLIIIIIIII III I�III INIIIII�III IIIINII IIII IIII 18830983P LAND TITLE CA f1D 2t.00 M ason Co, UR EXHIBIT"A" i DESCRIPTION: O Parcel 1: me 27 of Surveys,page 159,recorded Lot 4 of Large Lot Subdivision No.2001-00004, 53,and being a portion of the Northeast April 16, 2002, under Auditor's File Nos. 1753 and 20 North, Range 4 West, W.M., in Mason quarter of the Northwest quarter of Section 1 Town p County,Washington. Parcel 2: egress, drainage, utilities and setback, as described and An appurtenant easement for irMgMss,isi ss,on 20 004,recorded April 16,2002, in Volume 27 of Survey, delineated on Large Lot Subdiv page 159, under Auditor's File 17 and 1753653, being a portion of Northeast quarter of the Northwest quarter of Section fup 20 North, Range 4 West, W.M., in Mason County, Washington. 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