HomeMy WebLinkAboutBLD2006-00808 Replace MFG Home Final - BLD Permit / Conditions - 10/11/2011 Inspection Line(360)127-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
ip Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2006-00808
OWNER: WILLIAM KIEHN RECEIVED: 5/15/2006
CONTRACTOR: LICENSE: EXP: ISSUED: 8/9/2006
SITE ADDRESS: 1584 NE OLD BELFAIR HWY BELFAIR EXPIRES: 2/9/2007
PARCEL NUMBER: 123201201100
LEGAL DESCRIPTION: TR 10 OF N1/2 NW NE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT MH NORTH ON BELFAIR HWY 1 112 MILES 5TH DRIVEWAY ON RIGHT PAST
UNION RIVER BRIDGE, END OF BRIDGE.
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: MH Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W 31.0 Ft. Shoreline: 71.0 Ft. Water Body: UNION RIVER
Rear: E 239.0 Ft. Slope: Ft. SEPA?: Unkn
Model: Width: Ft. Side 1: N 117.0 Ft. Shoreline Desig.: ftMI
Year: Serial No.: Side 2: S Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee KS 5/15/2006 $214.50 S12006000
Planning Review Fee KS 5/15/2006 $155.00 S12006000
Mobile Home Issuance Fee RTB 5/19/2006 $214.50 S22006000
EH Plan Review AMH 7/25/2006 $75.00 S22006000
Total $659.00
BLD2006-00808 Please referto the following pages for conditions of this permit. 1 of 5
7) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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$) 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
perm}t , ca�iOn.
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9) 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
10) This permit is for the pl cement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X ��L�
11) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance regulation, must be reviewed and approved by Mason County prior to construction.
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12) 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 shill 4�made prior to requesting additional inspections.
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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) All property lines shall be clearly identified at the time of foundation inspection. X
15) 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 Count Zances and building regulations.
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BLD2006-00808 Please referto the following pages for conditions of this permit. 3 of 5
CASE NOTES FOR
BLD2006-00808
CONDITIONS FOR
BLD2006-00808
1) 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.
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2) 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
Departme t pri r to any further inspections being performed or approvals granted.
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3) 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
inspection��
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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 " �-A.
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.
BLD2006-00808 Please referto the following pages for conditions of this permit. 2 of 5
16) ' 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 ented action from being taken. No more than one extension may be granted.
17) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
X nnectors,�n�Zfla hing. Install metal connectors approved for contact with the new types of pressure treated material.
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18) 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.
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19) 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 P an"to ensure these structures are shown and meet the setback conditions listed.
20) 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-��82Ze person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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21) Water quality is n t to be degraded to the detriment of the aquatic environment as a result of this project.
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22) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
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erosion protection (silt fencing or straw matting). X J L,:
23) The proposed project must be consistent with all ap licable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
�County Shoreline Master Program.X ) a!
24) Approve per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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25) Site plot plan indicates that the new proposed dwelling will replace an existing dwelling and be located at a greater distance from the Union River
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26) This parcelI is loc ted in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information.
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BLD2006-00808 Please refer to the following pages for conditions of this permit. 4 of 5
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
th-a above described property and structur -for review and inspection.
OWNER OR AGENT: �����.� _ DATE:
BLD2006-00808 Please referto the following pages for conditions of this permit. 5 of 5
CONCRETE MECHANICAL MANUFACTURED HOME
Datrn
rn Footings I Setbacks GasePiping By Ribbons Z
o lntenor Date �^ll_�v Interior-Date BY bate By C
COExterror Date /t� Exterior-Date By Set-up c
Point Load!Isolated Footings INSULATION Date
BG f SLAB INSULATION D
Date By Data By FIRE DEPARTMENT ic
Foundation Wails Floors Date By
Date BY Data By DECKS
FRAMING Wes Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date B Type:
Date BY Y Date By
DWV DRYWALL Type:
Date By Int.Brace Wall Date By W
T Date By FINAL INSPECTION p
Water Line Fire Sepe ration o
Date By Date By Data — _ BY O
m �
Pass or Request Inspect. b
0 Type of Insp. Fall Date Date Done By Comments o
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Direction: Scale:r s Approval:tarodlce uw
Building Permit rwmber: I 1Q Building
OwnerlAppkant: Date of Planning:
:application: Env.Health:
Parcel Number:
PLANNING
C�,sPT
FILE
COPY
H SE P AW," BE LD �GD6- 00
ON THE JOB SITE
OR I SPECTION_ l� 3 D / O // o
CHM
EMIT C
PRIOR T PERFORMING WORK
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MUST MEET ALL CURRENT
Z WASHFs
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AT Sq Ft Per 15SSq Ft
L Documents attac ed to approved plans:
J
Plan revie checklist. (3f Pages
Engineering: Y Lateral Vertical
Number of pages-0--
APPROVED
MASON BUILDING INSPECTOR
C GES SUBJECT TO:A,PPR OVA L
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Lb on ounty Permit Assistance Center
Plannin
g Intake Checklist
Owners Name: e_'K n A I Date:
Project: Yl A Re�pewed By:
Commercial Develop e YES NO 1^4/�,� mments:
Planner: GBM TS C KJM PBC RDH
Site an:
North Arrow
19-11"Pl9perty Dimensions: 3 3D X
treets and Driveways Shown.Road name: WWA?
gxisting Structures shown with setbacks i
cation, Septic and Drain-field Shown with setbacks
dentify all surface water(streams,ponds, shoreline,wetlands, etc.)
9 aphy(slopes) UAXC
Z_�Wfitly
sed Structure Setbacks(Direction/Setback):
F: / R:�_/ 1: _/ _S2:
and Drainage Easements: Yes o f yes enter condition#5022)
Other Easements i _�
tJ cessory Appurtenances
o Access Permit Needed(add condition#0010)
fate Access Permit Needed(add condition#0020)
Standard Conditions to be added to all Building permits that planning reviews: #5019 and#0700
Are there any impediments that may re trict ac ess to your site? (dogs/gates)
V
Shoreline and Planning Info
Setbacks: Shoreline:_:�q_/I -Slope:
Shoreline Designation: Comprehensive Plan: Rural Zonin
❑ Not Applicable ❑ Agricultural
❑ Urban ❑ In-holding 0 RMF
❑ Rural ❑ LTCFL ❑ RC 1 2 3
0 Conservancy 0 Rural 0 RI
❑ Natural ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet 0 RT
❑ Urban.Growth Area ❑ MPR
0 Unknown ❑ Unknown
Water Body(type of water if unnamed):
SEPA: Yes No `��
Flood Plain: YES NO L�ow� Map#
Aquifer Recharge: YES NO Cnkno�n Map#
Tags/Cases:
RLC/SPI Case: 6-Year Dev. Moratorium: YES
Eagle Nest Tag: YES Other YES NO
Addressing: Check box if needed 0 Reviewed by:
Revised:11-01-2005 1APLANNINGTACTLANNING INTAKE
Profile for parcel number: 123201201100 Page 1 of 4
Click Here to Print This Page
Parcel number: 123201201100
Owner Information Taxpayer Information
ROBIN KIEHN ET AL ROBIN KIEHN ET AL
WILLIAM L KIEHN, EDWARD LKIEHN, & WILLIAM L KIEHN, EDWARD LKIEHN, &
MELODY YAMANAKA1588 NE OLY MELODY YAMANAKA1588 NE OLY
BELFAIR HWY BELFAIR HWY
BELFAIRWA98528-9652 BELFAIRWA98528-9652
Legal Description
TR 10 OF N1/2 NW NE
Cle§ie� ess
OLED BAR HWBELFAI
EOLD BR HBELFAIR
EOLD ELF R Reval Area 2 Field Sheet FS 05057:
Land Size* 2.60 Land Use LAND MH IS ON
Tax Code 241 Tax Code Description 1 403 A P3 F2 L C H
Parcel Value
Market Land Value Market Improvement Value Total Market Value
$ 24,000.00 $ 19,610.00 $ 43,610.00
Taxable Land Value Taxable Improvement Value Total Taxable Value
$ 24,000.00 $ 19,610.00 $ 43,610.00
Site Built Buildings
Building#: 1 Square Footage Construction
Year Built: 0 First SF: 0 Building Type : H
Bedrooms: 0 Second SF: 0 Building Style
Bathrooms: 0 Third SF: 0 Exterior Type
Total SF: 0 Half SF: 0 Roof Type :
Split SF: 0 Heat Type:
Garage Type : D Foundation Type:
Garage SF: 912 Basement SF: 0
Deck SF: 0
*May include septic and well values and values for other out buildings and other items not
specifically itemized on this page
Manufactured Homes/ Personal Property
PP Number: 3006677 Year Built: 1969
Length: 64 Make/Model: FOUR SEASONS
Width: 12 Total SF: 768
Bedrooms: 2 Deck SF: 0
http://www.co.mason.wa.us/astr/profile.php?parcel number=123201201100 5/15/2006
Prbfile for parcel number: 123201201100 Page 2 of 4
Bathrooms: 1
Square Footage Construction
Year Built: 1969 First SF: 0 Building Type: MH
Bedrooms: 2 Second SF: 0 Building Style: 1
Bathrooms: 1 Third SF: 0 Exterior Type : M
Total SF: 768 Half SF: 0 Roof Type : C
Split SF: 0 Heat Type: FA
Garage Type : Foundation Type: PB
Garage SF: 0 Basement SF: 0
Deck SF: 0
PP Number: 3006678 Year Built: 1959
Length: 50 Make/Model: SPACE MASTER
Width: 10 Total SF: 500
Bedrooms: 2 Deck SF: 0
Bathrooms: 1
Square Footage Construction
Year Built: 1959 First SF: 0 Building Type: MH
Bedrooms: 2 Second SF: 0 Building Style : 1
Bathrooms: 1 Third SF: 0 Exterior Type: M
Total SF: 500 Half SF: 0 Roof Type: M
Split SF: 0 Heat Type: FA
Garage Type : Foundation Type : PB
Garage SF: 0 Basement SF: 0
Deck SF: 0
PP Number: 3006881 Year Built: 1975
Length: 48 Make/Model: GUERDON GRT LKS
Width: 24 Total SF: 1152
Bedrooms: 2 Deck SF: 0
Bathrooms: 2
Square Footage Construction
Year Built: 1975 First SF: 0 Building Type : MH
Bedrooms: 2 Second SF: 0 Building Style : 1
Bathrooms: 2 Third SF: 0 Exterior Type : M
Total SF: 1152 Half SF: 0 Roof Type : C
Split SF: 0 Heat Type : FA
Garage Type : Foundation Type : PB
Garage SF: 0 Basement SF: 0
Deck SF: 0
PP Number: 3008206 Year Built: 1966
Length: 60 Make/Model: LAMPLIGHTER
Width: 12 Total SF: 720
Bedrooms: 2 Deck SF: 0
Bathrooms: 1
http://www.co.mason.wa.us/astr/profile.php?parcel number=123201201100 5/15/2006
Profile for parcel number: 123201201100 Page 3 of 4
Square Footage Construction
Year Built: 1966 First SF: 0 Building Type : MH
Bedrooms: 2 Second SF: 0 Building Style : 1
Bathrooms: 1 Third SF: 0 Exterior Type : M
Total SF: 720 Half SF: 0 Roof Type : M
Split SF: 0 Heat Type : FA
Garage Type : Foundation Type: PB
Garage SF: 0 Basement SF: 0
Deck SF: 0
Taxes
► Penalties and interest for delinquent account are not included here.
► If the taxes are delinquent, please contact the Treasurers office to request the current
amount due.
► All personal property taxes may not be displayed here
Real Property Taxes
Tax Tax Fire Patrol Other Total Total
Year Amount Assessment Assessments Billed Paid
2006 $ 504.67 $ 14.50 $ 53.84 $ 573.01 $ 286.51
2005 $ 519.70 $ 14.50 $ 44.25 $ 578.45 $ 578.45
2004 $ 526.41 $ 14.90 $ 44.25 $ 585.56 $ 585.56
2003 $ 559.32 $ 14.90 $ 47.32 $ 621.54 $ 621.54
2002 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
2001 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
2000 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
Personal Property Taxes
Personal Tax Tax Fire Patrol Other Total Total
Property # Year Amount Assessment Assessments Billed Paid
3006677 2006 $ 39.46 $ 0.00 $ 3.82 $ 43.28 $ 43.28
3006677 2005 $40.64 $ 0.00 $ 3.07 $ 43.71 $ 43.71
3006677 2004 $ 41.16 $ 0.00 $ 0.00 $ 41.16 $ 41.16
3006678 2006 $ 19.03 $ 0.00 $ 1.84 $ 20.87 $ 20.87
3006678 2005 $ 19.61 $ 0.00 $ 1.48 $ 21.09 $ 21.09
3006678 2004 $ 19.85 $ 0.00 $ 1.48 $ 21.33 $ 21.33
3006678 2003 $ 19.57 $ 0.00 $ 1.48 $ 21.05 $ 21.05
3006678 2002 $ 30.78 $ 0.00 $ 0.00 $ 30.78 $ 30.78
3006678 2001 $ 31.59 $ 0.00 $ 0.00 $ 31.59 $ 31.59
3006678 2000 $ 31.06 $ 0.00 $ 0.00 $ 31.06 $ 31.06
3006881 2006 $ 101.31 $ 0.00 $ 9.81 $ 111.12 $ 55.56
3006881 2005 $ 104.33 $ 0.00 $ 7.88 $ 112.21 $ 112.21
3006881 2004 $ 105.68 $ 0.00 $ 7.88 $ 113.56 $ 113.56
3006881 2003 $ 104.15 $ 0.00 $ 7.88 $ 112.03 $ 112.03
3006881 2002 $ 213.39 $ 0.00 $ 0.00 $ 213.39 $ 213.39
http://www.co.mason.wa.us/astr/profile.php?parcel number=123201201100 5/15/2006
Profile for parcel number: 123201201100 Page 4 of 4
3006881 2001 $ 218.97 $ 0.00 $ 0.00 $ 218.97 $ 218.97
3006881 2000 $ 215.27 $ 0.00 $ 0.00 $ 215.27 $ 215.27
3008206 2006 $43.91 $ 0.00 $ 4.25 $ 48.16 $ 48.16
3008206 2005 $45.23 $ 0.00 $ 3.42 $ 48.65 $ 48.65
3008206 2004 $45.80 $ 0.00 $ 3.42 $ 49.22 $ 49.22
3008206 2003 $ 45.15 $ 0.00 $ 3.42 $ 48.57 $ 48.57
3008206 2002 $ 62.68 $ 0.00 $ 0.00 $ 62.68 $ 62.68
3008206 2001 $ 64.32 $ 0.00 $ 0.00 $ 64.32 $ 64.32
3008206 2000 $ 63.23 $ 0.00 $ 0.00 $ 63.23 $ 63.23
Sales Info
Document
Recorded Auditor File#
Date RP Sales Amount PP Sales Amount Type (AFN) Instrument Date
03/10/2004 $0.00 $ 0.00 QCD 1805762 01/21/2004
Grantee Grantor
ROBIN,WILLIAM,EDWARD KIEHN ETAL** ROBIN D KIEHN,ADMN*
Document
Recorded Auditor File#
Date RP Sales Amount PP Sales Amount Type (AFN) Instrument Date
04/23/1991 $0.00 $ 0.00 WD 525329 04/09/1991
Grantee Grantor
ANN L KIEHN EST OF HERBERT H.KIEHN
http://www.co.mason.wa.us/astr/profile.php?parcel number=123201201100 5/15/2006
STATE OF WASHINGTON
, ,►f� DEPARTMENT OF LICENSING
PO Box 9038 • Olympia, Washington 98507 9038
VEHICLE TITLE APPLICATION/REGISTRATION CERTIFICATE
03/30/2006 0608923010320535 $47370
Lic/Plt Issue-D4PRaM
b-No Reg-Exp Value-Code/Yr Depre Mo-Reg Mo-Gwt
$47370 07/1900/00/0000 24985/2006
Power Use Mod-Y Ser/Body Model/BT VIN or Serial No Res-Co Prev-Plt
MOB 1978 56/24 / KW6435 23 $47370
Sclwt Seats Gwt Gwt-Strt Gwt-Exp Fleet Equip Prev Title Prev St
9119923207 WA
RANDS:
OMMENT:
Y PL-F USE TAX WAIVED (A)
MILEAGE E �
REGISTERED OWNER LEGAL OWNER
BESSLER.MICH:AEL C
BESSLER,PAULA EAGLE HOME MORTGAGE
3300 NE OLD BELFAIR HWY 10510 NE NORTHUP WAY #300
BELFAIR WA 98528 KIRKLAND WA 98033
I certify that the information contained--hers n is accurete and complete. -
X X
Signature of Registered Owner(s) Signature of Registered Owner(s)
Su4se4bod 2 e This Day of ,
FILING $ 4.00 MONORAIL TAX $ CHECK $ 49.00
SUBAGENT $ RTA EXCISE $ CASH $
LOCAL FEE $ USE TAX $ TOTAL FEES $ 49.00
LICENSE SRVC $ OTHER $ 45.00
GWT/VWT FEE $ DONOR AWARENESS$
VALIDATION CODE 29230103060890330060142032053 TRANSFER
RPT ID: ATITPR-1 THIS DOCUMENT IS NOT PROOF OF OWNERSHIP
FPD: ATITPR:2005/8/8.00001(2)
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
I �' �
Owner's Name:_ Date: i _ Reviewed By.
Documents:
`�3 P rmit Application Completed
Intake Checklist Completed,
lute includes:Allowable building area,roof overhangs,decks,etc.
paratus Access Road info required?�es/ o
rgy Code Application Form-0 Electric wall heater O Electric central furnace O LPG Furnace
O Heat pump with electric furnace O Heat pump with LPG furnace 0 Bona(hmttype )
I"\ 0 Other.Specify:
Mechanical/Plumbing Application-WATER HEATER FUEL TYPE
Engineering? Yes (Need 2 sets of calculations)No _ Geotechaical report or assessment? Yes No
Snow load: Seismic Zone(circle o
Construction Plans:—3 COMPLETE SETS _ —
_Plans Legible _Recogn'_ Scale _Elevation Views _Cross Section
_Foundation Plan Roof Framing Plan `Floor Plan—Use of rooms noted(all floor levels)
_Floor Framing Plan-aII II orlevcls represented? Loft,crawlspace,eta
Deck Framing 1`14n,including covered.porch framing
Plan Details:
—Roof framing detads,truss lay-out may be needed,truss or stick.framed?
_Wall Framing=Does bearing wall height exceed 1 '. 8i reering may be required)
_Floor fuming Floor joists: Floor beams:
_Window headers marked on plans:.Typical header:
_Foundation:footing size,reinforcement
_Concrete Walls-Does C"te WAIL Height Exceed 9'7(Engineering may be requu4
_Landings at all exits? Less than 30"above grade? Y / N
_Heated By Furnace-Location of Furnace
_Fir"te)Stove Information Shown-Fuel Type? Location(s):
_Window Sizes Maeced on plans
Braced wall panels(shear walls)marked on plans or lateral engineering? (Plans may not be approved{'not provided.)
— 2-Story Garage? (Engineering may be required) R602.10.1, 1"story of a two-story D 1-45%,D2—55%
COIvIlvfENTS.
( LAX
ENGINEERING REQUIRED:
Braced wall panels/braced wall lints are not marked on plans(R602.10)
Amotinf and location of bracing does not meet minimum required in Table R602.10.1
IRREGULAR BUILDINGS(Irregular Shape)R301.2.2.2.2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall l
considered to be irregular when one or more of the following conditions occur:
1)Exterior braced wall line or BWP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2A)Portion of roof or floor extend more than 6 ft beyond the braced wall line.
3)End of BWP extends more than 1 ft over an opening more thaw 8 R in width below.
4)Opening in a floor or roof exceed the lesser of 12 ft.or 5011a of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6)Shear wall lines do not occur in two perpendicular directions.
7)When a story above grade is includes masonry or concrete construction(exc:fireplaces,chimneys,and veneer).
When this applies the entire story shall be,designed.In accordance with accepted engineering practice.
DESIGN CRITERIA:Wind g5 mph exp B(unless proven otherwise), Seismic Zone: Snow: psf
2003 IRC Plans submittal checklist skwlifiedN
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 INFORMATION CONTRACTOR INFORMATION
Owner Company Name t L)y44 1
Mailing Addre y Mailing Address
City J'Fwr State Zip Code City State Zip Code
Phone��_Other Ph. _ Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Adoss
Drivers Lic.# DOB d Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic__ Existing Septic YPc
Connect to Water System VP _Name of Water System'
Well Sewer SysfenS Name of Sewer System
PARCEL INFORMATION - 12 Digit Parc IVm. 2n QW242 Fire Distric
Legal Description
Site Address (Please include street name, strpel number and city)
Directions to site
ll timber a cut and sold in parcel preparation?Yes o
Wi
r
Is property within 200' of Saltwater Lake River/Creek- Pond Za
Wetland_A,4�1 _Seasonal Runo 41D Stream Ajr2 Slopes or Blu s > 15% ,4-,*^
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye o
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASO AL ❑
Use of Building-&,;�e Describe Work
No. of Bedrooms No. of Bathrooms_:_Square Footage- 1st 0orlr 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Cz&c_7_2,aan Model f Year j
Length - �Zg_Width.2q Serial No. KAl /y 3f No. of Bedrooms:_No. of Bathrooms —
Type of Heat 1"LZ - 44�e'f Purchase Price$ ,h 611A7 Replacement Unit? Yes/ No
Installer Name LZ t n Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result' it revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owner t iv a contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. eclare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or an other aq�yy�( in� s��rdin this application or the work
proposed in the application, I have obtained permission from them to apply for this permit JR8ton At`tti work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Masor unty access to the above
described property and structure for review and inspection. This permit/application b�Gp pt18Q -- 61 kior authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 1 d s. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF�APRQGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT' - Accepted by: {j Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee . c�9 EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee —� Other
Wood /Gas/ Pellet Stove Fee State Fee �—
Violation Fee VS l -4'G Pre-Paid at Submittal
Valuation $ TOTAL FEES
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 l FORMATION CONTRACTOR INFORMATION
Owner " `1P ja.'_� Z' •^ �" Company Name
Mailing Address PQ 4''A)j2i ° { Mailing Address
City L&iin State 1, Zip Code ' `�~ City State Zip Code
Phone Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic. # 6Z,�DOB (36� r Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Y""'
Connect to Water System 'j�, Name of Water System
Well Sewer System Name of Sewer System '
PARCEL INFORMATION - 12 Digit Parcel No. '. Fire District
Legal Description( L
Site Address Please include street name, street number and city) �
Directions to site Frfvm 1AM P 50 ''V'r D V
Will timber be cut and sold in parcel preparation?Yes o
Is property within 200'of Saltwater .AJ 0 _Lake River/Creek Pond IV
Wetland &4o Seasonal Runoff ,U%Stream ma Slopes or Bluffn 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 �r" PRIMAR RESIDENCE SEASONAL ❑
Use of Building w i�� f Describe Work ' "" '
No. of Bedrooms No. of Bathrooms 2 Square Footage- 1st ffoor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year, /!rc
Length Width _Serial No. - No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ ` `v ' Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in � Va,
r permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners i e ontractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare Intned the permission from all
the necessary parties. If permission is required from any easement holder or any other part��,,,��rr��i it est regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit a nc u &Uygrk proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees o a County access to the above
described property and structure for review and inspection. This permit/application b A & if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PR09F-Q9Ap"NUATION OF WORK IS BY
MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES