HomeMy WebLinkAboutBLD2005-01904 MFG Home DDR2005-00270 - BLD Permit / Conditions - 1/25/2006 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
RESIDENTIAL BUILDING PERMIT BLD2005-01904
OWNER: DAVE HOLMES RECEIVED: 11/3/2005
CONTRACTOR: ACE CONSTRUCTION 373-7875 LICENSE: ACECOI*044BB EXP: 12/21/2007 ISSUED: 1/25/2006
SITE ADDRESS: 41 NE LARSON BLVD SHELTON EXPIRES: 8/21/2006
PARCEL NUMBER: 123305000009
LEGAL DESCRIPTION: BEARDS COVE DIV 3 TR 9
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
manufactured home north shore, right on sand hill road, left on larson blvd, 3rd lot on left
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.:
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: No.of Stories: 1 Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:GOLDEN W Length: 60 Ft. Front: N 10.0 Ft. Shoreline: Ft. Water Body:
Rear: S 49.0 Ft. i Slope: Ft. SEPA?: No
Model: Width: 28 Ft. Side 1: E 5.0 Ft. pp
Shoreline Desig.: Not Applicable
/
Year:2005 Serial No.: FACTORY Side 2: W 5.0 Ft. o Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee JRN 11/3/2005 $214.50 B12005000
Planning Review Fee JRN 11/3/2005 $155.00 612005000
Mobile Home Issuance Fee JRN 11/14/200 $214.50 S22006000
Address Fee GMM 11/15/200 $140.00 S22006000
EH Plan Review ADR 12/20/200 $75.00 S22006000
Total $799.00
BLD2005-01904 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2005-01904
CONDITIONS FOR
BLD2005-01904
1) 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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) The internatioanl 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
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
inspections.
X
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
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 Office of Manufacturing Housing (360)725-2800.
BLD2005-01904 Please referto the following pages for conditions of this permit. 2 of 4
I
7) 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 revocation.
X
8) 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.
OWN ER/CONTRACTOR(indicate which) Signature X
9) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
10) 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
11) 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
12) 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.
13) All property lines shall be clearly identified at the time of foundation inspection. X
14) 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 County ordinances and building regulations.
X
BLD2005-01904 Please referto the following pages for conditions of this permit. 3 of 4
Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton,WA 98584
too
010
RESIDENTIAL BUILDING PERMIT BLD2005-01904
OWNER: DAVE HOLMES RECEIVED: 11/3/2005
CONTRACTOR: ACE CONSTRUCTION 373-7875 LICENSE:ACECOI*044BB EXP: 12/21/2007 ISSUED: 1/25/2006
SITE ADDRESS: 41 NE LARSON BLVD SHELTON
EXPIRES: 7/25/2006
PARCEL NUMBER: 123305000009
LEGAL DESCRIPTION: BEARDS COVE DIV 3 TR 9
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
manufactured home north shore, right on sand hill road, left on larson blvd, 3rd lot on left
General Information Construction&Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.:
Type of Use: MH Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: No.of Stories: 1 Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make:GOLDEN W Length: 60 Ft. Front: N 22.0 Ft. Shoreline: Ft. Water Body:
SEPA?: NO
Rear: S 49.0 Ft. Slope: Ft.
Model: Width: 28 Ft. Side 1: E 10.0 Ft. Shoreline Desig.: Not Applicable
Year:2005 Serial No.: FACTORY I Side 2: W 10.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Mobile Home Submittal Fee JRN 11/3/2005 $214.50 B12005000
Planning Review Fee JRN 11/3/2005 $155.00 612005000
Mobile Home Issuance Fee JRN 11/14/200 $214.50 S22006000
Address Fee GMM 11/15/200 $140.00 S22006000
EH Plan Review ADR 12/20/200 $75.00 S22006000
Total $799.00
BLD2005-01904 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD20 0 5-01 9 04
CONDITIONS FOR
BLD2005-01904
1) 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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) The internationnl 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
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
inspections.
X
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
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.
BLD2005-01904 Please referto the following pages for conditions of this permit. 2 of 4
7) 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 revocation.
X
8) 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
9) This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indidcated on
the plot plan. X
10) 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
11) 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
12) 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.
13) All property lines shall be clearly identified at the time of foundation inspection. X
14) 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 County ordinances and building regulations.
X
BLD2005-01904 Please refer to the following pages for conditions of this permit. 3 of 4
15) 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 ve prevented action from being taken. No more than one extension may be granted.
X
16) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X ��G—
17) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at
(360)427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has
been "finaled" and approved.
X �2 �
18) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
19) Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project.
X
20) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting).
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.Proof of continuation of
work is by means of a progress inspection.The owneror 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 inspection.
OWNERORAGEN . DATE:
BLD2005-01904 Please referto the following pages for conditions of this permit. 4 of 4
W
o CONCRETE Gas Piping MANUFACTURED HOME p
o Interior-Date By r
Footings I Setbacks Extewr-Data By Ribbons
Date By INSULATION Date o41 By y
� Foundation Walls BG/SLAB tNSULAMN Set-up D
Date By Date By Date O 06 By m
FRAMING FIRE DEPARTMENT
Date By Date By
Date By Walls DECKS
PLUMBING Date By Date By
Groundwork Vault TANKS
Date By
Date By Date By
Attic
a.w.v
Date By OTHER
Date By DRYWALL Type-,
Date By
Water Line Date By Type;
Date By int.Brace Watt Date ByBY
�
MECHANICAL Date FINAL INSPECTION
Fine Separation C
Date By Date By Date 3 66 By j„p1L i
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a Pass or Request Inspect.
Type of Insp. Fall Date Date Done By Comments
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MASON COUNTY PERMIT NO. QP�- C' 01A
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 INFORMAAT19N CONTRACTOR INF RMATION
Owner P -e-V Company Name im it S/ZIA Or 10-.
Mail' Address7 Mailin -dress
City j State_��Zip Code 2----- City State�— Zip Code 1.•—
Phone Xp 377 7973 Other Ph. Phone 3(i0 373 -7A7S` Other Ph.
Lien/Title Holder Contractor Reg. # A (EC 0 t,)-&a939xp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System ,- ' Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12t Parcel No./1� 1 D:C)o0o09 Fire District
Legal Description__ r. 'A
Site Address (Please i cl e stre%name, streetnumber and city)
Directions to site N• R� (<� �g k-f— o- Sa r, .,I� /4/Z 1A%-kI _ tFT on Sn �
3 tc i
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work /,, r—, , // Aeda2..1" 4
No.of Bedrooms No. of Bathrooms Square Footage - 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUF CTURED HOME INFORMATION - Make GOWRLA Wf '�'� Moclel Year
LengthWidth Serial No. No.of Bedrooms —No. of Bathrooms
Type of Heat 94 urchase Price $ Replacement Unit? Yes Cq
Installer Name K_ Certification No. %l-
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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion;�evpK�propo�s application, I have obtained permission from them to apply for this permit and conduct the work proposed.
X Date: Q
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld I'd Receipt No.
DEPARTMENTAL REVIEW APPROV D DENIED NOTES
Building Department 11-1 .�
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee 6
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
VICINITY MAP
(DIRECTIONS FROM MAIN CROSSROADS TO SITE**)
"Vicinity Map shall include the following:
1. Main Intersection 2. Cross Roads 3. North Arrow 4. Address of adjacent properties
C
®�P.9,005. 00910
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
411 No. Fifth Street//P.O. Box 186, Shelton WA. 9 5�$4
360.427.9670 ext. 352 TO BE KEPT IN THE
Request for PARCEL FILE
Administrative reduction in the Required Setbacks ($90.00)
For administrative review, the minimum variance on a yard setback request is 5 feet
from the side lot lines and 10 feet front and rear lot lines or right of way. Request for
further reduction requires standard variance. Setbacks are measured from the furthest
proiection of the structure.
Applicant/Owners: b Iq''& H-V
Mailing Address: A(0- &x �L�
City: State: - Zip:
Site Address: 71 C,Nsa-i-1 9z-]sJL\3
Telephone No.: T&O 740
Parcel Number(s): Zoning /je5
Requested Variance: Front / Re r • ide Yard (please circle allthat apply)
Requested setback variance: S �Aej f0 ' �dj_T'� /�f4R FT.
An illustrated site plan is required:
Your site plan must show the following: north arrow, abutting street or easements, set backs to
all property lines and existing buildings, slopes, surface water,wetlands, critical area, septic,
well and driveway. Show all proposed new development.
The following circumstances must apply.
Front and or Rear Yard requirements:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following. (Please circle all that apply)
2) One of the following exists on the lot:
a steep slopes, wetlands, or streams present;
i,_ soils that restrict building or septic development;
c) lot width at the front yard line of no more than 50 feet;
d) lot size of no more than one-fourth acre;
Cj existing improvements of buildings, septic systems, and well areas.
Side yard requirements:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following. (Please circle all that apply)
2) One of the following exists on the lot:
a) steep slopes, wetlands, or streams present;
b) soils that restrict building or septic development;
c) lot width at the front yard line of no more than 50 feet;
d lot size of no more than one-half acre;
e xisting improvements of buildings, septic systems, and well areas
Wadministativevariance.doc (tw) February 05
Explain how these circumstances preclude a reasonable development proposal from
meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones.
-S�Pr7c c/ l�
i S n �lir 0�� �c� �7'a PIR 67'
Owner/ gentjplease indicate)
Signature and date
Official Use Onl y
Approved Date l A1 /0
Denied Date
Reason for denial:
HAadministativevariance.doc (tw) February 05
1.05.030 Variances
1.05.031 Purpose
The purpose of this Section is to provide a means of altering the requirements of
this Ordinance in specific instances where the strict application of these
regulations would deprive a property of privileges enjoyed by other
properties which are similarly situated,due to special features or
constraints unique to the property involved.
1.05.032 Use Variances Prohibited
No variance shall be granted to permit the establishment of a use otherwise
prohibited within the development area in which the property concerned is
located,except as provided in Section 1.05.018(B). Applications for such
variances shall not be accepted for processing or review.
1.05.034 Granting of Variances Authorized
A. The Board of County Commissioners shall have the authority to grant a
variance from the provisions of this Ordinance when, in their opinion,the
conditions set forth in Section 1.05.036 have been met. The Board shall
have the authority to attach conditions to any such variance when,in their
opinion, such conditions are necessary to protect the public health, safety
or welfare,or to assure that the spirit of this Ordinance is maintained.
B. The Administrator shall have the authority to grant a variance from the
provisions of this Ordinance when the granting of such variance will result
in a measurable deviation of ten(10%)percent or less from the provisions
set forth in this Ordinance. In issuing such variance,the Administrator
shall make a positive determination that the conditions set forth in Section
1.05.035 have been met. The Administrator shall have the authority to
attach conditions to any such variance when, in his(her)opinion, such
conditions are necessary to protect the public health, safety or welfare,or
to assure that the spirit of this Ordinance is maintained.
C. The Administrator may allow a reduction in the required front yard setback by
administrative variance under the following circumstances: for existing
lots of record as of March 5,2002,where physical attributes of the lot
(such as steep slopes,wetlands, streams, soils; lot width at the front yard
line of no more than 50 feet or lot size of no more than one-quarter acre;
and existing improvements of buildings, septic systems,and well areas)
preclude a proposed development from meeting the 25-foot front yard
setback standard. The front yard setback shall be the minimum necessary
to accommodate a reasonable development proposal,but not less than 10
feet distance from the property line or any easement boundary. The
Administrator shall document in the property file the rationale for said
administrative variance decision.
D. The Administrator may allow a reduction in the required side yard setback by
administrative variance under the following circumstances: for existing
MASON COUNTY DEVELOPMENT REGULATIONS June 2003
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RETURN ADDRESS
Jonathon Blackwell
41 NE Larson Blvd
Belfair,WA 98528
STATE OF
WASHINGTON MANUFACTURED HOME •
Department of Licensing APPLICATION TITLE ELIMINATION
Escrow No. 20268434-104-CM8
❑ TRANSFER IN LOCATION
Anyone who knowingly makes a false statement of a material fact is guilty of a ❑ REMOVAL FROM REAL PROPERTY
felony,and upon conviction may be punished by a fine,imprisonment,or both.
(RCW 46.12.Z10
MANUFACTURED HOME
TPO/PLATE NUMBER YEAR MAKE LENGTH/WIDE(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
+067343 1994 SKYLN 48 X 28 80911026GAB
LAND LEGAL DESCRIPTION ON PAGE
MANUFACTURED HOME WILL BE®AFFIXED ❑ REMOVED REAL PROPERTY TAX PARCEL NUMBER
123305000009
LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION
GRANTORS REGISTERED/LEGAL OWNERS ADDITIONAL NAMES ON PAGE
COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS
1 1
NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
D.Holmes Enterprises
NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
200 Bravo Terrace
Port Orchard WA 98367-9375
NAME OF REGISTERED LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
Same as above
NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER
ADDRESS CITY STATE ZIP CODE
GRANTEE
NAME
I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I AMI R T RE ST NER(S)OF THIS
VEHICLE AND THE INFORMATION IS ACCURATE:
Signature of Registered Owner and Title,IF APPLICABLE - Y
David G.Holmes,President of D.Holmes Enterprises
MP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE
Q•�� State of Washington Signed or attested
xOTr�� County of Mason fief m on
Jf By David G.Holmes,President S nature, u L
1N• • f� O r PRINT NAME OF REGISTERED OWNER NOTARY OR AGENT
r • • BY Colleen Reamer
AL PRINT NAME OF REGISTERED OWNER P..RINTED NAME OF NOTARY
�� tQ••���`a• j Count
TITLE Notary AND: Dealer No. OR 7-1-10
l DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date
ANY CERTIFICATION
1 certify that the legal description of the land and ownership is true and correct per the real properly records.
NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER
SIGNATURE/POSITION DATE
Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Re resentative sI ns.
BUILDING PERMIT OFFICE CERTIFICATION
e manufactured home has been affixed to the real property as described.
certify that:: 0 building permit has been issued for this purpose and the attachment will be inspected upon
completion.
NAME(TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE# r BLDG PERMIT
ER II04
S NAT RE/POSITION
TE
Td-42 729 ANU HOME AP L(PJ2/02)OR(W) age f of 2 Manufactured Home Application MH-011
MANUFACTURED HOME-FROM SECTION 1
TPO/PLATE NUMBER YEAR MAKE LENGTHNVIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN)
+067343 1994 SKYLN 48 X 1026GAB
SIGNATURE OF LEGAL OWNER
SIGNATURE OF LEGAL OWNER INDICATES CONSENT FORE WINAT�FON OF T(yLE/R OVAL FROM REAL PROPERTY.
Signature of Legal Owner and Title,IF APPLICABLE
r
David G. Holmes,President of D Holmes Enterprises
LAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE
it w-V
�• •* State of Washington Signed or attested
0 0+�.` +-•• {� County of Mason before�,e
�in� By David G.Holmes.President Signat
�,�' • PRINT NAME OF LEGAL OWNER NOTARY R AGENT
•
• ► BY Colleen Reamer
.! �00 PRINT NAME OF LEGAL OWNER PRINTED NAME OF NOTARY
�• ti$Ll �' County Office No,OR
` • • TITLE Notary AND: Dealer No. OR 7/1/10
��•��•� DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date
�Lp ION(A legal description of the land can be obtained from the local county Assessor's Office)
LOT 9 OF BEARDS COVE NO 3, VOLUME 8 OF PLATS, PAGES 75 AND 76, RECORDS OF MASON COUNTY, WASHINGTON.
PARCEL NO 12330 50 00009
DEALER'S REPORT OF SALE
I CERTIFY THAT THIS INFORMATION IS CORRECT,THE VEHICLE IS CLEAR OF ENCUMBRANCHES EXCEPT AS
SHOWN ANY REQUIRED SALES TAX HAS BEEN COLLECTED.
DEALER NAME(TYPED OR PRINTED) WA DEALER NUMBER DATE OF SALE
PURCHASE PRICE TAX JURISDICTION/TAX RATE DEALER'S AUTHORIZED SIGNATURE
❑ USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attached notarized statement of delivery).
COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents)
I certify that the above application appears to have been completed correctly,and the applicant has sufficient documentation to proceed with the
recording of this form.
NAME(TYPED OR PRINTED) COUNTY OFFICE/VFS OPERATION NUMBER
SIGNATURE DATE
M TITLE FEES
FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE USE TAX SUBAGENT FEE
TOTAL FEES&TAX
IMPORTANT: Once the application has been approved by the county Auditor/Vehicle Licensing
Office,take your application form to the County Recording Office. Retain proof of the
Recording fees paid. If the Recording Office retains your original application form,
obtain a certified copy of the recorded form.
APPUQAN!TS: Once recorded,you must return to a Vehicle Licensing office to file the Manufactured
Home Application, paying all required fees. Vehicle licensing subagents charge a
service fee.
For full instructions on completing this form for Title Elimination,Removal from Real Property or Transfer in
Location, see form TD-420-730, Manufactured Home Application Instructions.
The Department of Licensing has a policy of providing equal access to its services.
If you need special accommodation,please call(360)902-3600 or TTY(360)664-8885.
TD-420-729 MANUF HOME APPL(R/2/02)OR(w)page 2 of 2 Manufactured Home Application MH-011