HomeMy WebLinkAboutBLD92-01265 Cancelled Mobile Home - BLD Permit / Conditions - 5/9/1993 MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date/-/yam by 04
BG/SLAB Insulation Floors Final e--)
date by date by date % _ 3 by
FRAMING Walls FIRE DEPT.-vo
date by date by �date - -Y3 by
PLUMBING Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
J
MASON COUNTY
Mason County Bldg, III 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
NAME ON PERMIT f—/ink-1-i / 6�,J65 nATE OF PERMIT
PERMIT NUMBER &D q,2 - /�Z(QS TYPE OF HEAT
Washington State Energy Code \ Ventilation and Indoor Air Quality Code
SET-UP INSPECTION CHECKLIST FOR MODULAR HOUSING
1.344 4 y ,cello 47 jjFA
Note: 19 0 4d&7dn POd� 49 X 8'
This checklist is not comprehensive: other code requirements may apply. This checklist can be
used by local by building departments for modular homes built to the 1991 Washington State
Energy Code (WSEC) and inspected in the factory by the Washington State Department of Labor
and Industries (L&I).
Ground Cover: 6 mil, black
Ventilation: Ventilation in crawlspace must be a minimum of one square foot of free
ventilation area (without louvers) per three hundred square feet of
crawlspace area, or a passive radon vent pipe must be installed. Note: UBC
regulations may require more ventilation.
Pipe Insulation: Cold and hot pipes insulated to R-3 in unconditioned areas.
Floor Insulation: No damaged or missing insulation; if floor insulation is done on-site,
R-value installed is consistent with NLEA form.
Ducts: Where appropriate, crossover ducts are properly joined, sealed, and supported
Duct insulation is in place and in good condition. If duct insulation is
installed on site, insulation value shall be R-8, or according to NLEA form.
Marriage Line: Sections are properly aligned, and sealed or gasketed with appropriate
materials (a non-porous material, such as a foam sill seal) to limit
infiltration.
Attic: Check for batts moved and not replaced during set-up. Loose fill insulation is of
uniform depth. Baffles displaced during set-up or transit are properly reinstalled
Doors: Check doors to ensure that they close and latch properly.
Notice to Local Enforcement Agency Form (NLEA): The NLEA has been reviewed and
the items listed have been inspected.
12/17/9 t
Washington State Energy Code - Ventilation and Indoor Air Quality Code
MODULAR HOUSING SET-UP INSPECTION PROCEDURES
Background
The Washington State Department of Labor and Industries (L&I) performs Washington State
Energy Code (WSEC) plan reviews and inspections in the factory for modular homes subject to
the Uniform Building Code (UBC). Although many of the WSEC and Ventilation & Indoor Air
Quality Code (VIAQ) requirements are inspected by L&I, some items can only be inspected on
site, and therefore, may fall within the jurisdiction of the local building official.
The Notice To Local Enforcement Agency (NLEA)
Attached to each modular home inspected by L&I is the NLEA, which provides the local
enforcement agency with information pertinent to the site inspection. Often, a modular home is
shipped to the site before some items normally inspected by L&I are completed. In these cases,
the L&I inspector fills out the NLEA form and lists items not inspected at the factory. For
instance, when a manufacturer ships a modular home before floor insulation is installed, the
NLEA form will indicate the R-value of the required floor insulation. The local building
officials' careful review of the NLEA form is an extremely important part of the modular
housing set-up inspection.
Damage Incurred During Transit
Sometimes a modular home may be damaged during transit. Although L&I is the building code
authority for the home until it arrives at the building site, often no L&I inspector will see the
home after it is delivered. If the local inspector discovers any damage incurred in transit, L&I
should be notified as soon as possible. (Contact Dan Sevcik at 206-664-0548.)
Authority of the Local Building Official
The local inspector has the authority and responsibility to inspect any work done by the set-up
crew. Some of the work to be inspected will be listed on the NLEA form Frequently, however,
the set up crew may damage or alter work previously inspected by L&I. The local authority does
not have the authority to inspect work already approved by L&I, except those specific items
altered by the set-up crew. For example, if attic insulation is moved out of place by the set-up
crew, the building inspector may require that the insulation be properly replaced, but may not
require that the attic be insulated with batts of a higher R-value than approved by L&I.
The WSEC Set-up Inspection Checklist
RCW 19.27A.035 requires that utilities provide an "owner at the time of construction payment"
for WSEC homes (only electric resistance heated homes 2000 square feet and under qualify for
the payment). Some utilities may ask for verification of a local jurisdiction set-up inspection
prior to making a payment for modular homes. On the reverse side of this page is a sample of a
WSEC Set-up Inspection Checklist for Modular Housing that may be accepted as adequate
verification by the local utility.
12/17/91
MASON COM=
BUILDING PERMIT APPLICATION
PLEASE PRINT
3
#1 Owner Phone#.
Site Address _ il/F 44l 1s9e,',o
City Z 2Z"C /� St ? Zip i's5'28'
Directions to Job Site Z A-7-7, a h
L 1e / �i l d yr L/.Sl
Owner Mailing Address
City St Zip
Lien/Title Holder
Address
City St L
Zip=
#2 Contractor Name Contractor Reg#
Address Expiration date__
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? ;4,-5 Public Water Supply Well______
(If residential, proof of potable water may be required)
#4 Parcel No. / Z 3 3/- Z3 9do 2-
Legal Description 47r
#5 Building Square Footage: (aXisting1Pr0p0sed)
19t F1 / 2nd FI / 3rd F1 / Loft /
Basement ;, Deck / #bedrooms / #bathrooms �—
Garage / Carport / (Circle: Attached or Detached?)
Other sq ft /
#6 Use of building Describe work
#7 Type of Job: New . Add Alt Repair Demolition
Woodstove Re-Roof Bulkhead Other
I #8
MOBILE HOME INF
Model Year Make Model
Length Width Serial No.
#Bedrooms #Bathrooms 'Igoe of Heat
#9 Any wale: o or a acen� -t property: sa---water :axe
river r et�and seasona:
o�-
octe=
on the site plan
� I
I
roc Di_;ensions Flood Zones I
Sx�.st_ng St�ct:�res Fences
Str•-ct-:e Setbacks Driveways
water Nines
Shorelines i
Ira_naae Plan Topography
Septic Systems wells
Proposed T"=rovements n Easements
Name of Flak-ng Street Scale:
Name of Fronting Street Date:
APPLICANT To DRAW SITE PLAN 3EL0
9
I
1
PLICANT To DRAW TOpOGRABHy PROFILE
I
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ram Washer
IS-30 �
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30-50 HP —,5.In
50 + HP
� No. Air gel —�-`�2-
D iShwasL'er �4 IIa=t
_Disposal
10000 cam.
_.IIr�.:a'_s Other
Qr��T
.•.rr �vaa Coolers
Pe--=c Basic Fee Hoods i
F =e SuLpress;ca
Mer4'dn_�a T F1 x�•,Toa Se1oc/Repair
Nc . Fuel Types —Gas Outlets 1 2.00
Wocdstove
100K BTQ
�-� <
—6 . Other
10 0 K B= 6. 00
Floor 6. 00_ Permit Basic Fee
Heat Pt�s Z'Oz1�L � $.10 . 0Q_
mc=cz: T s PMC" BECO14Es NULL ARO vo=
RDT�flR=ZID IF WORK OR orr -
IS NOT C
C�NC� W�q 180 DAYS, OR IF CONSTR=.,ION OR W=
IS DED OR ABAN ED
DON
is CmN ftm FOR A PER-ROD OF 180 DAYS AT ANYT=ME AZ-= WORK
19 MMS AYn=& =
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a Tut[ +r m CMU" MWIXAAK[ IMIREPImn Fm WIICX 12 TK MTN OF YUIXCT01 AM I AN AN" (W nK
MS PMIT IS ISSUED AM TUT All WILL Om"h= MMIMM = MULATIMC TM YK POI YIIIC7
C1SIIl7� M IT11. 110 GES SLfL gE fE I• T! /MI1 IS 133M AND ALL WMZ 001E YTLL ftT Ill
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CA= BY
DA"'f
getzL� peal` to: Depa-meat of General Se.^�ices
426 W. Cedar/P.O . Box 186, Sheltaa, �A 98584
427-4670/1-300 -562 -5623
FOR OFPIC ;. =SZ ONLZ:
�ccente� may:
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FOR OFFIQ USE ObiLY
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Filed for Record at RegqVent of_--- Milt M rti _�._ -' -
HOME TITLE CO. OF' MA:.UN COUNTY, INC. �O`
HOME TMff 00,
AFTER RECORDING MAII. TO:
JOHN 6 SHIRLEY 11Yl.RLY
P.O. BOX 133
BELFAIR,JZ�1ry�WA 90528 e
HOME TITLE CO. ORDER 1 1041
(1.1
FULL RECONVEYANCE
THE UNDERSIGNED AS TRUSTEE UNDER THAT CERTAIN DEED OF TRUST, DATED
SEPTEMHER 14, 1990 IN WHICH JOHtt H. BYERLY AND SHIRLEY P•YERLY,
HUSBAND AND WIFE IS GRANTOR AND ELDON DILLENHURG AND JOAN
DILLENBURG, HUSBAND AND WIFE IS BENEFICIARY, RECORDED ON SEPTEMBER
18, 1990 UNDER AUDITOR'S FILE NO, 515475, RECORDS OF MASON COUNTY
WASHING•1.ON, HAVING RECEIVED FROM THE BENEFICIARY UNDER SAID DECD br
TRUST A WRIT1'EN REQUEST TO RECONVEY, RECITING THAT THE. OBLIGATIONS
SECURED BY THE DEED OF TRUST HAS BEEN FULLY SATISFIED, DOES BF.REBY
RECONVL•'Y, WITHOUT WARRANTY, TO THE PERSON(S) ENTITLED THERETO ALL OF
THE RIGHT, TITLE AND INTEREST NOW HELD BY SAID TRUSTEE. IN AND TO THE
PROPERTY DESCRIBED IN SAID DEED OF TRUST, SITUATED IN MASON COUNTY,
WASHINGTON, AS FULLOWS:
AS FULLY DESCRIBED IN SAID DEED OF TRUST
DATED TH 7 ay NO_VEMBER, 1990
� I
PRE IV. ---FUR HOME TITLE COMPANY OF MASON COUNTY INC.
STATE OF WASIIINGTON
COUNTY OF MASON
On this NOVEMBER 27 1990 before me the undersigned, a Notary
Public in and for t6 State of Washington, du lyy commissioned and
sworn personally appeared MICHAEL E. FOX, PRESIDENT OF HOME TITLE.
INSURANCE. COMPANY , the corporation that executed the foregoing
instrument, and aknowledged the said instrument to be the free and
voluntary act. and deed of said corporation, for the uses and
purposed therein mentioned, and on oath stated that he is authorized
to execute the instrument.
WITNESS my hand and offical ffixed the day and year in
this certificate above writ�se�alhhereto
�rJu ] c Tn`anT`}'or ie SEaEe
` of Washinytoh, reeidiny at She•it9on
R'�N My commi.sslon expires:
NOTARY
PUBLIC
9.
a
��'.,_YJ C)C�UrIIY Inr.
GENERAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That I, FRANKLIN C. SWEET, a legal
resident of LINCOLN County, State of MONTANA, have made, constituted, and appointed, and by these
presents do make, and appoint SUSAN E. SWEET, whose address is: 99 JACKSON DRIVE., GROTON,
- CONNECTICUT 06340, my true and lawful attorney, for a period of 12 months from this date, to act as
follows, that is to say:
GIVING AND GRANTING unto my said attorney full power:
1. To buy, receive, lease, accept, or otherwise acquire; to sell, mortgage, hypothecate, pledge, quit claim or
otherwise encumber or dispose of; or to contract or agree for the acquisition, disposal, or encumbrance, of;
any property whatsoever or any custody, possession, interest, or right therein, upon such terms as my said
attorney shall think proper;
2. To take, hold, possess, invest, lease, or let, or otherwise manage any or all of my property or any interest
therein; to eject, remove, or relieve tenants or other persons from, and receive possession of, such property
by lawful means; and to maintain, protect, preserve, insure, remove, store, transport, repair, rebuild, modify,
or improve the same or any part thereof;
3. To make, do, and transact all and every kind of business of what nature or kind soever, including the
receipt, recovery, collection, payment, compromise, settlement, and adjustment of all accounts, legacies,
bequests, interests, dividends, annuities, demands, debts, taxes, and obligations, which may now or hereafter
be due, owing or payable by me or to me;
4. To make, endorse, accept, receive, sign, seal, execute, acknowledge, and deliver deeds, assignments,
agreements, certificates, hypothecation, checks, notes, bonds, vouchers, receipts, and such other instruments
in writing of whatever kind and nature as may be necessary, convenient, or proper in the premises;
_ 5. To deposit and withdraw for the purposes hereof, in either my said attorney's name or my name or
jointly in both our names, in or from any financial institution, and funds, negotiable paper, or moneys,
which may come into my said attorney's hands as such attorney or which I now or hereafter may have on
deposit or be entitled to;
6. To institute, prosecute, defend, compromise, arbitrate, and dispose of legal, equitable, or administrative
hearings, actions, suits, attachments, arrests, distresses or other proceedings, or otherwise engage in litigation
in connection with the premises;
7. To act as my attorney or proxy in respect to any stocks, shares, bonds, or other investments, rights, or
interests, I may now or hereafter hold;
8. To engage and dismiss agents, counsel, and employees, and to appoint and remove at pleasure any
substitute for, or agent of my said attorney, in respect to all or any of the matters or things herein mentioned
and upon such terms as my attorneys shall think fit;
9. To execute vouchers in my behalf for any and all allowances and reimbursements properly payable to
me by the United States; including but not restricted to allowances and reimbursements for transportation of
dependents or for shipment of household effects as authorized by law or Navy regulations, and to receive,
endorse, and collect the proceeds of checks payable to the order of the Undersigned drawn on the Treasurer
of the United States;
10. To prepare, execute, and file income and other tax returns, and other governmental reports, applications,
requests and documents;
FRANKLIN C. SWEET NOTARJY
BARBARA
NOTARY "'J"'Cj
MY COMM. EXPIKEfi NApGN �i; 1§44
To take possession, and order the removal and shipment, of any of my property from any post,
warehouse, depot, dock, or other place of storage or safekeeping, governmental or private; and to
execute and deliver any release, voucher, receipt, shipping ticket, certificate, or other instrument
necessary or convenient for such purpose.
GIVING AND GRANTING unto my said attorney full power and authority to do and perform all
and every act, deed, matter, and thing whatsoever in and about my estate, property, and affairs as
fully and effectually to all intents and purposes as I might or could do in my own proper person if
personally present, the above specially might or could do in my own proper person if personally
present, the above specially enumerated powers being in aid and exemplification of the full, complete,
and general power herein granted and not in limitation or definition thereof; and hereby ratifying all
that my said attorney shall lawfully do or cause to be done by virtue of these presents.
And I hereby declare that any act or thing lawfully done hereunder by my said attorney shall be
binding on myself, and my heirs, legal and personal representatives, and assigns whether the same
shall have been done before or after my death, unless and until reliable intelligence or notice thereof
shall have been received by my said attorney.
f.
NOTWIMSTANDMG my insertion of a specific expiration date herein, if on the above specified
expiration date, or if any time within the thirty (30) days immediately preceding that specified
expiration date, I should be, or have been, carried in a military status of "missing," "missing in
action" or "prisoner of war" and/or for some reason I am determined to be incompetent by legal
and/or medical authorities, then this power of attorney shall automatically continue to remain valid
and in full effect for a period of ninety (90) days following termination of such "missing," "missing in
action" or "prisoner of war" status, or until I am deemed "competent" once again.
IN WITNESS WHEREOF, I have hereunto set my hand and seal at Groton, Connecticut, on
24 September 1992, A.D.
FRANKLIN C. SWEET
F•
SIGNED AND ACKNOWLEDGED IN THE PRESENCE OF:
(?his document need only be signed before two witnesses if the individual wishes
to grant the power to his/her attorney to convey real estate.)
T.A E OF coMIECTICLIT �
L:J
COUNTY OF NEW LONDOIY
24 September 1992
Personally appeared FRANKLIN C. SWEET, Signer and Scaler of the foregoing instrument, and
acknowledged the same to be his/her free act and deed before me.
�� � �, .. •� .. 1IN-ROST
NOT Y PtiBLIC (SEAL) ` ,"` ``C13LIc
MY GUMM. EXPIRES MARCH 31, 1995