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Home My WebLink AboutBLD2006-02030 Final on Expired Permit - BLD Permit / Conditions - 3/1/2007 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 IP10 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2006-02030 OWNER: MIKE HEALY RECEIVED: 11/20/2006 CONTRACTOR: LICENSE: EXP: ISSUED: 11/20/2006 SITE ADDRESS: 955 E JENSEN RD SHELTON EXPIRES: 5/20/2007 PARCEL NUMBER: 321322290052 LEGAL DESCRIPTION: TR 5 NW NW LOT: B OF SIP#884 PROJECT DESCRIPTION: DIRECTIONS TO SITE: FINAL ON EXPIRED PERMIT BROCKDALE RD R ON JENSEN, JUST BEFORE ADOPT A PET 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: Fire Dist.: No.of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi Side 1: Ft. g" Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Final Expired Permit KS 11/20/200 $58.00 S12006000 Total $58.00 BLD2006-02030 Please referto the following pages for oonditions of this permit. 1 of 2 CASE NOTES FOR BLD2006-02030 CONDITIONS FOR BLD2006-02030 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 1 800-6477-0�982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 2) 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 �tkl 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 ch roads cco1n ct with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. 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 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 propert and structure for review and inspection. OWN ER OR AGENT: c DATE: U � BLD2006-02030 Please refer to the following pages for conditions of this permit. 2 of 2 CONCRETE MECHANICAL MANUFACTURED HOME _ M t Footings 13etbacks Gas Piping Date By Ribbons _.__ _�_a > oN Interior Date By Interior-Date By Date By o iWxtenor Date By Exterior-Date By o .�...�,._.....__,.._ Set-up T� Point Load/Isolated Footings INSULATION Date By m BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Wails Floors Date By Date By Data By DECKS FRAMING Waits Date By Date By Data By PROPANETANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date By Type. Date By Date By D.W.v DRYWALL Tape: Int Brace Wall Date By GoDate By Date By FINAL INSPECTION v 2 Water Line Fire Separation No 8 Date By Date By Date By (�� p m � Pass or Request Inspect. c Err Type of Insp. Fail Date Date Done By Comments w CD 6 CD 0 _ j� CAt Cn 0 1 cA* 8 OF FogCn a El 3 . 1_ T r v ► Gn LA c.- o 0 11/22/2006 Conditions Associated With 4:06:27PM Case #: BLD2006-02030 Permit Condition Status t pdated item# Code Title Status Changed By Tag Date BY 4) 5015 MH-INSPECTION CRITERIA NOT MET 11/22/2006 TLG Permanent Address must be posted and visible from the road Deck must be safe and meet code for year building permit was issued. Rebuilt decks are required to meet current code. All guardrails and handrails must be in good condition and meet code for year built or current code if replaced. Skirting must be vented 1:150 and backfill sloped away from unit 2%for a minimum of 5' around the perimeter of the unit Gutters and downspouts must be installed with splash blocks provided All exterior penetrations must be sealed HWT Pressure relief line and dryer vent must exit skirting a minimum of 6"with a maximum of 24"above grade. The unit shall have a minimum of 16"x24"crawl space access provided HOWEVER,if the unit has not received a set up inspection and is skirted,4 panels centrally located(one on each side of unit)shall be removed by the owner/applicant prior to requesting the inspection. All conditions on the original or issued permit must be met If the unit was installed by a WAINS certified installer/contractor since July 1,2003,CTED Installer Tags must be available It shall be the responsibility of the person requesting the inspection to provide the manufacturer specifications,ANSI Standards or approved engineered design for the installation of the unit and have them available on site for inspection. Each inspection required will be assessed a fee as adopted under Mason County current fee schedule. Re-Inspection fees will be assessed each time an inspection is requested and required items are not completed prior to the inspection being performed ENFORCEMENT PROVISION: Any manufactured/mobile home and/or appurtenant structures found non-compliant with any county or state regulation are subject to enforcement action and subsequent violation and penalties pursuant to the Mason County Code. X Page 2 of 2 CaseCondi6ons..rpt J '_7�7!.a,y, .. `��4. , `�ee"7/in � ` �1��tea:'. •�• �•r. - l Y` ''••'yam+�� '}<�, �; - .�� . r:-._ '� '9� ^:"#!" �•''^ °fir. « , • f • _ We it �94 i f g E f w, e r tv 00, 06/29/2010 RETURN ADDRESS Da-ge�Sound Capital Ce rpera - ion 79'IR T i mi tarp Tang SE Olympia, Wa 98502 Manufactured Home WASNINGTON STATE UEPARTYFNi OF TITLE ELIMINATION LICENSING Application ❑TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,Imprisonment,or both.(RCW 46.12.210) MANUFACTURED HOME TPO/PLATE NUMBER I YEAR MAKE LENGTH WIDTHIFEET)I VEHICLE IDENTIFICATION NUMBER(VIN) +31982 1984 Liber 48 X 28 109L20346XU LAND LEGAL DESCRIPTION ON PAGE RL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE [AFFIXED ❑REMOVED 32EA1322290052 LOT BLOCK PLAT NAME OR SECTION/rOWNSHIP/RANGE I OUARTER/OUARTER SECTION Tract B of Short Subdivision No.884 NW 1/4,NW 1/4,Section 32 GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTYNUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS 45 1 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER Puget Sound Capital Corporation NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 2938 Limited Lane NW Suite C-1 Olympia, Wa 98502 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER Puget Sound Capital Corporation NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 2938 Limited Lane NW Suite C-1 Olympia, Wa. 98502 GRANTEE NAME I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT 1/WE AWARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: ._ 1 Signature of Registered Owner and Title,IF APPLICABLE 61714,d LLJ Signature of Additional Registered Owner and Title,IF APPLICABLE (,Q I�1 W LN NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S)SIGNATURE ee tea State of Wahntn ' Signed or attestedCofbefore me onSignatu PRINT NAME OF REGIS ERED OWNER NOTARY OR A ENT i by PENT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY �1U f �. 11IC " ,/Y ounty/O11ice No.OR/ iSrc" Title l AND: Dealer No.OR p-�,0 DEALERSHIP POSITIOWAGENT/NOTARY Notary Expiration Date i-1.5' >� TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property 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 Representative signs. 13 BUILDING PERMIT OFFICE CERTIFICATION I Certify that: r he manufactured home has been affixed to the real property as described. a building permit has been issued for this purpose and the attachment will be inspected upon completion. M PED OR PRINTED) BLDG PERMIT OFFICE/PHONE tl V G�� BLpG PERMIT N�� SI A7UR POSITIO 1/ [/ T»/�'��/\C�J,(''ft TE L TO 42-729( 6/O6)W Page I o1 2 MANUFACTURED HOME-FROM SECTION t _ TPO/PLATE NUMBER I YEAR MAKE LENGTH/WIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VIN) +31982 1984 Liber 48 x 28 09L20346XU SIGNATURE OF LEGAL OWNER SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMINATION OF TITLE/REMOVAL FROM REAL PROPERTY. Signature of Legal Owner and Title,IF APPLICABLE Signature of Additional Legal Owner and Title.IF APPLICABLE _ NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S)SIGNATURE _ State of Washington-'r Signed or attested (�� pCounty cifyt��1/(�'1,I,LfIaan before me on -7 lby 1"11L'ytl�.d TICU.IN Signatur L PRINT NAME OF LEGAL OVINE NOTARY AGEby �nrr�1_T NAME OF LEGAL OWNER �F INTED NAME OF RY,, Ij/ _,' oun aler No.OR Tille'(��O((-iL( AND: Dealer No.OR •r•'^'• DEALERSHIP POSITION/AGENT/NOTARY Nolary Expiration Date LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assesaor's Office) Tract B of Short Subdivision No.884,recorded June 18,1980,Auditor's File No.377935,and being a portion of the Northwest Quarter(NW 1/4)of the Northwest Quarter(NW 1/4)of Section Thirty-two(32),Township Twenty-One(21)North,Range Three(3)West,W.M. TOGETHER WITH a perpetual,non-exclusive easement for ingress,egress and utilities,40 feet in width,as described in instrument recorded September 17,1975,Auditor's File No.306159. TOGETHER WITH and SUBJECT TO a perpetual,non-exclusive easement for road and utility purposes,30 feet in width,as described in Short Subdivision No.884,recorded June 18,1980,Auditor's File No.377935. DEALER'S REPORT OF SALE 1 CERTIFY THAT THIS INFORMATION IS CORRECT.THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. DEALER NAME(TYPED OR PRINTED) WA DEALER NUMBER DATE OF SALE PURCHASE PRICE TA:(JURISDICTIO-XRATE DEALER'SAUTHORIZEDSIGNATURE USE TAX EXEMPT Sale to a Certified Tribal member on the reservation(attach notarized statement of delivery). El 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 OFFICENFS OPERATOR NUMBER SIGNATURE DATE IM TITLE FEES FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE USE TAX SUBAGENTFEES TOTAL FEES a TAX MPORTANT: 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. APPLICANTS: 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 Cal(360)902-3600 or TTY(360)664-8885. TD420-729(R/6106)W Page 2 of 2 MASON COUNTY PERMIT~NO BUILDING PERMIT APPLICATION y 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 APPLICA T INFO'RMAITIPN CONTRACTOR INFORMATION Owner 1 t _ C-- Company Name Mai li Address Mailing Address City M State UJA Zip Code 5 City State Zip Code Phone 794 y Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. 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 Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Plea a incl de treet as e t num and city) rl n U Directions to site K a o a Will timber be cut and sold in parcel preparation?Yes/No 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?Y s/No TYPE OF JOB - New Add Alt Re air Oth r RIMARY RESID N ASONAL Use of Building Describe Work I�d_�L4 d 6 �� No. of Bedroom No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/ No Installer Name Certification No. 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, 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. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A 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:afna Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health 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 Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES