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HomeMy WebLinkAboutBLD96-01334 Final Mobile Home - BLD Permit / Conditions - 3/28/1997 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 0 Li 1 1- 0 1 N CB P E R M i _T" FUR I N`.'I'L u 1 i ()N6 CALL 42 r -9670 BETWEEN 5pm AND 8am 427-•7262 BLD96-1334 PARCEL :22302750001 O PLAT - D I V : BLK. : LOT : JOB ADDRESS : WE 6181 BEAR CREEK DEINATTO RD BELFAIR OWNER : KE LL.Y BOHR 830--072.4 CONTRACTOR : LEGAL i TO 1 Of SVIV 11200, S Of BEAN CO DEMATTO AN CLASS OF WORK . , %NEW BEDR : 2 BATH : 2 IYPE AMOUNT BY DATE RECEIPT TYPE A190111 BY Da,Tt RECEIPT# TYPE OF USE= . . . . :MH STORIES . . . . . . . : 1 OCCUP . GROUP . , . :? BLDG . HEIGHT . . % 0 Oft ADDI! 1 5.00 KS 12123196 8 � TYPE OF CONST . . a? I' IRFPLACES . . . . i fa RIC 1 42.08 KS 17123196 I OCCUP . LOAD . . . . 1 0 WOODSTOVES . . . . : 0 11110F 1 150.01 KS 12123195 0 DWELL .UNITS . . . . : 0 PARKING SPACES : 0 SIFF 1 4.50 KS 1212319f� I 1 I NSPE^T I ON AREA : 2 SHORELINE? . . . . :N IEHIP = 52.00 KS 12123196 1 1101AL r 253.56 VALULATION: N 10�7=1,R7ai�.'�0.'_'1R�i.TY••«-•w..-��w...wws.....'+al�AitNiLitl6C�A �.ST CJe.1� SFTBACKS•- _._____._._.__._ TOILETS . . . . . . . . . . : 0 FUEL TYPES--,--------- BOILERS/COMP-- MOBILE HOME— fPONT . . .1V E25 .Ott BATH BASINS . . . . . : : 0 0-3 HP . : 0 REAR . . . .S 900 *01t BATH TUBS . . . . . , . . : 0 3-15 HP . : 0 MODEL :LIBERTY SIDE ( T ) .E 2O .Oft `;1IOWEF�a . . . . . . . . . . .. 0 f1IRN < 1O0K BTU - 0 15-30 HP . : ft► -MAKE--- -r SIDE ( 2 ) .W 270 .0ft WATER HEATERS . . . . , 0 FURN >-1O0K. BTU : 0 30-50 HP . : 0 PEERLESS SHRL I NE . 0 .Oft CLOTHES WASHERS . r 0 FURN - FLOOR . . . : 0 50+ tip . . 0 .-YEAR- - -- - AREA - _-- -- - -- KITCHEN SINKS . . , . : 0 HEAT PUMP . . . . . > : 0 84 LOT SIZE . - FLOOR DRA I Nr . . . 0 VENT SYSTEMS — ! 0 EVAP COOLERS : 0 1- EN(iTH c66 BUILDING . . . : 9003f DRINKING FOUNT . . . , 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . . 0 WIDTH . : 14 BASEMEN-r . . . : Osf LAUNDRY TRAYS . . . 0 DOMES - INCIN :O -SERIAL.#----- DECKS . . . . . . : Ost DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMMTL. . INCIN :A 18342 GAR/CARP s? Os-f GARB DISPOSALS . . . 0 < - 10000 v f m . : N REL.00/REPAIR : 0 AT/DT . :? URINALS . . . . . . . . . . : 6 10000 cfm . : 0 OTHER UNITS . - 0 M I SC PL.M F I XTURF : 0 GAS OUTLETS . : 0 '.h-, -.:..�xsa.*accrm-�e.eacm�.�-�^r.srusr..rfixr �asa�aa.••ca+.a••aus=:arrs�aae.a,._.�xac=a�cv:-r_R.�raaoaacaca�rxsc.-a-mn+c^z.r .-s�:masoxw r.Aso=xx�rinn,v�:ss:maxxx;n:xrc:arx-.�;sssr�:ra:�-r o.::rrx PROJECT OESCRIPr104;NO8ILE HONE PROJECT LOCAIIOItFAON BEl.FA1:1 GO ON 00 BE1fAiR N1V APPPDX 5 IIIIES TURN trfl UN BEAR CREEK DEWAITO RD GO APPROX 5 NIIES PAST f.LFENDAML AD P,PPROX 314 IIIIE PROPERTY ON LEFT GO THRO GATE PROPERTY HAS FENCE AtlOD118 11. THIS PERMIT BECONIt VN I AND VOID If WORK OR CONSTRUCIION AVIK0 .11iP IS NOT CONNFNCED WITHIN IRO DAYS, OR If CONSTRUCTION OR NORX IS SUSPENDER FOR A PfRiOD Of III DAYS AT ANY TIME AFTER 1O IS COMMENCED, EVIDENCE OF COHTINUAIION Of 1O01 IS A PROGRESS INSPECTION WITHIN THE III DAY 1`1`1100. FIRM INSPECTIOR 1031 B APPROVED BEFORE BU110111; C BF 0 CMPIfO. 1 010ER Ofi AGENT: \ - -- OA1E:.� �. OLD PRN1, rer: 03131!91 COMPLIANCE TO ATTACHED COND I T f ONS T VREQU I RED CONCRETE r„5 r1�- 0S97/ MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date /2- 2 -'16 y L✓ Gas Piping date by Foundation Walls date by Set Up dale by INSULATION date by BG/SLAB Insulation Floors Final date FRAMING by date by date by Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by CONCRETE "we— MECHANICAL MOBILE HOME 5,-� M r5 qG Footings-Setback date by Ribbons date by Gas Piping date /2—Z —`2 b Foundation Walls date by Set Up date by INSULATION date — q7 by BG/SLAB Insulation Floors Final date by date by date _ O by �~ FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by ` f� Water Line FINAL INSPECTION Z /' date by date by date 'jj' by J Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-1334 KELLY ROHR NE6181 BEAR CREEK DEWATTO RD BELFAIR 04/02/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 11/06/96 11/06/96 KW BLDA015 Waiver in File / / / / 11/06/96 DONE KW 11/06/96 KW BLDA100 Approved For Issuance / / / / 12/23/96 DONE KS 12/23/96 KS BLDA500 (F) Issue building permit / / / / 12/23/96 SEND TO BELFAIR DONE KS 12/23/96 KS BLDB110 Structural Plan Review 11/22/96 / / 11/25/96 DONE TDH 11/25/96 TDH BLDB130 Planning Review 11/21/96 / / 11/22/96 DONE AHB 11/22/96 AHB BLDB134 RLC Review / / / / 11/22/96 DONE AHB 11/22/96 BHO BLDB135 Addressing 11/18/96 / / 11/20/96 DONE GNAT 11/20/96 GNAT BLDB138 Planning Pre-Review 11/20/96 / / 11/21/96 DONE MMS 11/21/96 MMS BLDB200 Environmental Health Review 11/06/96 / / 11/18/96 Approved design. psd DONE PSD 11/18/96 PSD BLDB210 Water Adequacy 11/06/96 / / 11/18/96 Need water adequacy.psd HOLD PSD 11/18/96 PSD BLDB210 Water Adequacy 11/25/96 / / 11/25/96 still need water adequacy HOLD CAJ 11/25/96 CAJ BLDB210 Water Adequacy 12/23/96 / / 12/23/96 submitted well log and satisfactory DONE CAJ 12/23/96 CAJ bacterilogical test BLDC200 MH Setup inspection 01/09/97 01/10/97 01/10/97 CORRECTIONS: FAIL LW O1/13/97 LAW 1. INSTALL POWER. 2. INSTALL THE WATER LINE AND INSULATE. 3. VENT THE PRESSURE RELIEF LINE OFF THE TANK. 4. INSTALL TIE DOWNS WITHIN 8 FT. OF THE ENDS OF THE I BEAMS. BLDC200 MH Setup inspection 03/27/97 03/28/97 03/28/97 DONE LW 04/02/97 LAW BLDC210 MH Final inspection 03/27/97 03/28/97 03/28/97 DONE LW 04/02/97 LAW MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF Rr%A 1 T COND i -V 1 C3NS Case Na . s BLD96-1:334 Fors KELLY ROHH Page ! 1 1 ) 1he under-siclned property owner is aware of the uncertainty regarding Mason County ' s development regulations created by the Growth Managment Hearings Board 's Order of October 2 , 1996, and in considerat Ion of Mason County 's wiI1ingneas to proceed with processing of applloatlons which might be affected by the' Order , the undersigned i property owner hereby agrees to waive any lawsuit , ar:tlon, or c1alm for damages again ,,t Masan County which may arise out of Mason County 's action3 In acceptance processing and/or issuance of such permits or approvals thereinafter "permittIr►g actions" ) , which damages are attributable to the County 's decision to take permitting actions despite the risk that, changee�; to the County ', development requIatIons might later make the County 's perm tting aotions invalid . ? ) Thl application Is sub_ ef;t to Buffer and Landscaping ri-�qulrements as established under Mason County Ordinance 1 .03 .036 . 3 ) The use , handling and storage of hazardous materials or flammable and combustible liquids In oxcPus of 10 gallons Is not allowed without the approval of the Mason County • Fire Marshal . X—_....._._. _ N 4 ) Propased structure or any portion thereof greater than 30" In height from grade line , must maintain a minimum of 5 ' setback from all property lines , easements and 10 ' from all County and State Road r ltlht of ways , r 5) Temporary erosion control mez sures must he implemented to prevent water quality degradation of adja&Vt waters or wetlands . X.._._.. :. .fit �� 6 ) Approved per dimension and setbacks on submitted site. plan . X_ MASON COUNTY Mason County Bldg, III 426 W, Cedar P,O, Box 186 Shelton, Washington 98584 r .,;�fv i T( ! ,1'-44 UN I F vrOM Kim i i_i, i (,i.., ,..0DF SE:. ; i t_rN Jo-, �i; ) ANU SEC: i + ON i ALL � t:. r;?•v�., HAVE APPROVED NUMBERS 04 ADDRESSES PA6 VIDED IN SUCH A POSITION AS TO PLAINLY VISIBtf AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT RFOUIRES THAT THIS BE COMPLF.1ED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE BASED ON RATES 1N TABLE 3A OF THE 1994 UNIFOP.M BUILDING CODE WIL.L. BE ASSESSED IF OWNEA/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTION � X. �� 8 ) ALL CONS UCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS . X 01 REQUIRED INSPECTIONS (Footing Inspection-prior to pour , Set--up inspection- prior to skirting, Final Inspection-prior to ocoupancv) . t have received a copy of the General Information and Guidelines--Mobile/Mrrrrufactured Horisinct Irrstai Cations Handout fcr detalled descriptions of all required Inspections on my mobile/manufactured home Installation . i hereb�i assume all responsibility for thH scheduling of these required inspections . If these required Inspections are not requested, inspected and signed off ( approved) by the Inezpector in tfie prer;oribed artier i understand #hat reinspectior� fees anti an hoi.rrly Investigation fee pursuant to the �991 UBC, Table 3A will be assessed in addition to my original permit fees to resolve any questionable practices ur pproblems that have been discovered . I further understand that this investigation will tie scheduled as t i m" allows . Until resolution of any/all prob I ems. no ocouprrn<:y ( Final Inspection ) will be granted for the residence . OWNER/CONTRACTOR( indlente which', Signature X ._.. 0) All mobilelmanufactured home landings or deelis must by freestanding ( self supporting ) . The largest landing or deck permitted without drawings or a building permit Is 36" x 36 " , Any landing or deck that is 30" or more in height from walking surface to finish grade requires a gria( dralI . Any landing or deck that has 4 or more riser­. requir-e-, a handrall . Any landing or deck larger than 36" x 36" must be permitted which requires structural drawings and a building permit application . This Inntallation Permit does NOT include ra y landing or deck larger than the 36" x 36" size . X_____ !___ 11 ) Proposed structure or portinns thereat with an projection over 30" In height from grade line, must maintain a , ' separation distance between adjacent structures and that furthest projection . X __. . ___ -- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton Washington 9 8584 12 ) Changes to approv.�(j k)(i i j i ng ij : ,.<a.t el i not, to the 19g i Zi .T s ni:a state• Energy Code, 1991 Ventilation and indoor Air Qualit Code, the Uniform Feu i {ding Code and/or Mason County Xegu I at i o Must he approved by Mason Couti y prior to constr uct i onC....._ _._ 13 ) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE CALL THIS FICE BEFORE CONSTRUCTION . j14 ) CONSTRUCTION PROCESS TO 8F FIELD CORRECTED AS REnU1 E ER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x GARY YANDO,DIRECTOR STgrFO o A u o DEPARTMENT OF COMMUNITY DEVELOPMENT ~ o T z PLANNING - SOLID WASTE - UTILITIES z� N Y Y BLDG. I * 411 N. 5T" ST. • P.O. BOX 578 of �o 1864 SHELTON, WA 98584 • (360) 427-9670 DISCLAIMER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearing Board's Order of October 2, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Ma;:aa Cou ity's actions ;cceptrmc:;. -vr:cess"ig and/or issnpunce of such permits or approvals (hereinafter"permitting actions'),which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. I12 [2 / -'I �- 2;�3oa - 7S— no ) 0 Date.^ (Parcel No. or Legal Description) Property owner' signs re(Notarized) (or the County y accept the signature of the owner's authorized agent upon proper proof of authorization) ACKNOWLEDGEMENT CEPTIFICATE (INDIVIDUAL) STATE OF COUNTY �yO-/�F �l / ^,n t'c::s�(�tdzy c` , irI tha• 7�Spbefore me Notary Public, personally appeared personally knoi to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it. WITP46SS my hand and official seal. -For County use only- Reviewed by applicant on (Date) Notary's gnatu Staff Initial: My Commission Expires: �� o n� J OCT 2 81996 NEPALSERUICES \,��,Al� <A, A-C-tf'I,.WIJ,44 k "Ik3 V\IZ 0� �.� c.�,usa ce P., -L- > c ss�0 ��oJ L�� rxoo — L4— t� � Inge i of 3 REAL ESTATE PURCHASE ANO SALE AGREEMENT 8352 ; Rev.:I.'v5 rjr,111- j THIS CONTRACT CONTROLS THE TERMS 01- %::SALE OF THE PROPERTY AND � 1 AFFECTS YOUR LEGAL RIGHTS. PLEASE 11'.'D C,4REFULL Y BEFORE SIGNING. LiSTINGNUMBER�� /�- �Jt/U.WAS GTON SwRing Broker acknowledges receipt from _�- _2�_ ! �� � C7 J 2 hereinafter celled Buyer,of the earn of-K1 f Q e V G= --- Dollars roast money 4'"e form of a check for S-5 _—_ i - k:h shnll be ❑ deposited the next banking day after race I by Selling Broker 4 held unceshed by Selling Broker until all parties have accepted this Agrsernony,::1 cash for$ _ ❑note for j,__ 5 to be paid no later than _ to be held: ❑ In Salting Brokers pools. !rust account(with 6 Interest paid to ilte Washington Housing Fund) ❑ By closing agent.If the ear.ir,st money In to he held by Selling Broker and is over$5,000.Pi shall be deposited 7 to: ❑ Selling Broker's pooled trust account ❑ A separate trust account In Sr Vag'3roker's name,with the Interest credited to bt er/seller(si.Ae one)at dosing. 8 If this sale falls to dose,whoever Is entitled to the earnest money Is entitled to l,00 Interest.Buyer and Seller ❑ AUTHORIZE DO NOT Ai,!THORIZE Selling 9 Broker to disburse funds from the eamesl money on deposit for payment of apprarsal,credit report and escrow fees,if any.E though*DO NOT AUTHORIZE' 10 to chocked,In the event the earnest money is forfeited or refunded,any pending ce►rges for appraisal,credit report and escrow fees may be paid from the earnest 11 money before the balance is dis bursed to the e o late PW Pr party.lY 12 e � -7-7 U Buyer herein agrees to purchase an oir ijreby agrees s to sell that roPeO.•for-sed In . Canty,Washingkui, 13 commonly known as c 141Yr/ g D and legalty desulbod❑as atta,:hod f ❑as follows- 14 1Z�"4A.)) L-)0 .4 31.:2- (Buyer and Seller authorize Selling Broker or Closing Agent 1D Insert or correct the legalcron over their sagre.) 15 1. PURCHASE PRICE. _ ,( )Lr e VC N - Milars 16 PAYABLE AS FOLLOWS: 17' 2. APPI ICABI.E PARAGRAPHS SHOULD BE MARKED M:OTHERWISE,PAr;4,,RAPHS SHOULD BE MARKED(N/A). Buyer represr,.h that Buyer has 18 available sufficient funds In cash to close this transaction In accordance with this,kgreernent and Is not relying on any gifts or contingent sour:;of funds or money 19 unless set forth herein. 20 3. NAALL CASH. Buyer will pay all cash,inducting the earnest money. A /� . 21 4. W LENDER FINANCING. Buyer will pay cash,Including earnest money,p u,t'nceeds of a f1 Z � _ _ loan In the 22 arnount of j which sum includes any VA funding fee.H;his clause has been checked,then Paragraph 6 below Is pair of this Agreement. 23 5. MASSUMPTION OF EXISTING MORTGAGE,DEED OF TRUST OR REL'L':aTATE CONTRACT. Buyer will pay j_ down, 24 including earnest money and assume,with ❑ release of Seller's liability l:i st Lstittition of Seller's VA eligibility, an existin 9 ❑ mortgat ❑ deed of trust 215 real eetale contract securing a ban in the approximate principle balance of _---!__ payable at S _ _ 26 per month,Induding Interest at %per annum.Monthly payma rla Include❑principal, ❑interest, ❑taxes,❑hazard Insurance,❑mortgage 27 insurance payment If a loan application is required to complete this Agreement, ion paragraph 6 below Is part of this Agreement. 28 a FINANCE CLAUSE.Buyer agrees to apply forthe above loan or won urn pbo nA,;thin '-T days(5 days H left blank)after mutual acceptanco of this Agreement 29 by both parties and agrees to provide promptly all requested Information and docur,rantstion to complete loan application.Cost of appraisal aria credit report teen 30 shall be Buyers responsibility.If Buyer has not within days(45 days'root filled In)after mutual acceptance of this Agreemenl,iy all portion,given 31 Listing Broker notice the Buyer has waived this financing condition,Seller may ale%:to terminate the Agreement by giving written notice of r i ch election to the 32 Soliing Broker.If Seller or Listing Broker does not receive written notice of waiver of th9 financing condition within days(5 lays H left blank)of 33 Sollor's notice to Selling Broker,this Agreement shag terminate and the earnest money shag be refunded to the Buyer.H Buyer has not waive, 'Chia condition and 34 in unable to obtain financing by the closing date,after making a good faith effort M obtain same,than this Agreement shall terminate and the s-onest money shall 35 be refunded to Buyer.If the lender's appraisal Is less than the purchase price,than Buyr r may elect to terminate this Agreement within three(3)days after being 36 notified of the appraised value,unless within five(5)days after receipt of Buyer's ale .an to terminate Seller agrees to reduce the price to tiwt appraised value 37 of Seller furnishes art appraisal acceptable to the lender at least equail to the purr;•,;;v price. �8 7. "'DEED OF TRUST. Buyer will pay j I down,Including earnest money,and agrees to sign,,promlasory note to 39 Seller secxired by a Deed of Trust against the property(using the forms attached hsroto)for the balance of j___ —Total monthly 40 payments shall be$ or more,at nuyees option,and shall include Interest at_ __%p,i annum computed 41 on the diminishing principal balance;❑until fully amortized or❑with the enL,. !*&ace due: _year(s)from date of closini! x❑on or before 42 19_, or Q upon subsequent s uti transfer of property by Buyer.Interest to commence at d, ,inn;Prat payment 43 due no later than days thereafter.Buyer agree!;to pay to 9atler a late charge of j— C, _ % 44 of any payment not received by Seller within calendar days of its dt, date.Buyer further agrees to pay taxes and/or hazard incur,rice as due.Buyer 45 agrees to pay for an ALTA Standard Mortgagee's Policy of Title Insurance ins urinq the Seller for the principal amount of the Deed of Trust. 46 a. MAPEAL ESTATE CONTRACT. Buyer will pay$ - down,Including earnest money,and ag ;es to sign a Real 47 !state Contract on Form LPB44 attached hereto for the balance of j._ Total monthly payments shall be 48 j____-- or more at Buyer's option,and shall include Interest at %per annum,computed on the diminishing 49 principal balance; ❑ until fully amortized, or ❑ with the entire balance due year(s) from date of dosing, or ❑ on or before 50 19 -or 0 upon subsequent ialo ar transfer of property by Buyer.Interest to commence at 6(4 Ing;firstpayment 51 due no Inter than days thereafter.Buyer agrees to pay Seger elate r.narge of j or _%of any payment 52 not received by seller within calendar days of its due date.Buyer fur'•s:er agrees to pay taxes and/or hazard Insurance as due.CAity those optional 53 clauses in the attached Form LPB44 shall apply that are required by the terms of this agreement. 54 9. A*PROPERTY SALE CONTINGENCY CLAUSE. This Agreement is contingent on the close of sale of Buyer's property located at (ad- 55 dress): — _ _ __. Buyer shall advia•% Sutler within 24 56 hears of all offers end Purchase and Sale Agreements on Buyer's property as well r Oro satisfaction,waiver w failure of any contingencies to t ny Purchase and 57 Snie Agreements.In the event this contingency is not waived by midnight, 1p ,this Agreen,nt shall terminate 58 and the balance of the earnest money shall be returned to Buyer.If this clause(a filled In,paragraph 22 on the reverse side hereof Is part,1`.this Agreement. 59 10. 6� ADoKENDAA -^AND ADD T�.I,ON'AL'P^ROVISIONS. uilC t� 11. ( ATTACHMENTS.The following attached hereto are part of this Agreement._�'--1de w)di kil oo+- __ 62 -- 63 12. TITLE, Title to the property shall be marketable at closing.Rights,reservetiora,covenants,conditions and restrictions presently of record,rn l easements and/ 64 nr^,��aectsmct;rctr^�a'c•Ii.:1,ya!',ac`.^.gtt/;.:•atu;,o;u::u:;ly;rtar`sc;r•.ewi.hD:;r�r'b�r��s=itir«,iu_:v�;4i;,e;prupa�riyslraalr,clrentldtl:ueunrnarkaie ;a.Tiitoinsuranco riy shall be provided by(company): A- 7—t E _ _ 66 13. J I&EW CONSTRUCTION. Construction to be completed by: 19 .Pursuant to Federal Trade Comr•Jssion regulations 67 (for new constriction only)the following must be filled In by Seller: 68 Wall Insulation: Type: lhickr.sa: R-Value: _ 69 Ceding Insulation: Type: Toicl,,wss: R-Value: 70 Floor Insulation: Type: Thi.*rvies: _ R-Value: 71 14- SELLER'S REPRESENTATIONS. Seller represents that:(1)The property is sorted by a ❑ public/community water system ❑ well ❑ pt'hgc sewer ❑ on- 72 site sownge disposal system none of the foregoing.Except in the case of a well am on-site sewage disposal system,the form'served by'means that a main 73 line capable of adequately se the entire property abuts or adjoins the property at sov,o point.(iF'WELL OR ON-SITE SEWAGE DISPOSAL:3YS i EM IS/ARE 74 C1 IECKED,PARAGRAPH(S)18&19 ONTHE REVERSE SIDE HEREOF IS/ARE"ART :'FTHIS AGREEMENT).Notwlthbtandinglheloregoind,HtHsAgreement 75 is for the sale of vacant land,it is the Buyer's responsibility to verify within___ :+y7 (10 days H not Tilled in)from mutual acceptance of t',t Agreement.that 76 any utilities sowing the property meet Buyer's needs. If Buyer does not give nol;ce'�fine contrary within said number of days,It shelf cond ively be deemed 77 tlrnt said utilities do m Buyer's needs;(2) ❑ There is a home owners assodriwn fee of approximately$ per_. _--_ 78 (CONTINUED ON RE SE) ) f 79 C � 60 ' INITIALS: Buyer,__ Seller _ /Y/_ r J iSerm�Nb. MASON COUNTY P r..� B DING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-967bg 0 5 4 VIr�C PLEASE PRINT �J #1 wnerR � f Phone# b to Address . E b o T{� . 'IFiire District# ity St�(1�Zip Directions to Job Site =n - �y�_ �C �. ©�1 ©LD L%\ A e Cc IL S y,n.1cS TucN �r®� cwi ems. 'i%" t�.mA'C Rs C%c A't�' -hc S nv <<�.S Ztl Q�ri Owner Mailing Address - oX 1C>0 V S' _ q& 3 g 3 st zi g aty �1v�,c�az� � p � Lien/Title Holder ello, - Address Og g t k-4 p(s� City G<<c1 r` y- St zip g 3 3 I #2 Contractor Name c Kc�k Contractor Reg # Address ~Y - `tho�C ©D``? Expiration Date City <,,- c`s,� b��- St UVcc. Zip 9'%3 g3 Phone#b C '�✓�b`V 7Z�/ #3 If septic is located on project site, include records. Connect to Septic?x Public Water Supply Well Connect to Sewer System? Name of System (if residential, proof of potable water is required) #4 ce l No,�.A 30,�- - -7 - 600 10 Legal Description a Tie. 16 f- s )rv" '12CO a CAIA r- G ee #5 Building Square Footage: (existing/proposed) 1 st FI 1:51 DO / 2nd FI / 3rd FI / Loft / Basement Deck / bedrooms / #bathiroes / Garag / ort / (Circle:Attac or Detached?) Ot er sq. ft. / #6 Use of building Describe work k& - iMp �cr S ` � ` #7 Type of Job: New_�� Alt Repair Other Add p 4* J gw" I #8 MOBILE/MANUFACTURED HOME INFOR — TIO?N *Ok od 09Model Year s Make U M r � �4r Length &Width I+ SerialNo S3g ka �- #Bedrooms # Bathrooms`Type of Heat Purchase Price $ (35CC> l.F,r #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan ' totBimErtsro`ns -FlexFzrrnes f ing ructufes -Fences, s =-Drive )rs �Jater-tirre5 _Sl�eFelir�es-. ge an- TT6pTgraphy -SepliG -- Os - 4Fraposed rmpravements _E&w=eats__ e of Flanking Street Indicate Directional by (N, S, E, W) Name-afronting Street in relation to plot plan APPLICANT T DRAW SITE PLAN BELOW lion -� — '�aoposo DRY«• � z S it N, ibc►s^n r�,. C R e, O �5�� \fit Eke T� CsF-V vo—vk- APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units Fees Showers _ Furn BTU Hot Water Htr Heatpumps _Laundry Washer _ Vent Systems Sinks _ Spot Vent Fans Floor Drains No. Boilers/Compressors _Laundry Basins HP Dishwasher No. Air Handling Units _Disposal _ _ cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREW TH. O CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OB INNING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDIN E R Etv DEPARTMENT. X OWNE X BY DATE 1 C� DATE F [GIAL I OI { ? V Acceptediy; Date: DEPARTMENTAL REVIEW , FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: G('(9-97 —a d d Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee t-t_ Otheri(� Other �5-N t1, /-/J-`TH �� , D Building Valuation: TOTAL FEE