The URL can be used to link to this page

Home My WebLink AboutBLD2017-01173 MFG Home - BLD Application - 12/1/2017 SERVICES • COUNTY COMMUNITY Permit No: c°Uh'> MASON PERMITASSISTANCECEicHEA•Fax:( ) RECEIVED .BUILDING•pLANNING•PUBLIC HEALTH•FIRE MARS98584 HAL 615 W.Alder Street,Shelton,WA360 427-7798 phone phone F Shelton:(360)427-9670 ext.352 8elfair.(360)275-4467•phone Elma:(360)482-5269 DEC O 2017 I854 BUILDING PERMIT APPLICATION r Street - CONTRACTOR INFORMATION: PROPERTY OWNER INFORMATION: rJro.Po t�ls d }•'jr L1 V � NAME: lA7 1 G[V1[V �ti� d�`� Y�r-�T MAILING ADDRESS STATE:i>tc Pr ZIP•— 4 z F.. NA G_ADD SS:�C'Qt> "'T CITY: 'c+.►u I. MA ZIP e' CELL: CITY: �7T r 1 STATE:tQD PHONE: ' PHONE#I:_— �e- EMA� EXP. ^7 PHONE#2: L&I REG# EMAIL: CONTRACTOR❑ OTHER❑ OWNE PRIMARY CONTACT• GG EMAIL STATE ZIP-- NAME CITY MAILING ADDRESS CELL f PHONE PAR CELINFORMATION: gBSZ—Oeo ZQ ZONING NUMBER(12 Digit Number) 1 l �. Lt �� FIRE DISTRICT PARCEL NUM CITY r LEGAL DESCRIPTION (Abbreviated) SITE ADDRESS /br IS • D CTIO S TO SI E A RESS f . V I— b 1 GREATER THAN 14%: YESQ NO IS THE PROJECT WITHIN 300 FT OF SLOPES) Check all that apply): OFF STREAM❑ POND❑ WETLAND❑ SEASONAL RUN ❑ IS PROPERTY WITH E200 RIVExICREEK WING. ( OTHER ❑ SALTWATER❑ ALTERATION❑ REPAIR❑ WORK: NEW ADDITION❑ -- TYPE OF d USE OF STRUCTURE(Re idence,Garage,Commercial Bldg,Etc.) NUMBER OF BATHROOMS SEASONAL❑ NUMBER OF BEDROOMS_�� IS USE: PRIMARY S(WholeBldgl� YES(pan(s)oj8/dg)❑ NO HEATED STRUCTURE?°Y (Whole ti Z'f J DESCRIBE WORK S UARE FOOTAGE:(propose+existing) sq. ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. I ST FLOOR_sq•ft. 2ND FLOOR sq.ft. OTHER sq•ft. sq.ft. COVERED DECKS—sq ft STORAGE — ft. Attached❑ Detached❑ DECK Detached❑ CARPORT_ �� UIRED* GARAGE—sq-ft. Attached❑ *4 COPIES OF THE FLOOR PLAN REQ MANUFACTURED HOME INFORMATION: � YEAR ;r ,) , LENGTH�— MAKE !� _ MODEL 2 �SERIAL�NUMBBEER�—�4 � BATHS WIDTH��BEDROOMSy� ENVIRONMENTAL HEALTH: 1 NEW/`-' EXISTING❑ SEPTIC SEWER❑ -- SEWAG�SEWER SOURCE: NO❑ 7fyes,attach completed Water Adequacy Form PLUMBING IN STRUCTURE? YES YES[] N EXISTING SQ.FT• PERIMETER/FOUNDATION DRAIN PROPOSED? TOTAL BEDROOMS_ PROPOSED BEDROOMS� errant of such is by EXISTING BEDROOMS_ — work order or permit revocation.Acknowledg I have easement holder or parties of interest regarding this project. The owner or legal OWNER acknowledges that submission of inaxurate information may result in ti stop signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the workas proposed obtained permission from all the necessary parties,!including any e resentative,rep rmiUappliration becomes null&void if work or authorized constructimmenced within 160 rty on is not co r resents that the info o atiTh15 r�dad is accurate and grants employees of Mason County access to the above described props end structures)for review and inspended for a period of 180 days. INACTIVITY OF THIS days or'rf consWction work is suspe MASON PROOF OF CONTINUATIO WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. PERMIT APPLICAT N 180 DAYS OF M OUN7Y CODE 114.08 42)E AppLICAJTIO`N�TO�BE �EXPIRED-( X st be si red b the OWNER) PATE TAGSINOTES/CONDITIONS i a ure f R DATE DENIED L R IEW APPROVED DEPAR BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH SERVICES • ` ' COUNTY COMMUNITY permit No:�� 4 Go MASON ryrA .. PERMIT ASSISTANCE CENTER: RECEIVED .BUILDING•PLANNING•PUBUC HEALT WAF185 4 ARSHAL 615 W.Alder Street,Shelton, 427 7798 Phone phone Shelton:�360)275-4467-Phone EO (360)482-5269 DEC 0 i 20+7 ssa�c� IR;4 �•L BUILDING PERMIT APPLICATION der Street CONTRACTOR INFORMATION: 05W. �e P INFORMATION: .� o PROPERTY OWNER NAME: rJF'v � D— i40 i i NAME: I"1 MAILING ADDRESS STATE: ZIP. Q� C �� MAILING ADD SS: ZIP: CITY: "zt'►cG—�c't STATE: Qe/ 6" CELL: CITY: 1 ti PHONE: alp `�'7 EMAIL.: EXP./�— PHONE#L: '� L&I REG# PHONE#2: � � EMAII CONTRACTOR❑ OTHER❑ OWNER,/ EMAIL PRIMARY CONTACT' STATE ZIP�— NAME '` CITY MAILING ADDRESS CELL PHONE PAR CELINFORMATION: �© Z�O� �© zONING I FIRE DISTRICT PARCEL NUMBER(12 Digit g Number) 1 - 0+ Z D LEGAL DESCRIPTION(Abbreviated) F CITY r -5'a l•R f5 C� .� � Cr - ,� SITE ADDRESS D CTIO S TO SI E A RESS 1 >V Ir d 1 e ATER THAN 14%: NO IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GRE ES[]. IS PROPERTY WITHIN 200 FOETC EK 0 POND❑heWE[LANDY❑ pl SEASONAL RUNOFF❑ STREAM❑ RE SALTWATER❑ LAKE❑ REPAIR❑ OTHER ❑ N�y�ADDITION❑ [IALTERATION TYPE OF WORK: Re-5 1deA USE OF STRUCTURE(Re idence,Garage,CommerciaNUMBER OF BEDROOMS NUMBER OF BATHROOMS ' SEASONAL❑ NO❑ ` IS USE: PRIMARY S!k'1i HEATED STRUCTURE (Whole YES(Parr[s]OfBldg)❑ r ? DESCRIBE WORK STRUCTURE? se+existing) BASEMENT sq.ft. S UARE FOOTAGE:(propo 3RD FLOOR sq•ft. 1ST FLOOR sq.ft. 2ND FLOOR sq.R. sq.ft. OTHER_ sq.ft. sq.ft. STORAGE/—sq ft. Attached❑ Detached❑ DECK_ sq.ft. COVERED DECK— CARPORT_ sq,ft. Attached❑ Detached❑ * GARp,GE_� *q COPIES OF THE FLOOR PLAN REQUIRED MANUFACTURED HOME INFORMATION: YEAR LENGTH (� MODEL 2�LI MAKE — BATHS—SERIAL NUMBER WIDTH� BEDROOMS ENVIRONMENTAL HEALTH' / NEW/ EXISTING❑ SEPTIC SEWER❑ _J SEWAGE/SEWER SOURCE: [ryes,attach completed Water Adequacy Fo NO❑ PLUMBING IN STRUCTURE? YES YES❑ N9K EXISTING SQ.FT. PERIMETER/FOLIN DATION DRAIN PROPOSED? TOTAL BEDROOMS 7— PROPOSED BEDROOMS EXISTING BEDROOMS — revocation. Proposed.I have r or parties of interest regarding this project. The owner or legal vmer and I further declare that I am entitled to reces o this permit and to do the e above deribed property OWNER acknowledges that submission ofinaccurate information may result in a stop work order or permit Acknowledgement of such is Y signature below.I declare that I am the arties,including any easement h access obtained permission from all the necessary p lication bewmes null&void if work or authorized construction is not commenced within 18 repdr structures)foreev'ew and nspectionatiThis permiUapp ccurate and grants employees of Mason County S OF INSPECTION. an days or if construction work is suspended for a period of 180 days. OOF OF CONTINUATIO WORK OF MORE WILL CAUSEnTHE INACTIVITY APPLICATION TO BE EXPIRED.(MASON PR 780 DAYS `� PERMIT APPLICAT N COUNTY CODE 14.08.42) /� ! — Date X I a ure f R/ St be si ned b the OWNER) TAGS/NOTES/CONDITIONS L R IEW APPROVED DATE DENIED DATE DEPAR BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH :: ■ JENNE 1001010EMO 1 MOWN ■®E ■■ ■ ■■■■ _ . ..i ri ■ fie. : ,�■ — ■■ sir ism Nip NONE .��.■OFAMM■■■■ �■N■ 111111111111 ►�■■■■■ ��v�11■1/NNN■■■ -I■ Is ■ OMEN ■. ■1 OMEN I MO on ON 0 M. .o �.;c+;PAN NNE■ ■EN■M■ NNEE ■ ■ ,, ■o;�!■■ /■■■■■■ HE ■ t� MWAME VEEINNMEMM No IN0 I ram. �� ■��.r? ► I■ir�■NW■ ■ ■m MEMO E■N■ A 11 �,, ■I■ ■■■■■i■■ ■WEE■ ■EN r !� c ■IM■ ■■■■ri■■■■M■■� N■ ■ ■ . I ,+ ll ■ ■ ■/1■ ■■■ M■ E ■ I _ I I Wee ■ ■ ■1® � ■■■ ■ M■■i■■Erg .�. �!■ MEMO EEM ■ ENEM■■■ ► ■`►, N■■■ ■■■ ■■■■■■■■ ■� �■■■►:l ■01 ■■■■■■■■■ • ' 5 s • .- r Amft www.f ieetwoadhomes.com rf 110 1 • • • *ANNING • 5 W. Alder Street rT ■■ ■CurCrr�i■� ■■r■■�■n ■■• nw "MR WON ■o! ■ ■ u r •i3•u I r • ! tad ■■ ■■ ■■ i - I �' i�� • • :f:. j�C• /�! �,. r■ lur�■air�i �i �CiCZi=C�� C��i ■■ _��•�i =i� ii ■■ �n� liii� #� �■yaM■�=i �rrlrr•r� ■■�• i�► .•el+ ■■■r►.�.r=r.r rrw •ru�ir +r� ■■■M �■■I�■■ lrr. r + OPt OLAMOUR OATH ,. MAOMROEDROOM LIVIXG Room DEVROOM XRMER MODEL 28483S ► 1 Not, lk Bedroom 2 Bath - 1,279 Square Feet ' MANUFACTURERr ©2017 FLEETWOOD HOMES ING ALL RIGHTS RESERVknow that our brochures and literature are for illustrative purposes only. ED °FAT/"E/vJE�jAR Important:Because we continually update and modify our products,It is important for you to ILLUSTRATIONSSHOW OPTIONAL FEATURES.All Information contained herein may vary from the actual home .,- t we build'Dimensions are nominal length and width measurements are from exterior wall to exterior wall.We reserve make changes w colors, Please check with your retailer , � specific information about the home you select. EG/2t6!FF617 iCr ;,, THESE PLANS MUST BE sdsvr�fr9www.tleetwoodhomes.coml S t t'.•y�li�� ,��3 ii�llt a[t" iri tlial"!"!�!:R11!"F' �, ...�'.t� i � ,1 �lt'�f '. at .�t .:?y,i�` � �'• ��p�,t�: I: r r t•� uM t nl 1 w, '' ; yJ' t r Ii �: ... ... x,d' .�`�z,. �., v�� ., 4✓�F � .;.q3,"rye f.1�3 S. �f' y, � y�, �l�Vl�li� ,F�" t tAy �r��''Vr�'a :�43'±`,•n ��4a...i i ,£i..!r. ,�i. ��'cnr.r�a};...,.:ti4+�1!Q. t:�•:SFEI 4*ii�''� '7.fi..Fr°�!N+Ss.�l:. ;��""'t�4��..„ .:.,.J„ .I,J;k<.�t�� -. DECEIVED F,; rn,s�'r n11 ,_1 ALL CURRENT ' DEC 0 12017 r C a �i' �.�.J1 G E V�.lASHING[ON ;ATE CC?DC5 `� ��,� U �� ;1121MIT LHi�'`:1.5 FOR ArrPRO V,•: OPr,KtrCHENIXAND wr42wiGHs4R 615 W. Alder Street L --1 -- _ '-wow w_r- MASTERg1jo OnMAND 0 T o g OPT.GLAMOUR BATH � co z v C ' W {_ s u { 4 -� MASTER BEDROOM LIVING ROOM BEDROOM#2 l i V V o v 148"X1rJ'-0" , ` 21'-1"X1d=0' 11'4'X13=0" I� c N Nd 0 z O W E 1 .7 / DORA/ER W 8 a) MODEL 28483S W W � ~ _ ' � ('3 3► Bedroom - 2 Bath - 1,279 Square Feet E E 0- rJ r�r t Important;Because we continually update and modify our products,It Is important for you to r r t - t know that our brochurea and literature are for illustrative purposes only.,ILLUSTRATIONS MAY c SHOW OPTIONAL FEATURES.All Information contained herein may vary from the actual home:' we build.Dimensions are nominal length and width measurements are from exterior wall to exterior ' wall,We reserve the right to make changes at any lime,without notice or obligation,in prices'' catom,materials,specifications,features and models.Please check with your retailer for specific informatlon about the home you select. 0 i� 'l�Ct.J��'V��`'h � �✓lCi. l� 404 0.00 0 o FILE COPY REVIEWED FOR CODE COMPLIANCE MASON COUNTY BUILDING DEPARTMENT Ji 12 -zZ Date THESE P1_A'1,JS) MUST BE ON THE SITE Documents attached to approved plans: FOR INSPECTION, Site Plan S Plan review checkljst,� Pages Engineering: Y (NJ Lateral vertical T—c , Number f na.Res - Jiro:-i: vim: ;iJtt if`tl L C-ODES mmom .■■r■.■ INNIS. ■■ ■ ■■ s .- /l■■■mom M Mom 0 ■■■ ■■ ■ ■■ i m■■ � �;�,1� ■ ■■■■■ ■ ■■ ■ rl■■■■■■ MEMEN ION No 00 1 ■ ON ■ ■1/■ ■■■ommommommoom ■ room r9 ; I � n�■ ■■ ■iommommomo mom L gay. - ■ ■ ri ■■■■■■■mar, N ■ ■ ;�� i � ■i ■ ^ fir ,, � ■m ■■ on lb.�vssrfl ■■r�■ a ■a� _■r,. ■�■.r .. ■_■■E_ ■■■■■■■11FA ON ■ • (I ' i l �✓ •'f _ 1 ■ ■ ■O■ ■■■■ �f, l!■ M■■■■■ ■ ■ ■ ■ ■ . /1 Nori FA 0 ■ ■■ ■ ■ ■ ■■ ■�i ■ h ■s[ :?"TT ] it ■ ■■ ■ ME ■ r ■■■ ■ M■M■M - I II■��, ■�■■ MOOR■■ ■■■ to W ■INIMM ■■■ 1■■No No ■ ■■■ ill FAISIM ■ .,/■ - ,-_... _ .■/I MOON ■ ■ `r■■ _ SIR ■■ M■ ■ ■ :■f►,■`�'1■■■ MOM■ ■ ■■ ■ ■■►:l ■\■ ■■■■■■ _ . •. • . . • of . - . MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owners Name: Date: w'a-1- 1: Project description: Documents: RECEIVED F� k J � DEC 012017 VIE uilding Permit Application Completed. k � �::•� � t��-� i � � ` ical/Plumbing Application Completed. 615 W. Alder Street tanning Intake Checklist Completed. Site plan includes: Allowable building area, roof overhangs, decks, etc. _ -Apparatus &Access Road info required? Yes / No Stormwater Checklist Completed. _ Energy Code Application Form - O Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type ) \\ O Ductless Heat Pump *'Other-. Specify: YYIIY✓1 ConstrListion Plans: _3 is ( 2 full size sets w/engineered calculations & 1 reduced sized set 11 X1 7 min.(no calculation needed ) _Plan egible _Recognized Scale _ Elevation Views _Cross Section _Founda Plan _Roof Framing Plan _ Floor Plan -Use of rooms labeled (all floors) _Floor Frami Plan -all floor levels including loft, crawlspace, etc. _Deck Framing n including covered porch, carports Plan Details: _Roof framing details, truss la out may be needed (Hip and girder location shown) _Wall Framing - Does bearing-w height exceed 10'? (Engineering may be required) _Floor framing: Floor joists (size &s sing): Floor beams. _Window headers. Typical header. Garage header: _ Foundation: footing size, reinforcement _Concrete Walls - Does Concrete Wall Height ceed 8'? (Engineering may be required, see details) _Landings at all exits? Less than 30' above grade. Y/N (must be shown on site plan) _Water Heater: Location: Type: _Heated By Furnace- Location of Furnace Fuel type: _Fireplace/Stove Information Shown - Fuel Type? Location(s): _Window Sizes Marked on Plans. _Braced wall panels (shear walls) MUST be marked/indicated on p s. _Engineered Yes / No Snow load: Seismic: D2 Design e: Are plans stamped Manufactured Homes: _14 Floor Plans (rooms &areas must be labeled) Fou e: ANSI/Manufacture ethod�_Engineered footing/foundation Basement Decks": mi landings required at each entrance (must be shown on site/plot plan) � *Covered decks and/or any decks greater than a 4'x4' (that exceed 30' from grade) requires a permit and construction plans. COMMENTS: Intake review(initials). Date:/ H.\perit tech building checldist2015.doc Revised 8.5.2016 `/ If any of the items fisted below are either indicated or missing within the construction documents; the plans must be engineered or returned to the applicant for resolution. ENGINEERING REQUIRED.- Braced wall panels/brace wall lines are not marked on plans (R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: D2, Snow psf. IRREGULAR BUI LDINGS R301.2.2.2.5 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: 1) Exterior shear wall or braced wall line are not in one plane vertically from the foundation to the uppermost story in which they are required. See exceptions. 2) Roof or floor is not laterally supported by shear walls or brace walls lines on all edges. 3) Portion of roof or floor extend more than 6 ft. beyond the braced wall fine. 4) End of BWP extends more than 1 ft. over an opening more than 8 ft in width below. 5) Opening in a floor or roof exceed the lesser of 12 ft. or 50% of the least floor or roof dimension. 6) Portions of floor level are offset vertically 7) Shear wall lines do not occur in two perpendicular directions. 8) If a story above grade includes masonry or concrete construction*When this applies the entire story shall be designed. In accordance with accepted engineering practice. *(exception: fireplaces, chimneys, and veneer as permitted by the code). ***Applicant must take plans to a design professional to address items indicated above*** Notes/Comments for design professional: H:\p,--T=t tech building checklist2015.doc ReNised 8.5.2016 Name Parcel# JQO Ll S-Z BLD#,�Q 1-7 B �.# Mason County DEC 012017 Department of Community Development Small Parcel Stormwater Management Application/Worksheet (pidb"Mer Street Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area All dimensions in feet Buildings X _ X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X C = Driveways X z J = a X = Length of drive begins at the right of way X = —Parking Areas X X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area(sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I further acknowledge tha theiq&rmation provided is accurate and employees of Mason County are granted access to the above- described r rty for r i and inspection as may be required. / X Owner/Agent/Contractor(circle one)Date: i If the T t urface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 'MASON COUNTY P N INTAKE CHECKLIST RECEIVED Planner Assigned: Grace (GBM) Kell (KJM) Ron (REB) DEC 0 t 20V Rev.1010912017 Owners Name• :�_ Date Recv'd: ( 0-fol�Vy-�Ider Street Project: n p-vJ m F6 tl6 w _ Permit#:-E)l cl 26 1-7 - O 1 1^f 3 Commercial Project?: es no Site Plan• PLmNN ,z 'North Arrow ,f!' Property Dimensions: -15 I a0 x oZ 144O Irregular Shape ? yes no ,,Streets and Driveways shown _ ,,a' Road Frontage Name: � l(C.E - /4 L )n L R K t✓ o�. ,.a'All Existing Structures Shown with setbacks and use. Identified Surface Water (streams,ponds, lake, shoreline,wetlands,natural/historic drainage,defined drainage) ,,e Topography (slopes) ❑ yes �(no If yes, is there a GEO case? ,,xMinimum Structure Setbacks (direction/setback): F: / _ R: E' / S 1 n / -7,5_ S2 6 / 00 Utility and Drainage Easements: es no (if yes enter condition #5022) 1� Other Easements XAccessory Appurtenances: Pro e tank Heat ump rn F� r f v(n ' Does site plan show landings at all exits ? Variance applied for: yes n Parking spaces allotted: ges no County Access Permit Needed (add condition 40010)�'S I n �State Access Permit needed (add condition 40020) ❑ Standard Planning conditions: (#50 and#700) Are there any impediments (dog gates) at may restrict access to your site? es no ❑If yes, do we need appointme -&W n L 4-ica- ��te �s site clearly marked? Name Address (❑ Will be posted when address assigned) Other: L21 Max, Am, ZONING. UGA'S ALLYN/BELFAIR/SHELTON Rural LAND DESIGNATIONS GC PF R-1 R-1P RC 1 AGRICULTURAL POS FR R-2 R-1R RC 2 5 LTCFL BI GC-CI R-3 RI RC 3 10 IN-HOLDING HC LTA R-5 RT RMF RR 20 TRIBAL T MU R-10 RT/RTC RNR MHP BP VC RAC NR Critical Areas: (lakes, streZN onds, shoreline, wetlands&steep slopes) Shoreline Env. Designation: /A ❑ Commercial ❑ Residential ❑ Rural ❑ Conservancy ❑Natural Water Body: SEPA: yes (no) unknown Flood Plain: yes no own FEMA mgp zone: SEP Aquifer Recharge: yes(f np) unknown Map# Tads/Cases: RLC/SPI: 6-year Reforestation: yes no DDR/GRD: Eagle Nest Tag: yes GEO/SHX: Other Parcel Tags?: yes no Other Cases or notes: nuu Engineering Certification Report 50 SE iris place Shelton, WA Prepared for: Vitruvian Design z t j gym; -y z — "'3' � ��,.�fiwf:.,4w �'�'�"s '�-M--.�""" ..�'""� .+^' �'C�l��`��"e�rsx• i-� � th. -� IR.� �";' i<*�'z' > '.�C .M'xs.L'�". wo• ''i: 0 ,=s,.'..arac S e 35 -r�•'� � `•��'WN � _ rY� '�,+�'',c� � 4nr �3.��?� �r��" � .��"' y� tt �=' P'*,y�'�"�,",s Y,�„y"^�.;•. ,a,.T' a, IMEOV ` ♦ `� .,.y,.., s.. . .. .. '�.� L"•. ._ra`°,.�.. �.�� 'isj,. �.su.,�..'t";,�-' "�...,.>, .,t' -„e. '�.x_ -. iT�a�:.'�'9'�+ Registered Field Technician Engineer Capital City Inspections Patrick Conroy (360)584-8152 616-822-9070 capitalcityinspector@gmail.com WA License#34380 I CIUM VI LrUlILUI ll, Table of Contents 2 General 3 Client & Site Information 3 Climatic Conditions 3 Building Characteristics 4 Structural 7 Structure - Foundation 7 Terms and Conditions 10 General Client & Site Information 1.1 Inspection Date January 2, 2025 09:00 AM 1.2 Client Vitruvian Design 1.3 Inspection Site 50 SE iris place Shelton, WA, 98485 1.4 Address Image 1.5 Vacancy Vacant Climatic Conditions 1.6 Weather Mostly Cloudy and Light Rain 1.7 Soil Conditions N/A 1.8 Outside Temperature 420 Building Characteristics 1.9 Elevation Pictures r<p o 1V 1.10 Date of Manufacture 01/06/2017 1.11 Building Type Double-wide 1.12 Rough Exterior Dimensions 27' x50' 1.13 HUD Label 1 1.14 HUD Label 2 l.la Udld Olivet R 9iC;t ORE SM ORE Sj3E"54 F LE21pOR15-tJ5-.:r, iF 1.16 Foundation Type Crawlspace 1.17 Foundation Type Images :z„ y. Y 1.18 Interior Support Structure Concrete Masonry Units 1.19 Piers Rest On Concrete Footing or pad I.cu VVIIVU s Wheels and axles are Removed 1.21 Tongues Removed from Frame Structural Structure - Foundation 2.1 Exterior Grading Reasonable grading around the home. 2.2 Exterior Grading Images F P •'. �� i tee;U :1�, e. 2.3 Skirting Plywood 2.4 Anchor Method Proprietary Restraint System (Front right and Back right) and There was 2 lateral restraint systems in each opposite corner of the crawl space �-P_... _�911LXLImmyu� ^ :x �� . > . . ® .<>. HUD Engineering Certification Report Summary Date:January 3, 2025 Client:Vitruvian Design RE: 50 SE iris place Shelton, WA 98485 rma' undatio As requested, we have evaluated the site conditions and foundation of the existing manufactured home for conformance with the Permanent Foundation Guide for Manufactured Housing;September, 1996. The purpose of this evaluation is for the resale, purchase, financing, or refinancing of the home. Our investigation and evaluation has been based on a visual review of the readily accessible areas of the foundation and overall surrounding site. The scope of the inspection included the foundation of the house. On January 2, 2025 09:00 AM,we made a site visit to evaluate the site drainage conditions and house foundation. We observed that the manufactured structural frame of this Double-wide house is supported permanently to a foundation in the crawlspace. We observed that horizontal and vertical uplift restraint had been provided at various locations. The manufactured frame had been fastened to the foundation adequately. The overall integrity of the foundation was in good condition. Based on the information observed, we are of the opinion that the house foundation has been constructed in accordance with HUD/FHA Guidelines- Permanent Foundation Guide for Manufactured Housing HUD-4930.3G; September, 1996. The foundation meets HUD guidelines for manufactured housing dated Sept 1996. The HUD PFGMH is a minimum standard for tie-down systems required to meet federally-backed loan requirements. Even with tiedown systems that meet the most stringent standards, mobile and manufactured homes are considered unsafe structures in violent or extreme weather such as, but not limited to, severe thunderstorms, floods, derechos, tornados and hurricanes. 1 st Permanent Location No visible on-site evidence was noted or observed which would indicate that the Manufactured home was moved from another"permanent' location. If you have any questions or need clarification regarding this report, please contact Jeremy Nelms of Capital City Inspections at(360)584-8152 or email capitalcityinspector@gmail.com.Thank you. Sincerely, VX1C_K C O,V s' Patrick Conroy 616-822-9070 ;� " 3asn WA License#34380 �o, h isrE � 4 Capital City Inspections (360) 584-8152 capitalcityinspector@gmail.com Terms and Conditions This Report is expressly made subject to the following terms and conditions to which all persons that receive and rely thereon agree: 1. Said Report is given with the skill and care ordinarily used by members of the engineering profession practicing under similar conditions at the same time and in the same locality and applies only to facts that are within Engineer's knowledge or could reasonably have been ascertained by ENGINEER. 2. Said Report reflects and is an expression of the professional judgment of ENGINEER. 3. Said Report is given as to the best of Engineer's knowledge, information, and belief as of the date hereof. 4. Said Report is based entirely on and expressly limited by the scope of services ENGINEER has been employed by Client to perform. 5. To the fullest extent permitted by law, Client and Engineer (1) waive against each other, and the other's employees, officers, directors, agents, insurers, partners, and consultants, any and all claims for or entitlement to special, incidental, indirect, or consequential damages arising out of, resulting from, or in any way related to this report, and (2) agree that Engineer's total liability to Client shall be limited to the total amount of compensation received by Engineer. 6. This Report was produced and provided for the Client by the ENGINEER or his assistant trained in these inspections working directly under the supervision of the ENGINEER. 7.The parties acknowledge that Engineer's scope of services does not include any services related to a Hazardous Environmental Condition (the presence of asbestos, PCBs, petroleum, hazardous substances or waste, and radioactive materials). 8. This inspection is only for compliance with HUD Guidelines and does not include or address local or state guidelines, other building codes or jurisdiction requirements.