HomeMy WebLinkAboutBLD2022-00299 Site Visit with L & I - BLD Permit / Conditions - 7/29/2022r
INSPECTION SLIP
Applicant: 5XNOW LLC Permit#: BLD2022-00299
Primary: 5XNOW LLC Type: BUILDING PRE-INSPECTION
Site Address: 20 NE Pond Ct Belfair
Inspection Type: GENERAL INSPECTION Directions:
Inspection Date: 04/15/2022
Notes: Per Josh.11 am.
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Washington State Department of Agency Requested FAS Inspection
Labor & Industries Application
Factory Assembled Structures
PO Box 44430
Olympia WA 98504-4430
www.Lni.wa.gov/FAS
Requesting Agency Information
Agency Making the Request:
Mason County Building Department
Contact Name: Phone Number:
Josh Luck 360-427-9670 ext 726
Email Address: Contractor Registration Number:
JLuck@masoncountywa.gov
Mailing Address: City: State: Zip Code:
615 W Alder Street Shelton WA 98584
Property Owner Information:
Name(Last Name, First Name):
5XNOW LLC Dan Wick
Phone Number: Email Address:
(206) 900-2626 dan@hvhinc.com
Mailing Address: Unit/Space#: City: State: Zip Code:
15217 103rd Ave NE Bothell WA 98011
Inspection Site Address (if different): Unit/Space#: City: State: Zip Code:
20 NE Pond Ct Belfair WA 98528
Write a description of the problems observed:
This unit was permited with an after the fact permit in 2008. The placement of a 1981 Glen River 68' X 27'
(serial number C!588XY netverified) was permitted. However-, the peffflit in -e not eemplete a-ad
the permit expired.The new owner supplied pictures, it appears the unit is in disrepair, has not had any water,
sewer or electricity while eing occupied. In review of the photos of before and now we question the state of the
unit and 44a viabilty or repairs under 1—ahAr and Industries guideline. for repai-r-th-Tes-hold—
Driving directions to the site from the nearest main street, highway, or intersection:
State Route 3 to Belfair turn onto Old Belfair Hwy turn left onto NE Bear Creek Dewatto Rd, take left onto
Blacksmith Dr, follow to left on Pond Ct
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Sign eVe JTitle Date
F622-090-000 Agency Requested FAS Inspection Application 02-2017
Washington State Department of Agency Requested FAS Inspection
Labor & Industries Application
Factory Assembled Structures
PO Box 44430
Olympia WA 98504-4430
www.Lni.wa.gov/FAS
Agency requested inspections may be requested by government entities including but not limited to
local building departments and enforcement agencies, fire marshals, the L&I electrical programs, and
city, county, and state agencies.
Our role in the inspection process is to provide technical expertise regarding the structure we regulate.
The statutes we are governed by do not allow us to address someone allowing a structure or vehicle
to deteriorate. We can only address alterations or repairs.
Step 1: Submit your request.
• Complete the form on the next page.
• There is no charge for the Agency Requested Inspection.
Step 2: Arrange an inspection.
• After receiving your request, an L&I Technical Specialist or supervisor will contact you to
arrange an inspection.
• The local enforcement agency must accompany our inspector to the inspection site. Typically,
we do not have the right of entry but the local jurisdiction will.
Step 3: Perform the inspection.
• The local enforcement agency and our inspector(s) will perform the inspection.
• During inspection, our inspector will provide technical expertise.
• The local enforcement agency will take the lead on the inspection.
Step 4: Document the inspection results.
• After the inspection, we will provide the local enforcement agency with a report of our findings.
• The local enforcement agency should provide the owner with a copy of the report.
F622-090-000 Agency Requested FAS Inspection Application 02-2017