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BLD2026-00300 MFG Home - BLD Inspections - 4/27/2026
Department of Community Development 0MASON COUNTY 615 W.Alder St.Bldg 8,Shelton,WA 98584 COMMUNITY DEVELOPMENT 360-427-9670 ext.352 Permit Assistance Center,Budding,Planning www.MasonCountyWA.gov INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit https://masoncountywa.gov/departments/community_developmenVbuilding/inspections/index.php Permit Number BLD2026-00300 Date Issued 04/02/2026 Issued By Project TO CONFIRM TIE DOWNS Site Address 160 E BARNSBY PL Applicant BLUE-BUTLER ELIZABETH L Contractor Contractor Phone 2021 Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type Permit Type MANUFACTURED HOME Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. **THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED." PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setbacks Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building dl SS -2-7 -26 -.(3 Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other �t l fc - lac nti� 0 LU3j tC. MASON COUNTY INSPECTION RESULTS Pagel Department of Community Development COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584 Permit Assistance Center,Building,Planning (360) 427-9670 ext. 352 BLUE-BUTLER ELIZABETH Application # BLD2026-00300 Application Type MANUFACTURED HOME Owner L Parcel # 321275300017 Site Address 160 E BARNSBY PL SHELTON, WA 98584 Inspector Inspection Type Date Status Comments 4-3-26-JQ X. The main 14" HVAC cross over duct has holes in it from rodents please repair the ►T ��S holes air is blowing into the crawl space. the duct is to be suspended 3" above grade —�lnUi y(2_7'Z 0please correct. �� 0 11/► t s ��" /The dryer duct is not installed; parts are in crawlspace access please install. Py4 ,X Repair all holes in underbelly fabric where insulation is missing and the fabric is Joshua BLD-FINAL INSPECTION 04/03/2026 TEMP-OCC ripped Quarders ,4 Remove all Extension cords from under house ,6 Freshwater supply line is not insulated and shall be insulated under house please insulate entire length. X.Down spout at the front entry is missing please install. Call for reinspection when corrections have been addressed Mason County Mason County - Division of Community Development 615 W. Alder St. �N C Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BLO2026-00300 MANUFACTURED HOME PROJECT DESCRIPTION: TO CONFIRM TIE DOWNS ISSUED: 04/02/2026 SITE ADDRESS: 160 E BARNSBY PL SHELTON EXPIRES: 09/29/2026 PARCEL: 321275300017 APPLICANT: BLUE-BUTLER ELIZABETH L OWNER: BLUE-BUTLER ELIZABETH L 311 EWOODLN 311 EWOODLN SHELTON,WA 98584 SHELTON, WA 98584 FEES: Paid Due Building Re-inspect Fee $97.00 $0.00 Totals : $97.00 $0.00 REQUIRED INSPECTIONS BLD-Final Inspection CONDITIONS * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * Disclaimer: Mason County does not require a survey to obtain a building permit.As a result, site plans may not reflect accurate data. It is the applicant's responsibility to comply with setback requirements. * The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth, minimum 12 inches, shall be observed below grade in undisturbed soils. Printed by:Anna Schaffran on:04/02/2026 02:54 PM Page 1 of 4 Mason County Mason County - Division of Community Development 615 W. Alder St. NC Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov MANUFACTURED HOME BLD2026-00300 * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the farthest projection of the structure. Front setbacks are measured from the front lot line or road easement boundary, whichever is closer. .. ------- * CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. * The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M. Support configuration shall be clearly marked in the installation instructions. * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. ------. ------------- .-----•---.....------------------.................... * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. * 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION UNLESS OTHERWISE APPROVED. -------------------------------------------------------------------- ...-------- ..._..-- * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. ...................................................................................... ...............•-. * Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance contact the Mason County Public Works Department prior to construction at Ext 450 -- - - -- - - - --------- - ------------- -- ----- . . - - - - - * If you are installing a manufactured structure and no longer have the installation manual,you must use the instructions of the most current 24 CFR. Printed by:Anna Schaffran on:04/02/2026 02:54 PM Page 2 of 4 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov MANUFACTURED HOME BLD2026-00300 " Any retailer, manufacturer or contractor who installs a manufactured structure warrants that the manufactured structure is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured structure installers and shall be present to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer certification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three feet of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed or installed. Certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant one or more extension of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicate that circumstances beyond the control of the permit holder prevented action from being taken. This permit is for the placement and installation of the manufactured home only and does not imply approval or review for any other items indicated on the plot plan. * When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. For more information contact Public Works, at (360)427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled and approved. * All other necessary permits from Mason County, Washington State, Federal Agencies, and/or other agencies/groups that are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND CONSTRUCTION. ---------- ................... ............ Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Code 14.28 and 14.17. All changes to"approved"building plans that effect compliance with the international codes as amended and adopted,or •any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. - - - - -- -- - - -- -- - * By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. .......... ...•------- -•------- ---- --- ------ " All property lines shall be clearly identified at the time of foundation inspection. ------------------------------------------------ --------------•----------------------_----. REQUIRED INSPECTIONS (Footing Inspection-prior to pour(set-up manual must be on-site), Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the current fees adopted by the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. Until resolution of any/all problems no occupancy (Final Inspection)will be granted for the residence. OWNER/CONTRACTOR(indicate which) When parcel development requires direct access to state road(s),a Road Access Permit or Approval must be granted and approved by the Washington State Department of Transportation. For more information contact Washington State Department of Transportation, at(206)357-2620, ext. 630. . . .---•---- . . .. . . .. .. .. .. .... ..... ...•-•-----.. . _....-- All building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. Printed by:Anna Schaffran on:04/02/2026 02:54 PM Page 3 of 4 Mason County Mason County - Division of Community Development 615 W. Alder St. N C Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov MANUFACTURED HOME BLD2026-00300 Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A" was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. ------------------------------------------------------------------—------- ---- ------- --- I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: Date: Printed by:Anna Schaffran on:04/02/2026 02:54 PM Page 4 of 4 • • .o • r '.t V V � c � aw` a; r. S t�'`t v F{ [ +'a�iM .+�y��• , ,� tiif,: t alit; I . Mar 21 , 202612:30:31 TESsiait.i' I. . : •� 0 Table of Contents Table of Contents 2 General 3 Client & Site Information 3 Climatic Conditions 3 Building Characteristics 4 Structural 6 Structure - Foundation 6 Terms and Conditions 9 • ''� Page 3 of 9 General Client & Site Information 1.1 Inspection Date March 21, 2026 12:30 PM 1.2 Client Chrysalis Real Estate Solutions 1.3 Inspection Site 160 E Barnsby P1 Shelton, WA, 98584 1.4 Address Image 1.5 Vacancy Vacant Climatic Conditions 1.6 Weather Clear and None 1.7 Soil Conditions N/A 1.8 Outside Temperature 52° Chrysalis Real Estate Solutions 160 E Barnsby PI Shelton.WA 98584 Confidential-for client use only.Use by any unauthorized persons is prohibited Copyright©2026 MFD Home Certifications.PLLC.All rights reserved. Report mayn't be reproduced in part or in whole without express written permission by MFD Home Certifications. Page 4f Building Characteristics 1.9 Elevation Pictures r ' ' 1.10 Date of Manufacture 1991 1.11 Building Type Double-wide 1.12 Rough Exterior Dimensions 27'x56' (Measurements are for the engineer's use and may not match the appraiser's measurements) 1.13 HUD Label 1 The Unit/Section 1 Label is missing or not accessible 1.14 HUD Label 2 The Unit/Section 2 Label is missing or not accessible 1.15 Data Sheet The data sheet is missing or not accessible 1.16 Foundation Type Crawlspace Chrysalis Real Estate Solutions 160 E Barnsby PI Shelton,WA 98584 Confidential-for client use only.Use by any unauthorized persons is prohibited Copyright©2026 MFD Home Certifications,PLLC.All rights reserved. Report mayn't be reproduced in part or in whole without express written permission by MFD Home Certifications. Page5of9 1.17 Foundation Type Images rrLl�ii►a r Y ` 1.18 Interior Support Structure Concrete Masonry Units 1.19 Piers and/or Support Column Images 1.20 Piers Rest On Concrete Footing or pad 1.21 Wheels Wheels and axles are Removed 1.22 Tongues Removed from Frame Chrysalis Real Estate Solutions 160 E Barnsby Pt Shelton,WA 98584 Confidential-for client use only.Use by any unauthorized persons is prohibited Copyright©2026 MFD Home Certifications.PLLC.All rights reserved. Report mayn't be reproduced in part or in whole without express written permission by MFD Home Certifications. Page 6 oft Structural Structure - Foundation 2.1 Exterior Grading Reasonable grading around the home. 2.2 Exterior Grading Images 2.3 Skirting Plywood 2.4 Anchor Method Proprietary Restraint System (Front right and Back left) Chrysalis Real Estate Solutions 160 E Barnsby P1 Shelton,WA 98584 Confidential-for client use only.Use by any unauthorized persons is prohibited Copyright©2026 MFD Home Certifications,PLLC.All rights reserved. Report mayn't be reproduced in part or in whole without express written permission by MFD Home Certifications. Page 7 of 9 2.5 Anchor Method Images P! 1I ! . ..t CYIA,a-.rye_ Chrysalis Real Estate Solutions 160 E Barnsby P1 Shelton,WA 98584 Confidential-for client use only.Use by any unauthorized persons is prohibited Copyright©2026 MFD Home Certifications,PLLC.All rights reserved. Report mayn't be reproduced in part or in whole without express written permission by MFD Home Certifications. Page 8 of'9 HUD Engineering Certification Report Summary Date: March 23,2026 Client: Chrysalis Real Estate Solutions RE: 160 E Barnsby PI Shelton, WA 98584 Permanent Foundation 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 March 21,2026 12:30 PM,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. 1st 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 Randall Foster of Foster's Home Inspections at 2063889557 or email Randall@Fosterslnspections.com.Thank you. Sincerely, cCc,I� �Cr� QP�OF WASy� �J- Patrick Conroy 616-822-9070 1kit WA License#34380 Ago RFC%r4srE��� �, rs�ONAL�V` Chrysalis Real Estate Solutions 160 E Barnsby P1 Shelton,WA 98584 Confidential-for client use only.Use by any unauthorized persons is prohibited Copyright©2026 MFD Home Certifications,PLLC.All rights reserved. Report mayn't be reproduced in part or in whole without express written permission by MFD Home Certifications. Page 9 of 9 Foster's Home Inspections 2063889557 Randall@Fosterslnspections.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. Chrysalis Real Estate Solutions 160 E Barnsby P1 Shelton,WA 98584 Confidential-for client use only.Use by any unauthorized persons is prohibited Copyright©2026 MFD Home Certifications,PLLC.All rights reserved. Report mayn't be reproduced in part or in whole without express written permission by MFD Home certifications. 8.52.130 Frequently flooded areas. The purpose of this section is to prevent the potential for further aggravation of flooding problems and to guide development in areas vulnerable to flooding. (1) Classification.The following shall be classified frequently flooded areas: Frequently flooded areas are identified by the Federal Emergency Management Agency as those areas within the 1%annual chance(on ed100 ear flood "T he j �la►a in a report entitled Flood Insurance Study for Mason County"dated May 17, '923, and revised DcccmbeF 8, 1998June 20,2019,with accompanying flood insurance rate maps,and any subsequent amendments thereto,and should be utilized as a guide to development. The Skokomish River and floodplain as shown in the Comprehensive Flood Hazard Management Plan for the Skokomish River February 1997 Avulsion risk areas as identified under the provisions of the Mason County Flood Damage Prevention Ordinance. (2) Designation. Lands of Mason County meeting the classification criterion for frequently flooded areas are hereby designated,under RCW 36.70A.060 and RCW 36.70A.170,as frequently flooded areas requiring immediate protection from incompatible land uses. (3) Land Use. (A) Land uses in frequently flooded areas shall be in compliance with the applicable provisions and requirements of all ordinances as referenced in Section 8.52.050,or as amended and updated. (B) The following uses within frequently flooded areas are subject to Mason Conditional Environmental Permits: (i) Radio and transmission towers, resource based industries,schools,trailer-mix concrete plants,sawmills,marinas,fire stations,fuel storage tanks,and commercial outdoor recreation. (ii) Other uses and activities determined by the director that are likely to pose a threat to public health,safety,and general welfare if located within a frequently flooded area. (4) Development Standards. Mason County flood damage prevention ordinance provides specific regulations and permit requirements for development conducted within the frequently flooded areas of Mason County. (Ord. No.57-19,Att. B,6-18-2019;Ord. No.51-17,Att. B,9-19-2017;Ord. No. 2021-064,Att. B, 10-12-2021) Created: 2025-12-01 14:28:13 [851] (Supp.No.72,8-25) Page 1 of 1 MASON COUNTY GENERAL SERVICES DEPARTMENT P.O.BOX 186 • 428 WEST CEDAR • SHELTON,WA 98584 PHONE(208)427-9670 RECORD OF FINAL INSPECTION OF YOUR SEWAGE DISPOSAL SYSTEM OWNER �� ADDRESS THIS RECORD IS NOT A GUARANTEE OF PERFORMANCE. ZIgc '/4 A SEPTIC SYSTEM IS NOT A MUNICIPAL SEWER. HOWEVER /1' . WITH PROPER MAINTENANCE AND CAREFUL USE OF LEGAL DESCRIPTION WATER IT CAN GIVE MANY YEARS OF TROUBLE FREE SER- sM Z4 a h'T 7 VICE. MANY PROBLEMS WITH SEPTIC TANKS ARE CAUSED SOIL /� C BY FLUSHING EXCESSIVE AMOUNTS OF PAPER, CLOTH COMMENTS AND PLASTIC MATERIALS DOWN THE DRAIN, OR BY SITE F ELD x LARGE AMOUNTS OF WATER FROM LEAKY FAUCETS OR NO. SIZE FAULTY FIXTURES. DEPTH TO MONTH THE SEPTIC TANK ITSELF SHOULD BE CLEANED EVERY WATER TABLE OF YEAR TWO OR THREE YEARS DEPENDING ON THE HABITS OF THE INSTALLER FAMILY, THE NUMBER OF FIXTURES IN THE HOUSE, AND THE AMOUNT THAT A GARBAGE DISPOSAL IS USED. CLEAN- SIZE ING AT THE RIGHT TIME WILL AVOID THE RISK OF INJUR- ING OR DESTROYING THE DRAINFIELD DUE TO SOLIDS DRAINFIELD FEET LENGTH CARRYING OVER INTO THE DRAINFIELD. CALL THE MASON COUNTY HEALTH DEPARTMENT FOR A LIST OF TRENCH AREA SQ. FT. LICENSED SEPTIC TANK CLEANERS IN YOUR AREA. THETILE _ CLEANER CAN SERVE YOU BEST IF YOU SHOW HIM THIS DEPTH ' El CORRUGATED TRIGI Cl CEMENT RECORD WHEN HE COMES. H HEAVY TRUCKS OR EQUIPMENT SHOULD NEVER BE ROCK �ELOV TOTAL CU. YDS. PIPE DEPTH DRIVEN OVER THE TANK OR DRAINFIELD. CONSULT THIS SPACE RESERVED FOR RECORD IN CASE OF ANY BUILDINGS, DRIVEWAYS, REPLACEMENT DISTRIBUTION FIELD: SQ. FT. SWIMMING POOLS, OR EXTENSIVE GRADING OR FILLING NORTH ARE LATER CONTEMPLATED. SHRUBS OR TREES SHOULD NOT BE PLANTED CLOSE TO THE SEPTIC TANK AS THEY WOULD INTERFERE WITH CLEANING OF THE TANK. THEY CAN BE PLANTED IN THE DRAINFIELD AREA PROVIDING WILLOWS ARE NOT USED. THE YARD GRADE IN THE DISPOSAL AREA SHOULD BE SUCH THAT SURFACE WATER IS NOT POCKETED ON THE DRAINFIELD. ANY SETTLING OF THE GROUND OVER THE TRENCHES SHOULD BE FILLED IN WITH SOIL. DO NOT EX- CESSIVELY WATER THE LAWN IN THE DRAINFIELD AREA. d 77 sQ WATER EVAPORATION FROM THE DRAINFIELD IS ABOUT EQUAL TO ONE HALF INCH OF RAIN PER DAY. FOOTING DRAINAGE, DOWNSPOUTS AND WATER SOFTENER RECHARGE WATER SHOULD NOT BE CON- NECTED TO THE SEPTIC SYSTEM OR DISCHARGED INTO THE DRAINFIELD AREA. THE TYPES OF BACTERIA NEEDED IN A SEPTIC TANK ARE ALWAYS FOUND IN SEWAGE. THERE IS NO NEED TO ADD YEAST OR OTHER STARTERS TO A SYSTEM. THE USE OF RE- JUVENATORS OR CHEMICALS TO CLEAN A SEPTIC TANK HAVE NOT BEEN PROVEN TO BE BENEFICIAL AND MAY BE HARMFUL BY FLUSHING SOLIDS OUT OF THE TANK OR BY CHANGING THE CHARACTERISTICS OF THE SOIL. THE NORMAL USE OF BOWL CLEANERS OR CLEANING COM- SOUTH +y POUNDS WILL NOT KILL THE BACTERIAL ACTION OR SLOW G DOWN THE OPERATION OF THE SEPTIC TANK. THIS IS AN IMPORTANT DOCUMENT SI NA URE OF INSTALLER P ri n to u KEEP IT WITU DEED OR OTHER #U n ty D - t PECTOR ESSEN4{AL PAPERS. riL . L)MS DATE SIGNA F I >X�} r c, -��i ��,� I I > rl .=__- Shorelines: 1 Plumbing: Setback: Mechanical:________________ Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks:,,1/O Ae ' i z- -�t� Footing: Setback: - Foundation Walls: Framing: Jj' 1%<. Fireplace: Wood Stove: NULL & VOID BY EXPIRATQN DATE BY TYPE - --MOBILE HOME - Permit No. 26995 No. Floors 1 Sq Ftg 1848 Owner BUTLE Tel 4 /-b 85 Date 10-26-90 Address arns y e ton Zip Contractor None Address Zip Legal Description a e imeric iv 4 of 17 Direction to project site Follow Mason Lk Rd to Lk Limeric k Turn R onton Dartmoor Stay L onto Dalkeith to Barnsby P1 turn L house on and on R Plumbing Mechanical Sewer Wood Stove Fireplace Deck gan mirageCarport Basement Loft Other