HomeMy WebLinkAboutBLD30077 Mobile Home - BLD Permit / Conditions - 3/13/1992 0
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Shorelines: Plumbing:
Setback: Mechanical:
Special Interior:
Conditions: Final:
Mobile Home:
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: #1 - FAWVER TYPE: MOBILE HOME
Owner: MC KINLEY, ROBERT Tel: 373-0794 Date: 03-13-92
Address: 1721 RINNIER AVE, BREMERTON
Permit #: 30077 Floors: 1 Sq Ft: 1344
Contractor: TAYLOR CONSTRUCTION
Phone: 426-9211
Legal Description: 10-23-2 TR 47
Direction to job site: GO W FROM PANTHER LAKE 1.45 MILES
PAST ELFENDAHL PASS RD TURN LEFT ON BLACKSMITH
DR GO .95 MILES TURN LEFT .35 MILE
Plumbing Mechanical Woodstove
Fireplace Deck Garage
Carport Basement Loft
Conditions: MOBILE ONLY
3
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a
i
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W. CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 �-
427-9670 DATE ISSUED r`'
PERMIT NO. 00 r
NAME MAILADDRESS CITY&STATE wr�' ZIP PHONE
OWNER 1721 4101erAVC. remP 9'y31 z 373-079
DIRECTIONS
TO JOB SITEgal
PARCEL LEGAL
NUMBER 310 7S L)Og7O DESCR. r 147 .5urde 10 I 4S S1 I� NW
NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO.
CONTRACTOR
USE OF
BUILDING �� '. �� i
WORK CLASS O✓ NEW ADDITION FARATION REPAIR MOVE REMOVE
DESCRIBE
WORKpt,�
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCE SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT SgFt BEDROOMS PRIMARY RES. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 SAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
CARPORT SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE SgFt ATTACHED U DETACHEDA
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT APPROVAL FROM T E BUILDING D PART ENT.
XOWNER DATE _ XBY DATE / "..Z `��2
FOR OFFICE USE ONLY
AD DEPARTMENT YESPPROVENo DEPARTMENT YES NO
BUILDING VALUATION 5:? ✓
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT e7
D.O.T. BUILDING PLAN CHECK '
SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION
�f ) SHORELINE
I� r !`�� . ) �SJ z WOODSTOVE
o PLUMBING
MECHANICAL
STATE BUILDING FEE =�
APPLICATION ACCEPTED BY PLANS CHECK B f/ APPFJOID F 1,74N PERMIT VALIDATION /
TOTAL
�!� BY �' ASH CK MO
n -
(66--8")
j 12'-0- — 12'-0" 15'-4" 10'-01, 14'-0" 13'4- --
t
ORGAIIit CEILING
1 W
\ I
BEDROOM 3 r %^ r DINING
CARPET o.w-
I<f 1 I I I CARPET i
FAMILY ROOM L; BEDROOM t
CARPET F
\ / 3 CARPET_
tt t tt ftl f� owAm
e
N
Q
/ W q I tP BATH 1
BEDROOM 2
CARPET - t UTILITY f I LIVING RM. I �\
0 / 1 w CST /
of N /_ BATH / ►--r1 O CE0.ANGG`',
_ - 0 °L- IMEM 0
EYEBROW WINDOW
I
PLAN 732
1653 SO. FT.
I
J
the
mason county
assessor
Darryl Cleveland
Dear
We have received a copy of' the tax certificate for movement of your
mobile home . In order that we may accurately value your mobile
home , please complete the questions below and return this form to
our office by
l
�k. This information is imperative to prevent a possible double
= assessment on your mobile home .
MOBILE HOME DATA LENGTH "29 WIDTH oZ
epr�ce'v MODEL
MAKE rU9U4 MODEL YEAR
MOBILE HOME LOCATION INFORMATION SERIAL #
A. My privately owned land yes no
OR
B . If rented or leased land who from? NAME
ADDRESS CITY A STATE
C . Real Property Parcel # ?23/1) 78 0047 ( from tax
statement of new location )
D . Mailing name and address for owner of mobile home
NAME./
ADDRESS_/7 1 �aL' I' CITY S STATE
1)�•
E . Location address of mobile home/VE ,/�'// City e/�4ir
F . Date mobile home was placed on present site
G . Purchase Price7�, ���• �
DATE-3 SIGNATURE
TYPE OR PRINT NAME �D6er'e 0, 1kjCXLn ��c,J
TELEPHONE NUMBER ,375 -6757 .//