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Home My WebLink AboutBLD29291 Mobile Home - BLD Permit / Conditions - 10/14/1991 Sal 4;- Shorelines: Plumbing: Setback: Mechanical: Special Interior: Conditions: FINAL: Mobile Home: Smoke Detector: Remarks: Footing: Setback: Foundation Walls: Framing: Fireplace: Wood Stove: TYPE MOBILE HOME Permit No.29291 No. Floors Sq Ftg Owner Michae Mc or Tel - 342 Date Address E 51 Catfish Lk R Shelton Zip Contractor same Address 1p Legal Description 34 21 3 Tr 1 B o 1/4 Direction to project site �w�-J to Mason Lk Rd, turn L a top of hill, go R on Catfish-Rd, first parcel on L P um ing Mechanical- ec anica Sewer Wood Stove Fireplace Deck -Ca--rage import Basement .oft —ether ks BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED (:!)`1 - 9 PERMIT NO. --OWNER NAMEA MAILADDR SS CITY&STAY / IP P ON n'1 0''41 lie-1TO/l. - ,DIRECTIONS TO JOB SITE (_� (�'D�Gt� it �UAFVCEL �y LEGA / f NUMBER DW DESCR. Q CONTRACTOR _'AME MAILADDRESS CITY&STATE ZIP PHONE LICENSE NO. USE OF I - BUILDING CLASS OF NEW ADDITION ALTERATION tR4EPAIR MOVE - REMOVE WORK ✓ --,,DESCRIBE WORK I 'im, AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE qFt STORIES SHORELINE❑ Z CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPOR SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED Cl DETACHED❑ 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 THE BUILDING DEPARTMENT. e /` - 9 X OWNER DATE X BY DATE FOR OFFICE USE ONLY APPROVED APPROVED DEPARTMENT DEPARTMENT BUILDING VALUATION YES NO YES NO ! HEALTH '- PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE ."z5 AP ATIO AC PTED BY PLANS CH CK BY APPRO FO UAN E �PERMITVALIDATION �� / [BY H CK MO TOTAL BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES 426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER ( ^ A�ADDRESS CITY S�TE, PHONE /1 DIRECTIONS � YYY / 111 TO JOB SITE PARCEL NUMBER �"I DESCR. NAME MAIL ADDRESS CIT &STATE I ZIP PHONE LICENSE NO. CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE +/ REMOVE WORK ✓ r DESCRIBE WORK AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES�_ SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS OZ PRIMARY RES.❑ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT DECKS SgFt BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED O DETACHED❑ OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 1 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 D IARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. �J �OWNER !/'`- DATE F �( -�/ X BY ------ DATE FOR OFFICE USE ONLY DEPARTMENT Y APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO HEALTH B FEE PLANNINt v E AR BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP PRE-INSPECTION THIS PERMIT IS ISSUED FOR THE STORAGE OF THE MOBILE HOLE ONLYLJ SHORELINE DO NNOT HOOK THIS MOBILE UP TO ANY UTILITIES. . . WOODSTOVE •;r PLUMBING IF THIS PERMIT IS EXPIRED PRIORTO THE ISSUA'10E OF THE BLDG MECHANICAL PERMIT, YOU MAY BE REQUIRED TO REMOVE IT FROM THE PROPERTY. STATE BUILDING FEE APPLICATION ACCEPTED BY PUNS CHECK BY AP V FOR IS UANCE PERMIT VALIDATION TOTAL �A CASH CK MO BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED P RMIT NO. OWNER NAME A L ADDRESS CITY&STA PHON DIRECTIONS TO JOB SITE PARCEL LEGAL NUMBER r?"47``�� SCR. Indicate below: 6l roperty lines and dimensions. C�7 Easements and roads. 6' Septic, drainfield and reserve area, or sewer. O/Septic tank and drainfield setback distances from foundations. . wilding cation of proposed construction on property. & septic system setback distances from all property lines& easements. Indicate North W Well and water line. In Circle (!),'Saltwater, lakes, rivers, streams,wetlands, drainage. O Attach copy of septic system"as built" or septic permit approval. O Indicate topography profile of property and structure on reverse side. 4 t� S 5 2C rr j, W 1~ I rntP- Qv �, c rT -V Fr. t r-DDIle- v G) A ` I/We certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. ;�1 ; ) -� 1r. /I/ Cam," SIGNATURE OF OWNER(z 'S)OR AUTHORIZED REPRES TATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE Seller agrees to sell to Buyer, and Buy-or areas to buv from Seller, the following described property, to-wit: COPY ATTACHED: That portion of the Southeast quarter (SE;) of Section thirtyfour (34) , Township twentyone (21) North, Range three (3) West, W.M. , particularly described as follows: COMMENCING at the Southeast corner of said Section 34 ; thence North 00°37 ' 47" West along t'ie East line of said Section 34 , 1959 . 39 feet to the South line of the North half (N' ) of the North half (N�) of said Southeast quarter (SE,) ; thence North 87056 ' 21" West along said South line 960 . 00 feet to the point of beginning of the tract of land hereby described; thence continue North 87056121" West along said South line 250 . 00 feet; thence South 13022112" East 1230. 00 feet ; thence North 57046158" East 150 . 00 feet; thence North 8617 ' 40" West 1119 . 42 feet to the point of beginning; excepting therefrom road rights-of-way; said land also known and described as Tract 12 of survey recorded October 11, 1976 , in Volume 2 of Surveys , page 98 , under Auditor 's File No. 320189 . TOGETHER WITH and SUBJECT TO that certain easement described in Catfish . Lake Easement Agreement, recorded May 16, 1977, on Reel 163, Frame 777, under Auditor' s File No. 328401 and as shown on survey recorded October 119 1976 , in Volume 2 of Surveys, page 98 , under Auditor' s File No. 320189.