HomeMy WebLinkAboutBLD29546 Mobile Home - BLD Permit / Conditions - 11/15/1991 i
-7-7- 00 SC)b�3
lines.
Plumbing:
Shore
Setback: Mechanical:
Special Interior:
Conditions: Final:
Mobile Home:
i
Smoke Detector:
Remarks:
Footing:
Setback:
Foundation
Walls:
Framing:
Fireplace:
Woodstove:
AREA: TYPE: MOBILE HOME
Owner: PATTEN, WILLIAM Tel: 479-7464 Date: 11-15-91
Address: 3720 SUNDOWN DRIVE, BREMERTON 98312
Permit #: 29546 Floors: 1 Sq Ft: 1344
Contractor: SELF
Address:
Legal Description: 10-23-2
Direction to job site: OLD BELFAIR HWY TOWART
BREMF1tTON TURN LEFT ON BE CREEK-DEWATTO RI.
TURN LEFT AT BLACKSMITl3 'IA�R 2Ar
Plumbing Mechani Woo ove
Fireplace Deck Garage
Carport Basement Loft
Conditions:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
426 W.CEDAR/P.O. BOX 186 SHELTON,WASHINGTON 98584
427-9670 DATE ISSUED /`� -
�L
PERMIT NO.
NAME MAIL ADDRESS CITY&STATE ZIP PHONE
OWNER <<
r��it✓M 4��c� %?2, fN 1.�7�u SteN r e c X .a Y22— ;zg'lo S�
DIRECTIONS _
TO JOB SITE c e •"�'a ' OLD f3 4 ••1•o:uv rcm¢ to — ¢ 4 o r1
See —04--cke l . J ec4-
��`( TNrn Lem •4
PARCEL PJ310~77-0050C) LEGAL See q 44, tz
NUMBER Ea DESCR. Se-L, 10 1 r a w 1►u-14. S Kee-III-
CONTRACTOR
NAME MAILADDRESS Cl fY&STATE ZIP PHONE LICENSE NO.
USE e
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE ✓�" REMOVE
WORK ✓
DESCRIBE
WORK `e ert, awol S cl uc, D I a, ckit- E 4t/ic'/L° c 1,41,2
)- c CLJ2C Xf I -Q
AREA: NUMBER OF: PLEASE INDICATE: NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
RESIDENCEIa±f__SgFt STORIES SHORELINE❑ CONDITIONING.
BASEMENT AM BEDROOMS 3 PRIMARY RES.W THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
DECKS S Ft BATHROOMS SEASONAL RES.❑ COMMENCED WITHIN 180 JAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
CARPORT)i_SgFt FIREPLACE IS CARPORT/GARAGE
GARAGE A[A_SgFt ATTACHED 0 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.
X OWNER � DATE �r �L' "/ X BY _-_ DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO y
co
HEALTH PUBLIC WORKS FEE
PLANNING FIRE MARSHAL BUILDING PERMIT J
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
°LIGATION ACCEPTED BY PLANS CHECK BY A OV OR ISSU CE PERMIT VALIDATIONIf
.L- CASH CK MO TOTAL
BUILDING PERMIT PLOT PLAN
MASON CCUNi e '
.. • �. A
E ..'r'c_► N, '�';�,Sr;INCTCN ;c"Sc�
r .?.117.VC_
Jon gr-Pule�,�
OLQ QOLPAIR HlCN WAl - 0--k 12-ne,A04 , Approx 3,4 m,* 4,k,A lef.�-
`, =C g e"= :o^� {� Qewr Cr.- Oe%p,440 P.a• pr oe.a ed .o 414 boa a AOnrox, �.`i rr.:le s cw a �Fwn �p-1'+ an 4o -�k
'B\a.ckSM: h Or. Ra- X� one mile_ `I•.rn IrR 0 41a' N"proc-eed 1.7 ;; le,'4-,rn r-i3h-t oks A1c" T'•• i Proceed
aP�+roya. O•3 t^;1eS. i..-4 SO ► "rk'tl wi\ 4 e_ lei
Q�_c.. Ise-C. 10, ) R,ny�� �v� W•/�1 ,
Fr c r"fir
��5 C5'^�;C Crci,;, c'•G' _'.�. r2S2r'-' z�2, Cr ;2•x_r.
® LCC2'.-Cr, C.:�rCCaSc `Cr,S.r�C`.fCr or,L:le- .y .Z 52rC:C 5;:5:2G 52�1c t GS c. ;'S frur
N c rt a .'` wa:_r lire. -
GCC'f Cr 52r�:C
Cf rc�e.,y 2.^.C'
174�44 F41
I I I IL ej I I I ! i IsF�I l i l
Jr ly i I I IeL 1 .1cilqP �-4 I 1 s sw�D I I I noIFT I
l �l � I ICI
n1�r�I I I I I I I I I ( I I , `� , I ► I 1 1
W'D y I I I I I I I I 15�7 FNF
o _
� � I I I I I l i I i i Ill i t I I I •-' � ��'� I n
1 I I I I i l l I III I I I I �I� I I
iIL
Ta
lyri I I I I I i i I I I - I - I I I ( I IWs1� I ' � WEw
-14A bS 61
I I ! ! i l l ! i i I l l i ► I l l l l l i 1 1 I�i
! I I I I I I { I Illl 11 i l l 11 1 1 1
I I I I I I I I { III ! ! I I I I I
I l l l l l f l I I I I 1 I ! l i l IMbb;�h
17
I I 1 1 11 1 1 1 . 1 1 ► I l i ! ► I i ll l l ! i
I I I I I I I I ! I I I I I I I I I I I I I I I I I 17
I I I ! I I ! I I I I ! ( I I I I I II I l l
I I I ! ! I ! I l l l l l l ! I I I I I I I I I ! !
I I I I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 T 1 ► 1 ► 1 ! I ! 1
GD
v POW
!O
10
o
Gsu C��eek �"ov� NW
NE 115tr
t•7
co
UP-
L •
V y
J
cl� ��ca Grp
G Ors
T 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
This information is imperative to prevent a possible double
assessment on your mobile home .
MOBILE HOME DATA LENGTH - Q WIDTH c2,V
/�
MODEL
O MAKE G.��e,,^ MODEL eif/& YEAR
MOBILE HOME LOCATION INFORMATION SERIAL #116V315KO,
A . My privately owned land yes no
OR
B . If rented or leased land who from? NAME AIA
ADDRESS /111 CITY & STATE &A
.< %
C . Real Property Parcel # / /
� 4 ( from tax
statement of new location )
D . Mailing name and address for owner of mobile home
NAME 441A a�-4 a-.Sa 4�ltIV //
ADDRESS 3;�U Stelyalbe,:n� P,_ CITY & STATE &�;me,2�: . 444
E . Location address of mobile homey / , iyy,I ha City
F . Date mobile home was placed on present site
G . Purchase Price
DATE /0 -3o_g/ SIGNATURE
TYPE OR PRINT NAME t-b,'-1 +e-t)
TELEPHONE NUMBER
411 N. 5th P.O. Box J Shelton, Washington 98584 Phone 427-9670