Loading...
HomeMy WebLinkAboutBLD29927 Mobile Home #512 - BLD Application - 2/10/1992 BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES r ♦ r ` 426 W.CEDAR/P.O. BOX 186 SHELTON WASHINGTON 98584 X:sv 01 427-9670 DATE ISSUED 2l PERMIT NO. OWNER E MAILADD SS CITYs TATE Z PHONE v J DIRECTIONS TO JOB SITE M. n'"\�C-1 DOLU�A �A a k, 6)use, 0 Y) PARCEL LEGAL n NUMBERI DESCR. CONTRACTOR NAME MAIL ADDRESS CITY&STATE PvF_ ZIP \ PHON 15T , FC-�-`LlC>=�1-�1 LLJ USE OF BUILDING CLASS OF NEW ADDITION 7ALTERATION REPAIR MOVE REMOVE WORK ✓ WORK DESCRIBE p x Iv L AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE SgFt STORIES SHORELINE O CONDITIONING. BASEMENT SgFt BEDROOMS PRIMARY RES.O 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 ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE SgFt ATTACHED O 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. XOWNER ^ + DATE XBY DATE FOR OFFICE USE ONLY DEPARTMENT YES PPROVENo DEPARTMENT YES No BUILDING VALUATION HEALTH MT PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION L SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE APPLIC TION ApCEPTED B PLAN CHECK BY APPR D ISSUA C P RMIT VALIDATION _� TOTAL BY H CK MO the mason county assessor (� Darryl Cleveland Dear J-�Co �(`(�O�i 4 1 We have received a copy of' the tax certi ficate 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 WIDTH n ``''11 MODEL MAKE (�^ MODEL �l W� e/YEAR MOBILE HOME LOCATION INFORMATION SERIAL #tA . My privately owned land yes no V OR 0 B . If rented or leased land who from? NAME\ �e�h � ^� Q, ADDRESS 1 )� �y��"�� � ,� ` CITY & STATE CAI C . Real Property Parcel # 1 ( from tax statement of new location ) D . Mai 11ng name and address for owner of mobile home NAME ADDRESS �)Ct( (,CITY & STATE ,) E . Location address of mobile home _ .3 ITIPI City F . Date mobile home was placed on present site G . Purchase Price 1c 00 DATE ." q SIGNATURE TYPE OR PRINT NAME C' TELEPHONE NUMBER BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 oAr ISSUED PERMIT NO. NAME AIL ADDRESS C17Y&ST TE, ZIP PHONE OWNERMrnq Nval i'm � U C OIRECTiCNS TO JOB SITE Bltu �ns, �0 OMWr-, DIU - rlA# 6V-1)e on -Je-4" PARCEL ta EGaL 7 NUMBER I / I OESCR. I C `Jkled ()C111k Indicate below: O Property lines and dimensions. O Easements and roads. O Septic, drainfield and reserve area, or sewer. O Septic tank and drainfield setback distances from foundations. O Location of proposed construction on property. O Building & septic system setback distances from all property lines & easements. Indicate North O Well and water line. In Circle O 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. I � I " -IDi 1;:�, ICA I I z71 III IIII ( III l i l I/we Certih/:nat:M2 0 Js2d COns fUC;iCn .r:: t "�.:r'2^s,Cns and us2s shown above and:nat no Cnanges'Nil,be lade-Nitncut'irst obtaining 3pvfJvdl. TOPOGRAPHY PROFILE OF PROPERLY AND LOCATION OF STRUCTURE 177� I- I I I I I I i II III I III II I i EVI-A(GI(LEN MOMLL E'J'PATNS EdW-A !- 1 Q 0 Bl e v i n s _I_d _ No . � 57/2 . Shel ton , WashinPtori 9a5b4 I'hone : 426-201,) PAGL ONE HEWPAI, ACRU,'MENT RENTS DUE ON THE 1st EACH riin.NTH, DELINQUENT CN THE 6th. LATE CHAHGE OF PER DAY ADDITIO?SAL STARTS ON Tlil 6th ON TILL PAID. Dopu:;its churjcd to inLura a W Eton 21 day notice of intont to move and to insuro lots urr) loft in clean condition With all garb-- ego, ,junk and unwanted matorial rcmovud. Rents .nust be paid up to data as doposit may NOT be used in lieu of rout. Thoro will be a a_2.01`tnini-+i-m clown up charge if all of your matorial ha3 not boon romovod from lot and ::had and before deposit is roturnud. ELCURIC `_;ERVICE mueb be sirnod for in advance of moving in and is tenants con reoponsc ability. If Qowar is. on in EVErGREEN ESTATES nz..nei, it will be closed out immadiatly. Ir you are not eignad up Within throe days, P.U.O. will probably cut power off the next day. Homos must be fully ekirtod within_ 1 � aye from date moved into. too,park. Pre-fin- ishod metal , fibre glass or painted wood may bra usod. Pont increased ar _ sr month iP this regulation is not complied with and will continue untill the skirting is on o3 homes must be kept neat. in nppoaranco. Lownu kept mowod or beauty bark or rock typo ground cover may be uood or, long as it looks clown and noat. Natural growth of trees, fours or shrubs O.K. Lots must. be kept i'roe of unsightly weeds, brush and trash. If. not cared. for by tenant, Park owner reaerveu the right, AFTER WRITTEN WARUNG, to comply within the. sama week, to have the work Mane, with a minimum charge of b -:- S assocsod to the tenant each time it is. nocossa:y- to have the work done. By keeping your yard roasonably neat and clean this SHCULD be no problem STORAGE SHEOS.,fencos and porches porinittod if they are neat and look good. approval by park manager roquirod BEFORE conotruction. Small c16Fos lines permitted, only in the roar of the home, inconspicuodrfrom the street. Corpo•rts to be used for vehicle or boat storage only, not junko koop it noat. Koo,) all other items in shod or mobile home. All disabled vehicles must be repaired or removed within days. No vehicle repair or oil changing on tho street. minor repairs or oil changes in your driveway/carport only. Such repairing rostrictod to tenants vehicle only. put old oil in capped cant- ainers. to be disposed of with garbage, DO NOT DUMP ON GROUND. Any unauthorized vehicle: will bo removed at owners risk and expanse, (after warning to remove first. given) NO LARGE/HEAVY TRUCKS (I.E. log trucks. grzvel dump trucks etc. ) Park tIAXIMUM speed limit is 10 miles par hour. No Excoosive speod will •be toleratod. Speed bumps may bu installed. if all per--on3 using the streets do not co-operate in holding speed down. No loud mufflers or lack of mufflers on cars or motorcycles allowed. More than one -ittan warning on this problem shall be conaiderod ,Just and reasonable cause. for eviction. All garbage must be placed in TIED bag3 of a cuality that may be renovod by tha top from your garbar)e can WITHOUT tMAIWG APART. There is no extra charge for '?, or • rb g 21/ runoval so contained and placed at street edge on pickup day which is Throe bag maximum froe pickup par wooko any other garbage or ,junk to be removed by tonant or make special picUpp, arrangement wits park office. It: is best. to leave bag in garbage can untill pickedup to keep cats and unauthorized loose does from ripping bags opon. Do93. Only SMALL QUIET INDOOR DOGS accepted. NO outside dogs. Owners must keep their doge quiet and clean up after them. NO MORE dcgs tied out or fenced out. O.K. to walk them on loa3h. Any complaints from neighbors end dog must go, or you all got if you do not corr::ct. tho problem IMMEDIATLY. Doge of unknown or unto-operative owners just migh bu picked up and takon to the shelter. �• C"/ti/J —�� 1/ S31t1153 N? "J D8 3n3 i b 1NVNal eourT dwoo—uou soj AlTeuod •soAes •s RopTAold 30NVNICHO 'AiNn00 NOSVW •uoTgeTn6az Aluno0 uosr,i eTUI 4gTm kldtUO3 01 U 3NnO 3wOH 3119OLU e4l jo AZTTTgTsodsea Dqq sT qI -•epTm T;ORJ g so LMGueT UT -looj Ol !l3AO S1INn 31IGOW 11V soj S1IM3d cesTnbaz ONIOIIne )A.LNno0 NOSVW •S31V1S3 N338Ob3A3 Aq uzoq eq oq sgsoo tufrgl• UOTIOTAv yons `ITnej le ION lueueq jI •ATuo lTnej le ATsevTO gT queueq p©pTAo.zd ,4uruel of pe6ae4p eq cq 'eTgcuoseei se'cgsoo yons 'UOT•loTAO -aozojue cq UOTgoe Te60T Ajoseeoau 6uT1eezo 'ATIeTpewwT wvjgo.zd eyq -qoossoo Ol Tesnjo.z -4ueueq pue coTru jo pze6OzsTp 'lueueq oq enp UOTloe UOTIOTAe jo quenO e4g uT •enTgou UOT13TA0 ueggT.zm jo *Avg-37rtjTt4jTm lno eAow TTTmI -4e41 4ATgeTpewwT -40e3soO 0l TTej I 4OT4m -4ueweGeuew vrd zfl squeuoq z04g0 soj eweTgozd egeozO pue ceTn.z >}.ied vg0TOTA I pTncNs ge4q ee36e I '4 psetbs pue poogsiopun 'peoi uooq GA04 coGed om; esogl uo suOTITpuOO eyq jo TTV •zouuew ejgeuosee.z a UT Zno4 ojgeuoeeez a qe poTTJ JT Aup -4xvu e4q OIUT poM3e4O eq TTTm Inq 'poneTOes TTem eq you TTTm Ao4q 'S1NIVIdWO3 HIIm 1H0IN 3H1 30 3100IW 3141 NI 11V0 ION 00 •sTTej uoTle.zedo—oO Ajelq,nTOA uze4m pesn eq TTTM UOTIOTAe Ajulepuew •zog46T0u pOo6 onTInjodo—oo 'I9Tnb'ueeT3 n eq al OUT411Tm qou (s)uocsod Aua jo Ttznowos eyq soj TTeo off} ole4Tae4 qou TTTm am 'ATTeuuT3 •VI •squo.r J046T4 UT 8g38TJOI >}zed v4q soj peat I .=sAO 46TH •.zegem e4l tylTm Tnjegeem vq qou op 'seooTd •GUTzoos j•-Auone.zd oZ GUTuunz q jnT ,eq Amu 49nw Zegem •6uTzees j was j eeuTT zogem IUDAozd -ol pesn eq gsnw codeq gceH •osn nog( -4sym peeu Inq peeu noA( •ge4m esn esceTd •BTTom eleATzd was j sewoo ATddns znlem 041 •£ •xoq zodosd o4q cq qoG ueo pue eweu o4l mou>j Aew am •6uTTpuv4 soj xoq S31VIS31433N%3A3 e6.zeT 94l UT qnd ooeOTd 4v39eosppe 0144 mou>I you Op roe( pue xoq znoA UT UOT sT umo znoA uetyg 2e4g0 TTew Aue jI •uoAT6 sT zogwnu •ldc 3e soide ou 4lTm pub eOTjjo >qed -eyq 4lTm posolr-cGDS ue4l zoylo owcu Aua JT „sopuo, aq usnlca, ujgTeeod pue TTew znoA 6UTATooe3 UT ACTep onneo uco esosppe elvTdwooul „V84e123 ueei6a9A3„ QT sou •scosppe 3131dw03 V ION SI OZS Xog '01 cgnc{I •csozppo znoA jo gzed s es zegwnu •qde so oOcds .znoA opnTOUT oq quel.zodwT Ajr)A sT lI 11VIU ez •nog( zoj so6essnw AETo.z gouueo „GUT -piwmszoj TTeo„ zo 103TAsee 6UT3emeue in0 •soTOue6zowo soj ueno cauoweGursse JO410 ewos eiuw e9eeTd 6euo4d umo znoA UT Ind og 4sTm qou op not jI •AITTTgTsuodses Tcuossed umo znoA sT SOTAIS13 suo4deTel •eoT j jo >I.tcd eqq LIOnaz4l not goeluoo 03 All Oq 9TdOSd ROTT* UON 00 vicesTd •2e6os30w ouoydnTol soATTOP 1014 Op pus 'oq poddTnb-) you cv2 vm ;*>qvd -wTgj aquT peldeoon GUTeg ,3;g suoTl:Tn6vz >ued u6Ts pus peel Ism zno�( GuT>�el vocsed n+vu A(ue se 'ze6eueu cd s4Z Q;Tn lcd13 pascOTO cq -gsnw qoT zo ewO4 jo eTaso.z zo GUTIU03-9,1 'GuV10Tgn3 /,UV •� •A,G'JTF'ooOe polzesq pue 'quoWooa(5e Tequez jo UOTInTOTA a se pomorA Oq TTc4s os > oq esnTTcJ •zo6cucw oqq AJTgou gonu -A77 ,, uc4g zo6uoT jo sgson6 6UTAe4 ouo%uc •UOTz -z;^tGcs jO et_Tq -qo soTOTt;oA puc oTdeod do zz)gwnu .pogeuGTCOp a og poguoz sT 00cd7 u3c3 'sIson6 anon( pue unlpTTtao znoA 'jTO,snoA Aq gonpuoo Teuo szed pue sfvd ' •A•1 'oozegs 'OTpez s,-pnTouT sTL+l '-;zogyr5inu gzngr,Tp qou coop 40TUM TOnoT e c: sznc'I TTc -le umop ;do>� oq qcn�� O^TON 'u�1PTT4o sTo4g oo s102 04l ao� ^Tq--;un000z ploy oq TTTm clu^aed •op-sun :,T GUT>Icu OTjjc.:q olne jo osncooq sgoo,zgs Oqj UT GUTAgTd CX 316iSIA 1NWJ UT pOacggcO^ ;/,01 onrOT so s1og46Tou Ac)uue -4ou g-;n•,: Un1r,TTUO 0 PA I '.I r)V.I • O't {))I ::i, 1 A. f y :—(lea.'( i