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Home My WebLink AboutBLD92-1032 Mobile Home - BLD Inspections - 9/16/1992 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I !.1! '1 N 4 r 7—9 fi 7 iA Hc019 30142 ;`)1i'± ! l t .' 4.'4a1 ;°Wii►t+69 1'1i# f - t! Ikv f<tF f.ti ! 1 i 1 It r,r,'�;. < • ��f>;f:!.f�A I�:. . . R H d E f. f•/1 I F{ ,. f1 414J4, i�m � S -4±bi'i1 Ni iA)A 1 l r.', tt� ±ti1<►. Ml:x y ,, tjIiF� 1 yet � A116R1f 8Y ow ktf.fIrT 1lipf A141,10T Ai 0 A I f k1±'f11,1 FIL 1a±.i . I31 Iti�iH'1 � t91 f �NyQf 1 gr,- !+ (,.11 6'IJiE.(9< 4231H f 'rl'1 ii, fir4•. 3 ;' F I R1 P Al 1 ILTIF 1 4.44 i+.il 64i11,02 it its ri1i1 ± ll;.i ± I 44 PARK INk Poo 1 N � b IN' I' : 1 ± ;ri3 AkVnl h 14tIk1: 1 IN€ ;% . , N , f i �ti±fiAi t±q � �1A1uIAiCRvs .4864 it It E. t iA t`t)f" i iyrr fill I1i. J ; '±'r±hilF_. _.. -_ NO"IIF 140i+ v — 1 4 S f t HAT1I HA`,IN 140(t, HA1H IiiHS . 0 r ,, itl ci plttlAl I t t� ti1i3NIr 30 I t. 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CAN 81 At(iIPFIG. , r ' owmtk t4 A6ENI; r big pit] , rep : psj31j9f C004PLIANCL t0 AI IACHkLi UAf CONOI f 1,ON!,; IS f iQ0Ikt-1) CONCRETE MECHANICAL MOBILE HOME Footi s-Setbac date by Ribbons dat - by Gas Piping date b Foundation Walls date by Set i date by INSULATION date /S'yob by BG/SLAB Insulation Floors Fina date by date by date by FRAMING Walls FIRE DEPT.8� date by date by date /- j' by PLUMBING Attic OTHER Groundwork date by /-c,1 r date te by WALLBOARD NAILING �s'�L C'CGU� WCy date by date by Water Line FINAL INSPECTIO11i / r� date by date by 9_- date a-3cJ —9z by I-S' Qucv,6u:l VaA bn 4m. X1'50 Dj ;z,� L t,�t MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 No H L V 42- 10,;.(/ For : WILLIAM H AMOS ropo.;--(i vitruc tul e of, por ti on t hip r iko I' qr q-,a t-4.ir i harr iw, 1.116de line , must maintain a twinivotim of Iroin -Alt 11 1 v"r., t w X. 2) Propo8pd vtroicturp or portionf; t_hvrool' 1 il. 11 fan pi (1J '-)i't. iot' ov .!r In l)v ) (vii from I ina , wtirt. otai.ntain a S ' .,eparo4tiotr1 adjac-ont' fu I,th P S t projection . A "a'a-1L. J CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons date by Gas Piping date b Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 .. � OATEISSUE -91 PERMIT NO. AM AI DRESS I 3 TATE ZIP PHONE; OWNER �u DIRECTIONS TO ice SITE PARCEL NUMBER At r 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. 0 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 10 O Indicate topography profile of property and structure on reverse side. I T I Q II I I l M D WI 0 L4=,' II I/we ce ify t to pro F3truclon wdl conform to the a, n 3 and �a e a p �qe ma Out rbval SIGNATURE OF OWNEA(S)OR AUTHORIZED REPRESENTATIVE 00 NOT WRITE aFr nW rNI.S I INF � .• 4 TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE 14k IAl I k• j � I I � TIIII I I i Jill IT w w I ! I MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 l �� Sty MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 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 NAME i� MAILADDRESS CITY&STATE 'ZIP PHONE DIRECTIONS,, TO JOB SITE �� PARCEL LEGAL _/ NUMBEFCC ." .3 tU 1� U O D DESCR. �4trAci-IE'n NAME MAIL ADDRESS CITY&STATE ZIP PHONE LICENSE NO. CONTRACTOR C. Pl;- i3c X.290,, SilklEKDAIC9P39' -7 i u- USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE_ / D WORK x / Z ` �A L ►Q L V�ZN�� 1 AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE I'J�SgFt STORIES SHORELINE❑ CONDITIONING. BASEMENT SgFt BEDROOMS V PRIMARY RES.3( THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR DECKS SgFt BATHROOMS SEASONAL RES.❑ ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE IS CARPORT/GARAGE GARAGE 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 EPARTMMEENT. APPROVAL FROM THE BUILDING DEPARTMENT. X O NER ATE _ X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION r i YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING f FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE L u APPLICATION AC EPTED BY PLANS CHE K BY APPROVED FOR ISSUANCE PERMIT VALIDATION 8f26 Z IBY CASH CK MO TOTAL r . BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. OWNER NAME MAIL ADDRESS �YL CITY&STATE ZIP PHONE i l� ,�� 0 6.�t f ►v ' cc;• Ps�z OP 9�r3� - (o Zo DIRECTIONS TO JOB SITE /F,�/n t/� t N E�F p � �►/� C �F S (, ON E PARCEL LEGAL NUMBER DESCR. 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. 0 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. r r' I/we certify that the proposed construction will conform to the dimensions and uses shown above and that no changes will7thout first obtaining approval. (*wo,(-e (-;4 / SIGNATURE OF OWNERS OR AUTHORIZED REPRESENTATIVE DO NOT WPITE BELOW THIS LINE APPROVED TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE S 1 - r 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 WIDTH MODEL `� MAKE �� l,Unn n MODEL i�¢/�1"i.cJvvD YEAR / ;',:5' MOBILE HOME LOCATION INFORMATION SERIAL # A . My privately owned land yes A no OR B . If rented or leased land who from? NAME ADDRESS WC, &1t,6,e4F!{f(z CITY & STATE 1''4 C . Real Property Parcel # C, 12 - 016,.fl� ( from tax statement of new location ) D . Mailing name and address for owner of mobile home NAME 1ti61t og U. XA,�zj ADDRESS �(�5%fiWr�� sSc�. /Y Z- CITY & STATE & b E . Location address of mobile home Ci ty F . Date mobile home was placed on present site G . Purchase Price DATE SIGNATURE L��`/ Z(/l7/�eL�I TYPE OR PRINT NAMEVVIalAlY �� d1405 TELEPHONE NUMBER Al 1 Pl 9itFh P 0 Pnv I (Z hnitnn Ok...,., A7'7 nc7n 'i r EXHIBIT 'At DESCRIPTIONS i A tract of land located In the South 264 feet of the North half of the Northwest quarter of the Northeast quarter, Secilon 20, Township 23 North, Range 1 West, j W.M., situate In Mason County, Washington, more particularaly described as follows; i COMMENCING at the Southeast corner of said South 264 feet of the North half 'of the Northwest quarter of the Northeast qufl!•terl thence North 860 29' 43" West, along tho South line 'thereof , 495 feet to the POINT OF BEGINNING of the tract of land hereby described; thence North 1" 181 05" West 140.00 feet; thence North 86° 29' 43" West 212,35 feet, more or less, to the East right of way line of the "Old Navy Yark Highway" ; thence South 90 13' 43" East, along said right of way, 142.35 feet, more or less, to the South Ilne of saki South 264 feet of the North half of the Northwest quarter of the Northeast quar•terj thence South 860 29' 43" East, along said South line 192.35 feet, more or less, to THE POINT OF BEGINNING; EXCEPTING THEREFROM, -the South 20 feet thereof . EXHIBIT "A" Two tracts of land in the South 264 feet of the North half (NJ ) of the Northwest quarter (NW} ) of the Northeast quarter (NE} ) , Section twenty ( 20) , Township twenty-three (23) North, Range one (1) west, W.M. , particularly described as follows : (1) COMMENCING at the Southeast corner of said South 264 feet of the North Half (NJ ) of the Northwest quarter (NW} ) of the Northeast quarter (NE} ) ; thence North 86°29 ' 43" West, along the South line thereof, 330 feet to the point of beginning of the tract of land hereby described; thence North 1° 18 ' 05" West 264 feet; thence North 86° 29 ' 43 " West 165 feet; thence South 1° 18 ' 05" East 264 feet; thence South 86° 29 ' 43" East 165 feet, more or less , to the point of beginning , excepting therefrom the South twenty (20 ) feet thereof. (2) COMMENCING at the Southeast corner of said South 264 feet of the North Half (NJ ) of the Northwest quarter (NW} ) of the Northeast quarter (NE} ) ; thence North 86°29 ' 43" West, along the South line thereof 495 feet to the point of beginning of the tract of land hereby described; thence North 1°18 ' 05" West 140 . 00 feet; thence North 86° 29 ' 43" West 212 . 35 feet, more or less , to the East right- of-way line of the "Old Navy Yard Highway" ; thence South 9013 ' 43" East, along said right-of-way line, 142. 35 feet, more or less , to the South line of said South 264 feet of the North half (NJ ) of the Northwest quarter (NW} ) of the Northeast quarter (NE} ) ; thence South 86° 29 ' 43 " East, along said South line, 192 . 35 feet, more or less , to the point of beginning, excepting therefrom the South twenty (20 ) feet thereof. EXCEPTING FROM ALL THE FOREGOING, ROAD RIGHTS-OF-WAY. Subject to easements , exceptions and reservations of record. ,1 r a I 17- i Aim -�jr3Gy 3r� nl. '