HomeMy WebLinkAboutBLD19072 Mobile Home - BLD Permit / Conditions - 7/31/1986 TYPE W,1BiL& HOME
Permit No. 19072 No. Floors Sq Ftg 924
)wner MAREK, George Tel 830-4 716Date 7-31-86
.kddress 242 Gold Cr. Rd.NW Bremerton Zip
"ontractor Harbor Mobile Homes
Address Gorst Zip
Legal Description W 315' Por E-1/2,SW
Direction to project site Olf Belfair Hwy to Bear Creek
DeWatto Rd. Go for 1/4 mi.Turn left into drive then rt
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Carport
Basement Loft Other
1977 14x66 2 bdrm.
Shorelines: Ali¢ f IMechanicat,
pl�nbing:
Setback: I
Special ( Interior:
Conditions: IF I NAL:
,Mobile Home
ISmoke Detector;
Foot Remarks•NA I
Setback: I
Foundation
Walls:
Framing:
Fireplace:
Wood Stove:
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P.O. Box 1029 N.E. 22580 Hwy.3 Belfair,WA 98528 Tel:(206)275-4477
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BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 H
426-5593 DATE ISSUED///'/,��
PERMIT NO. 7e 70L
NAME MAILADDRESS 1 CITY&S ATE , 1 ZIP PHONE
OWNER Po rq e r I o? a � A �. �d W �J $j�"' E
TO DIRECTIONS JOB SITE TAt- old &IfN R t�nI CI k WF� Tip K
V12e k 1J�l��Fl 0 R wQ le-4I Yi J P_ 1 n e njLEGAL
D SCR. ID
NAME MAIL DDR SS CITY&STATE NS ZIP PHONE
CONTRACTOR *b0K Ob e S L3 O/Yl ►0 -33 -W(cI
USE OF
BUILDING e�'- 1 e'iCe
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE 11''
WORK C)Ve O t 01\ Ovocey+LA c 'Lt pfru
r
BEDROOMS DECKS CARPORT .==f:::::�! NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SO.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED 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
TOTALSO.FT. a FIREPLACE -� DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.
PERMANENT VeS SHORELINE
SEASONAL
OWNE AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTI THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGIST ATION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REOUI MENTS 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 C FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTA ING APPROV L FROM THE BALDING EPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
�C 7�y�Jlj
X NER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION
YES NO YES NO
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE �� Q
STATE SURCHARGE
APPLICATION ACCEPTED BY I PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Courthouse Annex 2 N. Fourth & W. Cedar
P.O. Box 186 Shelton. Washington 98584 ++
(206) 426-5593
building environmental health maintenance parks&recreation planning sewer&water
September 18, 1987
George Marek
242 Gold Creek Rd. NW
Bremerton, Washington 98312
Dear Mr. Marek:
Some time ago you made application through this office to
obtain a building permit. Please be advised the permit is
ready to be issued and can be called for at this time.
If you are unable to call in person, a check in the amount
of $ 115.00 can be sent to us and we will return your
permit by mail.
This permit becomes null and void if not called for within
180 days of the date of application.
We hope to hear from you soon.
Sincerely,
Evelyn Fuller
Receptionist
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO
OWNER NAME MAIL ADDRESS CITY&ST TE ZIP PHONE
o e I�1 t r'r�' /V dew r •�� � r- nl,k1 9�3 ,L
DIRECTIONS `
TO JOB SITE v ` G/ r'A; 9,,2 ArglyhCFzZ/K t- I-P A> OL 11F./A,' f
LP iQr- CfC o /iLe, vrAl Ce Pre,Ping, a
PARCEL LEGAL `
NUMBER �30 —000 O DESCR. Q 7 O ( f 2 S L,1 S- A I Cj-��
CONTRACTOR ��V//
NAME '4 MAILADDRESS CITY&STATE LICENSE NO ZIP PHONE
USE OF /
BUILDING S r01r (��d r Oe i- 6la r_ay E!
CLASS OF NEW WORK ADDI N [ALTERATION REPAIR OVE REMOVE
DESCRIBE
WORK
BEDROOMS fL, DECKS /'A CARPORT NO CE
SEP RAT RMITS ARE EQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS N TOTALSQ.FT. �� GARAGE dd C NDIT pUN
NO.OF STORIES 2 BASEMENT A) ATTACHED N'/ THIS P9 IT BE MES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
�I MME CED WI HIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. �� FIREPLACE DETACHED ��Z A ND ED FO A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED.
PERMANENT 1 C SHORELINE
SEASONAL ti
OWNERSAFFIDAVIT )RK
TRACT SAFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREME/ME
RACTOR TIFY THAT I M A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE DINANCEINGTON AND I AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND T WILL BE FOR WHICH E PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALLT FIRST CONFORMANCETHERE H.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUIL NGDEPARTMENT.
XOWNER %/(e,:V ATE _ X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YESPPROVE NO DEPARTMENT YES No
BUILDING V UATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK N, �C
SPECIAL CONDITIONS BUILDING GROUP 2 PRE-INSPECTION �S`, °'
SHORELINE
WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATESURCHARGE
APPLICATION ACCEPTED BY, IPLANSC ECK BY APPROVED FOR IUUANCE PERMIT VALIDATION
.� TOTAL
BY �/ CASH CK MO
• PLOT PLAN
9 gh.L '
ADDRESS ` / QQ f C)t 0e6LI o !Z� • emeir-fet) ti,# PERMIT NO. o
f °
LEGAL °
DESCRIPTION LOT BLK ADDITION u
SITE AREA 2 4C re& Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS Sq. t.
INSTRUCTIONS TO APPLICANT
THIS ORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT L THAN 1"=20' ARE
FILED ITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPAR E PLOT PLAN.)
FOR NE BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPA BELOW: LOCATION OF
PROPOSE CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING, E,AND SETBACK DIMEN-
SIONS, SHO EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR EVATION, STREET ELEVA-
TION AND WER SERVICE ELEVATION. SHOW LOCATION OF WATER, S ER, GAS AND ELECTRICAL
SERVICE LINE SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF E CH BUILDING AND MAJOR POR-
TION THEREOF.
i
INDICATE NORTH I CIRCLE] GRAPH SQUARES ARE 5' X 5' OR 1"=20'
p c
� A!
0
AO/
I/We c/taiintjapproval.
hat the proposed construction will conform to the dimensions and uses shown above and that no changes will be mad�rvithout
first o
I
NAME(S) F OWNER(S) OF SITE & STRUCTURE(S) (PRINT) IGNA URE O OWNER(S) OR AUTHORIZED REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE
APPROVED
DISTRICT AS NOTED DATE
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E A S E M E N T
An easement is hereby granted to Public Utility District No. 3 under and upon
the following described property; for the purpose of installing, laying, con-
structing, renewing, operating, and maintaining electric utilities, public
and private.
The utility lines shall be installed in a good and workmanlike manner and the
premises restored as nearly as practicable to the same condition it was prior
to the utility facilities being placed. The Grantor shall retain the use of
the land for purposes not inconsistent with installation, operation, or main-
tenance of the Electrical facilities, except that no structures will be con-
structed over or under paid electrical facilities.
Property description:
THE WEST 315 FEET OF ALL THAT PORTION OF THE EAST HALF OF THE SOUTHWEST q.UARTER
SECTION 9. TOWNSHIP 23 NORTH, RANGE 1 WEST, W. M. . PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE SOUTHWEST CORNER OF THE SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER
OF SAID SECTION 9: THENCE NORTH 0 DEGREES 16140"EAST ALONG THE WEST LIME OF SAID
SOUTHEAST QUARTER OF THE SOUTHWEST QUARTER 779. 56 FEET: THENCE SOUTH 53 DEGREES 25'
40" EAST 631.35 FEET, MORE OR LESS. TO THE 'WESTERLY RIGHT OF WAY LINE OF THE COUNTY
ROAD; THENCE ALONG SAID WESTERLY RIGHT OF WAY LINE NORTH 44 DEGREES 501 03" EAST 200
FEET TO THE POINT OF BEGINNING OF THE WITHIN DESCRIBED TRACT- OF LAND: THENCE CONTINUE
NORTH 44 DEGREES 50103" EAST ALONG SAID WESTERLY LINE 84. 7 FEET: THENCE NORTH 1369.95
FEET TO THE SAID SOUTHERLY LINE OF THE RIGHT OF WAY OF THE NEW TIGER LAKE COUNTY
ROAD, SAID RIGHT OF WAY CONVEYED TO MASON COUNTY BY DEED RECORDED JUNE 2*2. 1966 UNDER
AUDITOR' S FILE NO. 219411 : THENCE WESTERLY ALONG SAID SOUTHERLY LINE OF THE RIGHT OF
WAY OF SAID NEW TIGER LANE COUNTY ROAD TO THE WEST LINE OF THE EAST HALF OF THE
SOUTHWEST QUARTER: THENCE SOUTH 0 DEGREES 16' 40" WEST ALONG SAID WEST LINE TO A POINT
NORTH 53 DEGREES 26140" WEST FROM THE POINT OF BEGINNING OF THIS DESCRIPTION: THENCE
SOUTH 53 DEGREES 26140" EAST TO SAID POINT OF BEGINNING. EXCEPTING THEREFROM THE
SOUTHWESTERLY 30 FEET FOR ROAD RIGHT OF WAY.
IN WITNE S WHEREOF, we have hereunto set our hands and seals.
IL�4 �- OIIL _
X ,cam !<_ �GzG X
George K. Aarek (husband) Teresa G. Marek (wife)
STATE OF WAyS�HINGTON, )
County of
On this day personally appeared before me C�c"CrQ P
to me known to be the individual_,"described in and who executed the within and fore-
going instrument and acknowledged to me Lhat �/, tq signed the same as 4jj o,t..
free and voluntary act and deed for the purposes therein mentioned.
Given under my hand and official seal this C day of LQf_'e___. , 19
Notary Public in and For the State of Washington
c-
residing at )hr'//r ,l %",_ _