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HomeMy WebLinkAboutBLD13805 Final Mobile Home - BLD Permit / Conditions - 11/16/1992 �'�•a3"-5-`'a - Cam'a. Shorelines: Plumbing: Setback: Mechanical: -3pecial Interior: Conditions: Final:cO ie-'- il-11; ,r►�.r Mobile home: Smoke Detector:(04.11-A,-4L Remarks: .Footing: op—, 7_ mcK. ��"��,nlh VAf Setback: Foundation AccF-sG i 1-- Walls: Framing: Fireplace: Woodstove: AREA: #3 - LUM TYPE: MOBILE HOME Owner: LARSON, RICK Tel: 697-3053 Date: 07-08-92 .Address: 13805 CRESTVIEW CIRCLE, SILVERDALE 98383 Permit #: 30833 Floors: 1 Sq Ft: 1760 Contractor: PIONEER DIGGING Phone-. UNIT Legal Description: MADING SUNNY SHORE DIV 6 LOT 82 Direction to,fob site: HWY 3 TO MASON BENSON TO E MASON LAKE DRIVE EAST THEN NORTH ABOUT 1 MILE TO a 2961 MASON LAKE DRIVE EAST Plumbing Mechanical Woodstove Fireplace Deck Garage �arport Basement Loft .onditions: 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. �On� NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE OWNER i(_ ' LARsov 13 0$" cREsrv,Ew ClRccc Sa'L.V'ER4a W4 9 T i 02-30S3 DIRECTIONS p TO JOB SITE RW 3 To M/�'I�© (3FN C Rd. Go P4S Fi klofA L 1_0 E MASOM E MivE EAST- 'r)teN L,R ro 4 c i µ«E E c2qbl Mhscu LA-Irc Uwe C-4s r PARCEL LEGAL NUMBER p?r� 33 5 OOQ DESCR. A/1� Lp'T' Qf M40IN60 So A)Al SffoeE, NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE I LK:ENN NO. CONTRACTOR A 3 scm 6. *&vi6w%VA. ygsy(o PIONC-sU USE OF BUILDING rs CLASS OF NEW ✓ ADDITION ALTERATION REPAIR MOVE REMOVE WORK r WORK DESCRIBE \k; 4OA4 �� (J AtO 6- tkxc r AREA: NUMBER OF: PLEASE INDICATE: NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR RESIDENCE I31&SgFt STORIES 1- SHORELIN I CONDITIONING. BASEMENT SgFt BEDROOMS �3 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 g ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. CARPORT SgFt FIREPLACE Q_ 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. ^ ' /`J/1-X OWNER DATE d X BY & AZXR r L- FOR OFFICE USE ONLY DEPARTMENT YESPPROVENo DEPARTMENT YESPPROVENQ BUILDING VALUATION HEALTH (V�"�' PUBLIC WORKS FEE PLANNING FIRE MARSHAL BUILDING PERMIT D.O.T. BUILDING PLAN CHECK SPECIAL CONDITIONS BUILDINGGROUP P PRE-INSPECTION HORELINE WOODSTOVE PLUMBING I��Lr 1s E hew S 66 MECHANICAL STATE BUILDING FEE L APP ICATI N ACCEPTED BY PLANS CHECK BY AP D FOR ISSUANCE PERMIT VALIDATION 3131 a D B (_�- CASH CK MO TOTAL BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SH ELTON, WASH I NGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME MAIL ADDRESS CITY&STATE ZIP PHONE OWNER KICK LA- 3 UEsmEw URuc :S)wE o- WA 29383 6V?-3o 3 DIRECTIONS ,` TO JOB SITE O M A S0N N 60 PA-Si- FIRE if TO E MASc ' LA LE . E&T TwEAI NCRi M Akk Mid. E.294,1 m46oA1 L-*KE I v - E -T PARCEL LEGAL IRR NUMBER a33 Sa ft DESCR. Div, Le•r f /►� t SU S n 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. p� 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. M*.,N L iA E,lgl FT E L 4YE MAILE pte DRiUE E I FT 6 w R EKOPIRW MIA1W AV- 1/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. VO &44AILAIA—A SIGNA URE OF OWNERS)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE AID h1�N LAB � 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 MAKEA)RL, rl t MODEL YEAR —71 MOBILE HOME LOCATION INFORMATION SERIAL # { A . My privately owned land yes no OR B . If rented or leased land who from? NAME ADDRESS �1 CITY & STATE C . Real Property Parcel # ( from tax statement of new location ) D . Mailing name and address for owner of mobile home NAM E ,kiC_-K LA SoA,1 ADDRESS 13 CITY & STATE slc Vck�lf�l W C M +N �,� D�I�E E . Location address of mobile home,2`&"/ EAST- City F . Date mobile home was placed on present site G . Purchase Price�56' odo DATE 3 3< <(o SIGNATURE TYPE OR PRINT NAME RICk >V TELEPHONE NUMBER (9Q7' 305� 1