The URL can be used to link to this page

Home My WebLink AboutBLD27189 Mobile Home - BLD Permit / Conditions - 11/28/1990 Shorelines: Plumbing: Setback: Mechanical: Sp'--c ial Interior: Conditions: FINAL: MobileHome: Smoke Detector: �.��.gi�y Remarks:8,,0,:X„vti L.00kS Footing: O�� p04 434ocAlko yz o/r Setback: ,t,..e, Foundation Y.*9'rP,K Walls: A✓&4p J-4yir eic d do/c F9K Framing: l.3�-c(c Do oiQ Fireplace: Wood Stove: TYTE MOBILF HOMF Permit No. 271oq No. Floors Sq Ftg 720 Owner WHTRRLgf, [;Li' J Tel R7h-gf)42 Date 11 -2R-90 Address 20 -g x rj Rnrt nrrhar'� Zip Contractor SpIf Address Zip Legal Description Cn11ins Ik # lnt. 61 Direction to project site Rplfair Tahii�a Rd fnl1nw Collins 9n!; I- I9 Firp- S6dtioQ R drniind R -,irip of I akp �n,t tm ing ec anica ewer Wood Stove Fireplace Deck gage import Basement Loft Other S orelines: Plumbing: S tback: Mechanical : S ecial Interior: Conditions: Final : Mobile Home: ,�-�;-yi Smoke Detector:7- Footing: Remarks: w.3.� Setback: Foundation Walls: Framing: Fireplace: Woodstove: TYPE [MOBILE HOME Permit No. _ 27189 No. Floors _� Sq Ftg 720 Owner : WHIPPLE KEN J. Tel 876-9042 Date 71-18-9C Address: P.O. Box 461, Port Orchard WA 9 � Contractor Self Adress: Zip Legal Description: Collins Lake div 2-10t 61 Direction to job site: Rt nast B lfair State Park LW hill to Relfair Tah„ya Rd loft to firo ctat'vn rt around rt Side of lake j is as "blic a sto lake on rt side _ Plumbing Mechanical Woodstove Fireplace Deck Garage Carport Basement Loft Other Conditions: DUPLICATE CARD BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED j PERMIT NO. ` NAME MAILADDRESS CITY SST TE ZIP PHONE OWNER A, 1-a a. A. a" 6} �yof�4,4 ue, 7(90 DIRECTIONS TO JOB SITE 11. �a/� �AR.rS/ Ark V #.'I/ A AaI-n A-r Tv,4&j-. ld roaoiwai)44L,14jh4 1-# �w f h -R t- - a rsa t.T�� o1 tdi4 Tv)f P&,A ccO06 All 0"104 -& PARCEL LEGAL / NUMBER 1531 ,S'/ 000 1 DESCR. 4 dini L� #� r� CONTRACTOR J� NA E MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE rr �.� USE BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK ✓ DESCRIBE �^ WORK ,L�I�c( Cl eF/l>l f -6- A / a1h �tr0 BEDROOMS DECKS JSX 0 CARPORT "" NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTALSQ.FT. GARAGE CONDITIONING. NO.OF STORI ES 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 TOTAL SQ.FT. ��0 FIREPLACE wA�r DETACHED ' ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE 1 OWNE AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTI THAT I AM EXEMPT FROM THE REQUIRE ENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGIST TION LAW RCW 18.27, AND AM AWARE OF E MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIR MENTS FOR WHICH THIS PERMIT IS ISSUED D THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CO FORMANCE THERE TH. N� CH GE HALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBTAI NG APPROVAL FRO/HE DIN FP MENT. / APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER DATE // 7 X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YES DEPARTMENTBUILDING VALUATION 00 HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING U/< ' PLAN CHECK SPECIAL C NDITIONS BUILDING GROUP PRE-INSPECTION SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION �, � '��/�. BY 1 CASH CK MO TOTAL BUILDING PERMIT PLOT PLAN MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. Box 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED PERMIT NO. NAME AIL ADDRESS ITy&STATE ZIP P ONE OWNER �ew�t�� 6�1i, �� / ,Q�x y�l P6�� nf� 41)4 GJA 9 3�G DIRECTIONS /�/ /I I, /j 'I /� �/ QXt' TO TO JOB SITE a�''�6�Go[l(� !�"`� ,l� + L'1 l� 70 �L fVJ� ' /✓61ry ti �v��c P�'� �'d PARCEL 2a 33/ sI 60061 LEGAL -1-2 6 j 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. Frj3 L, �OS� e912,4AWi I/We certify that the proposed construction will conform to the dimensions and uses shown above and th no Chang ill be made without first obtaining approval. SI NATURE OF OWNER(S)OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED. DISTRICT AS NOTED DATE TOPOGRAPHY PROFILE OF PROPERTY AND LOCATION OF STRUCTURE BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 ` 427-9670 DATE ISSUED PERMIT �AMV MAIL DRESS �- CI & TAT ZIP HONE OWNER � 142C DIRECTIONS TO JOB SITE PARCEL NUMBER 3 5'0 LEGAL DESCR. Q�*-r / - NAME MAIL ADDRESS CITY d STATE LICENSE NO. ZIP PHONE CONTRACTOR USE OF BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK r I DESCRIBE / WORK / BEDROOMS DECKS CARPOR NOTICE SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR BATHROOMS TOTAL SQ.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 TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FORA PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT 1 CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENT 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 ASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIREMENTS FOR WHICH THISH.PERMIT IS I UED AND AT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN CONFORMANCE THEREWIT NO C _ES SFWL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING LBTAININGPPROVAL FRO THEBUILD DEPART NT. APPROVAL FROM THE BUILDING DEPARTMENT. DATE // r� I ') X BY DATE FOR OFFICE USE ONLY DEPARTMENT YES APPROVEDJO DEPARTMENT YEAPPROVED1O BUILDING VALUATION HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING G PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP �� PRE-INSPECTION OA14 41 1t �zG /,',q1� SHORELINE WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATESURCHARGE APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISS ANCE PERMIT VALIDATION BY U / rJ CASH CK MO TOTAL � HUNT MOBILE HOMES9 WC. G<YP.15r,WASHING=9=7 ORM 500.3 BI.YERIS• ••` .• .. _ PHONE -. DATE MFSS -1 SALESPERSON -A MO:EI. - ` ^ YF,Ar/yR BD ROOMg rt OUR SIZE IitTrH SIZE STOCK NUMBER � - -- SERIAI_NOMI l-P COLOR PROPOSED DFI_IVERY DATE_ KFY NOMRERS NEW XUSED LOCATION R-VALUE THICKNESS TYPE OF INSULATION PRICE OF UNIT $79 Q0 06 _CEILING —_ OPTIONAL EQUIPMENT EXTERIOR FLOORS ' _ SUB-TOTAL NIS INS A ATI N INFORMATION W S FURNISHED BY THE MANUFACTURER ND IS DISCLOSED IN COMPLIANCE WITH THE FEDERAL_TRADE COMMISSION RULE SALES TAX 16CRF SECTION 460 16. 7r, T LE— -- OPTIONAL EQUIPMENT,LABOR AND ACCESSORIES NON-TAXABLE ITEMS --� ' L_�e�,,� $ VARIOUS FEES AND INSURANCE --G 1. CASH PRICE $ ^' TRADF-IN ALLOWANCE $ LESS BAI DUE ON ABOVE $ NET A!LOWANCF_ V 3. Unpaid Balance of Cash Sale Price I Title to said equipment shall remain in you until the agreed purchase price therefor is paid in full 1.1 in cash or by the execution of a (_1 Retail Installment Contract, or a Security Agreement and its acceptance by a financ- ing agency; thereupon a title to the within described - — t — unit passes to the buyer as of the date of either full ---- - ------ cash payment or on the signing of said credit instru- .�141t�Q _&A w o1AWM_ab_ftJ*m_wL ments even though the actual physical delivery may not 4U8�OIIfe1s be made until a later date. 11 &W_rM�._�._10 9�x14 -krc You and I certify that the additional terms and conditions t printed on the other side of this contract are agreed to as part of this agreement, the same as If printed above the signatures.I am purchasing tho above described unit; REMARKS, — — - -- -- `� -- - - — —` the optional equipment, accessories and insurance, it — - included, voluntarily. My trade-in is free from all claims --- whatsoever except as noted. You and I agree that if any — - paragraph or provision violates the law and is unenforce- __--_ able, the rest of the contract will be valid. BALANCE CARRIED TO OPTIONAL EQUIPMENT $ _ DESCRIPTION OF TRADE-IN YEAR MAKE/MODEL BEDROOMS SIZE This agreement contains the entire understanding between you and me and COLOR SERIAL NO TITLE NO. no other representation or Inducement, verbal or tten, has been made — which is not contained in this contract. AMOUNT OWING TO WHOM TRADE OWING DEBT TO BE PAID BY❑ DEALER El BUYER 1 OR WE ACKNOWLEDGE RECEIPT OF A COP F THIS ORDER AND THAT 1,OR WE,HAVE READ AND(J#DEFWfANP THE ACK OF THIS AGREEMENT. HM tNMILE HO.W-S, INC,. DEALER SIGNED X __. BUYER Not Valid Unless Signed and Accepted by an Officer o!the Company. ' _ SOCIAL SECURITY N0. 1--- I_ SIGNED X___ -- _ t BUYEH _. ______ Approved,Subject to acceptance of financing by bank or finance company. SOCIAL SECURITY NO I MRM rinn.3 Jenkins Business f �Forrms REV �r 'UAGE PURCHASE AGREEMENT UCC §2-201