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HomeMy WebLinkAboutPermit File 2316 37th Court `\S v o,,, CITY OF ANACORTES WASHINGTON v N gCP1: BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure) New Manufactured Home Located At: 2316 37th Court STREET&NUMBER Owner: Laura Drumm SuppliedAlamismk4 By: Coach Coral OWNER OR CONTRACTOR Bldg. Permit#: BLD-2007-0351 Date Issued: June 18 , 2007 Occ. Group: MH Use Zone: R2 Has Been Inspected And Occupancy Is Hereby Authorized. This 5th Day of December 20 07 I�l AUTHOgRING O IAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. 0807304-1 30132 03/1412006 002 2 Permit Fees 0O7E154 $25.00 GST O City of Anacortes Permit#: BLD-2008-0122 904 6th Street Issue date: 03/14/2008 P.O.Box 547 Expire date: 03/14/2009 ";;'' )0 ` Anacortes, WA 98221-0547 Job Address: 2316 37TH CT Permit Type: Mobile Home Real Property ANACORTES WA 98221-4726 Project: APN: P116528 Remarks: Proces form for conversion of manufactured home to real property. Owner: LAURA CRUMM Contractor: Address: 13758 ROSARIO RD Address: ANACORTES WA 98221-8531 Phone: (360)293-2575 Phone: License#: General Information: Fees: Application Notes 1 Mobile Home Conversion Fee 25.00 Total Calculated: 25.00 Deposits/Receipts: 0.00 Total Due: 25.00 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANC L THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION SIGNATURE OF OWNER OR AUTHORIZED AGENT IS UED RETURN ADDRESS Reconveyance Services, Inc. 14090 Fryelands Blvd. SE, Suite 200 Monroe, WA 98272 R5 i # 01- 22-g 7 g—vkipc Manufactured Home PLEASE CHECK ONE r WAGNINGION STATE DEPARTMENT OF I2'TITLE ELIMINATION cz LICENSING Application ❑TRANSFER IN LOCATION Anyone who knowingly makes a false statement of a material fact is guilty ❑REMOVAL FROM REAL PROPERTY of a felony, and upon conviction may be punished by a fine,imprisonment,or both.(RCW 46.12.210) ▪ MANUFACTURED HOME TPO/PLATE NUMBER YEAR MAKE LENGTHNJIDTH(FEET) VEHICLE IDENTIFICATION NUMBER WIN) 2008 SKYLINE 66 X 28 2F91-0106-W ® LAND LEGAL DESCRIPTION ON PAGE 2 REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE (AFFIXED ❑ REMOVED 4743-000-003-0000/PI 16528 LOT BLOCK PLAT NAME OR SECTION/TOWNSHIP/RANGE QUARTER/QUARTER SECTION Lot 3 "Plat of 37th Court",AF#2000011400741 0 GRANTOR(S)REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER NUMBER OF REGISTERED OWNERS NUMBER OF LEGAL OWNERS SKAGIT COUNTY 2 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER DELNO CRUMM NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER LAURA CRUMM ADDRESS CITY STATE ZIP CODE 2316 37th COURT ANACORTES WA 9822 NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER FINANCIAL FREEDOM NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER ADDRESS CITY STATE ZIP CODE 1660 E ROSEVILLE PKWY,SUITE 100 ROSEVILLE CA 95661 GRANTEE NAME State of Washington Dept of Licensing to the Public I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGISTERED OWNER(S)OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLICABLE Signature of Additional Registered Owner and Title,IF APPLICABLE ' 'I NO SEAICtS4A€ NOTARIZATION/CERTIFI IO FOR REGISTERED OWNER(S)SIGNATURE \Gj, tltpNtsE'`�,y'+tlot ::: Washington Sig - .rttestedCounty ofCtC.7\ \ A k Signal Vt tV RINT NAM ISTEREDO NER ( de -•- �s-20A0 by � U� r ( PRINT NAME OF REGISTERED OWNER PF,hdreu AME OF NOTARY ‘5, County/Office No OR ,9 .`OF,WaC.� Title AND: Dealer No.OR r� DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date 4 TITLE COMPANY CERTIFICATION I certify that the legal description of the land and ownership is true and correct per the real property records NAME(TYPED OR PRINTED) TITLE COMPANY/PHONE NUMBER SIGNATURE/POSITION DATE Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. © BUILDING PERMIT �OFFICE CERTIFICATION I Certify that: '�',""manufactured home has been affixed to the real property as described. ED a building permit has been Issued for this purpose and the attachment will be inspected upon completion. NAME(TYPED OR PRINTED) BLDG PERMIT OFFICE/PHONE N BLDG PERMIT N Ep(, tw 9Rpl.LK 1(oo ^ ,2Q1- no / BLD-2007-0351 SIGN E/PO ION DATE 6�32fT-729 (FV6/o6)w a 1 of MANUFACTURED HOME-FROM SECTION 1 TPO PLATE NUMBER YEAR MAKE LENGTHANIDTH(FEET) VEHICLE IDENTIFICATION NUMBER(VWNI 2008 SKYLINE 66 X 28 2F9I-0106-W 6 SIGNATURE OF LEGAL OWNER SIGNATURE OF LEGAL OWNER INDICATES CONSENT FOR ELIMINATION OF TITLE/REMOVAL FROM REAL PROPERTY. Signature of Legal Owner and Title,IF APPLICABLE Signature of Additional Legal Owner and Title,IF APPLICABLE NOTARY SEAL OR STAMP NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S)SIGNATURE State of Washington Signed or attested County of before me on by Signature PRINT NAME OF LEGAL OWNER NOTARY OR AGENT by PRINT NAME OF LEGAL OWNER PRINTED NAME OF NOTARY County/Off ce No.OR Title AND: Dealer No OR _ DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's Office) Lot 3, "PLAT OF 37th COURT," as per plat recorded under Auditor's File No. 200001140071,records of Skagit County,Washington. Situate in the City of Anacortes,County of Skagit,State of Washington. 3 DEALER'S REPORT OF SALE I CERTIFY THAT THIS INFORMATION IS CORRECT.THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. DEALER NAME(TYPED OR PRINTED) WA DEALER NUMBER DATE OF SALE PURCHASE PRICE TAX JURISDICTION/TAX RATE DEALER'S AUTHORIZED SIGNATURE U USE TAX EXEMPT Sale to a Certified Tribal member on the reservation(attach notarized statement of delivery). 9 COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents) I certify that the above application appears to have been completed correctly,and the applicant has sufficient documentation to proceed with the recording of this form. NAME(TYPED OR PRINTED) COUNTY OFFICENFS OPERATOR NUMBER SIGNATURE DATE Rn TITLE FEES FILING FEE APPLICATION MOBILE HOME FEE ELIMINATION FEE USE TAX SUBAGENT FEES TOTAL FEES&TAX .MPORTANT: Once the application has been approved by the County Auditor/Vehicle Licensing Office,take your application form to the County Recording Office. Retain proof of the recording fees paid. If the Recording Office retains your original application form,obtain a certified copy of the recorded form. APPLICANTS: Once recorded,you must return to a Vehicle Licensing office to file the Manufactured Home Application, paying all required fees.Vehicle licensing subagents charge a service fee. For full instructions on completing this form for Title Elimination, Removal from Real Property or Transfer in Location, see form TD-420-730, Manufactured Home Application Instructions. The Department of Licensing has a policy of providing equal access to its services. If you need special accommodation,please cal(360)902-3600 or TTY(360)664-8885. TO-420-729 (R/6/06)W Page 2 of 2 'S• _ 9.. _ Public Works orks Engineering and Development Services Residential Inspection Address: -2 3 ii3O -' •----il S'a^,A.kt i Date: / --z4_oe Owner. Contractor: InsPected by: 14 �� lM-� k .�. a�.�. ? ?J fo,,��� G � ?. LA„-A-s _I. Water Meter x Set_firm and level to finished grade or backside of sidewalk elevation. , a—Lid and box undamaged. Water meter and customer shutoff installed. No debris. ;-- ccessible—no landscape obstruction_ Eh-f)riveway installation has drive-over box and lid. Er-Customer gate valve intact. El--156 leaks at connections. 2. Curb and Gutter I No cracks, danhge, graffiti, footprints, finishing blemishes, or other objectionable lj marks. If road frontage improvements: ❑ Expansion joints every 15 feet and at driveways. ❑ Concrete has broom finish. 0 No low spot-at curb line, especially at driveway cut. Maximum grade change in 20 feet is ' inch. 3. Sidewalk t1/41 A ❑ No crac s, damage, graffiti, footprints, finishing blemishes, or other objectionable marks. D ADA compliant— 1 percent slope to curb. If road frontage improvements: ❑ Expansion joints every 15 feet and at driveways. - ID Concrete has broom finish 4. Drivewa Approaches vac o ks, damage, graffiti, footprints, finishing blemishes, or other objectionable s_ compliant. • • 5: streets ityik ❑ No cracks, blemishes. If road or alley improvements: - • - - - - ❑ • Received proctor and sieve analysis of ballast, crushed rock, and asphalt. ❑ Received passing materials testing reports for sub-grade,ballast, crushed • rock, and asphalt. ❑ Received tonnage tickets consistent with required thickness per approved: plans. • 6. Sanitary er Inspection card signed off and/or verified in Building Department database. '7 ❑ As-built record filed in the address file. ❑ Screw cap(s) installed on clean-out(s). ❑ Clean-out(s) set at finished grade. 7. Storm Drainage St Inspection-card signed off and/or verified in Building Department database. Or As-built record filed in address file. l+ of blocked or diverted to adjacent parcel. 8. Public Utilities Out of Traveled Way Oi Pr ❑ Concrete collars around-City utilities. ❑ Final grading ok. - ❑ Restored to prior condition or better. • 9. Landscape 1 0 ❑ Bonded for completion at later date. Verified against approved landscape plan: ❑ Installation. - ❑ Type and quantity of plants. ❑ Sod or seed in place. ❑. Root barrier (receipt filed). 10.Erosion Control Measures - ❑ BMPs removed. ❑ All debris removed. Site dean. ❑ Permanent vegetation established. 08001004-1 0002 01/10/2003 002 4 Permit Fees 007533 $38.90 Sir O�y_ City of Anacortes• Permit#: BLD-2008-0016 904 6th Street Issue date: 01/10/2008 • P.O.Box 547 Expire date: 01/09/2009 Anacortes, WA 98221-0547 ' Cw (360)293-1901 Job Address: 2316 37TH CT Permit Type: Mechanical Permit ANACORTES WA 98221-4726 Project: APN: P116528 Remarks: Install gas fireplace and piping. Owner: LAURA CRUMM Contractor: CRAFT STOVES INSTALLATIONS, IN Address: 13758 ROSARIO RD Address: 900 W DIVISION ST ANACORTES WA 98221-8531 MOUNT VERNON WA 98273-3226 Phone: (360)293-2575 Phone: (360)336-2532 License#: CRAFTSI97OBT General Information: Fees: #of Gas Fireplace 1 Mechanical Permit Fees 38.90 #of Gas Piping 1 Total Calculated: 38.90 Deposits/Receipts: 0.00 Total Due: 38.90 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINNNBES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE9MtATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. • I/ v 1 ` — e.lk A 9 �Q< sTh SIGNATURE OF 0 R OR AUTHORIZED AGENT ISSUED BY Y of CITY OF ANACORTES WASHINGTON ➢ N 9coRSW BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): New Manufactured Home Located At: 2316 37th Court STREET&NUMBER Owner Laura Crumm Su plied scnnkAlur,,,EUE By: Coach Coral OWNER OR CONTRACTOR Bldg. Permit#: BLD-2007-0351 Date Issued: June 18, 2007 Occ. Group: MR Use Zone: It 2 • Has Been Inspected And Occupancy Is Hereby Authorized.This 5th Day of December 20 07 ,of� AmPoRl➢NOO -EIAL- I SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. ■ (z E) CITY OF ANACORTES WASHINGTON gcocCc BUILDING DEPARTMENT (, CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Manuf1lchi red flfir.n ( Located At: 2316 37th S zex ! STREET&NUMBER Owner. Laura Crumm il. Constructed By: (-nat..h on r r n 1 OWNER OR CONTRACTOR Bldg. Permit#: Txsn Lf rfli._t :atfl Date Issued: „tli"::: t a o 2C00 7 Occ.Group: «y0. N^:i Use Zone: 7 Has Been Inspected And Occupancy Is Hereby Authorized. This ,P T Day otd-nr.rM itt;RRP %) 20 07 .,,./ AUTHORRI NG'OFFICIAL ^^" SEE REVERSE SIDE FOR SPEpt L REQUIREMENTS. I / 0716904-1 0003 06/18/2007 002 9 Permit Fees 007533 $9,537.50 Y td . City of Anacortes Permit#: BLD-2007-0351 904 6th Street Issue date: 06/18/2007 P.O.Box 547 Expire date: 06/17/2008 Anacortes, WA 98221-0547 ntr3 (360) 293-1901 Job Address: 2316 37TH CT Permit Type: Single Family Residence Permit ANACORTES WA 98221-4726 Project: APN: P116528 Remarks: Place new manufacturered home on site including access steps and landings, deck and garage. Owner: LAURA CRUMM Contractor: COACH CORRAL INC Address: 13758 ROSARIO RD Address: 377 S BURLINGTON BLVD ANACORTES WA 98221 BURLINGTON WA 98233-1710 Phone: (360)293-2575 Phone: 360-755-0341 License#: COACHC*254MJ General Information: Fees: Building Valuation 35000 State Building Code Fee 4.50 Sewer Inspection Fee 50.00 Storm Drain GFC-Residential 1,126.00 Sewer GFC-Residential 6,592.00 Park Impact Fee 615.00 Traffic Impact Fee 900.00 Building Permit Fee 250.00 Total Calculated: 9,537.50 Deposits/Receipts: 0.00 Total Due. 9,537.50 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 ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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