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Home My WebLink AboutCOM2004-00112 Cancelled Sign - COM Application - 5/14/2004 Mason County Dept. of Community Development r Mason County Bldg. 3 (360)427-9670 Local 426 W.Cedar (360)275-4467 Belfair P.O.Box 186 (360)482-5269 Elma Shelton,WA 98584 Notification of Permit Cancellation November 13, 2006 PACIFIC NW SALMON CNTR 22751 NE STATE ROUTE 3 BELFAIR WA 98528 Case No.: COM2004-00112 Parcel No.: 123325000059 Proiect Description: SIGN Dear Applicant: Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit application has been inactive since 05/25/2004. Permits must make some progress every six months. If you intend to keep this permit active, you need to contact me within ten (10) working days from the date of this letter. If we do not hear from you within the that time, your permit will be cancelled and a building inspector will make a site visit. In the event that your project has been completed and a permit was never issued, you will be assessed penalties as allowed under Mason County Title 14 and Mason County Title 15. If your project has been cancelled or if you wish to withdraw the permit, please notify me as soon as possible at (360)427-9670, ext. 616. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Charell Holcomb f � i November 13, 2006 COM2004-00112 Mason County Dept. of Community Development Mason County Bldg. 3 (360)427-9670 Local 426 W.Cedar (360)275-4467 Belfair P.O. Box 186 (360)482-5269 Elma Shelton,WA 98584 Notification of Permit Cancellation November 08, 2006 PACIFIC NW SALMON CNTR B Case No.: COM2004-00112 Parcel No.: 123325000059 Proiect Description: SIGN Dear Applicant: Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit application has been inactive since 05/25/2004. Permits must make some progress every six months. If you intend to keep this permit active, you need to contact me within ten (10)working days from the date of this letter. If we do not hear from you within the that time, your permit will be cancelled and a building inspector will make a site visit. In the event that your project has been completed and a permit was never issued, you will be assessed penalties as allowed under Mason County Title 14 and Mason County Title 15. If your project has been cancelled or if you wish to withdraw the permit, please notify me as soon as possible at (360)427-9670, ext. 616. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Charell Holcomb h November 08, 2006 COM2004-00112 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner IP AS L 1 S L 1 M E 7-0 Company Name SiQMe� Mailin Address 22. 2-7 1 ^A eF s' 2 ,, Mailing Address City State W\* Zip Code 4 a -Vz 8 City State Zip Code Phone -3Gck 2 7S d3 73 Other Ph. .2, -J"& 5" 7.5� Phone Other Ph. Lien/Title Holder L-. Contractor Reg.# Exp. E mail address N c-—A Q �'+ & 5- ° 0"1 E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. /2 c *a c Fire District Legal Descriptiona�51 Site Address (Please include street name, street number and city) 2-21111111"IF/ A 6=SA 3 Directions to site mar 7- T"° /1-1Ae-7"0 Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater Lake River/Creek Pon Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or of rcement action?Y s/No TYPE OF JOB - New Add Alt Repair Other Si&AJ MA RESIDENCE ❑ SEA L ❑ Use of Building Describe Work No.of Bedrooms No.of Bathrooms Square Footage- 1st Flo 2nd Floor 3rd Floor Basement Deck Covered Peck ther Sq.ft. Garage Attached Detached —Sarp6rt ttached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. go. Brooms No.of Bathrooms Type of Heat Purchase Price $ ment Unit? Yes/ No Installer Name ation No. OWNER/BUILDER Acknowledges submission of inaccurate infor n may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I t e owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the o a roposed in the application.I declare that I have obtained the permis- sion from all the necessary parties.If permission is required from easement holder or any other party in interr �4C� ap�55db- tion or the wo sed in a appI' on,I have obtained sion from them to apply for this permit and coiilltltlt�c pZ55�d X � ate: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT 0 3 8 Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES