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HomeMy WebLinkAboutBLD0197 Retaining Wall - BLD Application - 5/3/1995 MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W.Cedar P.O.Box 186 Shelton,Washington 98584 (360)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION 1 May 3 , 1995 RE: Building Permit No. . O\"A'--i Dear A recent review of our permit records indicates that a final inspection of the above permit, issued in our office on has either not been done as required per the Uniform Building Code or we do not have the accurate update information in our files. If the final inspection has been performed, please send a photo copy of the orange building permit with the signature and date of final inspection so that we may update our files. Pursuant to the Uniform Building Code, Table 3-A and Mason County permit fee charts, the building official has the authority to charge $25.00 for inspections on expired permits, an expired permit is defined as a permit with no activity within a 180 day period. However, if you find that you do not have record of the final inspection, we will waive the final inspection fee of $25.00 if you contact our office prior to June 2, 1995 to arrange for the inspection. All permits to which there is no response will be marked null and void by expiration. Any request for a final inspection after the permit has been voided will require the inspection fee to be paid. If you should have any further questions, please contact either Toni Hermansen or myself at (206) 427-9670 ext. 284. Sincerely, Cheryl Rag ' Building partmen cc: Property File Taxpayer (if applicable) , Title Owner (if applicable) Contract Owner (if applicable) j,, BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 427-9670 DATE ISSUED d PERMIT NO. e l NAME MAIL AD RESS CITY&STATE ZIP & OWNER - �' c arY (�aAc. - �0 C.—'re, c ) TTO OBI SITE 5YLg� A 1-VI/ PARCEL 12l 1Q—/l—C O�:�C) DESCR. Ilr,_4 j ! Go IJ /�O 3l��rr c.✓� /! MAILA DRESS CITY&STATE Ci9ENSERQ' / /��ZIP PHONE -7 CAIE ONTRACTOR V cS �tdd y USE OF � �:� �ti o-L�` fro�� �:ri �e �aor••/�/ 1(' � L BUILDING CLASS OF x ADDITION ALTERATION REPAIR MOVE REMOVE WORK r J NEW DESCRIBE �/ l O Al �,' n Y-�„w cr©d c e � c_ .0 'c ce e WORK r ? �o / S "f c Z i / l/ J-G- t /� , n CL Vt BEDROOMS DECKS CARPORT 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 TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. �� GCsA�G PERMANENT SHORELINE SEASONAL i OWNERS FFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY HAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGISTRA ION LAW RCW 18.27,AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQUIRE NTS 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 CON RMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO AL THE BUILDING DEPART CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT9AINI APPROVAL FROM THE BUILDING DEPARTMENT. 3^ DAT X B DATE X O ER APPROVED FOR OFFICE U S E O BUILDING VALUATION APPROVED s1 c7/D, O U DEPARTMENT YES No DEPARTMENT YES No o! �c FEE HEALTH PUBLIC WORKS • FIRE B � UILDING PERMIT g. PLANNING 2`� D.O.T. BUILDING PLAN CHECK BUILDING GROUP PRE-INSPECTION SPECIAL CONDITIONS Q` /i SHORELINE 0 WOODSTOVE PLUMBING MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICA ION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION TOTAL &,a'cI OD �� BY W G� CASH CK MO