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HomeMy WebLinkAboutBLD2002-01479 MFG Home - BLD Application - 10/28/2002 - PERMIT NO.: BLmoC�� nnAsoN COUNTY BUIl1tNG PERMIT APPLICATION I 26 W.Cedaifixo.Box 186,Shelton,,WA 98584 Shelton 3titl 2'7-9970 Selfair 366 275 dd67 Elma 3G0 2.5 9 Seattle 206 4-6968 APPOCANT INFORMATION , CONTRACTOR.I ORMAT/IQ N,; _ , Owner,, 1t,� 6 IU va ` 'c �?�v Contractor Name . I k, ,,,' Mailing Address :L 9 Lci � Mailirt�Address City I �. i.j;5, State w F ZipGode !s s City State Zip`Code Phone( OtherPh.Z Ph. , Other Ph.( i. Lien/Title;Holder Contractor Reg.# y Address J Expiriaftion ! / SEPTIC/WATER SYSTEM,INFO' T N-Coiltfeat to New deptic Existing Septic X Connect to Sewer E SystemNae of SttierS� ,em_ ;, We11Water,Systerri�' _i\iame of I Water System PARCEL II�fO M/t'C Oi\E- 2 d }t Tax Pm VI iNo: G? � l ` ! G?4C;� f0 Fire District Legal Descrip ti t, t i4 X a tZ ,' gqii cC Site Address(PI. se include street name, street rturfibWand city) �` "3 -r ('i_ a < Directions tp site Will timber be cut anA sold in parcel preparation? (Yes/No) - Is your property withiwWO`of.the following: Body of Water(Name) Saltwater 11 Lakes River/Cree � Pond A'. Wetland;,xIA�_Seasonal Runoff_Stream.nL_Slopes or Bluff PERMANENT RESIDENCE SSASONALFIESIDLNOE TYPE OF JOB New Add Alt Repair _Other` Use of BuildingVIMC Y}t Describe Work 1 C- 11 No. of Bedrooms-, 2—No. of Bathrooms--jL SQUARE FOOTAGE-'ISt Floor 2nd Floor 3rd Fioor Lofty Basement. Deck Other - sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATIONWMake +� ,fig;?/ ^Model Mode ear Length Width Serial No. No. f*drooms No. of Ba rooms .. Type of eat /r Purchase Price $ Re lacement Unit ?(Yes/No) YP . Cl�c�:�! R Iftstaller Name x: Certifc ion:No: NOTICE: THIS PERMIT BECQMES NULL&VOID IF.WORK R'CONSTRUCTION AUTHORSMMENGED f1AYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 18.0 DAYS AT.ANY AFTER THE WORK IS COMMENCED. PROOF OF CON FMUATION'O0 WORK IS BY MEANS OF A PROGRESS INSPECTION, The owner or agent,on owner's behalf,represents that the information provided.is accurate and grants employees of Mason County access to the above described property and structures„for review and l inspection.of this project. Acknowledgment of such is by signature below 4 OWNER AFFIDAVIT-I certify that I tm exempt from the requirements of the CONTRACYOR'S AFFIDAVIT-I certify! et r i as al'' Contractor Registration law RCW'f8.27 and am aware of the ordinance contractor in e'State of-Was�?in6lpn an that l am aWBr ort!) nance requirements for which this permit is issued and that all work will be done in requirements regulating 6kk fior w h is issued a all work ` conformance therewith No changes shall be made without first obtaining shall be done,ins K(s rrn ce t rewitl Noce I 11 without appgoval. first obtainingta�iproval 426 W. CE X pate X Sri �a FQR OFFICIAL USE BEYOND THIS POINT ' } Accepted by Date bmittal Amount Due — Receipt No. ltIT .:.:. .. if:.: ..,..:.::.<:..:..> _ II ....:[41 :.,:...:..*.:.::.>:::::.:.:.:.: ::::;:::::..::: . Building Department \\•SaSa Q 0.f iG . de f GA (. Occ GroupType Constr. ✓ p 3n-- U tl p Planning Department 1 �e✓el C� mP %I t"fUYAtOr�JK� Environmental Health Department link Public Works Department I Fire Marshal Valtiiiation $ Building Permit Feed Site Inspection Plan Review Fee t, b� EH Review Fee Plumbing&Base fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee ( � fY ¢ 4fY Violation Fee Pre-Paid at Shcb nittal 5=x TOTAL FEES ` Mason County Dept. of Community Development Meson County Bldg. 3 428;W.Cedar P.O.Box 186 (360)427-9670 Local (360)482.5259 Orna Shelton,WA 98584 (360)275-4467 Belfair (206)464-6968 Seed Notification of Permit Cancellation July 28, 2004 JUAN ESTEBAN 720 ALTA DRIVE BELFAIR WA 98528 Case No.: BLD2002-01479 Parcel No.: 1220578=10 Dear Applicant: Upon review of our records, the Mason County Permit Assistance Center has Identified that your building permit application has been inactive since 7/9/2003. Permits must make some progress every six months. If you intend to keep this permit alive, 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 visiL 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 Ordinance 37-96. 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,exL 287. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Tricia Woolett July 28, 2004 BLD2002-01479 RECEI VED MUST MEET ALL. CURRENT OCT 8 CEDAR fSiejaaav QHA 1 ��uT�pt� �y,,C�,� - lUBMIJ CHANGES f= PRMV J PRIOF Tc FHESE Pt_AN 5 MUST BE ON T - E JOB SITE i � sa: a 0 p 0 i �� Q a�j -a d I ; 1�f� G4 (co aoo - APPROVE a 50, M SON BUILDING INSPEC OR C ANGES SUBJECT TO APPRO�IAL� �� Mason County Permit Assistance Center Planning Intake Checklist Owners Name: ��T�/� AN Date: /0 Project: �� { ,. '1yc Reviewed By: Commercial Development: Yi NO,,) Comments: Planner: SAL GBlf RA1 '. PBC Site Plan: RECEI VED r❑ 'North Arrow ;oC T ^ u Property Dimensions: 6,(o O X -3 aG) ,!`�" &j Streets and Driveways Shown. Road name: lk' 426 lu . All Existing Structures shown with setbacks �Ca Well Location, Septic and Drain-field Shown with setbacks Identify all surface water(streams, ponds, shoreline, wetlands, etc.)�o;,� ,� Topography(slopes) Proposed Structure Setbacks (Direc'tion/Setback): , F: W / 5-0 R: / S 1: if l { S2: ❑ Utility and Drainage Easements: Yes No (if yes enter condition#5022) ,❑ Other Easements Shoreline and Planninnng info Setbacks: Shoreline: Slope: ' Shoreline Designation: Comprehensive Plan: Rural Zoning:. of Applicable ❑ Agricultural ❑ RR 2.5 5,' 10 20 0 Urban ❑ In-holding ❑ RMF ❑ Rural ❑ LTCFL ❑ RC 1 2 3 ❑ Conservancy p"Rural ❑ RI ❑ Natural °❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown y Water Body(type of water if unnamed): SEPA: Yes Unknown a .. Flood Plain: YES NO 'Unknown Map# Aquifer Recharge: YES ';NO`l Unknown Map# Tags/Cases: RLC/SPI Case: '� 6-Year Dev. Moratorium; YE NO Eagle Nest Tag: YES NO Other C ���' ' Y NO g g pp Addressing: Check box if needed Reviewed by:'�'� � t ❑ County Access Permit Needed(add condition#0010) LL l ❑ State Access Permit Needed (add condition #0020) d Standard Conditions to be added to al Building permits that planning reciews: #0046, #4999, and# 5019 Rc,i,W 10/ii/02 oN.SrAv- MASON COUNTY c DEPARTMENT OF COMMUNITY DEVELOPMENT o S°u �= Planning Division ~ N T P O Box 279,Shelton,WA 98584 Z�oJ Y �,o~ (360)427-9670 186A NOTIFICATION OF INCOMPLETE APPLICATION July 09, 2003 JUAN ESTEBAN 720 ALTA DRIVE BELFAIR WA 98528 Parcel No.: 122057800010 Project Description: MANUFACTURED HOME Dear Applicant: You have submitted a permit application (case no. BLD2002-01479) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 577 if you have questions. Sinc e ! v Rick Mraz Land Use Planner Mason County Planning Department 7/9/2003 1 of 2 BLD2002-01479 o 'SrAv- MASON COUNTY � c DEPARTMENT OF COMMUNITY DEVELOPMENT o s°u �= Planning Division y N T P O Box 279,Shelton,WA 98584 �oJ Y �,o~ (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION November 04, 2002 JUAN ESTEBAN 720 ALTA DRIVE BELFAIR WA 98528 Parcel No.: 122057800010 Project Description: MANUFACTURED HOME Dear Applicant: You have submitted a permit application (case no. BLD2002-01479) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. Please contact me at(360) 427-9670,ext. 577 if you have questions. Sincerely, Rick Mraz Land Use Planner Mason County Planning Department Comments: A preliminary review of your building permit application indicates that the subject parcel is encumbered by a 6-year Forest Practices Moratorium (FPA# 2405805). As such, no construction can occur on the parcel until the moratorium ends or is lifted through a formal review process. If you have questions about this determination, please contact me. If you wish to have the moratorium removed, please contact Michael MacSems at (360) 427-9670 x571. 11/4/2002 1 of 1 BLD2002-M479 NOTIFICATION OF INCOMPLETE APPLICATION 7/9/2003 Case No.: BLD2002-01479 Comments: A preliminary review of your building permit application indicates that the subject parcel is encumbered by a 6-year Forest Practices Moratorium (FPA# 2405805). As such, no construction can occur on the parcel until the moratorium ends or is lifted through a formal review process. If you have questions about this determination, please contact me. If you wish to have the moratorium removed, please contact Michael MacSems at (360) 427-9670 x571. 7/9/2003 2 of 2 BLD2002-01479