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
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- lUBMIJ CHANGES f= PRMV J
PRIOF Tc
FHESE Pt_AN 5 MUST BE
ON T - E JOB SITE
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1�f� G4 (co
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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