HomeMy WebLinkAboutCOM2007-00129 Final ReRoof - COM Permit / Conditions - 12/18/2007 N N
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MASON COUNTY PERMIT NO, 1
BUILDING PERMIT APPLICATION ;r")
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 L-(,. A VJU ttR T)ii•jr,4f � ( Company Name
Mailing Address pn Rfi)L 5&3 Mailing Address
City -a 1 0. State WQ Zip Code 9752 Sy City State Zip Code
Phoner?' 1 '� S- oc14 Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address 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 Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Di it Parcel No. - — ► Fire District
Legal Description SA m ;3.-fh0r S Home 't (i td -T?,S W. 31)' 0 f -M W7
Site Address (Please include street name, street number and city) 2 2-461 Sf• Rt. 3, I K611 r i WA
Directions to site
Will timber be cut and sold in parcel preparation?Ye l No
Is property within 200' of Saltwater Lake - River/ Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other P/�I1 ARY RESIDENC �i9 SEASONAL ❑
Use of Building Describe Work ,'u r1 ` '� �� t t(!!
No. of Bedrooms No. of Bathrooms_ Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck__ Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length—Widto Serial No. No. of Bedrooms Bathrooms
Type of Heat Purchase Price$ Replacement U�Yes
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X )r�g Date 2 (o- o-7
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: `. Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department C ?
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood /Gas / Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation TOTAL FEES
L- 3 Z
Building �jL; C,
Permit# JA MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
This structure has been inspected by Mason Count Building Department
and the followingV y g p rtment
VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
q � �� _T \ ,
OLD 2 n O-7 - Go Z qJ 11 07_
You are hereby notified that the above corrections shall
be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
- C ll for re-inspection when corrections are made before co
ntinuing
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection .
Department 1..
Date t � '7 - -
Inspector — i _
Parcel Information for parcel number: 123325000111 Page 1 of 1
MASON COUNTY
A&011 washing ton
Government i
CountyMason r a. Ws&Addresses
Codes& Regulations Community Links Visit Mason County Search our Site Departments
Assessor Parcel number: 123325000111 smalm
Treasurer Owner Information
Records BELFAIR WATER DISTRICT PO BOX 563
►New Search I BELFAIR WA 98528-0563
►Parcel Detail Taxpayer Information
►Parcel Value BELFAIR WATER DISTRICT PO BOX 563
►Site Built Buildings
BELFAIR WA 98528-0563
WH and Personal Legal Description
Property ISAM B. THELER'S HOME & GAR TRS N 30'OF TR 47
►Sales Info Site Address
►Taxes Reval Area 12 Field Sheet IFS 05309:47
Wernl is Land Size* 0.66 Land Use WATER
►Profile (Summary _ UTILITIES/IF
View of all items) Tax Code 276 Tax Code Description 1 403 A P3 F
W1
Census Tract Click Here
* if the value is .00(zero) then the property is most likely in a plat and acr(
usually carried on platted lots
Last updated: 1 1/16" 007
Information may be inaccurate and outdated.
Please refer to the Assessor/Treasurer Offices to verify any infonnation
Assessor Home Treasurer Home Search our Site Disclaimer Director',
Z � I tttl� .3
T P��l
http://www.co.mason.wa.us/astr/parcel_detail.php?parcel number=123 325000111 11/26/2007