HomeMy WebLinkAboutBLD2006-00007 Cancelled Carport - BLD Application 07
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. &v 0Q
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 {4llK T�*f��) Compa/Ss
Mailing Addres - ( Mailing
7 Citytate Zip Code
City IJA110 State L*- Zip Code Other Pt .
Phone T6.6- Pr-fy(o.D Other Ph X& `�(03.4oe to Phone
Lien/Title Holder Soh- Contra Exit.
E mail address —90 d~PuTr� E Mail Drivers Lic.#Jj]JSe'atL-3/3Br4 DOB /-2 Y-6Drivers DO
J SEPTIC /WATER SYSTEM INFORMATION - Connect to New tic Existing Septic
Connect t Water System Name of Water System
/ Well Sewer System Name of Sewer Syste
PARCEL INFORMATION - 12 Digit Parcel No. Fire Dis rict
Legal Description C (60 r a G Z Q 4-6T C � tp
Site Address (Please include street name, street number a city) N� 6 —
Dir coons to site Ar7JHL')- lot F S
2
Will timber be cut and sold in parcel preparation?Yes /Creek Pond
Is property within 200' of Saltwater Lake s or Bluffs �%
Wetland Seasonal Runoff Stre
Is this permit submittal the result of a Stop W Notice, orr ti otice or other enforcement acti n?Ye No
-TYPE OF JOB - New_Add_Alt epair_ a PRIM ESI EN SEASONAL ❑
Use of Building �M Pa1Za f)es a Wo
No. of Bedrooms No. of Bathroo re tage- 1st Flo 2nd Floor
3rd Floor Basement eck vered Deck Other Sq ft.
Garage Attached Detached Carport Attached D tached
MANUFACTURED HOME INFO ATION a Model Year_
Length Width Serial No. of Bedrooms No. of Bat rooms
Type of Heat P hose Pr' Replacement Unit? Yes/ No.
Installer Name Certification No.
OWNER/BUILDEjknovAedge nowledge ubmissi f i urate information may result in a stop work order or permit rev 9(')rther declare
Acknowledgementh is by si ture bel eclare that I am the owner,owners legal representati ermthat I am entitled te this it an th ork as proposed in the application. I declare th ermission from all
the necessary parermis n is re fired any easement holder or any other party in intere ring this '@anon or the work
proposed in the an, I e obtain perm ion from them to apply for this ermit and conduct the wttqqs he owner or
agent on owners brepr nts that th ation provided is accurate and grants employees of Maso.iFlt.�bAty a ss to the above
16struclion is
described propertytru re for review a nspection. This permit/application becomes null & void if work or a WORK IS BY
not commenced w0. ys or if construction work is suspended for a period of 180 days. PROOF(���QMEANSOFAPROSPECTION.INACTIVITYOFTHISPERMITAPPLICATIONOF180DAYSWILI;IIVVALDATET APPLICATION.
X Date: I)rC Z9 f r` S—
Owner/Ow s epresentative/Contractor (indicate which one)
FOR OFFICIAL SE BEYOND THIS POINT Accepted by: Da
l e
DEPARTMENT XL REVIEW APPROVED DENIED NOTES
Building Depa ent
Planning Depfment
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee i
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO
BUILDING PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton, WA98584
Shelton .(360) 427-9670 - Belfair'(360) 275-4467 o Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner-hi I K c!" , rn,').ri-j Company Name
Mailing Address 1560' - c- _rT Mailing Address• late — Zip Code—
U A/10/J State L/Jd ZCit Other Pt.
City Code V
Phone .,/ Other�h..;L 6 04 2- /Q Phone 0
Contractor Reg. # —Exp.
Lien/Title Holder E Mail Address
E mail address rul I
Drivers Lic. DOB Drivers Lic.# DOE
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic— Existing Septic_�
Connect t Water System —Name of Water System
Well- V Sewer System Name of Sewer Syste
PARCEL INFORMATION - 12 Digit Parcel No. 36 ,S 4% 3 1 C-)� L 4-C> —Fire Dis rict
Legal Description LF^
Site Address (Please include street name, street number and city)
Directions to site J "re rWl
Will timber be cut and sold in parcel preparation?Yes/,.No,
Is property within 200' of Saltwater —Lake River/Creek Pond
Wetland Seasonal Runoff Stream—Slopes or Bluffs 15%_
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?YesJNoJ
TYPE OF JOB - New Add Alt Repair Other, PRIMARY RESIDENCE D<SEASONAL ❑
rL Describe
Use of Building C Lt P, 1st Floor
r0 2nd Floor
No. of Bedrooms No. of Bathroom_; Sq_W -
ua
3rd Floor Basement—Deck ed Deck- V Other Sq ft.
Garage Attached DPt2rI Carport V Attached Detached
MANUFACTURED HOME INFORMATION - M Model —Year
Leri gth—Width Serial No. No. of Bedrooms No. of Batt rooms
Type of Heat Purchase Price Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submis i o i rate information may result in a stop work order or,p@,
h I am
e horn
,g
ent of such is by signature b ow. I e that I am the owner. owners legal representative,or.
Acknowledgement s ained t on from all
that I am entitled to receive this permit and I do I ork as proposed in the application. I declare that I hav pe
r
parties. If permission is require ny easement holder or any other party in interest regarding I i the work
the necessary r f in pr jhe owne®r
0 arn p I on from them to apply for this permit and conduct the workR
obtained ned erm I rr rm
I provided proposed in the application, I have obt i e pe i i Countya
agent on owners behalf, represents that the infor ation provided is accurate and grants employees of Mason
1 v ,
described property and I structure for review and ' spection. This permit/application becomes null & void if w z nstmction is
80 days
or if co struct work
's u sp, c
-nded for a period of 18 ATI N OF WORK IS BY
not commenced within 180 days or if construct n work is suspended 0 days.PROOF OF C
MEANS OFAPROGVSS INSPECTION.INAC IVITY OF THIS PERMIT APPLICATION OF 1180 DAYS WILL INVALIDATE T APPLICATION.
Date:
X
Owner/Owners Representative I Contractor (indicate which one) Dal e
FOR OFFICIAL USE BEYOND THIS POINT Accepted by:
REVIEW APPROVED DENIED NOTES
Building Department
Planning Department 3;p 03
Environmental Health Department
Fire Marshal
FEES p
Building Permit Fee site Ins pec to
EH Review Fe
Plan Review Fee Plannin Revi Me
Plumbing & Base Fee Other
Mechanical 8. Base fee
Wood/Gas Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
WTOTALFEESI
Valuation $
� I
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CONFIRMATION OF CONSTRUCTION INSPECTION FORM
SITE ADDRESS: F `& 06, So-tv I -ovft �O(
ISSUED PERMIT: L D Zoo 0000-7
DESCRIPTION.
PARCEL: 3 Z Z 3 5 - — o O Z Z O
PROPERTY OWNER: Mitu Iaveuyu
PREVIOUS ENFORCEMENT: Y 60 CASE:
REASON: 6h I s Ad,
INSPECTION DATE AND FINDINGS: wYI ' 1 rrn
ogdW 6vi amW.P
'2 6 7 Itio
TooY� 1�0
t 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
t Shelton, WA 98584
Notification of Permit Cancellation
September 25, 2007
MIKE JENSEN r ��
8960 E SR 106
UNION WA 98592
I
Case No.: BLD2006-00007
Parcel No.: 322353100220
Project Description: ENCLOS
E CARPORT ADD DECK
Dear Applicant:
Upon review of our records,.the Mason County Permit Assistance Center has identified
that your building permit application has been inactive since 02/06/2006. Permit 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, our
permit will be cancelled and a building inspector will make a site visit. In the eve t 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. 284. If you feel that you have reciev d this
notice in error please contact me. Thank you for your cooperation.
Sincerely,
Genie McFarland 1 0'3
LVLJ `1 - O/L,5 C/Y\ J
d l i n Cd
`�,(,► �d I"5 P ass
AV h �� el � " 4° Act— �
September 25, 2007 BLD2006-00 07
i }
November 29, 2007
This permit was cancell d
due to no activity . Shou d
applicant change his/h r
construction plans are
mend,
located bottom drawer of
case management for me
year. If, after one year from
this date, applicant has not
paid for re-instating this
permit said plans will be
disposed of.
I;
Charell Holcomb-,bld2d 6-00007 Mike Jensen Page 1
From: Charell Holcomb
To: Amanda Reynolds; Trish Woolett
Date: 11/29/2007 8:56 AM
Subject: blcI2006-00007 - Mike Jensen
This permit has been cancelled due to no progress. No activity since 2-06,2006 Please return your packet to cas4
management.
Parcel file will be forwarded to Mindi Brock for code enforcement.
Thanks for your help.
Charell
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