HomeMy WebLinkAboutBLD2006-00583 Cancelled MH Space 19 - BLD Application - 4/10/2006 /�,frPL�4�v►'���v l rvw a ►L,� ��J ���
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
PLEASE PRESS HARD BUILDING PERMIT APPLICATIONjc�
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 If�FORMATIQQN CONTRACTOR INFORMATION
Owner �l� �nY�sr LLc- Company Name o`;I-e Hour
Mailing Address L7$-C., E s 2 /o h Mailing Address qt'Ak C-+ C
City Lt o V-'_ State W0c Zip Cod City S 4Y.D.w State w R Zip Code 9k387
Phone ,3w)�y9-)41 3 Other Ph. 3� `L�-7-�iQS Phone ZS3-381- .SBo Other Ph.
Lien/Title Holder Contractor Reg. # Exp. -7/1-L nfa
E mail address E Mail Address
Drivers Lic. # 1 3q 10n/ DOB Drivers Lic. # DOB
SEPTIC /WATER 9YSTEM INFORMATION - Connect to New Septic Existing Septic X
Connect to Water System _Name of Water System 4A 5//F H
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. oo 1 Fire District ti
Legal Description F
Site Address (Plea e.rnclude tr t nark, stree nufnberand city)1 7 Z57 S7�e -e 106 `o 0A 194'712
Directions to site - ^ 6'Iz O the 19-
Will timber be cut and sold in parcel prep ration?Yes o � '-
Is property Vi hin 200' of Saltwater �Lake o River/ Creek Pond
Wetland NO Seasonal Runoff AJo Stream Slopes or Bluffs 150X
Is this permit submittal the result of a Stop Work Notice,Correction ftce or other enforcement action?Yes
TYPE OF JOB - New Add Alt Repair Other - RIMARY RESIDENCE a. SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms— _No. of Bathrooms �-," Square Foo e- oo �� 2nd Floor
3rd Floor Basement Deck�Cov c Other Sq. ft.
Garage Attached Detached Ca Attached Detached
MANUFACTURED HOME INFORMATION;= Make Year
Length Width Vrial No.hl-10 f -* o. of Bedrooms v2- No. of Bathrooms
Type of Heat 4�f_f-r-C_- Purchase Pri $ o Replacement Unit? No
Installer Name � r Certification No. L 1 S"'83y9
OWNER/BUILDER Acknowledges submission.0 inacc ate n may result in a stop work order or permit revocation.
Acknowledgement of such is by signature belowfJ declar at e owner, owners legal representative, or the contractor. I further declare
that I am entitled to receive this permit and to the wor s pr ed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is require from any seme holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained rmission fr the to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the formation pro is accurate and grants employees of Mason County access to the above
described property and structure for review nd inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if con ction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.I CTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X t Date: y O
Ow wners epresen ati 1 Contrac or (indicate which one)
FOR OFFICIAL USE BEYO THIS POINT Accepted by: Date L
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
January 25, 2007
Hood Investments
6780 E State Route 106
Union, WA 98592
Re: Bld2006-00583
Bld2006-00584
Bld2006-00585
Bld2006-00586
The above reference permits are deemed invalid due to inactivity. A letter was sent
requesting further information on May 8, 2006. No contact has been made with our
department to resolve the outstanding issues.
See attached copy of the signed applications stating " Inactivity of this permit
application of 180 days will invalidate the application". If you wish to pursuit these
projects you will need to reapply for the building permits under the current
regulations.
Sincerely
Tricia Woolett
Permit Tech II
Mason County Public Health
Environmental Health Division
360.427.9670 ext. 554
tw(kco.mason.wa.us
Attachments: Copy of signed applications
Copy of letter dated May 8, 2006
CC: Case manager
Parcel file
Planning Department
MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
May 08, 2006 PO BOX 1666 Shelton WA 98584
Shelton (360) 427-9670
Fax (360) 427-8442
HOOD INVESTMENTS Elma (360) 482-5269
E 6780 HWY 106
UNION WA 98592 Belfair (360) 275-4467
Case No.: BLD2006-00583 Parcel No.: 322325093001
Dear Applicant:
Your building permit cannot be approved by Mason County Environmental Health until
the following are completed and turned in:
IjPlease see comments at the end of this letter.
Please call me at (360)427-9670, ext. 554 if you have any questions.
Sincerely,
Trish Woolett
tw@co.mason.wa.us
Environmental Health
Mason County Health Services
Comments: 05/08/06 after reviewing the file, the following information must be
submitted for further review;
1. You need a septic O&M Specialist to evaluate the septic system and
evaluate the flows.
2. A layout sketch of the entire property, it should be to scale, needs to
show all structures & spaces, include number of bedrooms current and
proposed Manufactured homes do/will occupy the spaces, septic
systems locations and what units are connected to those systems.
5/8/2006 1 of 1 BLD2006-00583
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