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Home My WebLink AboutBLD2008-00293 CANCELED - BLD Permit / Conditions - 3/19/2008 MASON COUNTY PERMIT NO. BUILDING PERMIT APPI (CATION 426 W. Cedar• P.O. Box 186, Sheltoi, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-446 • Elma (360) 482-52691 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company Name Mailing Address Mailing Add ess City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic. OB 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 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site 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 B uffs 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement ction?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1 st 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 Width Serial No. No. of Bedrooms—No. of Bathrooms Type of Heat Purchase Price $ Rer Ibcement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result ir a stop work order or permit r vocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners egal representative, or the coi tractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the applicati n. 1 declare that I have obtaine 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 informaticn 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 18 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Acce ed by: 4ate DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site InSpElction Plan Review Fee .3� . 2-2 EH Revie Fee Plumbing & Base Fee C1o. S--r - / [) Plannin eview Fee Mechanical & Base fee a tml d2 Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee _p Pre-Paid at Submittal Valuation $ TOTAL F ES ,i .e .r :S L,.' ,.. s ,', to ° f V}. 4 ;? Jt .A a � k Y �l, i` •r"'r J3 rL MASON COUNTY PERMIT NO. PLUMBING/MECHANICAL 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 INFOlkyAfflON CONTRACTOR INFORMATION Owner Company Name Mailing Address Mailing Address City State Zip Code City State ---- Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor 0eg.# Exp. E mail address E Mail Addr ss Drivers Lic.# 'DOB Drivers Lic. , DOB SEPTIC INFORMATION - Connect to New Septic Existing Sepptic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal R noff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1st floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Sho Number of each) MECHANICAL UNITS Type of Fixture No. of Fixt res Fees Fuel Type: lectric_ LPG— Natural Gas Heat Pump_ Toilets Type of Uni No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpump Showers Spot Vent n Water Heater Propane Tank Clothes Washer Gas Outlet Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER Acknowledges submission of inaccurate information may result in a s p 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 parry 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 oi 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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Insp ction Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES Mason County Dept. of Commu ity Development Mason County Bldg. 3 (360)427-967 Local 426 W. Cedar (360) 275-446 Belfair P.O. Box 186 (360) 482-5269 Elma Shelton, WA 98584 0- 1 " n Notification of Permit Cancellation Septembers 2008 LEONARD CHAVEZ - V 20 E BLEVINS RD SHELTON WA 98584 Case No.: BLD2008-00293 Parcel No.: 420125000005 Proiect Description: 2ND STORY ADDITION Dear Applicant: Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit application has been inactive since 03i/27/2008. Permits must make some progress every six months. within fourteen 1# working If you intend to keep this permit active, you need to contact me ( ) 9 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 visit. In the event that your project has been completed and a permit was never issued, you ill 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. 616. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Charell Holcomb September 26, 2008 BLD2008-00293 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 Shelton, WA 98584 Notification of Permit Cancellation Septembers 2008 LEONARD CHAVEZ 20 E BLEVINS RD SHELTON WA 98584 Case No.: BLD2008-00293 Parcel No.: 420125000005 Proiect Description: 2ND STORY ADDITION Dear Applicant: Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit application has been inactive since 03/27/2008. Permits must make some progress every six months. If you intend to keep this permit active, you need to contact me within fourteen (14) 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 visit. 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 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. 616. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperatio . Sincerely, Charell Holcomb September 26, 2008 BLD2008-00293