HomeMy WebLinkAboutBLD2007-01569 reroof - BLD Permit / Conditions - 8/31/2007 r Y
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03
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MASON COUNTY PERMIT NO-A `"'j-7-^01 G 1
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton WA 98584
f Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web vvww.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ` Iu r� ht �S0` P S Company Na e --
Mailing Address '° ' { �° ` r Mailing Address
City �rtal� r. _StateWA- Zip Code rt 4a q 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.# 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 Digit Parcel No. 7i 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 on
Wetland Seasonal Runoff Stream Slopes or Bluffs 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notic a or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair ther PRIMARY RESIDENCE ❑-SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1st F or 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 edrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Cerffication 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 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 beccimes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 ays. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF.A. O PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION 80 DAYS WILL INVALIDATE THE APPLICATION.
X i. T Date:
.-�ewne ' iners fitepresentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accep ed by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Ins e ion
Plan Review Fee EH Review Ifee
Plumbing & Base Fee Planning R view Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stave Fee• State Fee
Violation Fee Pre-Paid a Submittal
Valuation $ TOTAL FEES
Mason County Dept. of Community Development
Mason County Bldg. 3
426 W. Cedar
IP14 P.O. Box 186 (360) 427-9670 Local (360)482-5269 Elma
Shelton,WA 98584 (360) 275-4467 Belfair
Notice to Obtain Final Inspection
March 23, 2010
'(eA vlcl f_� (30.)e j
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Case No.: BLD2007-01569
Parcel No.: 420125100036
Proiect Description: REROOF SFR
The Mason County Department of Community Develo iment is currently reviewing all
permits that are expired and have not been approved �or occupancy and use.
Pursuant to Mason County Code, Title 14 Building and Construction, a permit and
final inspection for this type of activity is required undeilhe 2006 International
Building Code or the code your permit was issued and our property is currently in
violation status of occupancy and use.
Please contact our office to make the necessary arrangements 21 days from
the date of this letter. Failure to contact our office to make the necessary scheduled
inspections may result in enforcement actions. j
To bring your site into compliance, you must schedule an inspection. One (1) $73.00
site investigation fee will need to be paid prior to inspection along with any
outstanding fees currently due on your building permit. For every inspection required
after that, you may be charged $73.00 again, per inspection until final inspection and
conditions are met.
To schedule an inspection, please call (360) 427-9670 ext. 262.
If you should have any questions regarding this notification, please contact me at
(360) 427-9670 ext 726.
Sincerely,
Larry Kelly
Mason County Department of Community Development
Cc: Property File
March 23, 2010 BLD2007-01569