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HomeMy WebLinkAboutBLD2007-00981 Cancelled Addition - BLD Application - 6/5/2007 MASON COUNTY PERMITNO.`y►.�/ BUILDING PERMIT APPLICATION 06-t H l !A i 426 W. Cedar• P.O. Box 186, Shelton, WA 9858jr -� Shelton{360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORM TION CONTRACTOR INFO ��T�Q Owner fit..A Company Name ���I Mailin Add ess Mailing Address Cit - Sate Zip Code City State Zip Code Phon tt Ph. Phone Other Ph. Lien/-T+e+IeHer Contractor Reg. # Exp. E.mail a rirPss E Mail Address © is # pp8 Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect t New Septic �„� Existing Septic X Connect to Water System Name of Water System tt 1 A Well Sewer System Name of Sewer System PARCEL INFORM�I,T N - 2 Digit Parcel No. ' Fire District Legal Description— Site Site Address (Please include street name, street number and city) tAJ If VI r Directions to site Will timber be cut and sold in parcel preparation?Yes/to 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 PRIMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work ► .;' 1 I '.I �-- No. of Bedrooms_ No. of Bathrooms Square Footage- 1st Roo 2nd Floor 3rd Floor Basement Deck Covered Deck Other I 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 $ Replacement Unit? Yes/ No 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 OFAPROOG`RESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. Date: Owner/10wffers Represent e/Con actor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES BuildingDepartment P P Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee 3- EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee 'Ace,6)7 Pre-Paid at Submittal Valuation $ TOTAL FEES February 7, 2008 This permit was cancelled. No response from letter written. Should applicant change his/her mind, construction plans are located bottom drawer of case management for one year. If, after one year from this date, applicant has not paid for re- instating this permit said plans will be disposed of. NPMason 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 10 Shelton, WA 98584 Notification of Permit Cancellation January 25, 2008 KELLY JACKSON 409 WEST "H" STREET SHELTON WA 98584 Case No.: BLD2007-00981 Parcel No.. 420134500230 Project Description: 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 06/20/2007. Permits 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, 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 cooperation. Sincerely, Charell Holcomb January 25, 2008 BLD2007-00981