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HomeMy WebLinkAboutBLD2002-00703 Addition and Remodel - BLD Application - 5/30/2002 PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION �JI 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner DEL+LDWAIINE. -nr46WALL Contractor Name� 1'h OBB5 GotsIST ]LT10�1 Mailing Address 4kkIA 2O5 AVIt S-E Mailing Address W1'10 DEuwr Alc RD City SAAVV00 Mt5I4 State W/ Zip Code 9801 City SHEL"tVN State WA Zip Code 9f3�P�j Phone 4Z 39 69 Other Ph.( Ph.( 3W 47.b•ISSO Other Ph.( Lien/Title Holder MAG MORG.CORP Contractor Reg. # RoB95L*024QC. Address P019135 PHEOwx Aa 65062 Expiration /l_/ 2007-. SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic X Connect to Sewer r System Name of Sewer System Well Water System)(_Name of Water System MA'D12DWA rYOU J65iOi' eCACH %*1V9. ASS, PARCEL INFORMATION-12 digit Tax Parcel No. / COQ Fire District Legal Description L,LOT 4*io OF mxoswojA mouwamr Site Address(Please include street name, street number and city) 1 Directions to site AT MILC 12.4 ON MORN 5"OkE 0P_ NE t-IokAK 5hcn2 * � CccJt Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) Hoop CANAL. Saltwater_ Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 7 PERMANENT RESIDENCE J SEASONAL RESIDENCE❑ TYPE OF JOB New Add_ AIt__± Repair Other Use of Building 5iAu6cE FAA (ZE5 Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached I MOBILE HOME INFORMATION-Make Model 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. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall a done in conformance therewith. No changes shall be made without approval. first o t ining appro X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Dat4 7' _)-_� bmittal Amount Due ��.� Receipt Nof� DEPARTMENTAL REVIEW APPRO E IED CONDITION CODES Building Department 0 IL -+Ac,S v t4 Occ Grou - Type constr. lb KIU q%'- oQ ! S�� J Planning D partment Environmental Health Department NV i Public Works Department i Fire Marshal Valuation $ C)e-, FEES Building Permit Fee sL Site Inspection Plan Review Fee CAO EH Review Fee Plumbing& Base Fee d V Planning Review Fee Mechanical&Base Fee (OCA' -7 Other Wood/Gas/Pellet Stove Fee State Fee 60 Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES I r MASON COUNTY Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton,WA 98584 Notification of Permit Cancellation December 09, 2005 DEL TINGWALL 4134 205TH AVE SE SAMMAMISH WA 98075 Case No.: BLD2002-00703 Parcel No.: 322345000010 Project Description: ADDITION AND REMODEL Dear Applicant Upon review of our records,the Mason County Permit Assistance Center has identified that your building permit application has been approved and ready to issue or placed on hold since 12/9/2005. Once approved or placed on hold, permits are val id for 6 months. If you intend to obtain this permit,you must make arrangements to do so 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 Tile 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. Thank you for your cooperation. Sincerely, 0UW offcwk Charell Holcomb Mason County Department of Community Developement cm �a c-4 C�� S•Ail 4 w }R r 77 w mar�,,�+i•.j .� bye, �� g � d a,�r 46, POO dd T -1'r 771/�`j{ � a&,�,.,� �i�.i•:. ;� �i �,� ,a�/x' �""� �f; gyp ,. ,��� f ��. s`� 'R � t ..v ����} � \. a ..� .. .. y � ` �s'� ,•�7 '� �"✓�y'L�y�: , .,t � > _-^� i:���!"� �. a� ,a :�r , _ �a`. �� ,yittiE+���lb� .�1 UN*4-02 09 : 14 AM TINGWALL 4253916696 P. 01 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 411 No. Filth Street//P.O. Box 279, Shelton WA. 98584 Request for Reductlon In the Requ/red Front Yard Setback All�llrntll:_ � v i,�1 f Zo_' ,J z!rl C i e I &,_j c., H 0 Mailing Address: c City: �'' ►, hi d9..:£� State. �4 Zip: Telellionn No.. 71 Parcel Ntunb rr(s): _.. . zone In your request to reduce a front yard setback standard, please state which of the following circumstances apply In your sltuation and illustrate these in your site plan: existing lots of record as of March 5, 2002; 2) © of the following, a steep slopes, wetlands, or streams present solls that restrict building or septic development c lot width at the front yard line of no more than 50 feet lot size of no more than one-quarter acre existing Improvements of buildings, septic systems, and well areas Explalo how these citcuntstances preclude a proposed development from meeting the 25 foot front yard setback standard. Signature and date