The URL can be used to link to this page

Home My WebLink AboutBLD2000-00200 Stove Pipe - BLD Application - 2/29/2000 FORM MUST BE COMPLETED IN INK , e C, PLEASE PRESS HARD PERMIT NO.: MIS LbC> ` MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 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 Owners �'�n) 7 I�L�4q[L Contractor Name T� C. Ckc Mailinq,Address Mailing Address -- -cC U u . City h rLrA t 22 State NA Zip Code City U rr--Q State CL-,r- Zip Code Phone(3L-CL� ,✓-ZV2e,,Other Ph.(.3LIP, r'P- -/dry Ph.( ')Z -1 CeG 1�Other Ph.(� Lien/Title Holder Contractor Reg. # 1A Address Expiration PARCEL INFORMATION-12 digit Tax Parcel No. 3 /_t�Z/ CZYI,0 �;3 Fire District 0 Legal Description G 0`- - Site Address(include street name and city Directions to site: Iit nN tit>�� r'�IS�-lt�� I ��✓� Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Z Describe proposed construction / L-�l� `�i cyi F-ecm ) NS�>V:T oL�-) r `fi��= G N��N i✓� SHORELINE PROJECTS New Replacement Repair Expansion Bulkhead Material (concrete, rock, wood, etc.) Length Height A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT. 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 CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall first obtaining approval. be made without first obtaining approval. �2 Dateo?y a- 13 O X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date~��` < <��.' Submittal Amount Due (41 Receipt No. 1 DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grp Type of Const. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee — Site Inspection Plan Review Fee Other UFC Plan Review Fee Other �— Violation Fee Pre-Paid at Submittal ( ) ,Yw.w •..},} ,< �;v.,..:.,.x;, : ,, w}.<. N:«<.;,:.,;..::::: : TOTAL FEES S •• .�� :a•4' l•:i}}!�•"�'. '•ti'i<.x.v;'•'•:ti;{:•i:.`•:i+nv:• .{j�;:,\;.•:•'r,.4 }.v+.•:fi:•::.:::. CONCRETE MECHANICAL MOBILE HOME Footings-:etback date by Ribbons date by Gas Piping date by Foundation Walls date by Set Up date by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by date by PLUMBING OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date Cf ,�7_cf by T j) date by / ,_ fil r\ �i �1 h v l a L ri Mason County Dept. of Community Development 426 W. Cedar Mason County Bldg. 3 P.O. Box 186 (360) 427-9670 Local (360) 482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair (206) 464-6968 Seattle Notification of Permit Cancellation September 27, 2001 JUSTIN STEWART 12980 NE NORTHSHORE RD (Ylo�c��00 a r) 1td� BELFAIR WA 98528 Case No.: BLD2000-00200 Parcel No.: 322345000053 Project Description: NEW STOVE PIPE FROM INSERT OUT OF CHIMNEY 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 since 02/29/2000. Once approved, permits are valid 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 Ordinance 37-96. 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. 290. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Ben Ramsfield [ 0 ' (--01 - /A C 0 f September 27, 2001 BLD2000-00200