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Home My WebLink AboutBLD2003-00922 Add to Block Wall - BLD Application - 7/9/2003 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 6LC9003- 00`119a 426 W. Cedar - P.O. Box 186, Shelton, WA 98584 p,f�.n \� Shelton (360) 427-9670 • Belfair(360) 275-4467 • Elma (360) 482-5269 On the Web www.co.mason.wa.us APPLICANT INF RMATI �� CONTRACTOR INFORMAT19 Owner jm r .ri7rnS �� c'�f�oi�wir! Contractor Name i Mailing Address 1 Mailing Address c City State/tY Zip Code City State Zip Code Phone ( ) Other Ph. ( ) Phone (_L�q Other Ph. ( ) Lien /Title Holder Contractor Reg. # Exp. Email Address Email Address SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System J Well Water System Name of Water System PARCEL INFORMATION - 11 digi Tax Parcel No. 00 Fire Di rict (42 Legal Description Site Address (Please include street name, street number and city) j 3Q E 7 rn be,- /U- Directions to site 2(,j Will timber be cut and sold in parcel preparation? (Yes/No)- Is property located within 200' of saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑ TYPE OF JOB - New Add Alt Repair * Other Use of Building Is this permit submittal the result of a Stp,.Work Notice, Correction IN tice or other enforcement actin Ye No) Describe Work Too C No. of Bedrooms No. of Bathrooms ' SQUARE FOOTAGE - 1st Floor 2nd F oor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED 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 ENCED. PROOF OF CONTINUATION OF ORK IS BY MEANS OF A PRO OWNER OR AGENT ON OWNER'S BEHALF, REPRESENTS THAT`THE INFORMATION PROVIDED 1914 AND GRANTS EMPLOYEES OF Mason COUNTY ACCESS TO THE ABOVE DESCRIBED PROPERTY AND STRUCTURES EW AND INSPECTION OF THIS PROJECT. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCU INFRION MAY RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIG NAjff LOW: OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I CA-07*67t t 4 51 currently regis- ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there- shall be made without first obtaining approval. with. No changes shall be made without first obtaining appro al. X= - Date X Date r-° FOR OFFICIAL USE BEYOND THIS POINT Accepted by'j Planning Pd ��" Ck# Date / - - Bld Pd. /��.>, ill Reciept No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES 1� Building Department 19 5191C 15 �(1 Occ GroupType Constr Planning Department law f Environmental Health Department Public Works Department Fire Marshal Valuation $ (o FEES Building Permit Fee a 5 Site Inspection $p Plan Review Fee EH Review Fee Plumbing& Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee bo Violation Fee Pre-Paid at Submittal TOTAL FEES IP �r .. 'a fit' �t '� •. A. i xAko G� 41- /V e leV Oc a c5�S w' o�c 1 4 o �/C, �04,0e /�4 Yc souse of-r / l / s o ,o � �esfco f c �t� b/a �v o �X on w c S; .tom :��•, r (' - _ .-_� ��t�' i 1. Y 41 r. 'Yr r h R• u f,. • a- r • SITE COPY ��Sao �• �-�� Documents attached to approved plans: S4e44" P __.sue— Pages g Engineering: Y Lateral Vertical Number of pages MUST MEET ALL CURRENT WASHINGTON STATE CODES THESE PLANS MUST BE ON THE JOB SITE FOR INSPECTION. CHANGES SUBMIT CHANGES FOR APPROVAL PRIOR TO PERFORMING WORK APP'OVED MASbN BUILDING INSPECTOR CHANGES UBJECT TO APPROVAL DATE whM !!,"fir ■��i "'� ,�►MP, ■■ �� ■ `� 1' a min ■ U "A ■■ WILM -' v. . . . , . ■ �. ■►��■ gamI.- f' • • •• • . . • •• Date of • p • Use shake Requisu"ere �e S��e Sample Site Plan and Topography 8e tdeh�ed 19 ep�s<< r�relo onYoulsnf0rirya�o Scale: 1" =40' <ePl °n�s lr4clAr ro ose d�slQ an. Main Street Tie l��lQnk`l4re ro er _.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._. a d es n opo r.._.._.i.._.. 1 J12ayb rorUr 4��geld I JbOr 10 — 9ble Ij W4 g4,W lO e°s"hohed hOn Reserve Drainfield a-lea ! 1 � 1 ; 104' Drain afield 0 95 I Stormwater jn 225, run-off path io 1 (XI1 - -- •6' 56' 40' :M :CD 114' Existing j(D � ,: .............. Garage € --• etland i as ,. .i Buffer on $ 171' 125' 11 `� Allowable Building Area a 1 l 80' I 1 � I ar� w Well i 0 300' North +45' +5' 0' 68' 55' 40' 25' 36' 1 36' 35' IP4Mason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360) 427-9670 Local (360) 482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair Notification of Permit Cancellation �. Permit approved, not Issued Novem7101"2007 TIMBER TIDES ROAD DEVELOPMENT PO BOX 362 �o'C �o r/'A WA+Y UNION WA 98592 Case No.: BLD2003-00922 Parcel No.: 322357500330 Proiect Description: ECOLOGY BLOCK WALL 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 01/04/2006. Once approved, permit applications 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 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 Mason County Department of Community Development November 05, 2007 BLD2003-00922 � Z2 3 0 033-D b-u�2ay - 12 SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY ■ Complete items 1,2,and 3.Also complete 'item 4 if nature ■ Print Your name anDelivery address o is n verse q so that we can return the card to you. /� ❑Agent ■ Attach this card to the back of the mailpiece, Addressee R I ad by(Printed or on the front if space permits. y-oln'l C. Date of Delivery 1. Article Addressed to: D. Is delivery address different from item 19 ❑Yes BROOK POINT WATER ASSN' If YES,enter delivery address below: 13No 16117 45TH AVE S TUKWILA WA 981 gg_2706 3. Service Type Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra )Fee 2. Article Number ❑Yes (Transfer from service label) 7007 2680 0001 7962 1019 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154o 1P. Mason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair Notification of Permit Cancellation Permit approved, not Issued August 21, 2008 -Ewftrz�VQQ BROOK POINT WATER ASSN. PElb l N 16117 45TH AVE. S TUKWILA WA 98188-2706 Case No.: BLD2003-00922 Parcel No.: 322357500330 Project Description: ECOLOGY BLOCK WALL 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 01/04/2006. Once approved, permit applications 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 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. 356. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Mindi Brock Mason County Department of Community Development a—: TiI'u►► Tkils PC) 00 x -3 4�Z,U n A, August 21, 2008 BLD2003-00922 602-00 -00q 2_Z, • . • • • - 0 Agent late A. Signature late items 1,2,and 3.Also comp X dresses ■ Comp is desired. item 4 if Restricted Delivery by printed Name) C. Date of Delivery ■ Print your name and address on the reverse B Receiv so that we can return the back of the mailpiece,he card to You- p( goo � �� o ❑Yes ■ Attach this card permits. Is delivery address di ferent from Item t No or on the front if space p D. address below: If YES,enter delivery 1. Article Addressed to: TIMBER TIDES ROAD DEVELOPMENT PO BOX 47798592-0477 UNION Wes- 3. Service Type Express Mail Certified Mail Q plum Receipt for Merchandise ❑Registered ❑Insured Mail ❑C.O.D. 4. Restricted Delivery? Extra Fee) ❑Yes 2. Article Number 7 p p 7 2 6 8 0 131301 7 9 61 8804 102595-24 1540 (Transfer from service iabei) PS Form 3811,February 2004 Domestic Return Receipt Case Activity Listing 12/27/20053:27:20PM Case #: BLD2003-00922 Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDB110 Building Plan Review 7/9/2003 None HOLD JRN 7/28/2003 JR\ on hold,awaiting planning approval,JRN 07-28-03 BLDA010 Application Received 7/9/2003 7/9/2003 None DONE SAL KS 7/9/2003 KS BLDB130 Planning Review 7/9/2003 8/4/2003 None DONE SAL 8/4/2003 SAL Exempt from Geotech requirements per MCRO 17.01.130 C.and/or F. I I Page 1 of 1 CaseActivity..rpt