HomeMy WebLinkAboutBLD98-0428 Cancelled Mobile Home #38 - BLD Application - 1/24/1990 Permit No. L
MASON COUNTY ��13 OY Z�4
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670
(Calling From: Seattle 464-6968, Belfair 275-4467, Elma 482-5269)
PLEASE PRINT
A
wner, one#te Address C Fire District#��
City St Zip
Dir rction s to Job Site {
Owner M 'ling ddress
City St Zip
Lien/Title Holde
Address .
Cityro mio Zip -
#2 Contractor Name i-` UBI # v
Address q7(�O Contractor Reg
City St '' Zip e?g—_F Phone#4761` Expiration Date
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C)_T /0 /- 7 7 '�'k)(� , - V 3
#3 If septic is located on p lect site, include records. ,!
Connect to Septic? Public Water Supply Well (�(' i�5 �?�`57 CZ-• ''
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
# &egal
arc(
No.1 2 Z�
De ription7;:�17,4 ' 'S,h, a
11lC ! 'L-rl
#5 Building Ilquare Footage:
1st FI 2nd FI 3rd FI Loft Basement
# Bedrooms # bathrooms Deck Other
Garaged—yam— ,rt (Circle:Attached or Detached?)
#6 Use of building / Describe wor
� C 1
#7 ype of Job: ew Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year ' Z C Make odel �PC
Length_Width Serial No. -
#Bedrooms— # Bathrooms_Type of Heat
Purchase Price$�"�, �?�.• K��
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property: �
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Plumbing Fixtures ($3 45 each) Fee Mechanical Fixtures ($7.00 each)
No. Toilets CIRCLE FUEL TYPE: Ga Electric
*Bath Basins Heatpump, Other
Bath Tubs No. U2ts Fees
Showers Furn BTU
Hot Water Htr Heatpumps
t Laundry Washer Vent Systems
Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
Laundry Basins HP
Dishwasher No. Air Handlin�Units
`Disposal _ cfm#
_Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 17.25 _ Auto Fire Sprink Sys 55.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 17.25
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUIL ING DEPART NT DEPARTMENT.
X OWNE X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
Golden Rell Mobile Home Park
N E. 20th Roessel Rd.
Belfair, WA 98528
(360)275-4623
Mason County Building Department
P.O. Box 186
Shelton. Wa. 98584
As required we are sending you notification of a new lease agreement with the
following new tenant. Lease agrefnent will commence when their MOBILE
HOME arrives on our pre-existing lot. The new tenant will be serviced by the
Belfair Water District #1. If you have any questions please call during normal
business hours.
Legal Description
Tract # 20 Sam B. Theler's Horne Garden Tracts Vol. 4 page 20 Records of
Mason County. Parcel # 12332-50-00050
NEW TENANT NAM
NEVJ TENANT LOT
Thank you
Deede Schattenkerk
Manager
-olden '.'ell ;.'obile ane Park
Foessel Rd.
Delfair, ,a.98528
7-el. 275-4623
..o r-hom this may concern;
.. his is to certify that space
is vacant and will accorodate either a single or bouble :.ride
mobile home !-17it.,tjout inereasir.r t.he e-ensity of the park.
.his --�,-Lrk is set u-,-) to ac .7
comoda- e . orty (40) mobile Tories,
b.,-..lf sin'-ale and half -,i.ouble wide, '--he sentic sysst-m -,as desirned
to hanile -!:."orty(L[O) units ,.-,uth four -Dersons' per 'unitIzit t'le present
-Ur-e- we are belo,;,7 that firure.
If any further info.m, ,.-�tiojj is needed. �le;7,se feel free to
call me at `.-,.'el, '...o. 275-`1,6*?3
Golaen, 7,1ell -.obile �'.ome mark
John :.F. .'!:�ackus (ox-vner)
'D -Ar
T,.',2--nd.ers (m,
MASON COUNTY
PERMIT ASSISTANCE CENTER
P.O. Box 186, Shelton, WA 98584
NOTIFICATION OF
Date: 01/22/99 PERMIT CANCELLATION
DIANA LAVECCHIA
1316 GARRISON AVE
PORT ORCHARD WA 98366
Permit Number: BLD98-0428
Parcel Number: 123325000050
Project Description: MOBILE HOME
Upon review of our records, the Mason County Permit Assistance Center
has identified that your building permit was ready to issue on
05/11/98 . Permits are valid for 6 months once approved and at
this time we are attempting to clear all unclaimed permits .
If you intend to obtain this permit, you must make arrangements to do so
within ten working days from the date of this letter. If we do
not hear from you within ten days, we will cancel your permit and make
arrangements for a building inspector to do 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 intend to withdraw the
permit, a plan review fee will be due for work that the Permit Assistance
Center has already performed during the processing of your permit
application. This fee is assessed pursuant to Section 107 of the Uniform
Building Code . In addition, a parcel flag will be attached to your
property until the fee has been paid. Please be advised that this parcel
flag could prohibit future development or improvement of your property.
Please call (360) 427-9670, ext . 354 to resolve this matter or if you
believe you have received this notice in error. Thank you for your
cooperation.
Sincerely, /
Scx Fee Amount Due
Kathy Soine, Clerical Assistant
Mason County Permit Assistance Center
PENDEXPR, rev: 01/15/99
Show following on the site plan
Lot Dimensions Fences
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography
Drainage Plan Wells
Septic Systems Easements
Proposed Improvements
Name of Side Street Indicate Directional by -(N, S. E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
P n
�,D�
P0 0.", �
_ I
CHANGES
LOR APPROVAL
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW PRIOR W ^` WQHK
APPr"?VED'
MASON BUILDING INSPECTOR
r4ANGES SUBJECT TO APPROVAL
ONTE
n6nW WE 8E
ON THE JOB Styr-
FOR
INSPECTION.