HomeMy WebLinkAboutBLD95-0058 Cancelled Carport - BLD Application - 2/15/1996 MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O.Box 186 Shelton,Washington 98584
(360)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION
n,wbaw Date: i I n A 4
Qwnm d Lwu w Permit Number:ILLq.,�-COLDC)
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NOTICE OF PERMIT CANCELLATION
In reviewing our records we have found your application for a building permit in structural hold
pending receipt of information requested by this department. This permit application has been
on hold for more than 8 weeks. At this time we are attempting to clear all of our back logged
structural hold files.
If you intend to keep this permit process active we must receive the information requested within
ten working days from the date of this letter. Additionally, you will be billed for all review fees
that have occurred to date.
If you need any help regarding this matter or if you believe that you have received this notice
in error please call (360) 427-9670 Ext. _�p�
Sincerely,
V\ 1Cee �e rim i Cancelled pease
Building Department P&AU 15Q.
cc:property file
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION y�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT 60
#1 r Ta f -t-Sh 4 A o N e' R e v Phone# �2 X5,
Site Address Al //3 / Ol�l e L .9�' X Fire District# a
City 13 eL)5f ,' R St it/4 Zip
Directions to Job Site koy, /.-+"�/e 6 u-/' o� ,Q ezF�:R ON d/./ '6 e z1'4"A v
-21v d to 7" o N c 27' h-, 4�'o k e l.a-�' U ✓i o ,� R"y e 1e
Owner Mailing Address S k o 4
City 16, k 'e At e &T-d ,v St0_Zip 9 S3/
Lien/Title Holder $ / r'A A )6,4 /d
Address_ N8 ld '2' y g A)okA SG�o R e lei,
Clty 6 e-L "CA- ,R St of Zip 991.5z$
#2 Contractor Name l� C-- C>�s �N 9 k Contractor Reg#
Address / 8' /3/ ao L L 1c�,4 SUE , S'K � Expiration Date
City L L St \,tfA Zip 9 So (/ Phone# -g9'— 9 516 d
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
*egalDescription
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport Y576 /a d Xa (Circle:Attached o etache
Other sq. ft. /
#6 Use of building CAR QQ k LZsZ R A-9 e Describe work
#7 Type of Job: New ✓ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms #Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
iv Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3$3 eachl Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
_Showers Furn BTU
_Hot Water Htr Heatpumps
Laundry Washer Vent Systems
_Sinks _ Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher _ No. Air Handling Units
_Disposal _ cfm#
_Urinals No. Fire Protection Systems
Other Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00
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 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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 OF THE 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 BUILDING DEPARTMENT. DEPARTMENT.
X OWNER, _' a� 7 X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
3 -C �
Building Plan Review r
bl
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit Y1.50
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
o�
Other
Building Valuation: TOTAL FEE j
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
(206)427-9670
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER
ADMINISTRATION
RE: Permit Number &-045 - 00<5-8'
During a recent plan review for your proposed project, it was determined
that the following information needs to be submitted prior to the building permit
being processed for approval:
14
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Once the information has been received by our department, the project
will continue to be processed.
If you should have any questions, please contact me between the hours
of 8:00am-9:00am, Monday-Friday at (206) 427-9670 ext r r If you can
not make contact between those hours, please call and leave a message and
I will return your call as soon as possible.
Thank You,
Building Inspector
cc: Property File
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