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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) 05� - ooS-7 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 a � ! 1 a 7' rV I �� / ' ~ _ a Z � ✓ ram' • a vc a; .Shove e 444woo N NO w t�'r 0-Y D«4 .,tN huff'. r y r4 � � �44rt � o to K C3 .� o �l in3� �a s V4 1— men L M F' r � v�r� ~ �°s. � av 3� RiJC� Iv 0t�j 4. ► v fly+ l ��OPI SItDR G T.y w LIA � �\\ y u44 - 0 dal �•^ ? � �� � u � V v��erildOtA. I / 41 y , _ x ? 60 it ,0. t'NI JU 14 of 3 -a �- a _~__ Sh��-. -- , _ ' 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 s+r Lx_G ,Nrlk JP_ JG L-v 1__ w I 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 THN-`:: -`�5 MOP1 13 L�3 11FIC. h. y .!1i i:. 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