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Home My WebLink AboutBLD95-0060 Cancelled Mobile Home - 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 Date: 1 �n bi 4 9-1 d(� tCA.1'lp l�U • Permit Number:105MUD - od5q co 5'2� - ooS7 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. _ Sincerely, PPP+ucA-Uj . T� qoo wavl�l lliuAej(�1'11 Ca n CP-. 1 ed Oec-SQ Building Department Pf-r-u k-ae cc:property file Permit No. MASON COUNTY BUILDING PERMIT APPLICATION q�� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628�V PLEASE PRINT / #1 Owner ShA4 a A/e R e Phone# ddress /V 4� /l 3/ 0/d de/-)5f 'P, Fire District# City L ."4 St 1A)'* _Zip 985'a8 Directions to Job Site e_,0,0 C Z, / e"1-o {' �zl-le"R a �/ 014 SeZ&I IR lye Y Lei' t l�� k� �•o uN �O v 1e 'J��° �R� P. Owner Mailing Address 5'99 7 SQ o u ss-+,qJ 4 AI f c) City 8 R C•" e k1a Ay St__W_1_Zip 8'3 Lien/Title Holder N 4A1JW , ,V Address JVi5 /6 7 (l o R A .Ska Ae k d. Clty e_L , R st WA zip 9 E521 ' �e 4/e e #2 Contractor Name Cy 1ild ew ivy .M e_S _XA/c -euntret Reg#CEO -49-,F9 -k-0 Address 1/,`1(/,'N;i Ave, A/, W.. Expiration Date // / 36 /� City �o u �s o St WA Zip 9 8'3 90 Phone# 697- V i6 416 � #3 If septic is located on pro.ect site, include records. ptic?Connect to Se Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) # Parcel No. /. 3.3-6 -�_- O A 3 O _ Legal Description �� #5 Building Square Footage: (existing/proposed) 1 st FI j4 $5 / UX 4 y 2nd Fh_ _/ 3rd FI / Loft / Basement / flecK d _ #bedrooms— _/ #bathrooms / Garage / Carport _ ��" (Circle:Attached or etached? Other sq. ft. p _o tJ'c ILe.d #6 Useofbuilding Describe work #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year 91S Makes'eve-geg odel w'e$t" 14 Length6!Width .26 Serial No. #Bedrooms v2- #Bathrooms_Type of Heat �- Purchase Price$ 2D, 3/, q� #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 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 each) 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 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 BUILDING DEPARTMENT. DEPARTMENT. X OWNER , }�> X BY DATE _ y WSJ DATE FOR OFFICIAL USE ONLY: Accepted by: Date:` DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: �J Environmental Health: Building Plan Review �b �5 Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit ©�— Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee �— Other Other Building Valuation: TOTAL FEE - iL RlAk. Ns Se 3''�9 � 8roce,st.��►c/ r wet , G Y^a a 1- to v i � V Y►� y ��/� 14, .s 7` `4 r � 2 -Tto Z y y a lu a o � � Ct vh y v v L 3� G V v v t4- � y r e i tL� Of qi fu f 2) T` u 44 cr u f M y y v-#- .�.r y,7 1 4 `j t t 4tfF- yto a �1 ,i, Q , . / V _ '__- - - ems► _ - ,,, - :: �to a�'�i!• '� '1C _ a rz wCloGsx fi. v 1 MAW loom f . i f R