HomeMy WebLinkAboutBLD96-1273 Cancelled Deck - BLD Permit / Conditions - 3/1/1999 MASON COUNTY
PERMIT ASSISTANCE CENTER
P.O. Box 186, Shelton, WA 98584
NOTIFICATION OF
Date: 02/24/99 PERMIT CANCELLATION
ROSS GOLDSBERRY
1124 NE OLD BELFAIR HIGHWAY
BELFAIR WA 98528
Permit Number: BLD96-1273
Parcel Number: 123201003300
Project De
scription:tion: DECKS
P
Upon review of our records, the Mason County Permit Assistance Center
has identified that your building permit was ready to issue on
10/24/96. 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,
Fee Amount Due
Kathy Soine, Clerical Assistant
Mason County Permit Assistance Center
PENDEXPR, rev: 01/15/99
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION 16'
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 � n�
PLEASE PRINT
Al
#1 ner ! Q V H Phone# v2 2 `o v
to Address I i �i` 1 �t _ WL Fire Dist ' t# 2=�
City -St G p• 98S'Zh
Directions to Job ite
iLA-,S-+ —i ✓G o'er o S
Xk
✓ S
Owner Mailing Address P,,
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name S \� Contractor Reg#
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records.
onn Septic? Public Water Supply Well
Connect to Sewer m? Name of System
(If residential, proof of potab r is required)
#4 arcel L6 _ ► o _ O O
egal Des
nE' £ '/�. nt,�
#5 BuildingSquare Footage: (existing/proposed)
q 9
1 st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck —CS / 64 #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq.ft. /
#6 Use of building Describe w
#7 Type of Job: New `� Add Alt Repair Othe G
#8 MOBILE/MA CTURED HOME INFORMATION
Model Year ke Model O
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:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other IZA
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
_ i
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 each)
N�Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Beth Tubs No. Units Fees
_Shoogers Furn BTU
Hot Water Htr Heatpumps
_Laundry Washer Vent Systems
Sinks Spot Vent Fans
Floor Drains No Boilers/Compressors
_Laundry Basins _ \ HP
Dishwasher No. it Handlin Units
_Disposal _ cf #
Urinals No. Fire rotection Systems
Other _ Auto.\Firerink
ys 50.00
FixedSys 50.00
Permit Basic Fee 16.25 _ Auto ys 35.00
TOTAL PLUMBING $ No. OtheGas Woo 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 16.25
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 FIR T OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING D A T ENT. DEPARTMENT.
X OWNE f X BY
DATE / — / DATE
FOR OFFICIAL USE ONLY: Accepted by:
. �i'X��''� Date: IUllS ��j �
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: MU4 PQQ.� .Q4)0
Environmental Health:
!D-2.4
Building Plan Review
a3�
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 3 S,ov
Plan Check 14,00
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
I Violation Fee
Site Inspection
Building State Fee 4.!go
Other
Other E 00,
Building Valuation: ��� TOTAL FEE ,
Page No. 1 CASE HISTORY FOR CASE NO.: BLD96-1273
ROSS GOLDSBERRY
NE1124 OLD BELFAIR HWY BELFAIR
12/01/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- ---
BLDA010 Application received 10/ b- 10/17/96 KW
BLDA100 Approved For Issuance / / / 10/24/96 DONE KS 10/25/96 KS
BLDS110 Structural Plan Review 10/18/96 / / 1 DONE TDH 10/23/96 TDH
BLDB130 Planning Review 10/18/96 / / 10/18/96 DONE MMS 10/18/96 MMS
BLDB134 RLC Review / / / / / / N/A 10/18/96 MMS
BLD8135 Addressing 10/17/96 / / 10/18/96 DONE GMM 10/18/96 GMM
BLDB138 Planning Pre-Review 10/18/96 / / 10/18/96 DONE MMS 10/18/96 MMS
BLDB200 Environmental Health Review 10/23/96 / / 10/24/96 There was no plot plan in this permit DONE PSD 10/24/96 PSD
application. I Looked at the detailed
plot plan that was submitted with the
most recent permit. There does not
appear of be a problem.psd