HomeMy WebLinkAboutBLD2007-00663 Cancelled Expand Bedroom - BLD Application - 10/26/2007 MASON COUNTY PERMIT NO. 2WI- Q�
BUILDING PERMIT APPLICATION
426 W. Cedar-'P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner u t-a 1='ro M t LJL t o K4 Company Name 'Ttzu g, AZ IL e.&PAt—
Phone-lo-.:-g-77-0MailingAddress t 717k F- MA-P44-wuoon e-r Mailing AddressState WA-ZipCode_�R Sz B City State Zi� Other Ph. 3&0- 9'7 1 -Z 4 o Phone _3�a `f40--6 0 4 Z Other Ph.
Lien/Title Holder Contractor Reg. # TfZus7Cs4R 3 7 Exp.
E mail address E Mail Address
Drivers Lic.#_ DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic. Existing Septic YEA-—
Connect to Water System Name of Water System
Well Qr-1 Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No.I Z 3 29 7 "a 0o 7d Fire District
Legal Description "Te-r7 A /s a= A Y I o /9 T-• Lo T A o f S p f?4 B
Site Address (Please include street name, street number and city)_l 01-7 k(F min n ai,c i,,, p C 7 BS&F-Ate
Directions to site ua ZILs 2 Pik Ut- (a rL Woo
s
Will timber be cut and sold in parcel preparation?Yes 00
Is property within 200'of Saltwater Lake—River/Creek Pond
Wetland Seasonal Runoff Stream_ Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye o
TYPE OF JOB-New Add. _Alt Repair F_v Other PRIMARY RESIDENCE ❑ SEASONAL []Use of Building 'F�-n�.t qgf Lc ftescribe Work kXPAJk t s T Ea6 $ ee0�
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck overeA Dec �_Other Sq. ft. IQ O.S
Garage — Attached Detached Caro Attached Detached
MANUFACTURED HOME INFORMATION -Make Model Year
Length Width Serial No. No. of Bedrooms No, of Bathrooms
Type of Heat_ Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
01MVER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
FFnvironmental
ARTMENTAL REVIEW APPROVED DENIED NOTES
ing Department
ning Department
Health Department
Public Works Department
Fire Marshal M Z Gj
FEES
Building Permit Fee _ Site In ection
Plan Review Fee �y 2 EH Review Fee
Plumbin & Base Fee —� Plannin Review Fee
L
chanical & Base fee �— Other
od/Gas/Pellet Stove Fee State Feeation Fee -� Pre-Paid at Submittal
uation $ TOTAL FEES
NPMason County Dept. of Community Development
Mason County Bldg. 3 (360) 427-9670 Local
426 W. Cedar (360) 275-4467 Belfair
P.O. Box 186 (360) 482-5269 Elma
10 Shelton, WA 98584
Notification of Permit Cancellation
December 10, 2007
JAMES MILLION
177 NE MAPLEWOOD CT
BELFAIR WA 98528
Case No.: BLD2007-00663
Parcel No.: 123297590070
Project Description: ADDING A BEDROOM ADDITION AND A COVERED FRONT
PORCH
Dear Applicant:
Upon review of our records, the Mason County Permit Assistance Center has identified that
your building permit application has been inactive since 05/03/2007. Permits must make
some progress every six months.
If you intend to keep this permit active, you need to contact me within ten (10) working days
from the date of this letter. If we do not hear from you within the that time, your permit will
be cancelled and a building inspector will make 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 Title 14 and Mason County Title 15.
If your project has been cancelled or if you wish to withdraw the permit, please notify me as
soon as possible at (360) 427-9670, ext. 616. If you feel that you have recieved this notice
in error please contact me. Thank you for your cooperation.
Sincerely,
Charell Holcomb
December 10, 2007 BLD2007-00663
February 7, 2008
This permit was cancelled.
No response from letter
written. Should applicant
change his/her mind,
construction plans are located
bottom drawer of case
management for one year. If,
after one year from this date,
applicant has not paid for re-
instating this permit said
plans will be disposed of.