HomeMy WebLinkAboutBLD95-01179 Cancelled Mobile Home - BLD Application - 1/13/1998 MASON COUNTY
PERMIT ASSISTANCE CENTER
P.O. Box 186, Shelton, WA 98584
NOTIFICATION OF
PERMIT CANCELLATION
Date: 01/22/99
DAVID STOCKTON
120 W KNEELAND ST. APT 4
SHELTON WA 98584
Permit Number: BLD95-1179
Parcel Number: 321275300189
Project Description: MOBILE HOME
Upon review of our records, the Mason County Permit Assistance Center
has identified that your building permit was ready to issue on
01/13/97 . 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,
c— Fee Amount Due
Kathy Soine, Clerical Assistant
Mason County Permit Assistance Center
PENDEXPR, rev: 01/15/99
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Permit No.
MASON COUNTY
• BUILDING PERMIT APPLICATION � �O�
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 (LV
PLEASE PRINT �V
#1 n �I ST Phone# �
e Address .� ISd 61,51 0 LLJ m a aQ Fire District#
City o Yam- St Zip
Directio s to Job Site 1,64 L,L
Owner Mailing Address
City St ( Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Namur N1QV:p1L_ C co y)" DcrcyZ8 Contractor Reg#AQ14Mc,G 44FAQ4
Address '2 � ��/ Expiration Date 02 /2S /
City St WG! Zip P one# -
C�
#3 If septic is located o ro' ct site include records.
p � [-J
Connect to Septic? Public Water Supply Well AUG 10
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) F
TH SERVICES
#4I
61�rlDescription
L IYt
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd Fl / 3rd Fl Loft /
Basement / Deck / e n #bathrooms /
Garage / Carport / Attached or Detached?)
Other / sq. ft.
& Use of building Describe work
Nor
#7�b Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year 199�4 Make -Model
Length Width Serial No.
# Bedrooms_ #Bathrooms Z— Type of Heat
Purchase Price$
#9 Indicate by circling th!_appWVble 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 PR FILAE OW
w
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- TOTAL MECHANICAL $
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 DON WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWIT A ES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST B A ROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPA
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
1
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: rn i L — Se0brcV----) )�3
BLS/�
Environmental Health:
Building Plan Review
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 ,��