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HomeMy WebLinkAboutBLD2000-01407 Garage - BLD Application - 10/27/2000 J. Mason County Dept. of Community Development 426 W. Cedar Mason County Bldg. 3 P.O. Box 186 (360) 427-9670 Local (360) 482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair (206) 464-6968 Seattle Notification of Permit Cancellation September 27, 2001 DONOVAN MAPLES Case No.: BLD20 =WAQ7 Parcel 11 Project Descr"ption: GARAGE Dear Applicant: Upon review of our records, the Mason County Permit Assistance Center has identified that your building permit application has been approved and ready to issue since 12/12/2000. Once approved, permits are valid for 6 months. If you intend to obtain this permit, you must make arrangements to do so 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 Ordinance 37-96. 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. 290. If you feel that you have recieved this notice in error please contact me. Thank you for your cooperation. Sincerely, Ben Ramsfield 0 u _ P�—J CcAr-luetld dc.�-e- 4t-�) tACD U 5po-q September 27, 2001 BLD2000-01407 i 32 oti �3� F)?O PLCod 3 6ko,e4►h S.--I Pno Pvs,�o s�r'I'fpr � �l�►" i N ; peopo*j) Zs� t� VApA( FZA 7- f� 6p► / D ,fo i5 , ---__� -- /off = Px- 30 '73, �?o Paste, 3 6Ev�e�h s� E 601 '1 10�7 � 6 BUILDING PERMIT # I \ DATE J Planner Area Parcel # 3 2 I G - CHECKLIST FOR PROPOSED CONSTRUCTION Comp Plan Designation UGA RAC RCC RA For IH Yes N [ ] Within 200 FT of SMP designated shoreline, wetlands, etc. re? ] [ ] Located near possible Critical Area, What Kind? (Wetlands, Streams, Lakes, Slopes) [ ] [ ] RLC already done? Proposed construction within floodplain [ ] [ ] Eagle nest [ ] [ ] Six year moratorium Multi-Setbacks State road access needed Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) [ ] ] Mobile Home or RV Park PERMIT NO.: BLD MASON COUNTY BUILDING PERMIT APPLICATION lola-7 426 W.Cedar1P.O.Box 186,Shelton,WA 98684 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 i.W A q(2 �S e-on4 R<kiU R APPLICANT INFORMATION CONTRACTOR INFORMATION Owner -/1/©1/f�v' / %/`f/��� S Contractor Name UU/ ESS f /<I�O/✓S Mailing Address / 0 E P / Mailing Address City r f': / State� Zip Code City State 1,,.4 Zip Code Phone -5`00 441&-69:F--/Other Ph.( ,&0 Ph.( ) Other Ph.0 Lien/Title Holder Contractor Reg. # rA Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. S Fire District Legal Description �'i'' `°,' ;T L.qT- 7 Site Address(Please include street name, §treet number and city) 70A,,L Directions to site On/ 1&b)V 01Y7- S11,—Z Will timber be cut and sold in parcel preparation? (Yes/No) Is your property within 200' of the following: Body of Water (Name) %%? Saltwater X"6' Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑ TYPE OF JOB New Add Alt Repair Other Use of Building Describe Work No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make Model 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. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall belmade without first obtaining shall be done in conformance therewith. No changes shall be made without approval / first obtaining approval. Date r7 x �' Date !i x. 7/6 FOR OFFICIAL USE BEYOND THIS POINT/ Accepted by Date Submittal Amount Due Receipt No. ! DEPARTMENTAL» REVIEW APPROVED P'ENIED CONpIT1N CQDES Building Department J, Occ Group LA- I Type Constr. Vn Planning Department Environmental Health Department Public Works Department I Fire Marshal D Valuation $ �� 1=IwES . Building Permit Fee .2 S" Site Inspection Plan Review Fee 71 UFC Plan Review Fee Plumbing & Base Fee Public Works Review Fee Mechanical & Base Fee Other Wood/Gas/Pellet Stove Fee Other 1-4 J Violation Fee Pre-Paid at Submittal TOT AL FEES MUST BE COMPLETED IN INK EASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name b1J)s6VAM �FS PARCEL NUMBER39617 d 9011 Date SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E. W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line- I I <—adjacent property line I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I adjacent property line-� ' ' <—adjacent property line SAMPLE SITE PLAN adjar�nt property line-) 3io- _ _ Fadjacent property line D 30- rRLaRve .�EAS�N AL- C R K � I HOua� I j 1p,M f' stn s¢pt.c I 1 , I r� I I VAGnNT I T c ArtAaa I 3a I I(� � VacPnsCD \ \ A6R=LLLr�0.AL So — I yo• I I � I / I I � I /00" I \ I c.—eLL I I I I I x /00. . I I - r'LL I I I R I \ 'Ilkadjacent property lined ; \; <—adjacent property line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE s+'ar.GQ to�,"&star'c-r- ruttt.a.YL *o S�op� to¢ dis.+anc¢ to dL Signature Date