HomeMy WebLinkAboutBLD99-00950 Cancelled Deck - BLD Permit / Conditions - 10/26/1999 i
NPMason County Dept. of Community Development
Mason County Bldg. 3
426 W. Cedar
P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma
10 Shelton,WA 98584 (360)275-4467 Belfair (206)464-6968 Seatt
Notification of Permit Cancellation
December 19, 2002
GORDON OSBERG
131 MARJORIE LANE
SHELTON WA 98584
Case No.: BLD99-00950
Parcel No.: 321347590092
Project Description: DECK
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
10/26/1999. 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. 354. If you feel that you have recieved
this notice in error please contact me. Thank you for your cooperation.
Sincerely,
Kathleen Soine
December 19, 2002 BLD99-00950
1
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST . $# EXP . DATE
CC01 CENTEC* 054C1 10 / 21 / 1999
EFFECTIVE DATE 02 / 21 / 1995
CENTERFIELD CONSTRUCTION
3331 79TH AVE NW
OLYMPIA WA 98502
Signature
Issued by DEPARTMENT OF LABOR AND INDUSTRIES
,`� . C/y-U q
• / b Q PERMIT NO.: BLD l ovO
MASON COUNTY oZ6 ^ )
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 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner�_�h,,, nNx>,et� Contractor Name Cpv tec
Mailing Address X-a Mr,e e . V cum.e Mailing Address -wc qi oc.<ec. y1N ,\ut
City f----2�C\<or Stated Zip Code qxb#-�% City \,cf c P `� State A Zip Code g46e;v �5
Phone(16Q H" - ,;N-Ix Other Ph.(_j Ph.(-%f- )7av Ut2Dc? Other Ph.(-;�(,n )-7&14 t g. Z!.{
Lien/Title Holder—(')\SA, Contractor Reg. #
Address r� 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 ';N—
PARCEL INFORMATION-12 digit Tax Parcel No. �ja \ /�� / - 2 Fire District_
Legal Description
Site Address(Please include street name, street number and city) 4:�1 L !Wne ,rc ,n L•cl,re
Directions to site Sr exiXuc "e � ,
Will timber be cut and sold in parcel preparation? (Yes/No),,F�,
Is your property within 200' of the following: Body of Water (Name) 4 Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
TYPE OF JOB New Add Alt Repair Other se of Building
Describe Work
No. of Bedrooms No. of Bathrooms SQUARE FOOT E-1st Floor 2nd Floor
3rd Floor Loft Basement Deck. Other sq. ft.
Garage Attached Detached Carport Attached Detached
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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-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contr c egistrati Law RCW 18.27 and am aware of the ordinance contrac r in the State of Washingto and that I am aware of the ordinance
re U.e ents f whit his permit is issued and that all work will be done in require s r Alatinthe o hich this permit is issued and all work
co rm ce a No changes shall be made without first obtaining shall be ne in ca they No changes shall be made without
a val. first bt n g app
Date Date 1
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FOR OFFICIAL USE BEYOND
PO
Accepted by Date Submittal Amount D Receipt No.
QEPARTMENTAI»>RE 1/IiN APPROVED DENIED ONDITIQN CQaE$
I Building Department
Occ Grou /Q.3 Type Constr.6W /D—
Planning Department
f Environmental Health Department
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Public Works Department
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Fire Marshal
Valuation $
.;: FEE$
.. .. ....._ .
Building Permit Fee �5 Site Inspection
Plan Review Fee ill UFC Plan Review Fee
Plumbing & Base Fee Public Works Review Fee
Mechanical & Base Fee Other
Wood/Gas/Pellet Stove Fee Other
Violation Fee Pre-Paid at Submittal ( )
:::�?::�::.:.:::.::::::.::::.:::.::::. .:.�.•.::.:; TOTALFEES
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MUST BE COMPLETED IN INK
PLEASE PRESS HARD MASON CI-uNTY PROJECT SITE INE iRMATION
Case No. ( '6 �l
Name � i� C���?��c� �, PARCEL NUMBER*,2,�L\VA_1T elf)c)q -2—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 SysteT___j 11 �j
DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line.
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SAMPLE SITE PLAN
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TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the
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MASON COUNTY PROJECT SITE INFORMATION
Case No.
Name ��`u. Utx�r�� PARCEL NUMBER ��`��?,�—79gW.-k-2 Date
SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the
site plan
Lot Dimensions Fences 1�
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography V3
Well Location (including adjacent) Drainage Plan
Names of Streets Easements
Names of Fronting Streets Septic System
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SAMPLE TOPOGRAPHY PROFILE
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MASON CVLJNTY PROJECT SITE INE JRMATION
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` Name L�� z� C��-�T�.� `�, PARCEL NUMBER_3 \3`A,`T 1A'OCA2Date 3 c
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 k.
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,
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LENGTH Of LANDINGS AT DOORS 4 DOOR
LANDING TO NE LEVEL WlTll FLOOR NOT ACCEPTABLE
IN D!RlCTlON OF DOOR SWING FLOOR LEVEL RUN
RISE ACCEPTABLE SHAPES AND INSTALLATIONS-"ORAIL
FLOOR LEVEL
INTERIOR ONLY
DECK PLAN
EXAMPLE ONLY
APPROVED JOIST HANGERS
EXISTING BUILDING
*BEARING REQ'D FOR MFG.HOME
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