HomeMy WebLinkAboutBLD2002-00151 Cancelled MFG Home - BLD Permit / Conditions - 2/14/2002 MASON COUNTY
BUILDING PERMIT
Permit No.(%LDQCX�-Q- \*5 j Date
Address _ �`�'i���vvc, L,GVe, r-
Owner Q coc Tx-y%
�r
Contractor Reg. #
Job Description x L
Foundation Footing
Foundation Wall
Below Grade/Slab Insulation
Plumbing Inspection
Mechanical Inspection
Frame Inspection
Insulation Inspection
Wall Board Inspection
Fire Marshal Final (commercial only)
Final Inspection
Applicant Must Call ssued By
427-7262for
Required Inspection POST THIS CARD IN A CONSPICUOUS PLACE
AT THE FRONT OF PREMISES.
This Building NOT To Be Occupied Until Finaled
Mason County Dept. of Community Development
Mason County Bldg. 3
426 W. Cedar
P.O. Box 186 (360)427-9670 Local (360)482-5269 Elma
NP10
Shelton,WA 98584 (360)275-4467 Belfair (206)464-6968 Seatt
Notification of Permit Cancellation
December 19, 2002
RONALD BUI
P.O. BOX 866
BREMERTON WA 98337
Case No.: BLD2002-00151
Parcel No.: 223315100027
Project Description: MANUFACTURED HOME
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
02/26/2002. 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
01��r)
December 19, 2002 BLD2002-00151
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MASON COUNTY SON COUNTY PROJECT SITE INFORMATION
9
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Case No.
Name, ^il lam/ oL PARCEL NUM Date 2- n
SHOW THE FOLLOWING ON SITE PLAN w irect]�Lnfy indicationg N, S, E, W in relation to the
Qsite plan
Lot Dimensions Fences O
Existing Structures Driveways
Structure Setbacks Shorelines
Water Lines Topography t=
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 lined I I E-adjacent property line
I SIDEYARD SETBACK
THESE P i_A N S MUST BE All strictures' or any portion thereof, greater
�` than 30-inch in height above grade must
ON THE J O O SITE y tY" maintain a 5-Foot setback from property lines
FOR I N S P (' and easemertlts and 10-feet from all county
1 ? and stale road"right',of ways. Structures shall
include roof overhangs, gutters, decks,
mec�anical equipment, etc.
33 9' aS�
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I I
MUSS MEET ALL CURRENT
�y -Z {e,� WASHINGTON STATE CODES
;APPROVED
CHANGES i MASON BUILDING INSPECTOR
SUBMIT CHANGES FORIAPPROVAL CHANGES SUBJECT TO APPROVAL
PRIOR TO PERFORMING WORK (((��� �
DATE `� ,O
U _----_
adjacent property line-
' ( I F-adjacent pro ert line
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SAMPLE SITE PLAN f
adja t property lined E-adjacent property line
I (7 30' �1z�S�R V E gel
SEASnw;AL a fi >L
CrzeEK I � I Hone c
I � Gnae�
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VACAr.NT ' T c nrtAo e i
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adjacent property lined ; rate. \; <—adjacent properfy 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
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Signature DWe
-- PERMIT NO.: BLD a SIDI51
MASON COUNTY
BUILDING PERMIT APPLICATION p(
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 . . 1 Contractor Name
Mailing Address Ad Mailing Address
CityP'��roi)g d j„71� State Zip 6odes _T City State Zip Code
Phone .h N r ��'ther Ph.(___) Ph.( ) Other Ph.(�)
j Lien/Title Holder -y,E,Q4,n Contractor Reg. #
Address 4ez Expiration
i
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic (_Connect to Sewer
System Name of Sewer Syste,crl Well _Water SystemY_Name of
Water System . ) .1 i.tCK
PARCEL INFO ATION-12 di it Tax Parcel No. / �/ a Fire District_
Legal Descriptio
E 6 -
Site Address(Ple e include street name, street number and city) 1
Directions to site
Will timber be cut and sold in parcel preparation? (Y No)
Is your property within 200' of the following: Body of W ame) r" Saltwater
L (
Lake River/Creek Pond Wetl Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDEN ❑
TYPE OF JOB New Add Alt Re ir Other Use of Building
Describe Work 7--1111
No. of Bedrooms No. of Bathrooms S ARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Bas [it Deck Other sq. ft.
ge Gara Attached Deta e ort Attached Detached
MOBILE HOME INFORMATION-Make M el Model Year
Length zj2
_Width c I Serial N6, 1.21 ti (o No. of Bedrooms No. of Bathrooms
Type of Heat - Purchase.'Price $ Replacement Unit ?(Yes/No) v,C)
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
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 be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approve first obtaining approval.
X Date- 7/ X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by -"Pate - -� Submittal Amount Due 5 Receipt No.
D�PARTMENiAI»<R VI IN APPROVED DENIED CONDITION CODES
Building Department
Occ Grou T e Constr. Y�
Planning De ment
i 1
Environmental Health Department
Public Works Department i
i
Fire Marshal
Valuation $
FEES
i
Building Permit Fee 60 Site Inspection
i
Plan Review Fee Ct 6a EH Review Fee
Plumbing& Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee 5
Violation Fee Pre-Paid at Submittal
TOTAL FEES