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This application is intended for tenant charge only. if construction or remodeling is proposed or required a building permit will be necessary. upon approval the permit will be issued to the appficantHenant. After the permit is issued,schedule an inspection by calling(360)427-7262_Upon satisfactory inspection a Certificate of Occupancy will be issued and must be posted in a conspicuous place on the arnises. � "€• �.r r��"`a�"��;� 5�z���r=� ..� _ Date: Assessor's Parcel Number: Legal De rip on: 111 C),K1 G N I, L4 ti D j IM to 60f,,1.> -1,} L O s' i-3 !- 4 AT/V ✓Ae, Building Site Address: "y )o r, Ni6y' # - Sc.il--u A l tnl©11, 4= r i r Method of sewage disposal -a-Septic O Sewer-name of district: l Water source: O Individual Well O Commur*Wen Public System,name of system: Name of Applicant: t 17 jD1 T t ii/ Mailing address: t.�-Ali' w &CPAXC 0. 130 j C City: S T'V'AV State: Zp: Day phone sfai� 5_�0 Contact Person KA-<1 Message phone 70 Proposed business name: NP, CVAAMi41117X if ' 17 --1 Proposed use: t Mb t ,11 0" Number of employees: Previous business name: Describe previous use: Check one: O Detached single level/single tenant O Single level/multi tenant O Multi level/single tenant O Multi level/multi tenant Age of structure: Is structure curterittv If not occupied,how king has it been vacant7 occupied? No Yr. Mo. Square footage: I Basement: I First: Mezzanine: Second: Third: Is the structure heated? Heating type:Cycle one: Circle one'-'Y s No ` ctric k: Liquid Propane Natural Gas Oil Type of heat:Circle one: Furnace (ReatPump_3 Electric baseboard or wan mount Radiant Will there be a nges to the following?Circle yes or no,Napplicable: Floor lay-out: J5W- No Lighting: Yes No Heating:CXes' �N$ Exterior Finishes: Yes,- O Interior Finishes Yes No PaqZ Yes Number of restrooms provided: INumber of fixtures in each Is structure handicap accessible?Ckcleor?<Y s' No Is the structure equipped with a fire sprinter system? Yeses o Fire alarm system? Yes4 No Monitoring Station Name: Phone number: 1. Flow Plan(5 secs): • Draw the floor plan to scale • Use of roorns • Room Dimensions • Location of all exits and windows(include dimensions) • Location of plumbing and mechanical fixtures • Interior doors with swing radius 2. Site Plan(5 sets): Note scale used • Property lines,easements,&right of ways • Location of all existing structures 6 dimensions • Distance,in feet,from property line 6 structures • landscape buffer yards • On-site sewage tanks and drain fields,&reserve • Well location • Location of fire hydrants&vehicle access roads Parking areas number&arrangement) 3. Sepdc records,pumper's report or 08k! 4. Fees will be collected at time of submittal z Accepted b Date 1 2.1 ittal Amount$ I Recei t number Department evie jnifials Date Comments Building 2 - 5 Environmental Heal Fire Marshal Planning Public Works Occupancy Change? (tide one) Yes(No) Type of construction Occupancy classification change from 1 to Occupant bad calculated: persons Existing occupant load design persons. 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Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 A I (A 0 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner �F ` L_ Company Name QbVVO� Mailin d r s Mailin Address E--. S� City State,WA Zip Code - City 6 MIN State Zip Code Phone�_-' �� Gic-6 Other Ph. Phone M Other Ph." Lien/Title Holder Con EX E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB I 1 7 SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well (' Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire DistrictN Legal Description NI 19 Site Address(Please include street name, street number and cit ) !M Directions to site ORLEV ED IS FF — t Will timber be cut and sold in parcel preparation?Yes/ o 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 TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building E,VWV e4'MT— Describe Work No. of Bedrooms, No. of B�throomSquare Footage- 1st Floor 2nd Floor r 3rd Floor Basement Deck _Covered Deck 0 Other Sq. ft. Garage— Attached Detached Carport—ft— Attached Detached MANUFACTURE E INFORMAT N - Make Model Year Length Width Se No. of Bedrooms No. of Bathrooms Type of Heat P ase Pri Replacement Unit? Yes/ No Installer Name Certification No. OWNER/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. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS INSPECTION.INAPWITWY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Owner/Owners Representative/96ntractof (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 1 24 20i DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. PLEASE PRESS HARD 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 a, APPLICANT INFORMATION CONTRACTOR INFORMATION Y'n " $ 1tt°r s; a ,i . 't._. Company Name Owner F' Mailing Address Mailing Address f. { i, j i� Zip Code City �-''��I� �'� —State Zip Code City State Phone Other Ph. Phone " ;; Other Ph. : � Lien/Title Holder Contractor Reg # t,` ` F '. Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic. # DOB ! SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION 12 Digit Parcel No. _ t Fire District Legal Description + '`! f ;,: � F,tf`x Site Address(Please include street name, street number and city) Directions to site � Will timber be cut and sold in parcel preparation?Yes/filo) Is property within 200'of Saltwater Lake y'" 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 TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building L :, Describe Work No. of Bedrooms No. of B-throoms�_'Square Footage- 1st Floor 2nd Floor 3rd Floors Basement Deck Covered Deck- -Other Sq. ft. Garage t`.A Attached Detached Carport -- Attached Detached MANUFACTURECI'-HQME INFORMATION - Make Model Year Length Width Stir"i."', 1"' No. of Bedrooms No. of Bathrooms Type of Heat P r-chase Pricd`$ , ,,, Replacement Unit? Yes/ No Installer Name ` ,� Certification No. OWNER/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. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X ��� Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW ROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES Jan 21 10 11:59a DOGWOOD 360 898 6102 P.1 Cr '�JNS_)T f�1U' -'-1 ' 1' INC. New Construction * Remodels - Garages ' Repairs DOGWOCI 990R4 320 E DALBY RD. STE. E , Union, WA 98592 OFFICE (360) 898-5100 «FAX (360)898-6142 InfoOdogwoodconstruction.com 1997 �' 2007 WWW.DOGWOODCONSTRUCTION COi\,1 CONSTRUCTION AGREEMENT DATE: 111112010 SITE: BILL TO: OUR COMMUNITY CREDIT UNION 320 E DALBY RED STE A 526 UV. Cedar/P.O. Box 1670 UNION, WA 98592 Shelton, WA 98584 PHONE: KART WAYLETT 360-426-9701 EXT: 1154 DENNIS MURPHY 350-432-5207 CELL: 360-951-0090 E-MAIL_ kwaylett(L'�ourcu.com Amount Description SCOPE OF WORK: Front comer: Frame in two walls with a curve, install 314 inch plywood 2 sides 112" Sheetrock tape and texture, prime and paint to match existing Install one 3' x 6`8" Steel Jamb wooden door- owner to provide lack set Data closet: Frame in one wall with a curve 1l2" Sheetrock tape and texture both sides; prime and paint to match existing Cut and frame in new doorway into existing office Reinstall existing door, knob, & trim $3,635.55 Total for above Note: This is for framing walls as discussed with Kan Waylett on 116110 and,Dennis Murphy on 1/8/10 Electrical Add 2x2 light in ATM room Add receptacle in ATM room Add 50 CFM Panasonic fan Add light switch in IT room Rewire fixture in IT room to light new light switch Add 110 CFM Panasonic fan Move receptacles in existing wall to walls new locationm Move phone and data in existing wall to walls new location Move light switch in existing wall to walls new location $1,552.50 TOTAL ELECTRICAL - materials and labor Heating Move two heat runs, install one in-line damper into data closet $128.25 per hour, heating relocations not to exceed $675 dollars $675.00 Includes estimated four hours at our hourly rate Jan 21 10 11:59a DOGWOOD 360 898 6102 p.2 This is the estimated maximum for heating, any billing difference would be reflected in final billing Ceilin $1,350.00 Repair ceiling grids where walls were removed, install new ceiling tiles This is the estimated maximum for ceiling, any billing difference would be reflected in final billing Option: Remove store front door and windows for entry of big furniture— $1080 to $1890 Note: No floor coverings included $1 ,442.61 General management dues and fees $8,655.66 OTAL Any work beyond this scope will be billed additional at the following hourly rates plus materials: HOURLY RATE: 2-3 person crew $65.00 Journeyman $47.00 Apprentice 1 THE ABOVE BID DOES NOT INCLUDE ANY CHEMICAL TREATMENT FOR PEST, MOLD, MILDEW, etc. THE ABOVE BID DOES NOT INCLUDE ANY EQUIPMENT RENTAL FOR DRYING OUT OF STRUCTURE. WE CAN START THIS PROJECT SHORTLY AFTER RECEIVING THE PERMIT& ACCEPTANCE OF BID. We are required by law to furnish this notice to the owners of all properties to which we deliver materials& supplies,so they may have notice that in the event of non-payment of our account,a materialman's lien may be,claimed by us. This notice is not in itself a claim of lien,nor does it imply in any way that BY:Rob McGuire, President necessary. It is sent only because we are required by statute to do so_ All material is guaranteed to be as specified. All work to be completed in a subs:anbal Note: This proposal may be withdrawn by —rkmanlike manner according to specs icaliors submitted,pet standard practices. Any us if not accepted within 60 days. alteration or de•nation from above specifications involving extra casts will be executed only upon written orders,a nd rhll became an extra charge over and above the estimate. ?II agreements contingent upon strikes,accidents or delays beyond our control. Owner carry fire,tornado and of.ner necessary insurance Our workers are Fully covered by ,Vorkmen's Compensation Insurance.HOME OWNER RESPONSIBLE FOR COST OF signature '•_L L UTILrrIES' TEMPCi2ARY,PORTABLE,AND PERMANENT, Signature 4,CCEPTANCE OF PROPOSAL. The above prices,specifications and conditions are satisfactory and are hereby accepted. You 'Ire authorized to do the work as specified. Payment wilt be -lade as outlined above. late of acceptance: A Wy4ou,(\ CIVA"t- i SOUND GUARD SECURITY SYSTEMS INC. P.O. Box 2444 Phone (360) 357-6014 Olympia, WA 98507 alarmman4@eomcast.net April 21, 2008 Ashby Homes PO Box 2192 Shelton WA 98584 RE: Union Square It Fire Alarm I (one) Silent Knight 5700 Addressable Fire Alarm Control Panel 1 (one) Silent Knight 5860 Addressable Fire Alarm Annunciator 10 (ten)Silent Knight Addressable Manual Pull Stations 4 (four)Silent Knight Addressable Photo Electric Smoke Detectors 19(nineteen) Silent Knight Addressable Heat Detectors 5 (Eve)Gentex 15/75 ADA Horn/Strobes 7(seven)Gentex 15/75 ADA Fire Strobes 1 (one)Gentex outside ADA Horn Strobe 5 (five)Edwards 194 degree Fixed Temp Heat Detector(For Attic) 3 (three)Silent Addressable Mini Modules(for RVAC Supervision) 5 (Eve) Silent Knight Addressable Heat Detectors(for above ceiling) Permit,Plans,Material and Labor.Nine Tkoasand Eight Hundred Seventy Dollars (S9,870.00)plus sales tax 24 Hour Fire Alarm ManiMring @$25.00 per month Provided by Others: HV AC Duct Detectors(Sound Guard to make connection to Fire Alarm Panel) 110 volt dedicated A/C.Power 2 (two)Active Telephone lines(can not share with Broadband JE: ISDN or DSL) Electrical raceway into vault for Heat Detectors PVC Conduit to P_ IN. Fire Damper if required(Sound Guard to snake connection) Fire Sprinkler Alarm, .Flow Valves and tamper switches Sincerely, Mark LaRoque Sound Guard Security Systems, [no 19 Permit# sE3C�G / MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location DcLJbU Rc1 � o�y/ 7-� J-0(> , 0AJ This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance farm, f-- 5hA/ e-. re v 1 r r , ,3 7 why A) e e.4' Of' 1907' 06e, Or- (!,ode- v �c� �� e �n �►�� � Ga.- o � adh i 00-0ty C-)It-llal i GE o ou e s BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOTa Date .j Department CORRECTION NOTICE. Inspector T/1 ■ vo , NtmT , 'P 19 *V ' TH/ ,%, T Ak