HomeMy WebLinkAboutCOM2017-00040 Cancelled Replace Window - COM Permit / Conditions - 4/17/2017 w
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9 CONCRETE MECHANICAL MANUFACTURED HOME 00
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BG I SLAB INSULATION
Date By Date By FIRE DEPARTMENT m
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Foundation Walls Floors Date By 0
Date By D DECKS m
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FRAMING Walls Date By >
Date By Dat PROPANE TANKS CA
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PLUMBING Vault Date By z
Date By z
Groundwork Attic OTHER 0
Date By Data By Type-
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O.W.V DRYWALL Type: 0
InL Brace Wall Date By 0
Date ic
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FINAL INSPECTION CD
Water Line Fire Seperatiown
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/9Fype of Insp. Aail Date Date Done By Comments 44.
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ASos Co Q MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Inspection Hotline(360)427-7262
f Mason County Bldg. 8, 615 West Alder Street
IS54 Shelton, WA 98584 www.co.mason.wa.us
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: 0o wt 2O t � - 0 O D y b
ADDRESS/LOCATION: Z 6? (41 N t S-F4 +e Zvy -4 c 3 t3 e
FINDINGS:
rn e. 4e- ✓/ r� U H/ o u� ✓{ /lr.�-r�,�z ,1 c e � s
` 0 �v,l ll1-!�, I 0�ree, ,e Sc ,(--e--f SG1(7 -e4C/dIG
GytSvYL
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
ro Make corrections, items will be checked on the next inspection.
❑ OK to
Date: -Z --/ ❑ Please contact our office regarding possible
Department: L / structural damage incurred by recent
Inspector: / "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
oiz;vU�'? MASON COUNTY COMMUNITY SERVICES 1,,�
A PERM/TASS/STANCE CENTER: Permit No: CAM aO 17-06Vb n
`may •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone RECEIVED
.3
Belfair. (360)275-4467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATIONA'� 7 2017
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:-1400® 0-4 N 4:-L- TftA P[4F A551V ZW- NAME:
MAILING ADDRESS:. &0 v /'7 MAILING ADDRESS:
CITY: 'B E L F-A[2 STATE:W A ZIP: '38$z CITY: STATE: ZW:
PHONE#1: 3 y 0 - 21 S.^3 Z 18 I4 t'A PHONE: CELL:
PHONE#2: 36 y - 3'tO -5086 0-ELL EMAIL : -
EMAIL: tSO A fi? (tea( 1.WC ,CO/W L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER K
NAME LEE sp fJ EMAIL
MAILING ADDRESS 831 LZ, S1&rC RouTG 30 2. CITY ELFKI t STATE A ZI1'`) " S Z
PHONE, 360- 275 -.32 f$ CELL �J 0 ^ 40-S>384
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) Z 3 Z ' SOU 13 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT 1V I Vt Z.
SITE ADDRESS 233141 N E 67 kre- 0 0%-t 3 CITY 13#=- Lr-N I P,
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ❑ ADDITIONECALTERATIOD REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) [IYES(Part[sI of Bldg) El NO [Io
DESCRIBEWORK R�.MOki♦: VJQ%Allb0U-1 -- 1t4STl4-LC_ bOOa (5rAALLO(z TRAri oPE�ll�V4
SQUARE FOOTAGE: (propose+existing!
IST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq,ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
ALANUFACTURE HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MA E MODEL YEAR LENGTH
WID BEDROOMS IIS SE MBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING ❑
PLUMBING IN STRUCTURE7 YES ❑ NO❑ ,(f yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the Information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permittapplication becomes null&void If work or authorized construction is not commenced within 100
days or If construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
MIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
\rl COUNTY CODE 14.08.42) 20/ 7
i—
ignature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH