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Home My WebLink AboutBLD2009-00951 Reroof - BLD Permit / Conditions - 10/27/2009 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,WA 98584 lrf,, RESIDENTIAL BUILDING PERMIT BLD2009-00951 OWNER: BUD STICE RECEIVED: 10/27/2009 CONTRACTOR: MASON COUNTY ROOFING INC 360-350-3789 LICENSE: EXP: ISSUED: 10/27/2009 SITE ADDRESS: 400 E LAKE DEVEREAUX RD ALLYN EXPIRES: 4/27/2010 PARCEL NUMBER: 122075000003 LEGAL DESCRIPTION: LAKEWOOD PLAT M TRS 3-4 EX S 5' OF 4 PROJECT DESCRIPTION: DIRECTIONS TO SITE: RE ROOF ST RT 3, L ON LAKE DEVEREAUX RD TO SITE ADDRESS ON THE RIGHT SIDE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: RR Fire Dist.: 2 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information : y Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: Rear: Ft. Slope: Ft. Model: Width: Ft. Side 1: Ft. Shoreline Desig.: Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Re-Roof Fee GMM 10/27/200 $117.50 S12009000 Building State Fee GMM 10/27/200 $4.50 S12009000 Total $122.00 BLD2009-00951 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2009-00951 CONDITIONS FOR BLD2009-00951 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-022 he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X / 2) Owner/Agent i �risible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X z CJ1__ 4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be mad eYi�r to requesting additional inspections. X r / 5) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances�nd�ilding regulations. X // 6) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevene6 Batton from being taken. No more than one extension may be granted. X ,� f BLD2009-00951 Please refer to the following pages for conditions of this permit 2 of 3 This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the 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. G OWN ER OR AGENT: DATE: 1 f /,4r ! BLD2009-00951 Please refer to the following pages for conditions of this permit. 3 of 3 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NOZH aC09 - 0i51 PLEASE PRESS HARD BUILDING PtRMIT 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner �z) — Mailin,, Company Name A Mailing Address .0 / Pity �` State A Zip Code city.sL, �r<oM State wA_ Zip Code hone S Other Ph. Phone 406. ?# '7 Other Ph. Lien/Title Holder Contractor Reg. # Exp._ D E mail address E Mail Address MAs- Drivers Lic. # DOB Drivers Lic. #CA?ONE7 S47M6 DOB 7 26 by 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. 0 p Legal Description Fire District Site Address (Please include street name, street number ci,city) C r Directions to site -1 f� Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Lake River/ Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff 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 Repairer Other PRIMARY RESIDENCE Cg SEASONAL ❑Use of Building Nsw,.e Describe Work Re Ne��„„,•os, ion No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Garage Attached Detached Carport Attached Sq. ft. Detached MANUFACTURED HOME INFORMATION - Make 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. 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 PR RESS IN ECTION.1 TIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: I D t �0 g Owner/Owners Representative ontractor i icate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date FBuilding- RTMENTAL REVIEW APPROVED DENIED NOTES De artmentn Department Environmental Health Department Fire Marshal FEES Buildin.q Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES