HomeMy WebLinkAboutBLD2011-00385 Siding - BLD Permit / Conditions - 5/12/2011 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
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RESIDENTIAL BUILDING PERMIT BLD2011-00385
OWNER: JONATHAN BOS RECEIVED: 5/12/2011
CONTRACTOR: HOME DEPOT AT HOME SERVICES 1.800.381.5699 LICENSE: HOMED"°972RQ EXP: 2/1/2 ISSUED: 5/12/2011
SITE ADDRESS: 90 E WARBLER CT ALLYN EXPIRES: 11/12/2011
PARCEL NUMBER: 122085104026
LEGAL DESCRIPTION: LAKEWOOD PLAT I BLK: 4 LOTS 26-28, 54-56 (LOT 39 BELWOOD ESTATES)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Siding house not going past the water barrier ST RT 3, TO ALLYN, R ON ST RT 302, R ON BELLWOOD, THEN LEFT ON
WARBLER CT TO SITE
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: ALT Fire Dist.: 5 No. of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. I omp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee GMM 5/12/2011 $117.50 S1 201 1 0001
Building State Fee GMM 5/12/2011 $4.50 S12011000(
Total $122.00
BLD2011-00385 Please refer to the following pages for conditions of this permit. Page 1 of 2
CASE NOTES FOR
BLD2011-00385
CONDITIONS FOR
BLD2011-00385
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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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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
perm i r vocation.
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4) 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
Masop Pounty ordinances and building regulations.
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5) 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 tvp prevented action from being taken. No more than one extension may be granted.
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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 any
time 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 o the above described property and structure for review and inspection.
OWNER OR A� DATE:
BLD2011-00385 Please refer to the following pages for conditions of this permit. Page 2 of 2
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CONCRETE MECHANICAL MANUFACTURED HOME
0 Date B Cl)
Footings !Setbacks Gas Piping y Ribbons L_
o Interior Date By interior-Date By Date By 0
w
Extergr Date By Exterior-Date B Z
(r Set-up
Point Load!isolated Footings INSULATION Date By 4
Date By bay SLAB INSULATION By FIRE DEPARTMENT Z
Foundation Walls Floors Date By
Date By Data gY DECKS
FRAMING walls Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date a y
Date BY OTHER
Groundwork Attic
Type..
Date By Date By Date By
D.w.V DRYWALL Type-
-0
Int Brace Wall Dam gy ICUDate BY Date By r
(D FINAL INSPECTION
v
N Water Line Fin Separation `
m
m Date By Date By Date By s
s Pass or Request Inspect. c
5 Type of Insp. Fail Date Date Done By Comments
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0
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MASON COUNTY PERMIT NO.IjaaII -00?
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
dh(tvtLc On the web www.co.mason.wa.us
APPLIC T.INFORMATION CONTRACTOR I F RMATION
Owner �4 0 ao S P I Company Name
Mailinq,Address MailinuAddress O
City State W 1j. Zip CoGde( City State lam Zip Code 9Q
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Phone 3 a - v�i: �Other Ph. /Q 4o77 Phone/'800 .91-'5 of ! Other Ph.
Lien/Title Holder Contractor Reg. # 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 Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description
Site Address(Please include street name,street number and city)
Directions to site
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 Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair>4 Ether P MAR f3ESIDENCE ❑ SEASONAL
Use of Building Describe Work L.,- o 4_1r
No. of Bedrooms No. of Bathrooms Sq are Footage- 1 st oor 2nd oor i•:5�4/�
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached 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.
PROOF CONTINU/ATIONM
I Y MEANS OF A PROGRESS INSPECTION.
X� % I Date;
Owner/QyLaeLcj3epresentaUy&4 Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department no
Planning Department
Environmental Health Department
Public Works 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