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By 'r Date By Date By PLUMBING Attic OTHER. Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date )z 6 06 By FINAL INSPECTION Water Lj'ne Date By Date > � � w? P� : '``: Date By �.� v s �' �i�lU �G� 5 1 �i U� I Z l0 6Z� GI�Y-' ►�`+ l� 0 MASON COUNTY PERMIT NO. 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company Name Mailing Address Mailing Address City —State ter;`Zip Code City State Zip Code Phone Other Ph. Phone 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 L PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description `"C C; L ' f;/' Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sol in parcel preparation?Yes/No Is property within 200'of Saltwater Lake -r,<v 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 Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No.of Bedrooms No.of Bathrooms Square Footage- 1 st Floor -2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No.of Bedrooms No.of@G;r s Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. 426 W: CEDAR,STIt 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 OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building DepartmentL Planning Department Environmental Health Health Department Public Works Department Fire Marshal FEES Buildinq Permit Fee 'Z�j. Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid 4t Submittal Valuation $ j® 2 , 7 TOTAL F S bt s-Z MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE 1 Job Location / W s ' J This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fund: Items Listed below must be corrected to nain code compliance Lt,,A i AL1114-713E U hfl,-h c L BA9= U81' Ot You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection e lyd— L� 22UR— ❑ This is not a complete inspection f Department 1,8 Lb , C Date 0 ' Z �� �'�``� Dd � Inspector t� TAGDO NOT REMOVE THIS wilding Permit # C&t—cq MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE y' Job Location ISO LVF-5 &2�P sY&O z 5/kirzf ti 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 code compliance /Al 4 /'fi" e Jai-cK;�ti=Ss You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection OK to ❑ This is not a complete inspection Department MJOY Date 0to,6 /0 'T q 574m Inspector DO NOT REMOVE, THIS TAG Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location j 5 0 kkA4 tt/,,� C( z11)l This structure has been inspected by Mason County Building Department and the ollowing VIOLATION of County Laws and Ordinances has been fou Items Listed below must be corrected to gain code compliance 1rEi a' CUFF ""A42e— t i�� 7 (C Cal t, `7<) ° 'Ole- NA . 4,,d OP tj.4;i f l Ivy j n� l�rs _ 11�� ✓ ge sA -F c You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ,Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to :This is not a complete inspectiorr,P,�'<'il,/�-- Department ( Date D Inspector DO NOT REMOVE THIS TAG Building Permit# Oil- MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 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 code compliance You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing -Make corrections, items will be checked on next inspection ❑ OK to _l ❑ This is not a complete inspection Department Date .2 - ;?fo- o 9 Inspector DO NOT REMOVE THIS TAG &D26 -D 16-7 J MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: Telephone; _s 7 c Parcel#:444v6 7-7 & )SCD Type of project ( ) New Residence (>,,J Addition ( ) Remodel Total Sq. Ft. 1 s Floor :,7 2 nd floor: 7Heated Basement: of heated area:: Heating System.Type: (0 Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing c0 Prescriptive Option see reverse side circle one: 1 �1 ' III Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one: O S stems analysis, Chapter 4 ® Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air . Recovery Ventilation System (VIAQ 3o3.4.a) System vents (VIAQ 303.4.I) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) 1 supply fan. VIAQ 303.4.3) Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: 'In JM6 ar AD G� !40 Windows: Total Sq. ft. Z-- Doors: '10 Doors: Total Sq. Ft (� Total window and door area /� to Total window&door area t' L, /(divided by) total sq.ft of heated area "7`TJ�' =�%of glazing JD` - r a m cn -- -- --- — - — — " ,mZ - -- — — — - - cn C� , c7 O O! C) A - -- - .� C rii At x Request. To Revise An Approved Plan Permit Number: BLD200 -biC-7 0 Name 1,J�( S ` Parcel Number - - Phone Number daytime Project Address Mailing Address Please provide a complete,detailed description of the proposed revisions to the approved plans: . Are two sets of the revised plans or addendum indicating the changes included? owes ❑ No Are the approved site plans included? . y7--!�es ❑ No Are the.revisions clearly and accurately identified on the plans or addendum? ❑ Yes )-No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes $-No If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural changes to a"designed"Plan will be aparoved without the written consent of the en 'neer and/or architect of record 1 Does the proposed revision modify the footprint or location of the structure? ❑ Yes "')<No If Yes,Is a revised site plan,-with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: Af dF-a D Applicant's signature Date: Office use only Received by: Date Sent Assigned To Approved By pate Original Valuation: $ Additional Valuation: $ P. Sq.Ft x$ $ Sq.Ft. x$ $ E.H. - i z Total New Valuation $ p.w I Additional Fees: F— Additional Planning Dept. $ New Setbacks: Front / Rear / Additional Plan Review $ Additional Building Permit $ Side1. / Side2 / Additional Plumbing $ a —_ Additional Conditions/Comments: Additional Mechanical $moo .7!r Additional E.H.Dept. $ 2 Other $ g Ty ��f Total Amount Due: $ L9, Amount To Be Paid Up-Front$ 7ah oifi( Revised SRG 8!=003 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 Shelton, WA 98584 (360) 275-4467 Belfair Notice to Obtain Final Inspection December 26, 2007 GLENHELEN WITHERS 150 W HEATHERWYND LN SHELTON WA 98584-8959 Case No.: BLD2004-01570 Parcel No.: 420087700050 Proiect Description: ADDITION The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $64.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $64.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 359. Sincerely, Terry Ryan Mason County Department of Community Development Cc: Property File December 26, 2007 BLD2004-01570 l i i 6 � 9 } C> G t > \ , G to r D r n m CTJ Sol � Z y '�® kA rn �ft 1'- L� f S e k� d M zo F �. •� N \� z G olk s' y i Oy3 c �a ate' _