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Home My WebLink AboutCOM2004-00202 Window Replacement - COM Permit / Conditions - 10/14/2004 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Phone: (360)427 9670,ext.352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 r, Shelton,WA 98584 COMMERCIAL BUILDING PERMIT COM2004-00202 OWNER: SHELTON CHURCH OF THE NAZARENE RECEIVED: 10/13/2004 CONTRACTOR: KELL CHUCK GLASS LICENSE: KELLGC2000C EXP: 10/21/2005 ISSUED: 10/14/2004 SITE ADDRESS: 1331 E SHELTON SPRINGS RD SHELTON EXPIRES: 4/14/2005 PARCEL NUMBER: 420122190190 LEGAL DESCRIPTION: TRS 19 OF NE NW TRS 2 OF SP#1403 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPLACE WINDOW IN PARSONAGE. 1331 E SHELTON SPRINGS General Information Construction &Occupancy Information Type of Use: COMMERCIAL Insp.Area: No.of Units: Type of Constr.: Type of Work: ALT Fire Dist.: 11 No.of Bathrooms: Occ. Group: No.of Stories: Occ. Load: Valuation: $ 3,672.99 Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp.Plan Desi .: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2004-00202 Please refer to the following pages for conditions of this permit. 1 of 4 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type City. Type By Date Amount Receipt Plan Check Fee Kc 1nil Algrin. 4R'i 91 C19nnAnn Building Permit Fee KC 1nilnonn. 447 95 g19nnAnn Building State Fee KC 1n/1inns 4a fin C19nnAnn Total $164.96 CASE NOTES FOR COM2004-00202 CONDITIONS FOR COM2004-W202 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- 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. XTA 2) PURSUANT TO INTERNATIONAL CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE INTERNATIONAL CODE WILL BE ASSESSED IF OWNE ONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 3) ALL CONS 4RUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF U E OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x e� 4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUIL ING DEPARTMENT AND THE ADOPT%b BUILDING CODE. X 5) All property lines shall be clearly identified at the time of foundation inspection. X� 6) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The in the legal property records on file with Mason Count as being failure to request a final inspection or to obtain approval will be documentedg p p y y g non-co rant with Mason County ordinances and building regulations. X COM2004-00202 2 of 4 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 corp-i,lenced. '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 by means of a progress in ection.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 tr ture for review and inspection. OWN ER OR AGENT: ✓ DATE: �U � st� COM2004-00202 3 of 4 c� CONCRETE MECHANICAL MANUFACTURED HOME N o Footings / Setbacks Date By Ribbons o Date By Gas Piping Date B y o Foundation Walls Date B y Set-up ' Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date By 1 Date By � x r 0 0 o � N x N 0 y M 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 G. 40e�4 H 6V 714C LIAZ, Company Name CA f%--= r• F_ to .^ Mailing Address =I - 't7 Mailing Address 117 Y tZ1 " City 5}ft'LTc [ State tt 'A- Zip Code S�� City �YNpt et State f A Zip Code Phone 4fgL jjQQ1 Other Ph. Phone 'ho 411 5, #- Other Ph. 4.4 Lien/Title Holder Contractor Reg. # `SELL GL2G0 r*t Exp.11.t E mail address W rA h0i1 f here.to M 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) jq`,2j9L'5j 1 Uf.S Its. Directions to site ,1111600- 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 J 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - ew Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL E]Use of Building - Describe Work 01--, No. of Bedrooms No. of Bathrooms-Square Footage - 1 st Floor 1544 2nd Floor 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 O,F NAPIUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X l Date. Owner/Owners e entative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED ,-DENIED NOTES QF Building Department jY-I( t rt Planning Department Environmental Health Department Public Works Department 426 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