HomeMy WebLinkAboutBLD2004-00008 Windows - BLD Permit / Conditions - 1/5/2004 Inspection Line(360)327-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2004-00008
OWNER: STEVE COLE RECEIVED: 1/5/2004
CONTRACTOR: QUALITY CONTRACTOR SERVICES LICENSE: QUALICS979KL EXP: 5/13/2005 ISSUED: 1/5/2004
SITE ADDRESS: 420 W HIGHLAND RD SHELTON EXPIRES: 1/5/2004
PARCEL NUMBER: 420183190030
LEGAL DESCRIPTION: TR 3 OF SW TR 1 OF SP#1939 420 W HIGHLAND RD SHELTON
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WINDOWS SHELTON MATLOCK RD, L ON HIGHLAND RD JUST PAST DAYTON STORE
AND TAVERN, TO ADDRESS
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: NEW Fire Dist.: 16 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:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: Ft.Side 1: Ft. Shoreline Desi g.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee KS 1/5/2004 $81.41 S12004
Building Permit Fee KS 1/5/2004 $125.25 S12004
Building State Fee KS 1/5/2004 $4.50 S12004
Violation Fee KS 1/5/2004 $125.25 S12004
Violation Investigation Fee KS 1/5/2004 $56.80 S12004
Total $393.21
BLD2004-00008 Please referto the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
BLD2004-00008
CONDITIONS FOR
B LD2004-00008
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
1-800-6A7-0982. 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) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contracto fail to post the address on site prior to requesting inspections.
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3) All replacement windows installed s II have a minimum .40 U-value. Replacement windows that do not meet current egree conditinos shall maintain the
same size opening or larger. X
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
Mason Co ty ordin nces and building regulations.
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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 oonti ati n of work is a progress inspecti n within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT: DATE:�—J
BLD2004-00008 Please refer to the following pages for conditions of this permit. 2 of 2
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^' CONCRETE MECHANICAL MANUFACTURED HOME
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Footings I Setbacks Date B y Ribbons
00 Date By Gas Piping Date B v
w 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 11Talls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date B v
Date By SA ALLBOARD NAILING
D.W.N.'. Date By
Date By FINAL INSPECTION
Water Line Date/018/oy B y
:2 Date By Date By
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- MASON COUNTY PERMIT NO.
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BUILDING PERMIT APPLICATION
426 W. Cedar • PO. Box 186, Shelton, WA 98584 1
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482- 9
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORKATION
Owner Company Name
Mailing ddress
Mailing Addre 9
City Sate 1!t/Gt Zip Code City State G Zip Code
Phone Other Ph. Phone — Other Ph.
Lien/Title Holder Contractor Reg. P.
E mail address E Mail Address
Driver'; 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 N( Fire District
Legal Description ` 1 T
Site Address (Please include street name, strert-�r and city) f
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? No
TYPE OF JOB- New Add__Alt Repair Other P IMARY RESIDENCE D"SEASONAL ❑
Use of Building 4")dL11rL 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 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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or t w k proposed in the Tpli tion, I have obtained permission from them to apply for this permit and conduct the work proposed.
x r n �"..: Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL U E BEYOND THIS POINT
Accepted by Planning Pd`----' - Ck# 1,i Date Bld Pd .5�3c4 Receipt No s/'�2.;�k.'zo ,
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
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
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