The URL can be used to link to this page

Home My WebLink AboutBLD2004-00659 Remove Brick/Chimney - BLD Permit / Conditions - 5/6/2004 Inspection Line (360)427-7262 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 BLD2004-00659 OWNER: WAYNE SOUZA RECEIVED: 5/6/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 5/6/2004 SITE ADDRESS: 4121 E STATE ROUTE 106 UNION EXPIRES: 11/6/2004 PARCEL NUMBER: 322314300080 LEGAL DESCRIPTION: TR 8 OF S 13.14 AC OF G.L. 3 &TAX 281-D 4121 E STATE ROUTE 106 UNION PROJECT DESCRIPTION: DIRECTIONS TO SITE: REMOVE BRICK/CONCRETE CHIMNEY APPROX. 4 MILES OUT SR 106 ON THE WATER SIDE (FROM BELFAIR). 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.: 6 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. Shoreline Desig.: Side 1: Ft. Year: Serial No.: 11 Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building Permit Fee CMH 5/6/2004 $58.00 B12004 Building State Fee CMH 5/6/2004 $4.50 B12004 Total $62.60 BLD2004-00659 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR B LD2004-00669 CONDITIONS FOR B LD2004-00669 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 1-800-6,47-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 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 contractor fail Xq post the address on site prior to requesting inspections. X5{� 3) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code 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 X occupancy would in permit revocation. 4) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be n:t�dlv�� to requesting additional inspections. X 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 MasOnto #y ordinances and building 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 pK entedaction from being taken. No more than one extension may be granted. X 7) The Uniform Fire Code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads�on with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X BLD2004-00659 Please refer to the following pages for conditions of this permit. 2 of 3 s 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.Theo wner-Rr 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 an structure foi review and inspection. OWNER OR AGENT: -- %�_ _� DATE.— BLD2004-00659 Please refer to the following pages for conditions of this permit. 3 of 3 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. X04 - aD 6051 PLEASE PRESS HARD 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 -SOU L u . U-L4/1� Company Name Mailing Address ' /�/ 5k"�C"L Mailing Address City L-4 l 1State VC1,Zip Code City Sta Zip Code Phonct.? 5:�'75 L I Y 7 0- Other Ph. 3 Phone Other Ph. Lien/Title Holder Ev ' Contractor Reg. Exp. E mail address C_l-ct Z 113 EA�_�q'?lj,2_ � ti�� 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. 73 Fire District Legal Description Site Address (Please include street name, tree nyOm end city) r f Directions to site M< <[S ci KK 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 rk Notice, Correction Notice or other enforcement action?Yes/No TYPE OF JOB - w Add__ __Alt_ Y Repair _ Other RI �Y SI E ❑ S SONA Use of Building Describe Work -� Wyk No. of Bedrooms No. of Bathrooms Square Footage - 1st loor 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 re i�qc ��1 Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the cooit�.L t�rH��D 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 r � ii t s ica- tion or the work proposed in e application, I have obtained permission from them to apply for this permit and condu f w0tor 'ed. X — Date: .5 / l �OC>SL 6ELFAIR OFFICE caner/Owners Represent e/Contractor (indicate which one) FOR OFF (�SE BEYO HI INT ,1 �t ,n /,, Accepted by� Planning Pd_ _Ck# � V Date �� Bld Pd 50 00 Receipt No. v V V DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department v �Q 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 PlanningReview Fee Mechanical & Base fee Other wood /Gas / Pellet Stove Fee State Fee ' u Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES