HomeMy WebLinkAboutBLD2003-00544 Replace Windows - BLD Permit / Conditions - 5/2/2003 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
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RESIDENTIAL BUILDING PERMIT BLD2003-00544
OWNER: MICHAEL MOORE RECEIVED: 5/2/2003
CONTRACTOR: K DESIGNERS LICENSE: KDESI-0330S EXP: 9/1/2004 ISSUED: 5/2/2003
SITE ADDRESS: 91 E 2ND ST UNION EXPIRES: 11/2/2003
PARCEL NUMBER: 322325001103
LEGAL DESCRIPTION: UNION HOOD CANAL LAND & IMP CO BILK: 11 LOT: 4-5 & W1/2 3
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT WINDOWS UNION PERMIT
NULL & VOID BY EXPIRATION
ATF 7' 0v aL
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: 4 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?:
Rear: Ft. Slope: Ft.
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
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 NJP 5/2/2003 $108.71 S22003
Building Permit Fee NJP 5/2/2003 $167.25 S22003
Building State Fee NJP 5/2/2003 $4.50 S22003
Total $280.46
BLD2003-00544 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2003-00544
CONDITIONS FOR
B LD2003-00 544
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- 0-64 -0 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) n 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
co tracfa l to post the address on site prior to requesting inspections.
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3) II replacement windows installe sh ha ie 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 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 occupancy would
result in ermit revocation.
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5) Demolition actitvities must conform with all State and local County regulations as a condition to the issuance of this permit. The applicant/owner is directed
to c natc Olympic Air Pollution Control Authority at (360) 438-8768 or 1-800-422-5623 extension 104 prior to the commencing demolition.
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6) 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
Ins ector II be made prior to requesting additional inspections.
7) A 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
M o�Cun rdinances and building regulations.
BLD2003-00544 Please refer to the following pages for conditions of this permit. 2 of 3
' 8) 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
Y P Y P 9 y d e
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
hol er h prevented action from being taken. No more than one extension may be granted.
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.
OWNER AGEN DATE:
BLD2003-00544 Please refer to the following pages for conditions of this permit. 3 of 3
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^' CONCRETE MECHANICAL MANUFACTURED HOME
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Footings / Setbacks Date B y Ribbons
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Date By Gas Piping Date By
Foundation Walls Date B y Set-up
D ate B y INSULATION Date B y
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
:2 Date By h � k u «s Date By
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
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 / ONTRACTOR INFORMATION
Owner Contractor Names t /1 -
Mailin Address CC—. ''' Mai g Address 1 ^ ' a
City State/i A.Zip Code City iTA 46tatiCe_Zip Code L
Phone (=� /% ), ' Other Ph. ( ) Phone Y�k / z6 Other Phi• ' S
Lien / Title Holder Contractor Reg. # Exp.
Email Address Email Address
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Sewer System Name of Sewer System
Well Water System Name of Water System
PARCEL INFORMATION - 12 digit Tax Parcel No. / Cnj / Fire District 62
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 located within 200' of saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
PERMANENT RESIDENCE X SEASONAL RESIDENCE ❑
TYPE OF JOB - New Add Alt Repair Other Use of Building
Is this permit sub al the result of a Sto Work Notice/Correction Notice or other enforcement action? (Yes/No)
Describe Work �T r 0 �i--� :9 Gil j •�C/U�c�S
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE - 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model 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.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN
180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. THE
OWNER OR AGENT ON OWNER'S BEHALF, REPRESENTS THAT THE INFORMATION PROVIDED IS ACCURATE AND GRANTS
EMPLOYEES OF Mason COUNTY ACCESS TO THE ABOVE DESCRIBED PROPERTY AND STRUCTURES FOR REVIEW AND
INSPECTION OF THIS PROJECT. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY
RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW:
OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis-
ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware
of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this
that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there-
shall be made without first obtaining approval. with. No changes shall be made without first obtaining approval.7
X Date �C. =..�-ti Date "3—Ci
FOR OFFICIAL USE YOND THIS POINT
Accepted by Planning Pd Ck#
Date Bld Pd. Reciept No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department / /
Occ Group Type Constr. I 5oa c ca'tw"—,�
Planning Department Lj
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $ �3• �
FEES
Building Permit Fee j 7 s— Site Inspection
Plan Review Fee EH Review Fee
/O�.•71
Plumbing & Base Fee Planning Review Fee
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee r Pre-Paid at Submittal )
1� TOTAL FEES
K VttlUNtKS StAI ILt 'IWu (60(237 U5/Ur' 'US 'I"1 :>O N0.14Y U'I/U'I
�— Do h And 1)i%Pl;n ('.rUlicaiC •----------
DEPARTMENT OF LA13OR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST C ON
_ T -GENERAL,
GST. # EXP. DA7`iE
2604
CC0 � '• d0330S 09/00/,1097
EAC'TIVE E DATE.
K-I)ESZGNERS • ' _ • - .
PO BOX 276977
SA(IRAMENTO CA 95827-6977
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RE ISTERED AS PROVIDED BY THAW AS II S
COk9ST CONT GENERAL
Please Remove '
REGIST. # EXP. D4TE i And S,rn,
C(�61` KDE8I**0330S 09/01/2004 IdeRtiticati0n
EFFECTIVE DATE 09/10/1997 Card Befog
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K-,DESIGNERS - Placing I i
P6 BOX 276971 Billfold
S4CRAMENTO CA 95827-6977 i
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Signature
(ss4d by DEPARTMENT OF LABOR AND INDUSTRIES ;
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