HomeMy WebLinkAboutBLD2016-00630 Replace Window - BLD Permit / Conditions - 7/5/2016 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
1834 RESIDENTIAL BUILDING PERMIT
BLD2016-00630
OWNER: SIMONE DICKINSON RECEIVED: 7/5/2016
CONTRACTOR: HOME DEPOTAT HOME SERVICES 800-381-5699 LICENSE: HOMED**972RQ EXP: 2/3/20' ISSUED: 7/5/2016
SITEADDRESS: 150 E WARREN DR UNION EXPIRES: 1/5/2017
PARCEL NUMBER: 322325500005
LEGAL DESCRIPTION: WONDERVUE TR 5 & INT IN TR A
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACING WINDOWS, SIZE FOR SIZE
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:
Rear: Ft. Slope: Ft. SEPA?:
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
Building State Fee JBN 7/5/2016 $4.50 S2201600000001
Building Permit Fee JBN 7/5/2016 $ 117.50 S2201600000001
Total $ 122.00
BLD2016-00630 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2016-00630 `
CONDITIONS FOR
BLD2016-00630
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
1-800-647-0982. 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) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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3) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
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4) All replacement windows shall be installed per manufacturer's specifications and be flashed per IRC section R703.8. All installations shall meet
requirements for guards per R613 and safety glazing per R308.4. WSEC requires a U-factor of.30 or less in all heated spaces. Existing,
non-conforming, egress window openings are not required to be enlarged, but it is highly recommended. Egress windows replaced in an existing opening
shall be brought into compliance with current codes if a product is available for this application. Building plans/permit are required for windows in new,
enlarged or relocated openings these installations must meet all current codes.
Windows and doors shall be installed in accordance with the manufacturer's written installation instructions and shall be available during inspections.
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5) All construction must meet or exceed all local ordinances and the international codes 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
permit revocation.
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6) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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BLD2016-00630 Please refer to the following pages for conditions of this permit. Page 2 of 3
7) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
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8) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
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9) 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 County ordinances and building regulations.
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10) 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 prevented action from being taken. No more than one extension may be granted.
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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 contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL, INVALIDATE THE APPLICATION.
Signa e J D e
r
__ 42a t- tr l OWNER - CREPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2016-00630 Please refer to the following pages for conditions of this permit. Page 3 of 3
g��zD► - 00(0 30
' MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION "-
426 W. Cedar - P.O. Box 186, Shelton, WA 98584 JUL p 5 2pt6
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION tutele
Owner Simone Dickinson Company Name Home Depot At Home Services
Mailing Address 150 E Warren Dr Mailing Address 3600 LIND AVE SW#150
City Union State WA Zip Code 98592 City RENTON State Wa Zip Code 98057
Phone 206-419-6064 Other Ph. Phone 800-381-5699 Other Ph.
Lien/Title Holder Contractor Reg. #H0MED**972RQ Exp. 2/1/2017
E mail address E Mail Address naida@nwpermit.com
Drivers Lic.# DOB Drivers Lic. # DOB
SEPTIC I 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_32232-55-00005 Fire District
Legal Description
Site Address (Please include street name, street number and city) 150 E Warren Dr, Union
Directions to site south on N 2nd St toward W Cedar St, left at the 1st cross street onto W Cedar St. riqht onto E Warren Dr
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?Yes/No
TYPE OF JOB - New Add Alt Repair X Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use Of Building residential Describe Work remove and replace 6 windows like for like.
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
MANUF RED HOME I ORMATION - Make Model Year
Length Width Seria o. No. of Bedrooms N of Bathrooms
Type Heat Pur ase Pric Replacement Unit? Yes/%._
In Iler Name Certification No.
ER/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 ONTINUATI0 OF WOR IS BY MEANS OF A PROGRESS INSPECTIO .
X Date' G
Owner/Owners Representative/Contracto (indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 7-�zC71
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 Planninq Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee I Pre-Paid at Submittal
Valuation $ 1 TOTAL FEES 1 2 Z
■ Work area will be contained
Pre-Renovation Form Dahl ,
NAT-19276
This form is used to document cemplrance with the requirements of the Federal
Lead-Based Paint Renovation.Repair,and Painting Program after April 2010.
` Customer Address JobNumber(s)
f. 0- 7W 7
77L
OCCUPANT CONFIRMATION
■ Dust will be minimized
Pamphlet Rompt
7i f ac'
•�. t _r •-. - ¢, -^v,, I have received a copy of the lead hazard information pamphlet informing me of
the Potential risk of the lead hazard exposure from renovation activity to be
performed in my dwelhnq unrl. I received this Pamphlet before work began.
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Home Year Bulk
I IF
�'� ♦ ` Enter the year my home was built
If my Home Year Built is Pre-1978.my home requires lead Paint testing to determine
whether Lead-Safe Work Practices are necessary per EPA or Stale regulations
■ Work area will be cleaned up If my Home Year Built is 1978 or after Lead-Safe Work Practices are not required
thoroughly
r^rnv-,`� �IGFC�r1
Printed Name of Ownor occupant
.} n ,.•.$ Signature r-occupant
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T{Jy1 i t
ta.
• - x!- t - $posture of Person Ckirttlying lead Parnphltt Delivery
S3, , z•J SEE STATE SPECIFIC FORMS ON REVERSE SIDE
IN-HOME SALE OR SERVICE
NOTICE OF CANCELLATION
YOU NIAI' CANCEL THIS ENTIRE TRANSACTION OR ANY INDIVIDUAL PROGRAM AS DEFINED BY A
SPEC SHEET,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS(EXCLUDING
HOLIDAYS)OF THE DATE OF THE"HOME IMPROVEMENT CONTRACT"(SALES CONTRACT).IF YOU
CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE SALES CONTRACT,
AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 BUSINESS
DAYS FOLLOWING RECEIPT BY SELLER OF YOUR CANCELLATION NOTICE, AND ANl' SECURITY
INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED.THERE WILL BE A SERVICE
CHARGE EQUAL TO TEN PERCENT WIN.)OF THE TOTAL CONTRACT AMOUNT IF YOU CANCEL THIS
TRANSACTION AFTER THE THIRD BUSINESS DAY FOLLOWING THE DATE OF SALE, BUT BEFORE
MATERIALS ARE ORDERED.THERE WILL BE A SERVICE CHARGE EQUAL TO TWENTY-FIVE PERCENT
(25%)OF THE TOTAL CONTRACT AMOUNT IF YOU CANCEL THIS TRANSACTION AFTER MATERIALS
ARE ORDERED.
IF YOU CANCEL,YOU MUST MAKE AVAILABLE TO SELLER AT YOUR RESIDENCE,IN SUBSTANTIALLY
AS GOOD CONDITION AS WHEN RECEIVED, ANY GOODS DELIVERED TO YOU UNDER THE SALES
CONTRACT,OR YOU MAY CONIPLY NVITH THE INSTRUCTIONS OF SELLER REGARDING THE RETURN
OF THE GOODS AT SELLER'S EXPENSE AND RISK.
IF YOU HAKE THE GOODS AVAILABLE TO SELLER BUT SELLER DOES NOT PICK THEM UP WITHIN 20
DAPS OF THE DATE OF YOUR NOTICE OF CANCELLATION,YOU MAY RETAIN OR DISPOSE OF THE
GOODS WITHOUT ANl'FURTHER OBLIGATION.IF YOU FAIL TO MAKE THE GOODS AVAILABLE TO
SELLER,OR IF YOU AGREE TO RETURN THE GOODS TO SELLER AND FAIL TO DO SO,YOU WILL
REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THE SALES CONTRACT.
TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS
CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE TO HOME DEyOTjA/T TyE ADDRESS AT
THE TOP OF THE SALES CONTRACT NO LATER THAN MIDNIGHT OF �,
"DATE AIVST BE It(THIN THREE BUSINESS DAIS OF DATE CONTRACT IS SIGNED,
EXCLUDING HOLIDAYS
TO CANCEL EACH PRODUCT;CHECK APPROPRIATE PRODUCT(S)BLOCK BELOW;LIST EACH SPEC
SHEET#AND CHECK CANCEL JOB BLOCK(VES)
Job•: Cancel Job
treemel Retereme trIoducts Spec Shesqs)t Nes I"*
Stdaq wKk-s btstlaoon
W6 ❑t;ul ,en Entry Doors❑ m«ONO
Roofirtp USdaV W-04--s ImWabon ❑Yee ONO
❑Gutters/Covers❑Entry Doors❑
Roo?kV Windows Ll Inwlatlon
❑GuttandCams❑Entry Doors❑ Oyes ONO
RooftV CISWV El WftWows 0 Instlatlon
❑Gutters/CoWrs❑Entry Doors M ❑Yea❑No
ACA.NO%VLEDGE.NI1CN-f OF RECEIPT OF NOTICE OF CANCELLATION
I'-We hereby ad-im ledge rearo of two copies of the cmwleted Notice of CawelWioo sat forth above and that Seller has orally infonoed
nw'us of ore right to caoeel.
Date r Sigwnre e
6 9 ej�
Date otiwt Sigwntre
I HEREBY CANCEL THIS TRANSACTION:
Date Cesteuer Sipalare
M06-14 SFC White-Home Depot Yellow-Customer Pink-Customer TH0173
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M.m w.Idm R.PMC~-INSERT ONLY b t 2p U� ti vw+l. Sm
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11.w Inrrwr Wood CM .INSERT ONLY OAKIMAPLE u n $11
N.w Inw_Wood FLAT FRAME ONLY Inn $9
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Conauttant:__?a;pn CJ
WINDOWS GRILLES TOTAL
"7" �Un
3 a 1 n OW oor
Price Per WlndowlDoor GrfIN
Series Style/Sixe Code Wlndowl0oor Subtotal Subtotal Grlltas
HIP'loo
(A)TOTAL WINDOW PRICE(BEFORE OPTIONS):
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WIN SPECIFICATION
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