HomeMy WebLinkAboutBLD2004-00550 Replace Windows - BLD Permit / Conditions - 4/22/2004 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 BLD2004-00550
OWNER: MIKE DAWSON RECEIVED: 4/21/2004
CONTRACTOR: J FIVE CONSTRUCTION LICENSE: JFIVECRO22JF EXP:4/29/2006 ISSUED: 4/22/2004
SITE ADDRESS: 7781 E STATE ROUTE 106 UNION EXPIRES: 10/22/2004
PARCEL NUMBER: 322343300050
LEGAL DESCRIPTION: TR 5 OF GOVT LOT 4 &T.L. 7781 E HWY 106 UNION
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACE WINDOWS MECREAVY RD. R ON DALBY RD. R ON HWY 106. 1/2 MILE. HOUSE ON
WATER SIDE
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type of Constr.:
Type of Use: SF Ins,,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
:
y
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
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 4/21/2004 $117.81 S22004
Building State Fee NJP 4/21/2004 $4.50 S22004
Building Permit Fee NJP 4/22/2004 $181.25 S22004
Violation Investigation Fee NJP 4/22/2004 $58.00 S22004
Violation Fee NJP 4/22/2004 $181.25 S22004
Total $542.81
BLD2004-00550 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2004-00550
CONDITIONS FOR
BLD2004-00550
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
1-800-64 982. 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
contractor fail to post the address on site prior to requesting inspections.
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3) All replacement windows shall have a U-factor of.40 or less. Replacement windows that do not meet current egress conditions shall maintain the same
Xz�eping or better.
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 rmit 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 conatc lympic Air Pollution Control Authority at(360) 586-1044 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
Inspector sl 11 be made prior to requesting additional inspections.
7) 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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BLD2004-00550 Please referto the following pages for oDnditions 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
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
(olde��e prevented action from being taken. No more than one extension may be granted.
This permit becomes null and void if work orconstruction 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.The own 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 and structure-7 revi and inspection.
OWNER RAGENT;- DATE: �1�
f.
BLD2004-00550 Please referto the following pages for conditions of this permit. 3 of 3
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o CONCRETE MECHANICAL MANUFACTURED HOME
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Footings / Setbacks Date By Ribbons
C) Date By Gas Piping Date B y
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o Foundation Walls Date B y Set-up
Date By 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 B y
Date By WALLBOARD NAILING
D.Z1T.V. Date By
Date By FINAL INSPECTION
Water Line Date B y
�2 Dat.e By
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. '� CxJs�
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 M ;K el /T 1 S(>-,ti Company Name -.T - J^► V Q. COVCI-4v, 7,a .
Mailing Address a% >rLSac' Mailing Add ressA Si
City K e Z,143 State VVAZip Code W5LW City V/Ui i'N State "`J 4-- Zip Code 4)
Phone2 t �I Other Ph. Phone 7A 0 99?-' ZZ?y Other Ph.
Lien/Title Holder Contractor Reg. # 1 8/Vr_ c r e2ZjFxp.4 o aj-
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic. # I 2DOB -
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION N - 12 Digit Parcel No. oo Fire District
Legal Description _ 7 106
Site Address (Please include street Kame, street number and city)
Directions to site/16 ' KhdIz-779-✓ 6o- rV—onl r,cizelyY R1> iva.v -0'ZcN 0,4
ry k4—1 / 6 ' (L V�,_ r" i 1,e hc: 6 4- 2_ 5,
Will timber be cut and sold in parcel preparation?Yes 0
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 yes
TYPE OF JOB - New__ Add Alt Repair_X Other PRIMARY RESID NCE ❑ SEAS9,
NAL PS
Use of Building Kt!Z O/na ; homC Describe Wor VIC�6�
No. of Bedrooms 25 No. of Bathrooms Square Footage - 1 st Floor/Y -3/ 2nd Floor // </
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garages Attached _2!�_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 p ies.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the work prop i t application, I have obtained permission from them to apply for this permit and conduct the work proposed.
C.GwT�n-c'Tn+�Date: z— Z/
Owner/ ers il presentative/Contractor (indicate which one)
FOR OFFICIAL USE BEY T OINT f
Accepted by' lanning Pd ______Ck# Date Bld Pd Receipt No. --/'
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department �-
Planning Department c 2 .
Environmental Health Department
Public Works Department 426 W. CEDAR ST.
Fire Marshal
FEES
Building Permit Fee Site Inspection
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 8 . A 05 Pre-Paid at Submittal
Valuation $ TOTAL FEES
/ �v �a01''>s'�"�,•�'i' PROPOSAL ,
No.
Date
�;L 027 Sheet No.
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Pro osal Submitted To: Work To Be Performed At:
i
Street Street
City1—�"N�' �� � State LS.�4-___ City V;ND�AN State
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Phone. -- � 3 �� Date of Plans Architect -
We hereby propose to furnish the materials and perform the labor necessary for the completion of
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All material is guaranteed to be as specified, and the, above work to be performed in accordance with the drawings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
•' .�-sa ,t�r,L�r.,, �- Ctn�e fo1 e�.� ry� - Dollars [$ 9'OO 7.
with payments to be made as follows: P K4 Q 1,0V /'"'L-1�� V
Any alteration or deviation from above specifications] involving extra --"�
costs, will be executed only upon written orders,and will become an Respectfully submitte�� /'_
extra charge over and above the estimate.All agreements contingent
upon strikes,accidents or delays beyond our control. Owner to can t-
fire,tornado and other necessary insurance upon above work. Work- Per L/ C ��o r✓�►'n c. ���°
men's Compensation and Public Liability Insurance on above work to be
taken out by Note-This proposal may be withdrawn by us if not accepted
within Z/%� days.
ACCEPTANCE OF PROPOSAL i
The above prices, specifications and conditions are satisfactory and are hereby gcceAe .You are authorized to do the work as specified.
Payment will be made as outlined above. L
Signatur�
Date Signature
. FORM 3850 DUPLICATE MADE IN U.S.A.