HomeMy WebLinkAboutBLD2015-00270 Windows - BLD Permit / Conditions - 9/15/2016 Inspection Line (360)427-7262
�a6oK CO� MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
Ikid RESIDENTIAL BUILDING PERMIT
BLD2015-00270
OWNER: PAT SMITHER RECEIVED: 4/14/2015
CONTRACTOR: HOME DEPOT AT HOME SERVICES 1.800.381.5699 LICENSE: HOMED**972RQ EXP: 2/3/21 ISSUED: 4/14/2015
SITE ADDRESS: 101 E HOFAKER RD ALLYN EXPIRES: 10/14/2015
PARCEL NUMBER: 122175300035
LEGAL DESCRIPTION: LAKELAND VILLAGE#12 - PHASE I LOT: 35
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACE 1 WINDOW, NO SIZE CHANGE ST RT 3 TO ALLYN, L ON HOMESTEAD DR, R ON OLD RANCH RD, R ON
SODERBERG RD L ON HOFAKER RD TO SITE
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.: 5 No. of Stories: ad: Building:
Valuation: B ilding Height: O tat Basement:
Manufactured Home Information Setback Inform n Shoreline& Planning Information
Make: Length: Ft. on . Ft. S I SEPA?:
ne: t. Water Body:
R Ft. Slope:
Model: Width: Ft. y Shoreline Desig.:
Side 1: Ft.
Year: Serial No.: L Side 2- Comp. Plan Desig.:
Plumbing Fixtures echani FEES
Type Qty. Type wly. Type By Date Amount Receipt
Building State Fee GMM 4/14/2015 $4.50 S1201500000001
Building Permit Fee GMM 4/14/2015 $ 117.50 S1201500000001
Total $122.00
BLD2015-00270 Please refer to the following pages for conditions of this permit. Page 1 of 3
` CASE NOTES FOR
BL02015-00270
CONDITIONS FOR
BLD2015-00270
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) WINDOWS IN HIGH EXPOSURE AREA
All windows and doors shall be installed and flashed in accordance with the manufacturers written installation instructions and shall be available during
inspections.
In addition to other inspection(s), an inspection of the flashing shall be required for projects located in an area with a wind exposure of C or D, reference
IRC R301.2.1.4 & IBC 1609.4. The design criteria for this project is established at 85 mph wind speed, exposure—
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3) 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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4) 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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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
Mason County ordinances and building regulations.
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BLD2015-00270 Please refer to the following pages for conditions of this permit. Page 2 of 3
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.
Signature Date
LLcn l s: (�t'� OWNER PRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2015-00270 Please refer to the following pages for conditions of this permit. Page 3 of 3
RECEIVED
MASON COUNTY PERMIT NO.y-jj 2615
APR 1 42015 BUILDING PERMIT APPLICATIONz.►�0
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
426 W. CEDAthelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Pat Smither Company Name Home Depot At Home Services
Mailing Address PO BOX 1298 Mailing Address140 County Line Road,#101
City Allyn State WA Zip Code 98524 City Pacific State wa Zip Code 98047
Phone360-275-0880 Other Ph. Phone 800-381-5699 Other Ph.
Lien/Title Holder Contractor Reg. #HOMED"972RQ Exp.2/3/17
E mail address E Mail Address naida@nwpermit.com
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 N - 5_ Fire District
Legal Description
Site Address (Please include street name, street number and city) 101 E Hofaker RD Allyn
Directions to site WA-3 N,Turn left onto Homestead Dr,Turn right onto E Old Ranch Rd,Turn right onto E Soderberg Rd,
Turn left onto E Hofaker Rd
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 residence Describe Work Replace 1 window;no size/structural changes
~ No. of Bedrooms No. of Bathrooms Square Footage- 1st 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 permission from all the necessary parties. ff 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 CONTI UATIO OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
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Owner/Owners Re resentative/ ont cto indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Buildinq 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 Pre-Paid at Submittal
Valuation $ TOTAL FEES