HomeMy WebLinkAboutBLD2014-01048 Windows Final - BLD Permit / Conditions - 4/15/2018 Inspection Line(360)427-7262
��6oN °oU�Tp MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2014-01048
OWNER: TERESA FOWLER
CONTRACTOR: HOME DEPOTAT HOME SERVICES 1,800,381.5699 LICENSE: HOMED" 972RQ EXP: 2/1/21 RECEIVED: 12/1/2014
SITE ADDRESS: 81 E COUNTRY CLUB DR ALLYN ISSUED: 12/1/2014
PARCEL NUMBER: 122205500019 EXPIRES: 6/1/2015
LEGAL DESCRIPTION: LAKELAND VILLAGE 6 LOT: 19
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REMOVE AND REPLACE 5 WINDOWS SIZE FOR SIZE AT RT 3 TO ALLYN, L ON LAKELAND DR FOLLOW TO COUNTRY CLUB DR
FOLLOW TO SITE ADDRESS ON THE LEFT SIDE
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: 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 GMM 12/1/2014 $4.50 S1201400000001
Building Permit Fee GMM 12/1/2014 $ 117.50 S1201400000001
Total $ 122.00
BLD2014-01048 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2014-01048
CONDITIONS FOR
BLD2014-01048
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) 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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3) 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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4) 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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5) 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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BLD2014-01048 Please refer to the following pages for conditions of this permit. Page 2 of 3
'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.
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Signature Date
L aaro I ;'::� +r ck OWNER �REPR�ESEN�TATTI!VE - CONTRACTOR
Print Name
BLD2014-01048 Please refer to the following pages for conditions of this permit. Page 3 of 3
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Date B BG I SLAB INSULATION X
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Foundation Walla Floors " Date By D
Date By Data _— By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date BY Date By Type.Date gy
D.W.v DRYWALL Type
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MASON COUNTY PERMIT NOiAJ20144 .01Dig
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 Teresa Fowler Company Name Home Depot At Home Services
Mailing Address PO BOX 1945 Mailing Address140 County Line Road,#101
City Allyn State WA Zip Code 98524 City Pacific State Wa Zip Code 98047
Phone 360-801-2859 Other Ph. Phone 800-381-5699 Other Ph.
Lien/Title Holder Contractor Reg. #HOMED"972RQ Exp. 2/1/2015
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 No. 12220-55-00019 Fire District
Legal Description
Site Address(Please include street name, street number and city) 81 E Country Club Dr Allyn Wa 98524
Directions to site Head east on W Cedar St toward N 4th St,Take the 1st left onto N 4th St,Take the 1st riqht onto W Pine St,
Continue onto WA-3 N.Turn left onto E Lakeland Dr,Turn right onto E Country Club 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 1 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 remove and replace 5 windows:no size/structural changes
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
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.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 CONTM O O ORK BY MEANS OF A PROGRESS INSPECT
X Date l
Owner/Owners a resentative/Contract 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 Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ TOTAL FEES