HomeMy WebLinkAboutCOM2010-00062 Final Revised Replacing Roof Beams and ReRoof - COM Permit / Conditions - 6/17/2015 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
' Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
Shelton,WA 98584 fRow �610T ,
Irflo COMMERCIAL BUILDING PERMIT COM2010-00062
OWNER: MISKO MAYNARD RECEIVED: 7/7/2010
CONTRACTOR: SMART CHOICE CONSTRUCTION LLC LICENSE: SMARTCC925PF EXP: 10/5/2010 ISSUED: 8/25/2010
SITE ADDRESS: 4371 E GRAPEVIEW LOOP RD GRAPEVIEW EXPIRES: 2/25/2011
PARCEL NUMBER: 121082100032
LEGAL DESCRIPTION: TR 3-B OF GOVT LOT 1 PCL 3 OF BLA#93-41(R)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEING ROOF BEAMS AND RE-ROOFING ST RT 3, R ON ST GRAPEVIEW LOOP RD, TO SITE ADDRESS ON THE
GRAPEVIEW STORE SEE BCC200-00071 LEFT SIDE
General Information Construction&Occupancy Information
No. of Units: Type of Constr.:
Type of Use: Insp.Area: of Bathrooms: Occ. Group:
Type of Work: REP Fire Dist.: 3 No.No. of Stories: Exit Design. Load:
Valuation: $ 24,100.00 Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Acc ss Road?: pipe.
Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2010-00062 Please refer to the following pages for conditions of this permit. 1 of 5
Plumbing Fixtures Mechanical Fix tLfTl � FEES
Type Qty. Type ot7, Type By Date Amount Receipt
Floor Sink 1 Evaporative Cooler 1 Plan Check Fee r:MM 7/7/9n1n .tiw;Q1 C17n1nnn
Kitchen Sink 1 Ventilation Fan 2 Building State Fee 1 AW 7/9ron1n �d 5n g19ninnn
Lavatories 2 Building Permit Fee I AW 7/9R/9n1n R1QF 9F g19n1nnn
Water Closets (Toilets) 2 BLD Vio. Investigation Fe rn r. A19d/9n1n �7A nn C19n1nnn
Water Heaters ADJUST--Plan Check Fe Tw A195/9n1n 0197 An g19n1nnn
ADJUST--Building Permit Tw A/9r,/9n1n .t1cis nn g19nlnnn
Building Permit Fee rMM 7/1,ion11 PQ7 a'A R19nllnn
Building Permit Fee r:MM 7/1n/9n1R �Q7 R9 g19n1inn
Mechanical Permit Fee (;MM 9/9R/9nlA PRd Qn C19n1Ann
�- Mechanical Base Fee r:MM 919A19MA �9R Sn C19n1A0n
Plumbing Permit Fee r1MM 9/9A/9n1A RRn Qn C19nlAnn
Plumbing Base Fee r:MM 919R/9nlA V)d 7n S19n1Ann
Total $1,067.31
CASE NOTES FOR
COM2010-00062
CONDITIONS FOR
COM2010-00062
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. X
2) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
3) 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.
X
4) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
collected by the Mason County Building Department prior to any further inspections being performed or approvals granted.
X
COM2010-00062 Page 2 of 5
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee r;nnnn 7/7/7n1n 017a Q1 g17n1nnn
Building State Fee i Aw 70A/7n1n Ad rn R17n1nnn
Building Permit Fee i A%A/ 719A/9n1n tiQ5 7r, g17nlnnn
BLD Vio. Investigation ni r. A/7d/7nln 174 nn C17n1nnn
ADJUST—Plan Check Tvu A/75/7n1n 0.177 An C17nlnnn
ADJUST—Building TIN A/7ri/7n1n 141QFi nn C17ninnn
Total $723.06
CASE NOTES FOR
COM2010-00062
CONDITIONS FOR
COM2010-00062
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. X
2) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
3) 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.
X
4) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
collected by the Mason County Building Department prior to any further inspections being performed or approvals granted.
X
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
COM2010-00062 2 of 5
6) 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.
X
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.
X
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 holder have prevented action from being taken. No more than one extension may be granted.
X
9) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
10) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and
the manufacturer's installation instructions.
X
11) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason
County is 85 MPH.
X
12) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSU IMUM OF - G FOR A MINIMUM OF ONE INCH
CONTINUOUS VENTED AIRSPACE EVEL OF I ULATION. X
13) ENCL ROOFS AT ARE EXPOSED E SHEATHING SHALL BE INSULATED TO A MINIMU R-30 AND INSPECTED
PRI R TO COVER. X
14) A Cinteri n" rk is required to be a class C with a flame spread index of 76-200 and a smoke developement index of 0-450.
X
All exterior( all " es s v I be full insulated to it's maximum capacity, and all penetration shall be caulk and sealed.
Mit��inches and the maximum shevling/rack height is 5 ft 9 in. with out engineering.
X
COM2010-00062 3 of 5
15) Install 2A10BC fire extinguisher throughout the building with a maximum travel distance of 75 feet in any direction and at least one on every level
mounted no more than 60 inches above the floor to the top of the unit. 1 type K fire extinguisher is required to be within 30 feet of the cooking
Xpplia1?e/ c ser than 10 feet.
r—
In the kitchen area, if there is cooking that do creates grease ladden vapor's a type 1 hood and duct system is required with a UL 300 fire
suppr t separate permit application is required to be submitted and approved for any new work done.
X
Instal a anx(;�pr section 506 of the 2009 International Fire Code. Please contact the local fire district for more infomration and inspections.
X i
16) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO Ap�
R-30 ALLOWING FOR A MINIMUM OF ONE INCH
CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION. X
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 anytime 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 owner 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 for review and inspection.
OWNER OR AGENT: _ DATE:
COM2010-00062 4 of 5
_ MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352
Shelton,WA 98584
too
COMMERCIAL BUILDING PERMIT COM2010-00062
OWNER: MISKO MAYNARD RECEIVED: 7/7/2010
CONTRACTOR: LICENSE: EXP: ISSUED: 7/28/2010
SITE ADDRESS: 4371 E GRAPEVIEW LOOP RD GRAPEVIEW EXPIRES: 1/28/2011
PARCEL NUMBER: 121082100032
LEGAL DESCRIPTION: TR 3-13 OF GOVT LOT 1 PCL 3 OF BLA#93-41(R)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEING ROOF BEAMS AND RE-ROOFING ST RT 3, R ON ST GRAPEVIEW LOOP RD, TO SITE ADDRESS ON THE
GRAPEVIEW STORE SEE BCC200-00071 LEFT SIDE
General Information Construction &Occupancy Information
Type of Use: Insp.Area: No. of Units: Type of Constr.:
Type of Work: REP Fire Dist.: 3 No. of Bathrooms: Occ. Group:
Valuation: $ 10,500.00 No.of Stories: Exit Design.Load:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Seiback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp.Plan Desg.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2010-00062 Please refer to the following pages for conditions of this permit. 1 of 4
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee MAM 717/9n1n 4.19R Q1 C19n1nnn
Building State Fee I Aw 7/7r,/l?nln .�a;n R19nlnnn
Building Permit Fee I Aw 7/9R/7nln O1Q5 75 Rigninnn
Total $326.66
CASE NOTES FOR
COM2010-00062
CONDITIONS FOR
COM2010-00062
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 risk d monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-09_)3 ..1`he p son signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
2) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour wil b char ed and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X i /
3) 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.
X 24 ,;�
4) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
rem&-ed, ppro will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
coflecte y thtison County Building Department prior to any further inspections being performed or approvals granted.
X `
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL COD QU EM SAND
OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE O USE�rC ANCY WOULD
RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x ,
6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
Thp-QQnstruction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
c6nforma w' t international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason u ty,B in Inspector shall be made prior to requesting additional inspections.
X . i
COM2010-00062 2 of 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-r qu, st in I inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-cbm with son County ordinances and building regulations.
X i
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 f action f period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of tFie pe m t hold have prevented action from being taken. No more than one extension may be granted.
X `
9) Pressure treated-wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fasene oiln ors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
10) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and
the manufacturer's installation instructions.
X 1 J/. --
�
11) WIND LOADS- Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason
County is 85 MPH.
X (?4,
12) SINGLE RAFTER JOIST ROOF REPLACEMENT SHALL BE INSULATED TO I M. F R-30 ALLOWING FOR A MINIMUM OF ONE INCH
CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEL OF INSULATION. X'
13) ENCLOSED ROOF SYSTEMS) qT RE EXPOSED TO THE SHEATHING SHALL BE INSULATED TO A MINIMUM R-30 AND INSPECTED
PRIOR TO COVER. X `, i
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. Proof of continuation of
work is by means of a progr�`i�pe n.The wner he 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 struct e f eview a inspection.
r
OWN ER OR AGENT_ DATE:
COM2010-00062 3 of 4
CONCRETE Gas Pip! MANUFACTURED HOME
Interior-Date By ---
Footings/Setbacks Date Ribbons
i Extarox-
Date By INSU'LATION Dais B5'
Foundation Waits BG I SLAB 1 NSU CATION Set-up
Date By Date By Date By
FRAMING Floors FIRE DEPARTMENT
Date By Date BY
Date �� Walls
PLUMBING tote BY Date
Date
Groundwork vault TANKS
Date,
Date DY Date By
By
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a.w.v
Date gy OTHER
Date BY DRYWALL T}epe:
Date By O
Water Line Rate BY Type:
Date By Int,Brace Watt Date By
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FINAL. IN
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m Da;te By Date BY Date - _
Pass or Request Inspect.
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CD Footings I Setbacks Date By Ribbons z
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Extew Date By Exterior-Date By Set-up
Point Load I Isolated Footings INSULATIONBG I SLAB INSULATION Date By 0
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Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Date By
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Date 3L?J& 9
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Date By Date By Data By
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Permi*,# �.17 v C% 6Z MASON COUNTY
BUILDING Ill 426 W. CEDAR
SHELTON, WASHINGTON 98584
I
(360) 427-9670
CORRECTION NOTICE
Job Location
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing ❑ please contact our office
Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
This is not a complete inspection disasters.This is NOT a
Date /mi Department CORRECTION NOTICE.
l/
Inspector
s4ko NOT , M9 OV THimh,
Permit# MASON COUNTY
BUILDING 111426 W. CEDAR.G?,w
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 7/ � ��� z1 ar_y0 Zip
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
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is C +//P�/✓a sts sus�3t c �r�yJ� �r - cr Ov�i ��'��
BEFORE PROCEEDING W NY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
This is not a complete inspection disasters.This is NOTa
Date 4(?7 l I Department ,st-P CORRECTION NOTICE.
Inspector Till
Perriait# Z MASON COUNTY
BUILDING 111 426 W. CEDAR P
SHELTON, WASHINGTON 98584 01-7j—)
(360) 427-9670
CORRECTION NOTICE
Job Location V,371 C- y z—f /?i2
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance �lJ.
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
❑ This is not a complete inspection disasters.This is_NOT a
CORRECTION NOTICE.
Date —/ ? / Department /�G�
Inspector T/
N�, 01T I?, iml* A* ' THI ), T. , -omff
Permit#
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 0371 64)4. Y 0
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
fo nd: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
❑This is not a complete inspection ,� disasters.This is NOT a
Date 3117- y Department 1 J CORRECTION NOTICE.
T
Inspector L ^1�
ato NUT R, MkOV ' TH/a TAkqff
Permit`# MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 3?1 6- V/�"'. Lac- '
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
nvu
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
OK to i4I��(,�� damage incurred by recent
"natural/man made"
❑This is not a complete inspection disasters. This is NOT a
Date �� '� / Department G CORRECTION NOTICE.
Inspector L9
ffo�L * NOT , I l-l�, *4 ' ' THIS r , _kmr
� ,may ,�-• .. �` .�•- i
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. Permit# .,,�r������=�-
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTONy WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items^ listed below must be corrected to gain
{compliance
,e �,.�w... y •y- _ �.^;
F' ! E.r'i��- ' Y' r✓ / IG�r 1 �/.�',��s� ,.
�A ri''✓C r�r'✓�"'„"�i"�..`� Pi! .P��� /'L�/�C'�—�fi��f Lam'-' !.�*'�?•�5;`� !')t' ��-�.�"
' E��I'..s/lr .�,J .✓'�.J`� �.f,� ``�-'' .% ('"./i"a''! /°'t✓/f LJ S ���`'.� £li'/'4 f',i!' ,�::/1`7'/�'�7,/+. Y.
T't: �C'!"f .� ,` ..j(! V s rt It
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
L] Call for re-inspection when corrections are made before continuing 0 Please contact office
�e
Make corrections, items will be checked on next inspection regarding possible structural
❑ OK t0 damage Incurred by recent
"naturaYman made"
❑This is not a complete inspection disasters.This Is hW a
!� CORRECTION NOTIC&
Date Department '`
Inspector
DO NOT REMOVE THIS TAG
Request To' Revise An'Approved Plan
Gom ZOO -- "(pZ `
Permit Number: B TMO - Name
Parcel Number 2l 0 -_ZL- 600 Z_ Phone Number da tim
Project Address Mailing Ad ess
•tee[3CG aoi�....a �/ _
ease provide a ompl te, detailed esc ' tion of t e propos d revisions tote pans:
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Are two sets of the revised plans or addendum indicating the changes included? Ayes ❑ No
Are the approved site plans included? X Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? Yes ❑ No
If Yes,Has the engineer or architect approved this revision? Yes ❑ No
Is a stamped and signed approval included with this request? Yes ❑ No
fNote:No structural changes to a"designed'plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes t'No
If Y� es, Is a revised site plan, with a �p all new setback dimensions included with this request.
❑ Yes ❑ No
Additional Information:
Applicant's si atur 1
pP In Date:
Office Use Only Received by:
Date Sent Assigned To Approved By Date
B 1 Original Valuation: $
1� Z� Additional Valuation: $
Sq.Ft. x$ $
Sq.Ft. x$ $
1171, Total New Valuation $
Additional Fees:
Additional Planning Dept. $.-
Additional Plan Review $
Additional Conditions/Comments: Additional Building Permit $
Additional Plumbing $
Additional Mechanical $
Additional E.H. Dept. $
Other 0CG a0/p 04ffi
Total Amount Due: 71 o0
Amount To Be Paid Up-Front$
REGISTERED AS PROVIDED BY LAW AS
CONST CONTR GENERAL
REGIST.# EXP.DATE
CCOI SMARTCC925PF 10/6/2010
EFFECTIVE DATE 10/6/2008
SMART CHOICE CONSTRUCTION LL'C
6545 TROON LN SE
OLYMPIA WA 98501 /J
Issueo by DEPARTMENT.OF L.zi+UR AND NDUSTRIES
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO(,!)YYIZ10- C06t1Z
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 INFORMATIP CONTRACTOR INFORM TI V
Owner Company Named �^ `
Mnilinn Address Mailin Address
City tat Zip Code Ci State (./A Zipod
Phory� Other Ph. Phon Other P
Lien/ i e older Contr ctor eg. # Exp.
E mail address E Mail Address
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 Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. — Fire District
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 within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - , Add Alt Repair Other PRIMARY RE D NCE ❑ SEASONAL
Use i Building escribe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1 st FI or/Q,32 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, re ents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure r review and inspection. This permit/application becomes null &void if work or authorized construction is
not c d within 180 days if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY
r
NSOF R ESS INSPE ION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Date:
Owner/Owners R resentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date r -
DEPARTMENTAL REVIEW A P OVED DENIED NOTES
Building Department 7-2, /Mel I
Planning Department r V 1 e LO
Environmental Health Department
Fire Marshal I 1'7
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 Pre-Paid at Submittal
Valuation $ TOTAL FEES
' 6y6luvu-
MASON COUNTY PERMIT NO.Oorn 2.O I0 -
DEPARTMENT OF COMMUNITY DEVELOPMENT 000LPa
L BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275- 467 Belfair ext.352
PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME:
MAILING ADDRESS: MAILING ADDRESS:
CITY: STATE: ZIP: CITY: STATE: ZIP:
PHONE: CELL: PHONE: CELL:
EMAIL: EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBREVLITED):
SITE ADDRESS: 12'i I E C-. r(,,�VI - CITY: iI U EV I
DIRECTIONS TO SITE,ADDRE S:
TYPE OF JOB /� L
NEW ADD ALT REP B1'�ER USE OF BUILDING(7J I our..44 sfnr—L
LOCATION OF FIXTURES/UNITS—1sT FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPGNatural Gas Heat Pump_
Toilets _ g.'70 Type of Unit No.of Units Fees
Bathroom Sink 2 rJ 8 r10 Furnace
Bath Tubs Heatpump _
Showers Spot Vent Fan 2—
Water Heater t g.7b Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks l Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other fl," Other Coo(cZ
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
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 I VALIDATE THE APPLICATION.
X 2- `�
Si ature of Applicant / Date
X �/� � Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL