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Inspection Line(360)427-7262
��6oN CoU�A MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
'R'd RESIDENTIAL BUILDING PERMIT
BLD2017-00425
OWNER: MICHAEL CAIN RECEIVED: 5/12/2017
CONTRACTOR: LICENSE: EXP: ISSUED: 7/11/2017
SITE ADDRESS: 440 E FAIRWAY DR ALLYN EXPIRES: 1/11/2018
PARCEL NUMBER: 122205500086
LEGAL DESCRIPTION: LAKELAND VILLAGE 6 LOT: 86
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NO STRUCTURAL CHANGES-ALTERATION TO KITCHEN REMOVE WA-3 N, L ON E LAKELAND DR, R ON E COUNTRY CLUB DR, R ON E
DROPPED CEILING AS WELLAS UPDATING PLUMBING AND FAIRWAY DR
MECHANICAL FIXTURES IN 3 BATHROOMS ALL WITHIN EXISTING
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: REM Fire Dist.: 5 No. of Stories: Occ. Load: Building:
Valuation: $ 30,000.00 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. I Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Lavatories 4 Ventilation Fan 1 Plan Check Fee AMP 5/12/2017 $287.14 S3201700000001
Bath Tubs 2 Building State Fee AMP 5/12/2017 $4.50 S3201700000001
Showers 2 Building Permit Fee AMP 5/12/2017 $441.75 S3201700000001
Mechanical Permit Fee AMP 5/12/2017 $9.00 S3201700000001
Mechanical Base Fee AMP 5/12/2017 $28.50 S3201700000001
�D Plumbing Permit Fee AMP 5/12/2017 $69.60 S3201700000001
Plumbing Base Fee AMP 5/12/2017 $24.70 S3201700000001
�C Total $865.19
CA
BLD2017-00425 Please refer to the following pages for conditions of this permit. Page 1 of 3
CASE NOTES FOR
BLD2017-00425
CONDITIONS FOR
BLD2017-00425
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-pg82. 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 approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Department,prior to any further inspections being performed or approvals granted.
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3) Owner/Ag t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
4) 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 proved documents will result in failure of required building inspections.
5) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
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6) 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 revoca on.
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BLD2017-00425 Please refer to the following pages for conditions of this permit. Page 2 of 3
7) 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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8) 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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9) 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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10) 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 Coun�Y ordinances and building regulations.
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11) 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.
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Signature Date
`u ( /L� G l�'I ti OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2017-00425 Please refer to the following pages for conditions of this permit. Page 3 of 3