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Home My WebLink AboutBLD2015-00559 Retaining Wall Final - BLD Permit / Conditions - 7/20/2015 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 r Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 1854 RESIDENTIAL BUILDING PERMIT BLD2015-00559 OWNER: CHERYLA_NCICH-SMITH RECEIVED: 7/8/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 7/9/2015 SITE ADDRESS: 5722 E STATE ROUTE 302 BELFAIR EXPIRES: 1/9/2016 PARCEL NUMBER: 122335090012 LEGAL DESCRIPTION: OLYMPIC SHORES LOT B OF SIP 1039 PTN TR 2 S 33/93 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPAIR FAILING RETAINNG WALL ST RT 3, R ON NORTH BAY RD, FOLLOW ONTO ST RT 302 TO SITE ADDRESS 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: BH Fire Dist.: 2 No. of Stories: Occ. Load: Building: Valuation: $ 11,000.00 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information dy:Water Bo Make: Length: Ft. Front: Ft. Shoreline: Ft. SEPAy: Model: Width: Ft. Rear: Ft. Slope: 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 GMM 7/8/2015 $ 126.91 S1201500000001 Building State Fee GMM 7/8/2015 $4.50 S1201500000001 Building Permit Fee GMM 7/8/2015 $ 195.25 S1201500000001 Total $326.66 BLD2015-00559 Please refer to the following pages for conditions of this permit. Page 1 of 2 • CASE NOTES FOR 1 BLD2015-00559 CONDITIONS FOR BLD2015-00559 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 OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2015-00559 Please refer to the following pages for conditions of this permit. Page 2 of 2 r o CONCRETE MECHANICAL MANUFACTURED HOME ^Z o _ Date By ..r..... n U, Footings J Setbaeks Gas Piping Ribbons n o lnten� Date By interior-[date By Date By = Cn LKtefcr Date By Exterior-Date B vCD Paint Load t IsolatedFootings INSULATION Date By � BG 1 BLAB INSULATION Date By Data By FIRE DEPARTMENT n Foundation Walls Floors Date By 2 Date By Data By DECKS FRAMING waifs Date By r Date By Danz By PROPANE TANKS PLUMBING vault Date B y Date By OTHER . Groundwork Attic L Type ',atu By Date y _._ Date By D.w.V DRYWALL Type, lot Brace Wail hate By W m Date By o f ay FINAL INSPECTION 0 mwater Line Fire Seperation C m Date By Date By Data 7r Z-Z' /S- By L4� rr o Pass or Request Inspect. c 0 Type of Insp. Fail Date Daw Dome By ; Comments � 0 nk 1 Pi�3 ., �� cc v ro a 0 a Cn 0 N (D 3 i tv co cu 0 MASON COUNTY ,: Permit No DEPARTMENT OF CO&IMUNITY DEVELOPMENT F BUILDING•PL4NIWVG•FIRE MARSHAL (360)427-9670 Shelton ext 352 h=:IAvww.ca.mason.wa.us/community dev/ (360)2754467 Belfair ext 352 426 W Cedar Street,Shelton WA 98584 (360)482-5269 Elma ext.352 use BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION.: / CONTRACTOR INFORMATION: NAI,�� e/ N MAIL IN D S : G CITY: MATE:_lr PRO PHONE: CELL: EMAIL:!. P r i ( !}Eri(�' q s�Si¢r y./�— EMAIL: ---��' L&I REG# EXP. CONTACT: ! OWNERY CONTRACTOR❑ BELOW p,379,6 �6 -��t1 NAME e N JING ADDRESS: CITY: STATE: Ig HONE: CET - EMAIL: P_4RCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) _FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIA�) SITE ADDRESS CITY DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WMIAND❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO❑ TYPE OF JOB: NEW p ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE of STRUCTURE(F=ENCE.GARAGE ETC.) i h USE: P ❑ 0 p' NUMBER OF BID NUMBER OF BATHROOMS E WORK SQUARE FOOTAGE: 1ST FLOOR sq.L 2ND FLOOR sq.L 3RD FLOOR sq.8 BASEMENT sq.R 0 DBCK sq.ft. COVERED DECK sq.ft STORAGE sq.& OTHER sq.IL 10 GARAGE sq,tL ATTACHED❑ DETACHED❑ CARPORT sq.R ATTACHED❑ DETACHED❑ MANIIF INFORMATION: '*4 COPIES OF THE FLOOR PLAN REOUIRED MOD YEAR LENGTH TIi BEDROOMS BA SERIAL NUMBER OWNER acknowledges that 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 or owner's legal representative.I further Q 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 legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described pro and structures)for review and inspection.This permittapplication becomes null&void if work or authorized co cti n is not commenced within 180 days or if construction work is suspended for a period of 180 days. V PROOF OF C NTIN ATI N OF S BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPL ICA OF 80 AYS LL C SE THE APPLICATION TO BE EXPIRED. MASON/COUNTY C�14.08.42) 1 x [�/ Slgn re of O Date DEPARTMENTAL REVIEW ROVE DA DENIED DATE TAGS/NOTES/CONDMIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL u -;:�.r:..«��_ OT` -A'�"�' •�:o .t-�.3 — . BUII DING PERMIT FEE I FIRE ACCESS AND GRADE PLAN REVIEW I GE-0-TECH REVIEW PLUMBING&BASE FEE STORIAWATER.REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE