HomeMy WebLinkAboutCOM2004-00069 Final Repair 1/2 Back Wall - COM Permit / Conditions - 4/26/2004 r
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line (360)427-7262
Mason County Bldg. 3 426 W. Cedar P.O. Box 186 xt.352
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Shelton, WA 98584 =C;-L 44 a -0/ o V 3
Cl COMMERCIAL BUILDING PERMIT COM2004-00069
OWNER: ESTELLA HODGE RECEIVED: 4/5/2004
CONTRACTOR: LICENSE: EXP: ISSUED: 4/22/2004
SITE ADDRESS: 3381 NE OLD BELFAIR HWY BELFAIR EXPIRES: 10/22/2004
PARCEL NUMBER: 123094200030
LEGAL DESCRIPTION: TR 3 OF NW SE * 3381 NW OLD BELFAIR HWY
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPAIR 1/2 BACK WALL 3381 NE OLD BELFAIR HWY
General Information Construction & Occupancy Information
No. of Units: Type of Constr.:
Type of Use: CANDY SHOP Insp. Area: No. of Bathrooms: Occ. Group:
Type of Work: REP Fire Dist.: 2 No. of Stories: Occ. Load:
Valuation: $ 200.00
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?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2004-00069 Please refer to the following pages for conditions of this permit. 1 of 4
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Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee near: . ani)nna mc; 7R rtiww)anr►
Building State Fee nnRr, an19nna sa Sn atgnnano
Building Permit Fee neRr: arennna �7i sn a+gnnana
Total $43.28
CASE NOTES FOR
COM2004-00069
CONDITIONS FOR
COM2004-00069
1) 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
Count Building Department prior to any further inspections being performed or approvals granted.
X_ 'F 11'1 R
2) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH
A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY
BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A
REINSPECTION FEE BASED ON RATES BUILDING CODE WILL BE
RA E AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM B ILD
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS.
X —' lti-\ I-A
3) Changes to approved building plans that affect compliance to the current non-residential Energy Code (NREC), ventilation and Indoor Air Quality
Code (VIAQ) Uniform Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X _ '5_� YY\ 1A
4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM
BUILDING CODE.x FYY\ 1-�
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.
x IF INS N
COM2004-00069 2 of 4
.* 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. Proofof
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: i�� tom DATE:
COM2004-00069 3 of 4
n
K CONCRETE MECHANICAL MANUFACTURED HOME
N
o Footings I Setbacks Date B y Ribbons
o Date By Gas Piping Date By
Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G I Slab Insulation Floors Final
Date By Date B y Date B y
FRAMING Walls FIRE DEPT
Date By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTIO''N�'�ll
Water Line Date By
D ate B y ........................... Date B y
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BUG-Building Permit # 11 `000q7MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 33al N e oo Pe1fr.1-r Hwy Oo!AA�
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 code compliance
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6--p- 3t y Z 7 - 70 e_?cfi• 35L
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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
❑ Make corrections, items will be checked on next inspection
❑ OK to
❑ This is not a complete inspection Department
Date U Inspector
Do * NOAT TH1 * T AkkX
MASON COUNTY PERMIT NO. �JC/�
BUILDING PERMIT APPLICATION OIL� .
426 W. Cedar • P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
Cc1MZGo 11 - GG0 5q On the web www.co.mason.wa.us
APPLICANT INFORMATION ' ` CONTRACTOR INFORMATION
Owner. rc5-7 L1-'A S(kSPt-IL c-,F_ Company Name
Mailing Addresc3530 NE 4La B£LEA►e N W f . #'N A Mailing Address -
City b E L EA ►2 StateW fit Zip City State Zip ode
Phone ZL75 - 08 33 Other P . 2-7- ' 349 -1 Phone Other Ph.
Lien/Title Holder ' Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.#_H046 EEMSY&8 DOB 0 01 4 1 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 P R t VA'i -E &_) * L
PARCEL INFORMATION - 12 Digit Parcel No. \;�-30 a - oo O 30 Fire District
Legal Description `o fZrJtR J(s 6eAR CtZ-K I p r=....3 +`1) aP_ . oW
Site Address (k'Iease include.street name, street number•and city)- 6, f - 1-I w
Directions to site
Will timber be cut and sold in parcel preparation?Ye 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 Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building N L- Describe Work (�-£ J (A LS-
No.of Bedroo s�No.of Ba hrooms -Q- Square Footage- 1 st Floor y Le"I 2nd Floor *J
3rd Floor Basement tJ 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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the work_proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed.
X Date:
wner Owners Representative?C tractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW OVE DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building 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
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