HomeMy WebLinkAboutBLD2002-00769 Cancelled Replace Siding on Front of Bldg - BLD Permit / Conditions - 12/13/2002 Inspection Line (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2002-00769
OWNER: JIM PADDEN RECEIVED: 6/13/2002
CONTRACTOR: LICENSE: EXP ISSUED: 6/13/2002
SITE ADDRESS: 1080 NE OLD BELFAIR HWY BELFAIR EXPIRES: 12/13/2002
PARCEL NUMBER: 123201093290
LEGAL DESCRIPTION: TR 29 OF E1/2 NE & W1/2 NW EX TR 2 OF SP#1720 PCL 2 OF BLA#01-51 AF#1738852
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Replace siding front of building Old Belfair Hwy to address. Puget Sound Evergreen
General Information Construction & Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: OTH Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: ALT Fire Dist.: 2 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:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi
Side 1: Ft. g..
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 KKK 6/13/2002 $63.21 1550
Building Permit Fee KKK 6/13/2002 $97.25 1550
Total $160.46
BLD2002-00769 Please refer to the following pages for conditions of this permit. 1 of 2
CASE NOTES FOR
B LD2002-00769
CONDITIONS FOR
B LD2002-00769
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) In accordance with thetTl orm B ilding Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and
legible from the street o onting the property. Mason County Building Department requires that this be completed prior to calling for any site
inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contractor fail to post the re on site prior to requesting inspections.
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3) All approved plans are geq�u�ired 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 f ins ections being performed or approvals granted.
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4) The plan review check list an corrections, along with the Energy Compliance Worksheet (when applicable) 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 alte ut authorization from the Building Official. The permit holder is responsible to retain the complete approved set of
plans on site for the durati n , the roject. Failure to comply and/or removal of approved documents will result in failure of required building
inspections.
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This permit becomesJEvidenoe
or c nstruction 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. o inuatio of k is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.
OWNER OR AGENT DATE:
BLD2002-00769 Please refer to the following pages for conditions of this permit. 2 of 2
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PERMIT NO.: BLDd
MASON COUNTY 0(n&Ct
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 Seattle 206 464-6968
APPLICANT'.INFOR ATION CONTRACTOR INFORMATION IOwner , '�'}' V_il to fQ e_0 Contractor Name ovak t �-
Mailin Addre Mailing Address Gt Pak -
City St e Zip ode itZ29 City ,ems StatetPh.
rip Code
Phone Other Ph.( ) Ph.( OtherLien/Title HolderContractor Reg. # 9C..fy
Address Expiration `1_ /__L---- /
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. Fire District
Legal Description
Site Address(Please includg street name street number d cit r
Directions to site f
Will timber be cut and sold in parcel preparation? (Yes/No)
Is your property within 200' of the following: Body of Water (Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE❑ SEASONAL RESIDENCE❑
TYPE OF JOB NewAdd Alt Repair Other Use of Building
Describe Work ,->12&I p
No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garaq_e Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
IType of Heat Purchase Price $,d 1 Replacement Unit ?(Yes/No)
I Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conforman ith. No changes shall be made without
approval. first obtai oval.
X Date X Date 0
—FOR OFFICIAL USE BEYOND THIS POINT
Accepted by � 4a� 1 Date Submittal Amount Due Receipt No.
DEPARTMENTAL»:REVIEW APPROVED DENIED CONDITJ0N COPE$Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
I
Fire Marshal
Valuation $
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
TOTAL FEES
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