HomeMy WebLinkAboutBLD2004-00936 Final Foundation - BLD Permit / Conditions - 10/18/2004 Inspection Line(360)127-7262
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 BLD2004-00936
OWNER: CHARLES ROSE RECEIVED: 6/15/2004
CONTRACTOR: SIMPSON CONSTRUCTION LICENSE: SIMPSC"968LZ EXP: ISSUED: 7/12/2004
SITE ADDRESS: 4293 E PICKERING RD SHELTON EXPIRES: 1/12/2005
PARCEL NUMBER: 220092100030
LEGAL DESCRIPTION: G.L.1 &G.L.2 EX &TAX 714 E OF CO RD PCL 2 BLA#95-83/PCL 2 OF BLA#01-56 4293 E PICKERING RD SHELTON
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
FOUNDATION HWY 3 TO PICKERING RD TO 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: FOU Fire Dist.: 5 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:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: 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
Building State Fee KS 6/15/2004 $4.50 S12004
Building Permit Fee KS 6/15/2004 $122.50 S12004
Total $127.00
BLD2004-00936 Please referto the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
B LD2004-00936
CONDITIONS FOR
BLD2004-00936
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) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X 2 al n
3) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X_TK4- yz
4) 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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5) In accordance with the Uniform Building Code and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new
structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly
visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their
background.
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 address on site prior to requesting
inspection �
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6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X Y11 fz-
7) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X ✓4
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8) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code 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 perm evocation.
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BLD2004-00936 Please referto the following pages for conditions of this permit. 2 of 3
9) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or
regulation, musi e reviewed and approved by Mason County prior to construction.
10) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform 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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11) 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 Count ordinances and building regulations.
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12) 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 evented action from being taken. No more than one extension may be granted.
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13) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
c nnectors, ano flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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 progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described prope and structure for review and inspection. �7
OWN ER OR AGENT: A CJ-�,� DATE: /
BLD2004-00936 Please referto the following pages for conditions of this permit. 3 of 3
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o CONCRETE MECHANICAL MANUFACTURED HOME
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� Footings / Setbacks Date By Ribbons
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0 Date / -cam By % Gas Piping Date By
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rn Foundation Walls Date B y Set-up
Date $ `Z�9`/ By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date By
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 IN ECTIODr
Water Line Datafo/(63cy B y
Date By Date By
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FORM MUST BE COMPLETED IN INK MASON COUNT' PERMIT NO. " - (�
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 INFORMATIGN CONTRACTOR INFQFiMATION
' -e wner U Company Name r ���
MailingAddressMailin Address 1 v
City tate_�Zip Code City State Zip Code
Phone -?�d-!3o =4A4Xther Ph Phone - Other Ph.
Lien/Title Holder 4 i4(4��/1 �� Contractor Reg. # 5 11A P5L '* Exp. 02, A(O
E mail address E Mail Address P L Z
Drivers Lic.# POGti 2 V O 2k_ DOB y - A : -3 ' Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect t Water System Name of Water System
WeIIWater System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. U — a Fire District
Legal Description C L O/ 4, v Go
Site Address (Please include street name, tree number and city) IF-,e Directions to site
Ak
Will timber-be cut and svold in parcel preparation?Yes✓.
Is property within 200'of Saltwater _Lake ,46) River/Creek W _Pond
Wetland-L_A0 _Seasonal Runoff Stream Slopes or Bluffs > 15% 'C�
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye
TYPE OF JOB - Ne Add Alt • Repair_ Other RIM6�RY E$IDENC SEASONAL
Use of Building Describe Work M� `f�c.�
No.of Bedrooms No.of Bathrooms I Square Footage - 1st Floor 2nd Floor e?- C
3rd Floor iq0 Basement Deck �;z Covered Deck ��Other Sq.ft.
Garage Attached L Detached Carport___I% Attached — Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width ;Serial No. No.of Bedrooms No. s
Type of Heat Purchase Price $ Replacement Unit? Yes/ ���
Installer Name Certification No. XIA1.It
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work orde44 revoca 4
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or[�fe ctor.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 hav6cq 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 t work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed.
Date: 1�
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICI SE BEYOND THIS OINT
Accepted by: . Planning Pd Ck# ' Date �i 1` Bld P �`' Receipt No. / r'
DEPARTMEN AL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
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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10,00
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TOPOGRAPHY PROFILE:
Direction: Scale: Approval: for office use
Building Permit number: ►r �'
� = 1 ao Building:
Owner/Applicant: KOSE Date of Planning:
Parcel Number:
���� application: Env. Health:
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