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Home My WebLink AboutBLD2004-00007 Cancelled Windows - BLD Permit / Conditions - 7/5/2004 1 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 BLD2004-00007 OWNER: KELLY ROHR RECEIVED: 1/5/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 1/5/2004 SITE ADDRESS: 301 NE OLD BELFAIR HWY BELFAIR PARCEL NUMBER: 123291300010 EXPIRES: 7/5/2004 LEGAL DESCRIPTION: TR 1 OF SW NE 301 NE OLD BELFAIR HWY PROJECT DESCRIPTION: DIRECTIONS TO SITE: WINDOWS HWU 3 TO OLD BELFAIR HWY APPROX 112 MILES OUT OF TOWN PROPERTY ON LEFT 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: NEW 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- Rear: 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 KS 1/5/2004 $54.11 S12004 Building Permit Fee KS 1/5/2004 $83.25 S12004 Building State Fee KS 1/5/2004 $4.50 S12004 Total $141.86 BLD2004-00007 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2004-00007 CONDITIONS FOR BLD2004-00007 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 ar otenti risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800- 47 he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located 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 re-in pection 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 t the ad on site prior to requesting inspections. X 3) All replacement windows installed II have a m' um .40 U-value. Replacement windows that do not meet current egree conditinos shall maintain the same size opening or larger. X 4) All building permits shall have a final i spection 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 This permit becomes null and void if work o onstructio 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 ofoontinuationlor is a pro ess inspection within the 180 day period. Fina inspection must be approved before building can be occupied. OWN ER OR AGENT: /--x BLD2004-00007 Please refer to the following pages for conditions of this permit. 2 of 2 BELFAIR GLASS & RADIATOR P.O. Box 872 BELFAIR, WA 98528 (360) 275-5572 CUSTOMER'S ORDER NO. PHONE DATI v /10 r D.3 NAME JA A RE CAn C.O.D. I CHARGE t0NACCT. MDSE.REID. PAID OUT 1 L 10 ti/ - I I AL- Le is ov 1 1 I TAX ' I Ty RECEIV BY TOTAL � C PRODUCT eos All claims and returned goods MUST be accompanied by this bill. 14924 8��To o` r „ ' ,ank�ou � � � `` co Y �J� I oy' � �,� +��✓' �� HESE PLANS MUST BE F-1 ON fHE JOB SITE FORPECTION 61 T RANGES J SU IT CHANGES FOR APPROVAL IOR TO PERFORMING WORK A l / APPROVED SON UILDING INSPECTOR ~� C UBiECT TO A PRO AL N DATE �' FORM MUST BE COMPLETED IN INK MASON COUNTY 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 INFORMATION CONTRACTOR INFORMATION Owner 1L�11��L�r Contractor Name Mailing Address — L> . iz'c'V. Mailing Address city jeLt C,)k .,,:,t Statey!-ci, Zip Code City State Zip Code Phone f -,91;T(Other Ph. ( ) Phone ( ) Other Ph. ( ) Lien /Title Holder Contractor Reg. # Exp. Email Address Email Address 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. J�2_77, / / Dnc7 /U Fire District Legal Description t }1 6)t is 1�"o(ta. i Site Address (Please include street name, street number and city) Directions to site 4""E:j 3 , -``[`C_' b Will timber be cut and sold in parcel preparation? (Yes/No) J% v Is property located within 200' of saltwater Lake River/ Creek Pond Wetland Seasonal Runoff �/ Stream Slopes or Bluffs PERMANENT RESIDENCE 4t SEASONAL RESIDENCE ❑ TYPE OF JOB - New Add Alt Repair Iz,' Other Use of Building 1-,, F g= Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/No) Describe Work S L @ \c..cu t"�� !� 1,�� t_�� S 0'-1 � I't No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE - 1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model 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. 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. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW: OWNER AFFIDAVIT- I certify that 1 am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis- ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this Ethat all wor be done in c nformance therewith. No changes permit is issued and all work shall be done in conformance there- ade it t b ining approval. with. No changes shall be made without first obtaining approval. X I Dat �` X Date FOR 0,PFICIAL USE BEYOND THIS POINT Accepted by Planni Ck# C43 Date - Pd. Reciept No. _)/Q00 DEPARTMENTAL RE VIE ED DENIED CONDITION CODES Building Dep rtment Occ Grou e Constr. /C ErfC D O 2—ZPD J5Z Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee g3,aS Site Inspection Plan Review Fee L 0 EH Review Fee Plumbing& Base Fee 7 Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal TOTAL FEES j 5//, ��