HomeMy WebLinkAboutBLD2004-00548 Final SFR - BLD Permit / Conditions - 11/16/2004 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMM UNITY'DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
P10
RESIDENTIAL BUILDING PERMIT BLD2004-00548
OWNER: LEROY JESFIELD RECEIVED: 4/21/2004
CONTRACTOR: HI LINE HOMES LICENSE: HILINH*981 BT EXP: 11/7/2005 ISSUED: 5/21/2004
SITE ADDRESS: 270 NE CHINOOK DR BELFAIR EXPIRES: 11/21/2004
PARCEL NUMBER: 123303290251
LEGAL DESCRIPTION: TR 25-B OF GOVT LOT 3 TR 2 OF SP#1478
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE STOCK PLAN #072302DLC N. MISSION CREEK N ON RAINBOW RIGHT ON CHIMONK TO TOP OF HILL
THEN FOLLOW CHINOOK LEFT LAST LOT ON RIGHT. ADDRESS"270" -
BRIGHT GREEN SIGN.
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: V-N
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: 1 Occ. Load: Building:2,112 Garage-Attached 528
Valuation: Building Height: 16 Occ.Status: Unknown Basement: COV. PORCH 96
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W 100.0 Ft. Shoreline: Ft. Water Body:
Rear: E 20.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Shoreline Desig.:
Side 1: N 18.0 Ft.
Year: Serial No.: Side 2: S 25.0 Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee NJP 4/21/2004 $260.35 S22004
Hosebibs 2 Ventilation Fan 3 Planning Review Fee NJP 4/21/2004 $155.00 S22004
Kitchen Sink 1 Dryer Vent 1 Building State Fee LDK 5/13/2004 $4.5G S12004
Lavatories 3 Building Permit Fee LDK 5/13/2004$1,301.75 S12004
Showers 1 Mechanical Base Fee LDK 5/13/2004 $23.50 S12004
Water Closets (Toilets) 2 Mechanical Fee LDK 5/13/2004 $39.65 Si2004
Water Heaters 1 Plumbing Base Fee LDK 5/13/2004 $20.00 S12004
Bath Tubs 2 Plumbing Fee LDK 5/13/2004 $89.00 S12004
Clothes Washer 1 EH Plan Review ADR 5/21/2004 $75.00 S12004
Total $1,968.75
BLD2004-00548 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-00548
CONDITIONS FOR
BLD2004-00548
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
1-800-6 - 982. 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) The Unifo Fire Code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
access road Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such rod nn with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
3) Appro ' r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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4) All uplan reas disturbed or newly ted by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X
5) Temporary erosion control measures must be implemented to prevent water qual ad tion of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
6) 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
D t for to any further inspections being performed or approvals granted.
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7) In accordant ith 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-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or
contracto f it pgst the address on site prior to requesting inspections.
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8) The plan revie check list and 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 c an ed or.altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of
plans on s4e r e uration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections.
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BLD2004-00548 Please referto the following pages for conditions of this permit. 2 of 4
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
10) The "approved" plot plan is required to be on-site for inspection purposes. If an inspection is requ sted and the"approved" plot plan is not 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 shall be collected by the
Building Dep r e t prior to any further inspections being performed or approvals granted.
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11) Washington State Energy Code Compliance has been approved using the following:
Heat Type: E�lec is or other fuels Compliance Method: IV Window (Max U-Factor):0.40 Skylight (Max U-Factor):0.58
Doors (Type -Factor):0.40 or less, Wall insulation R-21 , Floor insulation R-30 , Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10
X
12) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
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13) Stock Plan Identification number:
This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site/plot plan approved by the Planning Department,
original building pla s, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Inspector at eac r ed inspection.
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14) 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 ot Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in per t vo tion.
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15) Provisions for surfac ubsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located wi 'i 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project.
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16) All changes to "approved" btu(;g plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regulation, must ev' wed and approved by Mason County prior to construction.
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17) All property lines shall be clearly identified at the time of foundation inspection. X
BLD2004-00548 Please referto the following pages for conditions of this permit. 3 of 4
18) 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 i ection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Count or na ces and building regulations.
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19) All permits expir 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 peri t exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have r n d action from being taken. No more than one extension may be granted.
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20) Pressure treated wo manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, a d s i g. Jnstall metal connectors approved for contact with the new types of pressure treated material.
X
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 ins ion.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 prope a d tru ure for re ' w and insp ction.
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OWN ER OR AGENT: DATE: 2, i � ay
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BLD2004-00548 Please referto the following pages for conditions of this permit. 4 of 4
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oN CONCRETE MECHANICAL MANUFACTURED HOME. a
o -
? Footings / Setbacks Date By (,U Ribbons '
CA Date By T Gas Piping Date By
00 Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G i Slab Insulation Floors Final
Date By Date r!5"-C- --c::"Y By /~/�^ Date By
FRAMING Walls FIRE DEPT
Date Q"-C By Date By Date By
PLUMBING At-tic OTHER
Groundwork Date I/VpLr B y t-b�—
Date By WALL OARD NAILING
D.11-IN. Date By 7,7Z_
Date By FINA INSPECTION
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Plot Map Drawn To Meet M°`\,�n j Wtess : Pb Sox 1160 Ue c\c WA 41i3 n
HiLine Homes Specifications. f A :
Any Revisions To Be Made
By The Home Owner. Si g AA4ec,s ; XxX NE ckI Y�oDK Or �e��`a';� W aCgN
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RECEIVED
APR 21 2004
426 W. CE—Dik t Sfe
Power
FORM MUST BE COMPLETED IN INK PERMIT NO BLD
PLEASE PRESS HARD \J
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W.Cedar/P.O.Box 186,Shelton,WA 92584
Shelton 360 27-9670 Bellair 360 2754467 Elms 360 482-5269 Seattle 206 64-6968
APPLICANT INFORMATION c` CONTRACTOR INFOf ATION
owner 13•Le Rvb4 grL g n,(n L. Te-s 1, � Contractor Name > r o rh
Mailing Addre�P��Ae he I q loO Mailin Address //3O(o b .>*C a/c? FAS f
City a���di r State Zip Code �'S Z�' City U II6t late lk, Zip Code f_�.3 Z�
Phone(3(cd)]i5"S'2QtherPh.L� Ph(A5---3) -/ Other Ph
Lien/Title Holder ��f>' Contractor Reg.# L
Address Expiration, !( l__07/ D
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_)�_Existmg Septic Connect to Sewer
System Name of Sewer ystem Well_�Water System Name of
Water System re 3 f^i P( Tr6L ct5 CAM- C 1 t C r
PARCEL INFORMATION-12 it Tax Parcel No /�13 30 / 3 i/ 9,.o �2= Fire District
Legal Description L di ..
Site Address(Plea ppcl4de street name, treet numqq rand cit ) 410
Directions to Sit l►1 S r L r z�k Jl�, /
" o e
Will t tuber be cut and sold in parcel pre aration?(Yes/
Is your property within 200'of the following: Body of Water(Name) `v0 Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE SEASONAL RESIDENCE 5
TYPE OF JOB New Add Alt Repair Other Use of Building e n
Describe Work T/(2 r C Sri c �►1 C z—
No.of Bedrooms , No. of Bathrooms_ SQUARE FOOTAGE-1st Floot;_'2//fi2nd Floor
3rd Floor Loft Basement Deck Other sq ft.
Garage_�Attached Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model_ Model Year
Length Width_ Serial No. _ _No.of Bedrooms No of Bathrooms
Type of Heat Purchase Price b Replacement Unit?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL d VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 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-[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 1 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
con to n therewn No changes shal made without first obtaining shall be done in conformance therewith. No changes shall be maw without
ap o t 0 4 fist obtaining approval.
Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by _Da;e— Submittal Amount Due Receipt No.
"OEPAiRTMENTAL REVIEW APPfiOVEj]
IIEQ C4NplT Fm.
Building Dep rtment Llp U_11
Occ Group -3 Type Constr A) S/3 0 /dQ6-5 ` `1VE
i�
Planning Department / HrUR D
r
Environmental Health Department Vol
sw�a o o 144
co 426
Public Works Department p
Fire Marshal
Valuation S
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 Stave Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
TOTALFEES
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186 Shelton,WA 98584
Shelton(360)427-9670 Belfair(360)'275-4467 Elma(360)482-5269
APPLICANT INFORMA 10 \\ CONTRACTOR INFORMATION
Owner Z5- —��` Contractor Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone, Other Ph.( Ph.(_� Other Ph.c
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION- 12 digit Tax Parcel No. / Fire District
Legal Description
Site Address(Please include street name,street number and city)
Directions to site
Is your property within 200'of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric_��__
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers 1 Spot Vent Fan _
Water Heater �_ Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood l
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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 conformance therewith�-Ifl�c�3r�9>Et/aaade without
approval. first obtaining approval. �I((GG�V LL II YY
X Date x APR 21 20
FOR OFFICIAL USE BEYOND THIS POINT 426 W. CEDAR St
Accepted by Date Submittal Amount Due Receipt No.
AEPAfiTNEEtVTC# ii£V1EtitY APPR�7VED DENIED:: GO Dt I[QIV CQ[1>AS
Building Department
Occ Grou -3 Type Constr. V
Planning Department
Other
Other
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee ITOTALFEES