HomeMy WebLinkAboutBLD2017-00948 Final Replace Windows - BLD Permit / Conditions - 11/28/2018 Inspection Line(360)427-7262
50 �o� r MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
' - Mason County
615 W Alder St
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2017-00948
OWNER: KRISTINA SWENSON RECEIVED: 9/26/2017
CONTRACTOR: HOME DEPOT AT HOME SERVICES 800-381-5699 LICENSE: HOMED'`*972RQ EXP: 2/3/20' ISSUED: 9/26/2017
SITE ADDRESS: 31 NE SKIPPER CT BELFAIR EXPIRES: 3/26/2018
PARCEL NUMBER: 123305100077
LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 77
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
WINDOW REPLACEMENT, REMOVE AND REPLACE 11 WINDOWS, ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R ON SAND
SIZE FOR SIZE HILL RD, L ON LARSON BLVD TO SKIPPER CT
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: 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
Building State Fee GMM 9/26/2017 $4.50 S1201700000001
Building Permit Fee GMM 9/26/2017 $ 117.50 S1201700000001
Total $ 122.00
BLD2017-00948 Please refer to the following pages for conditions of this permit. Page 1 of 3
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CASE NOTES FOR
BLD2017-00948
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CONDITIONS FOR
BLD2017-00948
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 -0 Th erson 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 replacement windows shall be installed per manufacturer's specifications and be flashed per IRC section R703.4. All installations shall meet
requirements for safety glazing per R308.4. WSEC requires a U-factor of.30 or less in all heated spaces. Existing, non-conforming, egress window
openings are not required to be enlarged, but it is highly recommended. Egress windows replaced in an existing opening shall be brought into compliance
with current codes if a product is available for this application. Building plans/permit are required for windows in new, enlarged or relocated openings
these installations must meet all current codes.
Window nd do hall be installed in accordance with the manufacturer's written installation instructions and shall be available during inspections.
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3) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washi ton. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
p it revoc n.
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4) The demo ition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
oper ined written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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5) All building p mits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to re Ma al inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mas n Co ordinances and building regulations.
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BLD2017-00948 Please refer to the following pages for conditions of this permit. Page 2 of 3
6) 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
hol a e action from being taken. No more than one extension may be granted.
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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 contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 1 Y INVALIDATE THE APPLICATION.
ig Date
OWNER - REPRESENTATIVE - CONTRACTOR
Print ame (Circle one to indicate)
BLD2017-00948 Please refer to the following pages for conditions of this permit. Page 3 of 3
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Home Depot Contractor License Numbers:
WA: HOMED088RH,MOOREJR934LN
Salesperson Name and Registration Number:
Richard Amos : R-1-128533-15-00342
Home Improvement Agreement
Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
Customer Information:
Kristina Swenson Seattle K331631
First Name Last Name branch Name Lead H
31 NE Skipper Court BELFAIR WA 98528
Customer Address city State Zip
(360) 552-2492
Home Phone# Work Phone# Celllone
kristina_crowell @yahoo.com
CustomerE-mailress
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR
OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
3600 Lind Ave. SW Suite 150 Renton WA 98057
Address ity tate Zip
or Email Custom erCancellat ion West 9homedepot.corn
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A different CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR PROFESSIONAL, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME
CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU.
OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT
HOME DEPOT'S EXPENSE.
THE LAW REQ RES THAT THE CONTRACTOR GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PL ASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN N TICE OF YOUR RIGHT TO CANCEL.
Acknowledg y:
X 08/31/2017
CustwucW, .yppa�re Data
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Contract Price and Payment Schedule: Payment of the Contract Price is due upon completion unless
a different payment schedule is specified in the State Supplement.
12776.85 Includes all applicable discounts, rebates, and , taxes.
Contract Price $ Excludes finance charges.*
Minimum %deposit$ Due Immediately
Remaining balance $ Due upon completion
Finance Charges
*Any interest payments or other finance charges will be determined by Customer's separate cardholder
or loan agreement, to which The Home Depot is NOT a party, and will be in addition to Customer's
payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or
loan agreement, as applicable. No funds should be made payable to Service Provider; however, Service
Provider may collect Customer's payment(s) made payable to The Home Depot.
Insurance proceeds will❑will not❑be used to pay some or all of the total amount of sale.
Description of Work to be Performed:
Installation of windows
A more detailed description of the work to be performed is included in the section entitled Scope of Work
which appears on page 3 of this Agreement.
Anticipated Delivery Date/Installation Schedule
Approximate Start Date: 10/26/2017 Approximate Finish Date: 11/23/2017
All dates are approximate and subject to change based on unforeseen events including inclement
weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair, if
applicable.
Electronic Records Authorization: You are entitled to a paper copy of this Agreement if you choose. If you
consent to an e-mailed copy, your consent applies to this Agreement and all subsequent documents and
written communications related to this agreement. By contacting your Service Provider, you may update
your email address, withdraw your consent, or obtain a paper copy of the Agreement or related documents
at no charge. By providing your consent and verifying your email address above, you confirm that you
have access to a computer that can receive and open emails and PDF documents.
By initialing this paragraph, I consent to receive only electronic records related to this transaction.
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Acceptance and Authorization: By signing below, you authorize Home Depot to (a) arrange for Service
Provider to perform Installation and/or (b) order and arrange for the delivery of special order merchandise,
including special order merchandise that may be custom made, as specified in this Agreement. Do not sign
if blank or incomplete. (Service Provider's/permitting information may need to be provided to You later.)
By signing, you acknowledge that you have read, understand, and accept this Agreement in its entirety,
including the General Terms and Conditions and State Supplement, if any. You further acknowledge
receiving Qmplete copy of this Agreement. Keep it to protect your legal rights.
X _� 08/31/2017
Customer's Signature Date
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Co-Signer(it applicable) Date
X 08/31/2017
Sales Consultant's Signature Date
License number(s) held by or on behalf of the Home Depot:
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WA: HOMED088RH, MOOREJR934LN
License numbers are subject to change in accordance with local or state government processes. For the most
current listing of license numbers held by or on behalf of the Home Depot, please visit www.homedepot.com/
licensenumbers.
Scope of Work
Job#: cntwmi Reference) Products: Spec Sheet(s)#: Project Amount
Roofing Siding • Windows Insulation
10331631 ❑ Gutters/Covers ❑ Entry Doors ❑0 10331631 $11775.90
LI Roofing LI Siding Windows U Insulation
❑ Gutters/Covers ❑ Entry Doors ❑� $
Roofing Siding LI Windows Insulation $
❑ Gutters/Covers ❑ Entry Doors [I�]
LJ Roofing Siding Windows Insulation
❑ Gutters/Covers ❑ Entry Doors ❑0 $
SubTotal
$11775.90
Sales Tax
$1000.95
Total Contract $12776.85
Amount
Warranty:
The warranty on the work identified above is listed in the General Terms and Conditions,or if applicable, specified in
the following documents:
Warranty VantagePointe 6500-6400-6200-ClearValue Warranty
Name(s):
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THE HOME DEPOT
GENERAL TERMS AND CONDITIONS
1. DEFINITIONS: "You"/"Your" means the customer identified in the Agreement. "Home Depot" means
solely that legal entity identified in the Agreement as the Contractor, and none of its affiliates,
subsidiaries, parents, agents, representatives, employees, officers, managers or directors. "Service
Provider" means an independent contractor authorized by Home Depot, and the Service Provider's
employees, agents, subcontractors, and any others for whom the Service Provider is responsible.
"Home" means the real property, fixtures and any physical improvements where the Services
are performed. "Agreement" means the Home Improvement Agreement between You and Home
Depot, plus (1) any Change Orders; (2)the State Supplement, if any; (3)these General Terms
and Conditions ("General Conditions") and any documents referenced in or attached to any of the
foregoing.
2. SCOPE: The Agreement is for (1) the delivery and furnishing of goods, equipment, materials,
and hardware and (2) any related labor and services, including without limitation, construction,
consultation, fabrication, erection, installation, inspection, maintenance, repair, and testing
(collectively, "Services"), as more particularly described in the Agreement. Home Depot may
perform Services directly or may arrange for Services to be performed by an Service Provider.
Notwithstanding any language to the contrary in any other portion, provision, or term of this
Agreement, Home Depot does not provide, authorize, or arrange for architectural, engineering or
other licensed design services, nor does Home Depot provide, authorize or arrange for structural
changes to Your Home.
3. HOME DEPOT'S RESPONSIBILITIES: Home Depot or Service Provider will complete the Services
in a workmanlike manner and in accordance with applicable law without causing damage to Your
Home, provided, however, that Home Depot or Service Provider will not start or continue with any
Services upon discovery of any condition at Your Home that Home Depot or Service Provider
deems in its sole discretion to be hazardous or unsafe. Unless specifically contracted to do so,
neither Home Depot nor Service Provider is obligated to repair such pre-existing hazardous or
unsafe conditions at Your Home.
4. ASSIGNMENT/SUBCONTRACTING: Home Depot and Service Provider may assign this
Agreement, or any right herein, or any monies due or to become due hereunder, and may delegate
or subcontract any obligations or Services hereunder without Your consent. This Agreement shall
not be assigned by You without first receiving Home Depot's written consent, which may be denied
in Home Depot's sole discretion.
5. YOUR RESPONSIBILITIES
a. Payment: You agree to pay Home Depot in full for the Services pursuant to the terms of this
Agreement.
b. Safe Access: You agree to provide Home Depot and Service Provider safe and complete
access ("Safe Access") to Your Home, including any means of egress or ingress, and access
to any property, buildings, or structures necessary for the staging, temporary storing and
performance of the Services ("Work Area"). Safe Access includes, without limitation, the
following: (1) obtaining in advance of the Services consent, permission, or relief from any
covenants, easements, restrictions, or other legal encumbrances affecting the Work Area;
(2) providing the location of utilities, whether underground, concealed, overhead or visible,
to Home Depot or Service Provider; (3) removing from the Work Area physical impediments,
hazards, and building code or zoning violations that affect directly or indirectly the Work Area;
(4) removing unsafe working conditions and hazardous materials, including environmental
hazards, from the Work Area; (5) providing sanitary facilities to Home Depot or Service Provider
convenient to the Work Area (or, alternatively, paying for the rental costs of such facilities);
(6) providing all utilities, including without limitation, power, water, ventilation and climate
control, in and for the Work Area; (7) removing from and protecting against minors, pets,
guests and visitors in the Work Area; (8) keeping permits, if required, visible at all times;
(9) disengaging, suspending or terminating any security systems protecting the Work Area;
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(10) providing adequate temporary storage space as needed for Horne Depot's or Service
Provider's performance of the Services; and (11) not interfering, impeding, impacting or
otherwise disrupting the Work Area at any time during Home Depot's or Service Provider's
performance of the Services.
c. Services are to be performed by Home Depot or Service Provider. If You attempt to perform or
assist with the Services in any way, You assume all risk for property damage and for injury to
Yourself and others.
6. MODIFICATIONS AND CHANGE ORDERS: Without invalidating this Agreement, You may
authorize Home Depot or Service Provider to perform Services beyond the scope of the Agreement
("Change Work"). A Change Order shall be issued by Home Depot or Service Provider on behalf
of Home Depot, which You may accept by signing. Upon Your signing of the Change Order, it
shall become part of this Agreement, subject to all of the terms of the Agreement. Change Work
may also result from Home Depot or Service Provider encountering conditions at the Work Area
that impact, impede or otherwise interfere with the performance of the Services, requiring an
increase in cost, time, or both. Following the discovery of any conditions that impact, impede or
otherwise interfere with the performance of the Services (including, without limitation, the following:
previously undisclosed or unidentified legal encumbrances in the Work Area, building and zoning
code violations, concealed and unforeseen physical and hazardous conditions, the presence of
underground or overhead utility lines, rocks, roots, buried debris, mold, asbestos, lead paint, or any
condition differing from what You represented), Home Depot may immediately ask for a Change
Order or discontinue the Services without further obligation to You. If You decline a Change Order
request, You or Home Depot may terminate this Agreement as set forth below.
7. CREDIT CARD TRANSACTIONS: If payment is made by credit card, Your cardholder agreement,
to which Home Depot is NOT a party, will determine the total cost of Your purchase, including any
initial payment/deposit You may make and all interest charges and fees. You will be further subject
to Your cardholder agreement's terms and conditions.
8. FINANCED TRANSACTIONS: If You are financing this transaction in whole or in part, Your
separate loan agreement, to which Home Depot is NOT a party, will determine: (i) the amount
financed or the sum of the credit extended; (ii) the associated finance charges—or the dollar
amount the loan will cost You; and (iii) the total payment—or the amount paid upon making all
scheduled payments. You will be further subject to Your loan agreement's terms and conditions.
9. TITLE AND RISK OF LOSS: The title to and risk of loss for any materials or goods provided to You
that originate from Home Depot (1) shall pass to You when paid for in full by You or (2) shall pass to
You when paid for in full by the Service Provider as part of the Services. Title to any other materials
or goods provided by Service Provider shall pass to You upon completion of the Services.
10. WARRANTY AND LIMITATION ON WARRANTIES:
a. Warranty: Unless otherwise stated in the Warranty section of the Agreement or in the State
Supplement, Home Depot warrants for one year from their completion date that all Services shall
be performed with good workmanship and shall conform to the requirements of the Agreement. A
"Defect" shall be any Services that are found not to be as warranted. During the warranty period
and within a reasonable time after receiving notice from You of a warranty claim, Home Depot may,
at its sole option (a) correct or replace each Defect, or (b) remove each Defect and refund the full
purchase price thereof to You. Provided, however, that all warranties are voided if anyone other
than Home Depot or Service Provider performs work upon or otherwise modifies any materials or
Services provided under this Agreement.
b. Limitation on Warranties: THE WARRANTIES PROVIDED IN THIS AGREEMENT ARE
STRICTLY LIMITED TO THE FOREGOING EXPRESS WARRANTIES CONTAINED IN
SUBPARAGRAPH A, IN THE WARRANTY SECTION OF THE AGREEMENT, IF ANY, OR IN
THE STATE SUPPLEMENT, IF ANY. YOU ACKNOWLEDGE AND AGREE THAT NO OTHER
WARRANTIES ARE MADE OR GIVEN BY HOME DEPOT OR SERVICE PROVIDER, INCLUDING
ANY WARRANTY FOR FITNESS OF PURPOSE, WARRANTY OF MERCHANTABILITY, OR
ANY OTHER ORAL, EXPRESS OR IMPLIED WARRANTIES. HOME DEPOT'S EXPRESS
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WARRANTIES ARE VOIDED FOR ANY DEFECT CAUSED BY ABUSE, MISUSE, NEGLECT,
LACK OF PRESCRIBED OR STANDARD MAINTENANCE, OR IMPROPER CARE/CLEANING.
ANY MANUFACTURER'S WARRANTIES PROVIDED FOR GOODS, MATERIALS, OR
EQUIPMENT WILL BE PASSED THROUGH BY HOME DEPOT TO YOU, AND YOU AGREE TO
LOOK SOLELY TO SUCH MANUFACTURER FOR REMEDY OF ANY DEFECT IN SUCH GOODS,
MATERIALS, AND EQUIPMENT. HOME DEPOT MAY ASSIST YOU WITH WARRANTY CLAIMS
AGAINST MANUFACTURERS.
11. RIGHT OF CANCELLATION: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY BY
DELIVERING WRITTEN NOTICE TO HOME DEPOT BY MIDNIGHT ON THE THIRD BUSINESS
DAY AFTER SIGNING THE AGREEMENT. THE STATE SUPPLEMENT CONTAINS A FORM
TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. Your payment(s)
will be returned within ten (10) business days after Home Depot's receipt of Your notice. You must
make available for pickup by Home Depot or Service Provider, at Your Horne and in substantially
the same condition as when delivered, any materials, goods, or equipment delivered to You.
Alternatively, You may contact Home Depot for instructions regarding return shipment at Home
Depot's expense.
12. TERMINATION: This Agreement may be terminated by Home Depot for its convenience, and by
either party for cause if the other party fails to correct a material breach within ten (10) days after
receiving notice from the non-breaching party identifying the breach. in the event Home Depot
terminates this Agreement because You fail to provide Home Depot or Service Provider Safe
Access to perform the Services, or if either party terminates the Agreement because You decline a
Change Order request resulting from unforeseen or hazardous conditions, then You shall pay Home
Depot for Services provided through the date of termination plus any costs or expenses incurred by
Horne Depot or Service Provider as a result of the termination.
13. PAYMENT: You will not pay anything to Service Provider, although Service Provider may present
this Agreement to You for Your review and signature and/or collect Your payment(s) to Home Depot
on Home Depot's behalf.
14. CLAIMS, DISPUTE RESOLUTION, CHOICE OF FORUM AND CHOICE OF LAW:
a. This Agreement shall be governed by and interpreted in accordance with the laws of the State
where the Project is physically located.
b. JURY WAIVER: YOU AND HOME DEPOT IRREVOCABLY WAIVE ANY AND ALL RIGHT TO
TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THE
SERVICES OR THIS AGREEMENT.
15. SEVERABILITY: The parties intend for the terms and conditions in the Agreement to be
complementary, consistent, and enforceable under applicable laws. In the event any term or
condition in the Agreement violates applicable law, such term or condition shall be severed from the
Agreement, but only to the extent necessary to avoid such violation, without invalidating any other
terms and conditions of the Agreement.
16. ENTIRE AGREEMENT: This Agreement is the final, integrated, and exclusive expression of the
parties' agreement, which supersedes all prior and contemporaneous offers, orders, agreements,
understandings, representations, proposals, confirmations, and negotiations between the parties,
whether oral or written. No course of dealing, usage of trade, course of performance, course of
conduct, or any other evidence of additional or different terms shall be admissible to contradict or
vary any term in the Agreement.
17. SECURITY INTERESTS; LIENS: If You make all payments as required under this Agreement,
no security interest will be placed against Your property by Home Depot. If a security interest is
placed on Your property, it creates a lien, mortgage, or other claim against Your property to secure
payment and may cause a loss of Your property if You fail to pay as requested. After paying on
any completed phase of the Services and before making any further payments, You should request
from Home Depot or Service Provider a signed, unconditional release from, or waiver of, any right
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to place any claim against Your property applicable to the work then completed. You may ask an
attorney about Your rights to discharge security interests. -
18. RETURNS: Custom order merchandise (i.e., goods that are custom made, uniquely altered, color-
matched, shaped, sized, or otherwise uniquely designed or fitted to the requirements of a particular
space) is non-returnable, and its purchase price cannot be refunded unless incorrectly ordered by
Home Depot or Service Provider, or unless damaged beyond repair in delivery or by Home Depot
or Service Provider. Special order merchandise may be returned, and a refund for all or part of the
purchase price provided, in the discretion of Home Depot. Please contact customer care department
at 1-800-553-3199.
19. AGREEMENT/SERVICE ORDER COMMUNICATION PREFERENCES:
a. www.myhomedepolproiect.com You can visit www.myhomedepotproject.com at any time to
access Your account for the following:
• update Your Agreement/Service Order Communication Preferences (email, text, Auto Call)
• contact The Home Depot for order assistance
* view latest order status
•take action to schedule pickup for Your Service Order(s)
b. Text Message Communications: If You signed up to receive updates about Your Agreement/
Service Order(s) via text message, You may receive multiple messages per order (including current
and future orders) via automated technology to the mobile phone number You provided. The total
number of messages received depends on the number of orders placed and order activity. Standard
message and data rates apply. Not all carriers covered. You can text STOP to 97710 to stop (You
will be sent a confirmation message). Text HELP to 97710 or call 800-HOME-DEPOT for help. You
can also visit www.myhomedepotprobect.com to access Your account to update Your Agreement/
Service Order Communication Preferences, contact The Home Depot, and take action on orders.
c. Auto Call Communications: If You signed up to receive updates about Your Agreement/Service
Order(s) via electronic voice communications (Auto Call), You may receive multiple pre-recorded
phone calls per order (including current and future orders) via automated technology to the phone
number You provided. The total number of calls received depends on the number of orders placed
and order activity. You can press 9 during a call to opt out or call 800-HOME-DEPOT for help. You
can also visit www.myhomedepotproiect.com to access Your account to update Your Agreement/
Service Order Communication Preferences, contact The Home Depot and take action on orders.
d. Email Communications: If You signed up to receive updates about Your Agreement/Service
Order(s) via Email, You may receive multiple Emails per order (including current and future
orders) via automated technology to the Email address You provided. The total number of
Emails received depends on the number of orders placed and order activity. You can visit
www.myhomedepotproject.com to access Your account to update Your Agreement/Service Order
Communication Preferences, contact The Home Depot, and take action on orders.
20. QUESTIONS? If The Home Depot store and Authorized Service Provider are unable to answer Your
questions, You may contact The Home Depot Customer Care Department at 1-800-553-3199.
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MASON COUNTY PERMIT NO.
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 Kristina Swenson Company Name THE HOME DEPOT
Mailing Address 31 NE Skipper Court Mailing Address 3600 LIND AVE SW#150
City BELFAIR State WA Zip Code 98528 City RENTON State Wa Zip Code 98057
Phone 360-552-2492 Other Ph. Phone 800-381-5699 Other Ph.
Lien/Title Holder Contractor Reg. # HOMED`"088RH Exp, 7/17/2018
E mail address E Mail Address naida@nwpermit.com
Drivers Lic.# DOB 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
PARCEL INFORMATION - 12 Digit Parcel No. 12330-51-00077 Fire District
Legal Description
Site Address (Please include street name, street number and city) 31 NE Skipper Court, Belfair 98528
Directions to site WA-3 NORTH. Turn left onto NE Old Belfair Hwv.Take the 1 st left onto NE State Route 300/WA-300.2nd naht onto NE Sand
Hill Rd.2nd left onto NE Larson Blvd.3rd left onto NE Skipper Ct.
Will timber be cut and sold in parcel preparation? Yes/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 x Other PRIMARY RESIDENCE ❑ SEASONAL ❑✓
Use of Building residential Describe Work remove and replace 11 windows.no size/structural changes
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement 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.1 further declare that 1 am entitled to receive this
permit and to do the work as proposed in the application.1 declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the information
provided is accurate and grants employ f Mason County access to the above described property and structure for review and inspection.
7�� UAT OF W K IS TEANS OF A PROGRESS INSPECTIO .
Date•
r/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED 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 Planninq Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES