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Home My WebLink AboutBLD2004-00977 Remodel - BLD Permit / Conditions - 6/21/2004 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 BLD2004-00977 OWNER: MARK GOLDA RECEIVED: 6/21/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 6/21/2004 SITE ADDRESS: 280 E HIAWATHA BLVD SHELTON EXPIRES: 12/21/2004 PARCEL NUMBER: 320087590032 LEGAL DESCRIPTION: TR 3-B OF SURV 12/154 TR B OF SP #1709 PROJECT DESCRIPTION: DIRECTIONS TO SITE: SINK, KITCHEN EXHAUST HOOD, ADDING WINDOW JOHNS PRAIRIE RD, TOWARD HIAWATHA EVERGREEN. GO APPROX. 500 Add new window above kitchen sink FT PAST, ON RT IS "HIAWATHA PARK" SIGN. TURN R. PROCEED 1/4 MI, 2 STORY CEDAR BLD, 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: MEC Fire Dist.: 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?: Rear: Ft. Slope: Ft. 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 Kitchen Sink Ventilation Fan 1 Mechanical Fee KS 6/21/2004 $10.65 S12004 Mechanical Base Fee KS 6/21/2004 $7.25 S12004 Plumbing Fee KS 6/21/2004 $7.00 S12004 Building Permit Fee DLC 7/21/2004 $23.50 S12004 Additional Plan Check Fee DLC 7/21/2004 $29.00 512004 Total $77.40 t BLD2004-00977 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2004-00977 CONDITIONS FOR BLD2004-00977 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,-, 0982. The 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 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 cces 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 inspe io X bV 3) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE 1994 WASHINGTON STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED EPLACED SHALL MEET THE MINIMUM STANDARDS SET FORTH IN THE 1994 WSEC AND 1997 UNIFORM MECHANICAL CODE. X 4) 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 Ma s my ordinances and building regulations. Xy 5) Washington State Energy Code Comp' nc as been approved using the following: Window (Max U-Factor):0.40 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 inspection. Th 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 pr perty and structure fo ev' and inspection. OWNERS, DATE: 02-z/'-d y BLD2004-00977 Please referto the following pages for conditions of this permit. 2 of 2 W r , o CONCRETE MECHANICAL MANUFACTURED HOME o 0 Footings / Setbacks Date �?j �c( y T,' Ribbons Z 4 D ate B y Gas Piping Date B y Foundation Walls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date 9 3j4- B 1k Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date 1 3 oK By t,&L- FINAL INSPECTION Water Line Date fi (lS By lL : D ate 2S(31 O`-( �_:,: .-.._ Date By Sit-S I0-1 - 436LOY- W i A&UJ 50ddti - `° rF1�5 w y ► Jf t q 3 dH- O W U 7/dq 4/3/d�/' EQ S— z e k- Z )L- ' p C r" 8 O a 0 O v 0 70 CD rA h MASON COUNTY PERMIT NO. L) `A 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 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner )Z( `1- (//- Company Name Mailing Address Mailing Address City f 6L,,ci, State 44,l'. Zip Code City state Zip Code Phone ''"7 7/,151 Other Ph. 740 'S'?O-7 ' Phone Other Ph. Lien/Title Holder AQ Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# r DOB '- `` I Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site /*If/,f Ag w"06 Is property within 200'of Saltwater N y Lake River/Creek Pond Wetland Seasonal Runoff Stream L'-/ Slopes or Bluffs > 15% 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 Type of Fixture No. of Fixtures Fees Fuel Type:Electrir. `�' LPC-L— Natural Gas— Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 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.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 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 employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONT)NUATION Of WORK IS BY MEANS OF A PROGRESS INSPECTION. X l c` o �J1_ Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Tvpe Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES 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 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ref "� Company Name Mailing Address Mailing Address City :;0V&1/26J State �Zip Code City tate Zip Code Phone a, OJffr Other Ph. 'S 1 Phone Other Ph. Lien/Title Holder Contractor Reg. Exp. E mail address E Mail Address Drivers Lic.# DOB ' y`� S Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic__ Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site a 7 fa` r 16, Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff-Stream-Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric,_ LPCL__ Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 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.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 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 employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck#_ Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood /Gas/ Pellet Stove Fee Other Violation Fee TOTAL FEES