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BLD2003-01454 Final SFR - BLD Permit / Conditions - 12/28/2004
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 0 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2003-01454 OWNER: WALT PARKER CONTRACTOR: FOX HOMES, LLC 253-858-2614 LICENSE: FOXHOL*015PL EXP: 9/20/2005 RECEIVED: 10/8/2003 SITE ADDRESS: 1161 NE BELFAIR MANOR DR BELFAIR ISSUED: 11/6/2003EXPIRES: 5/6/2004 PARCEL NUMBER: 123307590261 LEGAL DESCRIPTION: TR 26 OF SURVEY 2/149 PROJECT DESCRIPTION: DIRECTIONS TO SITE: SFR HWY 3 NORTH. LEFT ON OL BELFAIR HWY. BELFAIR STATE PARK. RIGHT ON SANDHILL. LEFT ON BELFAIR MANOR ( DIRT RD) TO END. ROAD CONTINUES RIGHT, PROPERTY ON LEFT General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 4 Type of Constr.: V-N Type of Use: SF Insp. Area: OT No. of Bathrooms: 3 Occ. Group: R-3, U-1 Lot Size: Deck: 20 Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:2,597 Garage-Attached 605 Valuation: Building Height: 18 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: E 159.0 Ft. Shoreline: Ft. Water Body: NONE Rear: W 75.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: N 42.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: S 43.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee NJP 10/8/2003 $955.34 S22003 Hosebibs 2 Furnace<100K 1 Planning Review Fee NJP 10/8/2003 $150.00 S22003 Kitchen Sink 1 Gas Outlets 3 Building State Fee JRN 10/14/200 $4.50 S12003 Lavatories 4 Propane Tank 1 Building Permit Fee JRN 10/14/200$1,469.75 S12003 Showers 2 Ventilation Fan 5 Mechanical Fee JRN 10/14/200 $142.55 S12003 Water Closets (Toilets) 3 Propane Stove 1 Mechanical Base Fee JRN 10/14/200 $23.50 S12003 Water Heaters 1 Dryer Vent 1 Plumbing Fee JRN 10/14/200 $98.00 512003 Bath Tubs 1 Plumbing Base Fee JRN 10/14/200 $20.00 S12003 Clothes Washer 1 Address Fee GMM 10/16/200 $140.00 S12003 EH Plan Review CEW 10/29/200 $75.00 S12003 Total $3,078.64 BLD2003-01454 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2003-01454 CONDITIONS FOR BLD2003-01454 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. X t 2) The Uniform 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 ro ds connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 4) Approved per dimensions and setbacks on submitted site plan. X C � 5) 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. X 6) 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-inspection fee based on rates as adopted by the jurisdiction and the Uniform Building Code will be assessed if the owner and/or contras r f it to post the address on site prior to requesting inspections. X 7) The plan review 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 changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on sit for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. X 8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X� BLD2003-01454 Please referto the following pages for conditions of this permit. 2 of 4 9) The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested 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 Department prior to any further inspections being performed or approvals granted. X 10) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be chargedarard shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 11) 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 p,9fmjt revocation. X ,y'i A 12) Proposed Wuctpre or portions thereof, must maintain a 5' separation distance between adjacent structures and that furthest projection. X 13) All changes to "approved"building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance or regula ' n, ust be reviewed and approved by Mason County prior to construction. X 14) 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 e made prior to requesting additional inspections. 15) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks filled on site must be located a minimum of 10'from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane tanks less than 125 gallons must also be located a minimum of 5'from any building opening (foundation vents, windows, doors etc), property line or easement. If a propane tank is exposed to probable vehicular damage, protective bollards must be installed. X c 16) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All Propane tanks between 125 and 500 gallons must be located a minimum of 10'from any building, property line, public way, possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. If a propane tank is exposed to probable vehicular da ge, protective bollards must be installed. X 17) All propane tanks must be installed in accordance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks must meet the installation-recluirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. X BLD2003-01454 Please referto the following pages for conditions of this permit. 3 of 4 18) Fuel piping shall be inspected after the installation of gas piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be used-until the final inspection has been performed and approved by a Mason County building inspector. X 19) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think such features exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X 20) All property lines shall be clearly identified at the time of foundation inspection. X ( � 21) 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 County ordinances and building regulations. Xy 22) 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. 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 tinuation off work is a progress inspections within the 180 day period. Final inspection must be approved before building can be occupied. OWN ER OR AGENT: / � l bM?1 DATE: Lli( BLD2003-01454 Please referto the following pages for conditions of this permit. 4 of 4 N0 ONCRETE MECHANICAL MANUFACTURED HOME 0 Footings / Setbacks Date -?oy By T Ribbons 0 Date, - By —1? Gas Ping Date By Foundation Walls Date S`-LrF By Set-up Date .3 -Z�---y By T INSULATION Date By B G / Slab Insulation Floors Final D ate B y Date B y Date B y FRAMING Walls FIRE DEPT Date By Date y By 771 Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By, Date cS`-//-a5/ By 7`/� , FINAL INSPECTION Water Line Date By C Date By Date By CD -3/oy CD �ki�� @y/�.[��r✓G L,Eis c�4Lc %fi�,E� /-Z 2 0�-�3 /3/ ' Z21 4yi4c<- CD 3 'Ifi�i 4",g v6z!r5 0 77 �sr��ly 7j- d CD J'-Z y�y s`-Z/may ®w'y �- /,•�T c rg s Tk PAYS /=i�✓L �Z �7 �T' c��yc.,E'T,E' / /cam y w s �S - G-/ _d l' w _zr L F-4xtzpZ o8 0 / L-Gf'-o�S� / 2 "�•o��/�Yig G �/G ND ff GGESS. G�� � •. � r MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 6 14ii�) 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 VVG ij'CAOO JGC ILIG i2Gc Kt y, Contractor Name --FA +-+Cy-y� , L L-L- Mailing Address 13"18U Mailing Address 2cc ":, `scwi/1 Av, 51z City 2c_1e-r C;c(tna State WA-Zip Code 7 City _o State WGA Zip Code -.1 r 2A Phone (_ `: ) 1• ,3'-iolOther Ph. ( ) Phone Other Phh. ( ) Lien /Title Holder Contractor Reg. #F(UX; .<ui5Exp. Z, / ,-c-. / Email Address Email Address SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic IV' Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System irt-) v^ u.-+ gz GtC r C PARCEL INFORMATION - 12 digit Tax Parcel No. 1233© / Fire District 2. Legal Description ].A 4�II or.+- F'I C41 LJ--}. IA Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation? (Yes/No) Is property located within 200' of saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE ❑ SEASONAL RESIDENCE ❑ TYPE OF JOB - New Add Alt Repair Other Use of Building Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/No) IJ© Describe Work -ncAo piopYe, ►!w Y'GSI C►'�C C, No. of Bedrooms _4 No. of Bathrooms V SQUARE FOOTAGE - 1st Floor_ 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage .7%c. 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 I 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 that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there- shall be made without first obtaining approval. with. No changes shall be made without first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Planning Pd Ck# Date C/ll) Bid Pd. 5� �7 °� Reciept No. -.) — obi DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Grou Type Constr. Planning D rtment Environmental Health Department Public Works Department C ire F Marshal Valuation $ L FEES CEDAR Building Permit Fee Site Inspection Plan Review Fee 3L, EH Review Fee Plumbing& Base Fee 48_vo C?O Planning Review Fee Mechanical & Base Fevy2-5S 1 d Other Wood/Gas/Pellet Stove ee / State Fee L50 Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION Shelton(360)427-9670/Beellf ir(360)�75467'Elma9 3601482-5269 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner W0l-1- oy TeA( LIP. Line LaC v_ Contractor Name Ft-,,. �-�:. , c_L-r _ Mailing Address I3'7$c7 3it,,,L_W I . 5 Mailing Address s _3�, ,> F<v. , ; - �s rr f -1-j Cit r Der FY,r,. State Wl.-4 Zip Code G 7 City l' He State wh: Zip Code c 2,C Phone 25 85'1• .�u�I Other Ph.( Ph.(� - Other Ph.( � Lien/Title Holder Contractor Reg. # F-cs,r -K r' Address Expiration C_, / SEPTIC INFORMATION-Connect to New Septic_j�-' Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 digit Tax Parcel No. 12.3c7 / / Qom• Fire District 2 Legal Description jn:`,f,c- I,-4 i r l:alcr�- -H-- a) L-Qt IA 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) MECHANIPAL UNITS Fuel Type: Electric Tyne of Fixture No.of Fixtures Fees LPG ►/ Natural Gas Heatpump Toilets , Type of Unit No.of Units Fees Bathroom Sink '-! Furnace I Bath Tubs �_ Heatpumps Showers �, Spot Vent Fan Water Heater ( Propane Tank I Clothes Washer I Gas Outlets Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher I Kitchen Exhaust Hood Hosebibs Z 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-I 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. No changes shall be made without approval. first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. AEPATZ7MENTAtI<iEiltE1+V 11RPROVED FJENIEO..; GONDt1I(3N COFJES Building Department Occ Group Type Constr. Alo r E AJF Planning Department y 0 Other 's 3 - a o 5 Other Q*C _.... ...............................................................::::.::.. ::::::::::::::..........:::::::::::::::::::::::::::::::::::::::::::::::::::::..:::::::::::::::::::::::::::.:.::. :: .. .. ......:...:.::._.:........... ,. i Permit Fee Site Inspection U8 Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other R S Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) I� Violation Fee TOTAL FEES PLANNING RECEIVED c� OCT 0 8 2003 s 426 W. CEDAR ST: 5� RV G i Zc ' Ta pan¢ 311 5z' y2 / Ul / lcr(ljj APPROVED a M SON COUNTY DCD 1A PLAN REQUIRE-) TO NGES SUBJEC.; 1J At'P.JJ'V.! Fr BY — i cam.-�;�❑ o w�+�- 3O' Acca5 S L �d D . n w.: E.. - { - r REGIST NS AND LICENSES +bl eea dY� STATE OF :7 a WASHINGTO �+ % •�'� NIFIED BUSINESS ID #; 601 964 931 BUSINESS ID #: 001 L' EXPIRES 06-30-2004 OR PE DOMESTIC LIMITED LIABILITY COMPANY ri FOX HOMES, LLC `I 2615 JAHN AVE NW STE E-4 GIG HARBOR WA 98335 �I } fRECEIVED DOMESTIC RENEWEDLIMITED AUTHORITYLIABILITY SECCRETARY OF STATE OCT 0 8 1903 q 26 11i CEDAR ST, � a P s. The above entity has been issued the business registrations or licenses listed DEPARTMENT OF LICENSING,BUSINESS&PROFESSIONS DIVISION, j P.O.80X 9034- OIrYMPIA WA 98 0-9034'360 y 0003781 AT DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL . I EXP.- DATE CC01 ' FOXHOL*015PL 09/20/2005 EFFECTIVE DATE 10/13/1999 FOB HOMES. LLC 2615 JAHN AVE NW SUITE E 4 GIG HARBOR WA ' 98335 F625-052-000(8/97)