HomeMy WebLinkAboutBLD2005-00086 Final Replace Windows - BLD Permit / Conditions - 2/4/2005 ' Inspection Line(360)427-7�
c MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 3S�
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2005-00086
OWNER: GARY MANSKER RECEIVED: 1/20/2005
CONTRACTOR: ON THE LEVEL CONSTRUCTION 360-434-0123 LICENSE: LEVELC*961CR EXP: 2/19/200, ISSUED: 1/20/2005
SITE ADDRESS: 23030 NE STATE ROUTE 3 BELFAIR EXPIRES: 7/20/2005
PARCEL NUMBER: 123325000942
LEGAL DESCRIPTION: SAM BE THELER'S HOME & GAR TRS W 2.13 AC OF TR 17 TR D OF SP #1225 PCL 1 BLA#98-69
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACE FOUR (4) WINDOWS IN SFR. NE 23030 SR 3, BELFAIR
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: REP 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: Sedal No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee CMH 1/20/2005 $29.15 B12005
Building Permit Fee CMH 1/20/2005 $44.85 B12005
Building State Fee CMH 1/20/2005 $4.50 612005
Total $78.50
BLD2005-00086 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
BLD2005-00086
CONDITIONS FOR
BLD2005-00086
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.
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2) In accordance with international codes 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
access 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 international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspectioir S.
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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 Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocation.
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4) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
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5) 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 Count ordinances and building regulations.
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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
holder have prevented action from being taken. No more than one extension may be granted.
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BLD2005-00086 Please refer to the following pages for oonditions of this permit. 2 of 3
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 anytime 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.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 property and structure for review and inspection.
OWNER OR AGENT: DATE:
BLD2005-00086 Please refer to the following pages for conditions of this permit. 3 of 3
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^' CONCRETE MECHANICAL MANUFACTURED HOME
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If Footings / Setbacks Date By Ribbons
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o Date By Gas fting Date By
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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 By Date By Date By
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
T Date By Date By
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. U�5 r
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 ae L Company Name Lin ff4.' Lgu (a61S1rtAJ1a h
Mailin Addr ss 20o de / uie Mailing Address
City ' State Zip Code 51 City State NM Zip Code g 4-
Phone-�V0 07- 37Z(Other Ph. Phon 3 O 3r/ - oi .�3 Other Ph.
Lien/Title Holder Contractor Reg.# L -IELCA 16R Exp. '/`'-
E mail address E Mail Address cn �wM cosiyw4, 4LO1-1
Drivers Lic.# DOB Drivers Lic.#�L�ES 71 133C��6% DOB y-1K-6 7
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 INFORMATj9N - 2 Digit Parcel No. - - Fire District
Legal Description G1?'--
A Site Address (Please include street name, street number and city) r
Directions to site
Will timber be cut and sold in parcel preparation?Yes/
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?Ye No
TYPE OF JOB - New Add Alt Repair Ot er PR MARY RES)DEN E [✓ SEASONAL ❑
Use of Building ( Describe Work �'P f0 �� �� r1 l A, I Y1C 71 S
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 INFO MATION - Make Model Year
Length_,:;,._Width S I o. No.of Bedrooms No. of Bathrooms
Type of Fiat ' P hase 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.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 partSe J> r i
required from any easement holder or any other party in interest regarding this application or the work proposed in the applicationri s l x=l :"
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 insp cton�oo�
PROOF F CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. r.
X '►fie " Date: —� G r 3ELFAIR. OFFICE
Owner/Owners Re resentative/ ontract 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 l L 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 5-0