HomeMy WebLinkAboutBLD2003-01263 Cancelled ReRoof - BLD Permit / Conditions - 8/6/2004 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
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RESIDENTIAL BUILDING PERMIT BLD2003-01263
OWNER: DON CARSTENSEN RECEIVED: 9/4/2003
CONTRACTOR: LICENSE: EXP: ISSUED: 9/4/2003
SITE ADDRESS: 280 JOLLY ROGERS BELFAIR PERMIT
PARCEL NUMBER: 123315100061
IdUtL I& Yo�ByOID BY EXPIRATION=xPIREs: 3/4/2004
LEGAL DESCRIPTION: BEARDS COVE DIV 8 LOT: 61 4,1,E l�Q
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Non-Structural Tear-Off and Re-Roof of Carport End of Jolly Rogers, south end
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: RR 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:
Rear: Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. I Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Building State Fee JRN 9/4/2003 $4.50 B12003
Re-Roof Fee JRN 9/4/2003 $56.80 612003
Total $61.30
BLD2003-01263 Please refer to the following pages for conditions of this permit. 1 of 3
CASE NOTES FOR
B LD2003-01263
CONDITIONS FOR
B LD2003-01263
1) 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
contract q ail Bost the address on site prior to requesting inspections.
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2) 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 woul result in permit revocation.
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3) 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
IInspec r shall t made prior to requesting additional inspections.
4) THE 2!MVOf ION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON COUNTY REGULATIONS.
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-rliant!ith Mason County 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-cave prevented action from being taken. No more than one extension may be granted.
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BLD2003-01263 Please refer to the following pages for conditions 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 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.
OWNER OR AGENT:
BLD2003-01263 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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Footings I Setbacks Date By Ribbons
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Date By Gas Piping Date B y
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w Foundation Walls Date B y Set-up
Date By INSULATION Date B y
E G f 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
Date By Date By
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
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 00 W C ztj,5Z e A, S•7,N Contractor Name
Mailing Address J CG i / . Rj, W Mailing Address 7
City Q State WA, Zip Code City State Zip Code
Phone ( ) �_J9=—Other Ph. ( ) Phone ( ) Other Ph. ( )
Lien /Title Holder Contractor Reg. # Exp.
Email Address Email Address
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Sewer System Name of Sewer System
Well Water System Name of Water System be I:y CcsV-e
PARCEL INFORMATION - 12 �it Tax Parcel No. \ Q `��\ /��il / OOC)G 0 Fire District
Legal Description o i ✓ 1— oT C / 1-3 'fW Ce,v
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 take — _ River/Creek Pond
Wetland . Seasonal Runoff ' —._. Stream --Slopes or Bluffs
PERMANENT RESIDENCE 53" SEASONAL RESIDENCE ❑
TYPE OF JOB - New Add Alt Repair �_— Other Use of Building
Is this permit submittal th resuit of a Stop Work Notice, Correction Notice or other enforcement action? (Yes/Nod
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Describe Work ii I^,v i C Al/ C(A}- PQ V_
No. of Bedrooms No. of tathrooms SQUAkE FOOTAGE - 1st Floor 2nd Floor
3rd Floor Loft Basement Deck Other sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Model Year /y 7.3
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 b-e�y made without first obtaining approval. with. No changes shall be made without first obtaining approval.
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FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Planning Pd Ck#
Date Bld Pd. (n Reciept No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
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 Stove Fee State Fee
Violation Fee Pre-Paid at Submittal )
TOTAL FEES 3�