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HomeMy WebLinkAboutBLD2011-00300 Cancelled Revised Reconstruction of SFR - BLD Permit / Conditions - 8/24/2012 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2011-00300 OWNER: JOHN NORMAN RECEIVED: 4/19/2011 CONTRACTOR: TRANS NORTHWEST CONSTRUCTION LICENSE: EXP: ISSUED: 5/16/2011 SITEADDRESS: 50 NE STRAUB HILL BELFAIR EXPIRES: 12/8/2011 PARCEL NUMBER: 123325000072 LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS - S 32/90 LOT: B OF SP#1287 PTN TR 29 EX PROJECT DESCRIPTION: DIRECTIONS TO SITE: Reconstruction of SFR (destroyed by fire) ST RT 3 TO BELFAIR, R ON STRAUB HILL TO SITE ADDRESS ON THE RIGHT SIDE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 4 Occ. Group: R-3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:2,400 Garage-Attached 1,240 Valuation: $ 296,699.24 Building Height: 30 Occ. Status: Primary Basement: COV PORCHS 318 Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: N 10.0 Ft. Shoreline: Ft. Water Body: Rear: S 5.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: E 105.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 100.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 4 Furnace<100K 1 Plan Check Fee GMM 4/19/2011 $1,359.38 S12011000( Lavatories 4 Ventilation Fan 5 Planning Review Fee GMM 4/19/2011 $205.00 S12011000( Bath Tubs 2 Dryer Vent 1 Fire Warden Review GMM 4/19/2011 $73.00 S12011000( Showers 1 Exhaust Hood 1 EH Plan Review KKK 4/19/2011 $103.00 S62011000( Water Heaters 1 Building State Fee LDK 4/26/2011 $4.50 S12011000( Clothes Washer 1 Building Permit Fee LDK 4/26/2011 $2,096.95 S12011000( Kitchen Sink 1 Mechanical Permit Fee LDK 4/26/2011 $85.50 S12011000( Dishwasher 1 Mechanical Base Fee LDK 4/26/2011 $28.50 S12011000( Hosebibs 2 Plumbing Permit Fee LDK 4/26/2011 $145.40 S12011000( Laundry Tray 1 Plumbing Base Fee LDK 4/26/2011 $24.70 S12011000( Total $4,125.93 r f BLD2011-00300 Please refer to the following pages for conditions of this permit. Page 1 of 6 Inspection Line (3tiu)4L/-/LbL MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2011-00300 OWNER: JOHN NORMAN RECEIVED: 4/19/2011 CONTRACTOR: TRANS NORTHWEST CONSTRUCTION LICENSE: EXP: ISSUED: 5/16/2011 SITE ADDRESS: 50 NE STRAUB HILL BELFAIR EXPIRES: 11/16/2011 PARCEL NUMBER: 123325000072 LEGAL DESCRIPTION: SAM B. THELER'S HOME & GAR TRS -S 32/90 LOT: B OF SP#1287 PTN TR 29 EX PROJECT DESCRIPTION: DIRECTIONS TO SITE: Reconstruction of SFR (destroyed by fire) ST RT 3 TO BELFAIR, R ON STRAUB HILL TO SITE ADDRESS ON THE RIGHT SIDE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 4 Occ. Group: R-3/U Lot Siz Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building: , 00 Garage-Attached 1,240 Valuation: Building Height: 30 Occ. Status: Prima Basement: COV PORCHS 318 Manufactured Home Information Setback Information Shor ne&Planning Information Make: Length: Ft. Front: N 10.0 Ft. Shoreline: Ft. J r Body: Rear: S 5.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. o Desig.: Not Applicable Side 1: E 80.0 Ft. Year: Serial No.: Side 2: W 65.0 Ft. Co p. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. T IF By Date Amount Receipt Water Closets (Toilets) 4 Furnace<100K 1 Pla eck a GMM 4/19/2011 $1,359.38 S120110001 Lavatories 4 Ventilation Fan 5 nn R iew Fee GMM 4/19/2011 $205.00 S120110001 Bath Tubs 2 Dryer Vent 1 Fi W rden Review GMM 4/19/2011 $73.00 S12011000i Showers 1 Exhaust Hood 1 EH PI n Review KKK 4/19/2011 $103.00 S62011000i Water Heaters 1 ing State Fee LDK 4/26/2011 $4.50 S12011000i Clothes Washer 1 Building Permit Fee LDK 4/26/2011 $2,096.95 S 120110001 Kitchen Sink 1 /-�\l Mechanical Permit Fee LDK 4/26/2011 $85.50 S120110001 Dishwasher 1 // Mechanical Base Fee LDK 4/26/2011 $28.50 S 120110001 Hosebibs 2 Plumbing Permit Fee LDK 4/26/2011 $145.40 S120110001 Laundry Tray 1 Plumbing Base Fee LDK 4/26/2011 $24.70 S 120110001 Total $4,125.93 BLD2011-00300 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2011-00300 CONDITIONS FOR BLD2011-00300 1) Approved per h ensi ns and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 2) All construction and demolition debris must be removed from the site after project completion. Prope(III of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 3) Temporary erosion control measures must be implemented to prevent water qu fr!!� ion of adjacent waters or properties. Silt fencing must be installed and maintained until upland vegetation has become established. X 4) Prior to final approval, all upland areas disturbed or new Bated y construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 5) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structure meet the setback conditions listed. X 6) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved Site PI " en ure these structures are shown and meet the setback conditions listed. X 7) All property lines sh cl arly identified at the time of foundation inspection to determine proper setbacks. X / 8) 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 yhonetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X i 9) 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 gr ted. In dition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Depa a or t any further inspections being performed or approvals granted. X �ULie t MN , W(n urn i TY few&,,� - , S i BLD2011-00300 Please refer to the following pages for conditions of this permit. Page 2 of 6 'r0) Owner/Agen is rsuble tp post the assigned address and/or purchase and post private road signs in accoraance witn iviason county i itie 14.Lu. 11) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the pans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. Thep it holder i responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of ap ro oc is will result in failure of required building inspections. X 12) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 13) The"approved" site pla is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then approval will t be gra ed. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Dep n to any further inspections being performed or approvals granted. X 14) Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38, and Slab Insulation R-10. In addition the followin credit from Table 9-1 shall be completed: 3A& 5A X 15) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel. The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where there is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 503.10.2, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA) when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing. Compliance certifica es are available online at the WSU Energy program website titled, "WSEC 2009 Certificate" and are available in %or sheets. The Mason County Permi Center will also have some available. X BLD2011-00300 Please refer to the following pages for conditions of this permit. Page 3 of 6 "r6) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in vvStL Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or instal le i or arou d swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps). Refer nce 5. X 17) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation i tructions. X 18) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/work heet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental H alth to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor i ging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X el" 19) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) equires 5ft setback from all footing/foundations. C. No foundation rains within 30ft, down gradient of drainfield/reserve area. X 20) The international code re uires 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 equired to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads conn c county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 21) 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 construc ion. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are re oved, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall by the Building Department prior to any further inspections being performed or approvals granted. X 22) All construction must meet or ex ed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occu ancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X C�s BLD2011-00300 Please refer to the following pages for conditions of this permit. Page 4 of 6 23) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and IVIUS I NU I adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County oad, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be loc a within 2 ' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. X 24) Placement of str ure mist comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 25) All changes to"approved" building p ns that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, mus b wed and approved by Mason County prior to construction. X 26) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. 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 ps amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall b ade pr r to requesting additional inspections. X 27) All property lines shall be clearly identified at the time of foundation inspection. X 22 28) All building permits shall have final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection o to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordi an building regulations. X 29) All permits expire 180 days fter permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period t exce ding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prev nt from being taken. No more than one extension may be granted. X 30) Pressure treated wood m nufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and fla stall metal connectors approved for contact with the new types of pressure treated material. X 31) Retaining walls needed to support a surcharge c ctures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X BLD2011-00300 Please refer to the following pages for conditions of this permit. Page 5 of 6 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 o rk 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 Mas Cou ty access to the ab a described property and structure for review and inspection. OWNER OR AGENT: DATE: II C,"M V,N i ril °� L--LAn o is S -(Y-A tss I V&4 tZr (�,pN S�u«o+� BLD2011-00300 Please refer to the following pages for conditions of this permit. Page 6 of 6 t co r ' o CONCRETE MECHANICAL Z o I _I/ By / �� MANUFACTURED HOME 0 Footings !Setbacks Date (�/' Interior Date O�/� Gas Piping Ribbons 9 G By Interior.Date By Date By Z 0o Extergr Dates-2 S"—// By/ Exterior-Date By Set-up INSULATION C_ Point Load/Isolated Footings Date Date By BG 1 SLAB INSULATION —__ _......... By 2 Data By FIRE DEPARTMENT Z Foundation Wails Floors Date By Date By Data - By DECKS FRAMING Walls Date By Date _ ByT4 Data Y/ By PROPANE TANKS PLUMBING vault Date 64 Date Groundwork Attic — OTHER Date By Date By Type. Date By D.W.v DRYWALL Type. v Date /_ 1 sy(,/� Int Brace Wall Date By 001 a) Date By FINAL INSPECTION p CD Water Line / Fire Separation lV Date \VI// By Date By Date By m � o Pass or Request Inspect. o a Type of Insp. Fail Date Date Done By Comments w CD�c •✓ l^19` c(D L / TO try ti — y'y7% O o n s / CD .f 1 -/9- ..�J Cam_ 3 • Lt2 20 l ) rn ,l �-r=moo ' ' eL m ,.`1 �� z ZI Irt CAO-4-1JL 4-,�r Permit# Iljd23ec., MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHING TON 98584 360) 427-9670 CORRECTION NOTICE Job Location IVIU AU6- 5'r✓4:,L,% 6 �j 1 11 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance 1 C'r ��,ry�ar�-N Y ►�S ;/I.1, � �' � U� C vH t/Y.sT, �� rc�,•,,, /A/I K a'r rs w, x I ' r! Yam. L✓� i �.�.. •i"I ' a l I� �'t. N-C�'I�s. ��r.�Lt '� ,rC-S (c,.,��..'1• f� - �j�G�9 a � i Hof C,rl N 12 i C rN1/`S L402YJ rG �jn KJ 1C vr• . I 1 y,e.�• tCi S a q� !�.t rc..� S C.v�� S•GT � �'-t'.r,.`T3 �' C o�- 7 . -pto !fir �_'� r,,rGc j�Ci� ' �-.1 /Til�l�►�`�'S �'-�w toy Pod r'0 N► •�-w���, J�1 d /►In Of +Q?G+ %'s In ,, r�srrit� d 1 v /✓ � CQn� M•�A L �S '1 r� G �l (•Il�f r•,��-G� �c3p/CS C'�� '�`�� �.G II�S I'l �,�h �1 (f„`C- �✓� (�S� 's� ��1,S 1��1 -S Get `A kAj I LC S ✓1 I 1 �t r�Cv1 -f L �/ �:�r� You are 11 ere by noti ied that the above�orrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK © Call for re-ins )ection when corrections are made before continuing ❑ please contact our office ❑ Make correctio'►?s, items will be checked on next inspection regarding possible structural damage incurred by recent 0KtoA'V1L-(�, 01-) 1A 6y'%IN )DC' q,��elej- "natural/man made" This is not a complete inspection A-r-r`-L, disasters.This is NOTa Date Z ZLI Z Department CORRECTION NOTICE. Inspector I�Jl 7� N� - �T , INIr U .Permit# MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location _4 -of This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found' Items listed below must be corrected to gain compliance 1 ct ( L r You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ® OK to j C— damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOT a Date Department CORRECTION NOTICE. Inspector _ ■ NIoLIT i r16 *I r ' THImah, T"firmOr PLAN R I I ' `'"---�..,,,,,� RECEIVED APPROVED DATE 9 MASON COUNTY DCD PL NNING � SITE PLAN REQUIRED TO BE 0,1N SITE CHANGES,SUBJECT TO APD VAS/ 4*= of Ib6A SEP 2 0 2011 426 W r E-DAR S f. PLANNING <4- PLANNING: 9 ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING t �d M T 5,a,n�► P jT AA jj Io' a �° I a(mcjvntt `= Sty Alf S4rot i- Id -3D,So coo Ito 7QPPA V.3 I MASON COUNTY PERMIT 1\10__'_�1(-! I -cc We 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 w"ylE tr :d. 71' .€.�lr� Owner ,((H 1`J (' �'to 4 l"Ja Company Name'nEl tv" 3X <�;�'2.- Mailing Address f l:?i Mailing Address � - r.. Cityf'-� '� 4� State '>>f Zip Code City 01ILY41 ;A State Zip Code Phone T'Cr 1 "�%` }l Other Ph. Phone (3nc - 1//R, Other Ph. Lien/Title Holder Contractor Reg. # Exp. I0 E mail address E Mail Address J .t l ie Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic—�. Existing Septic ` Connect to Water System � Name of Water System t-r}�► ►� °' '-J + 6 o- Well Water System Name of Water System vi PARCEL INFORMATION - 12 Digit Parcel No. 11 -- i ? r'�C� ► xL Fire Distric -� Legal Description' e�, �.�� .t �` ? i t `l P_ of ,�f f".L. , �44 a..t" , "t`� �— Site Address(Please include street name,s et nu r and city) `�lV. 1fr-- Av0 0 r,: f Directio s.to site .S t L' f`.>) Its >S I Q c,t 1l I 11_ `� ��/�: !k D f � e LS.S (�11� tx._ n'l l k Will timber be cut.afid sold in parcel preparation?Yes/ o, Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% I 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 Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building K.r 1'\)L tTl( Describe Work klj'A t f rm_Vt ,�"r *. � '": 4'� e s_ No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 12,UC1 3rd Floor _ Basement Deck Covered Deck Other Sq. ft. Garage "' Attached Detached Carport Attached Detached MANUFACTURED HO FORMATION - Maa Model Year Length Width Seri No. Nn of R rooms No. f Bathroo_ms Type of Hea Purc e P a: Replace nit? Yes/No taller Nam 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 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 Date7 -I i 7 6) 1 1 Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: 1) Date4iolzo' DEPARTMENTAL REVIEW APPROVED DENIED i NOTES Building Department (1 RA 062 EL U.<AW 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 Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY PERMIT NOEIC 1 201 I &�LO 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 -�'C hYl K l(il Yyl � (1 Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.It Exp. E mail address E Mail Address Drivers Lic.# DOB 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. I4;� 'T 2 Fire District Legal Description Site Address (Please include street name, street number and city) 110 Directions to site 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 - 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNVS Type of Fixture No. of Fixtures Fees Fuel Type:ElectriC—_ LPCz_ 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/PelletStove Dishwasher / Kitchen Exhaust Hood --7— Hosebibs 1z- _ Dryer Vent Other I Other ""'Al Till 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 perMd 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 CtFW7S BY MEANS OF A PROGRESS INSPECTION. .) p X Date: f�C Owners presentati /Contractor )(indicate which one) LL'lYllt1�,j(�(ry i�7Gni> ,i NrL� FOR OFFICIAL USE BEYON THIS POINT Accepted by. Planning Pd Ck# Date ° I Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department ,.�s, Occ Grou AA3 T e Constr g u fi '-Okc 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 ACCESS & GRADE INSPECTION BLD ADDRESS: INSPECTOR: DRIVEWAY ACCESS ( ) need post at access of driveway with reflective address numbers Length: Width: Surface: Size of turn-around: Condition of shoulders: Vertical clearance: GRADE OF DRIVEWAY %, OF ROAD % ROAD ACCESS Length: Width: Surface: Condition of Shoulders: Vertical clearance: (� BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES 2 X 3 FIRES PASSED ( ) FAILED ( ) ON HOLD ( ) REMARKS: APR-22-2011 FRI 02: 52 PM TRANS NORTHWEST CONSTR FAX No. 360 413 0196 P• 001 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT PaMA ProubsslnonepeGtionsfAddressing Masan County Bldg,111428 W.Cedar P.Q.Box 180 Shelton,WA93384 (360)427-0670 Selfeir(360)275-4457. Elma(360)482-5269 Seattle (206)464-6968 REQUEST FOB BUILDING PERMIT EXPEDITION MAILINGADDRESS `7{� �I D I .! ASTATE-idL-ZIP %503 PARCEL: LEGAL DESGRIPTIONtN: t-b 1 S CP 17 "� P E y9 2 9 eC- L SITE ADDRESS:--'�3Q �JE STk-AUL') V� REQUEST DUE TO: MEDICAL CONDITION. FIRE V� OTHER EXPLANy [ON-OF HARDSHIP' h N E -� l+r �'��; �.I//�F1 IZE' J 1V 6- • SAS 'P O J tG ,�. I`n0 !� 6 MUST INCLUDE SUPPORTING DOCUMENTS THIS MAY BE A LETTER FROM A DOCTOR, INSURANCE CLAIM REPORT, OR REPORT OF FIRE DAMAGE FROM APPROPRIATE FIRE REPRESENTATIVE I (VVE) UNDERSTAND THE INTENTION OF THIS FORM IS TO DETERMINE AND DOCUMENT JUSTIFICATION FOR EXPO I ON FA BUILDING PERMIT TO ALTER OR RECONSTRUCT A RESIDENCE ON A13OVE NAMED PROPERTY. SIGNATURE OWNER/AGENT• OmcfAI NLY � ENVIRONMENTAL HEALTH BUILDING.DEPARTMENT PLANNING DEPARTMENT DEPARTMENT APPROVED APPROV APPROVED D I p, NlED ❑ DENIED!J TURE TU E SIGNATURE Troamnon MIN 9:13lIVSTRLJ1ET1o1V ■IVC BUILDING LIFETIME RELATIONSHIPS Fire Repair Project Scope and Valuation Owner and Site Address: Norman Residence 50 NE Straub Hill Belfair, WA Builder: Trans Northwest Construction, Inc. 418 Carpenter Rd. Se Suite 201 Olympia, WA 98503 Project Scope: This home was damaged by fire. The basic scope of this project is to put the house back to its original condition prior to the fire. The home will be gutted and a new foundation will be put in. Insulation will be installed in accordance with the Washington State Energy Code. The plumbing will be replaced and / or repaired as required. The electrical will be replaced and/or repaired per the Washington State Electrical Code requirements. An electrical permit will be obtained for all electrical work. Project Valuation: S161,684.84 IInn jjnn Julie Brannberg Community Relations Trans Northwest Construction, Inc. www.transnorthwest.com office: 360.413.0195 • fax: 360.413.0196 • 418 Carpenter Rd SE Suite 201 • Olympia, WA 98503