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HomeMy WebLinkAboutBLD2005-00026 Change Use Garage to Living - BLD Permit / Conditions - 2/3/2005 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 BLD2005-00026 OWNER: GARY HICKS RECEIVED: 1/6/2005 CONTRACTOR: LICENSE: EXP: ISSUED: 2/3/2005 SITE ADDRESS: 131 NE BRIGGADUN DR BELFAIR EXPIRES: 8/3/2005 PARCEL NUMBER: 123315100092 LEGAL DESCRIPTION: BEARDS COVE DIV 8 LOT: 92 131 NE BRIGADOON DR BELFAIR PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE OF USE - GARAGE TO LIVING SPACE 131 NE BRIGGADUN DR. - BELFAIR General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: V-B Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: R-3 Lot Size: Deck: Type of Work: ALT Fire Dist.: 2 No. of Stories: Occ. Load: Building:520 Valuation: Building Height: Occ. Status: Primary 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. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type City, Type 0ty. Type By Date Amount Receipt Violation Investigation Fee CMH 1/6/2005 $58.00 B12005 Building State Fee JRN 1/12/2005 $4.50 B12005 EH Plan Review CEW 1/19/2005 $75.00 B12005 Plan Check Fee TLG 2/2/2005 $72.31 612005 Building Permit Fee TLG 2/2/2005 $111.25 B12005 Building Permit Fee TLG 2/2/2005 $111.25 612005 Change of Use TLG 2/2/2005 $58.00 B12005 Violation Fee TLG 2/2/2005 $111,25 612005 Total $601.56 BLD2005-00026 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2005-00026 CONDITIONS FOR BLD2005-00026 1) 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 Xep�rtme ' r to any further inspections being performed or approvals granted. 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 ju 'sdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting in=�1!C-_7- X 3) 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 plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. a permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or rem ��ved documents will result in failure of required building inspections. X 4) 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 ashington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in pe=�59 on. X 5) All changes to" pproved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ord / ulation, must be reviewed and approved by Mason County prior to construction. 6) 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 Ins or al be made prior to requesting additional inspections. BLD2005-00026 Please referto the following pages for conditions of this permit. 2 of 3 7) 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 C $ t ances and building regulations. X 8) 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 per o not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit hold r ented action from being taken. No more than one extension may be granted. X 9) Pressure tr ated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, con c ashing. Install metal connectors approved for contact with the new types of pressure treated material. X This permit becomes null and void if work orconstruction 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.The owner or the a ent the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described property and cture for revie_W and in ec on OWNER OR AGENT: DATE: BLD2005-00026 Please refer to the following pages for conditions of this permit. 3 of 3 2/3/2005 9:06AM Payment History For Irp, Case #: BLD2005-00026 Recorded Due Type Fee ID# Description Fees Paid Date Paid Check# Receipt# By History INV 200501061455101400 Violation Investigation Fee 58.00 58.00 1/6/2005 2310 B1200500000000000004 CMH 0.00 STFE 200501121317460060 Building State Fee 4.50 4.50 EHPR 200501190735595080 EH Plan Review 75.00 75.00 PLCK 200502021110260310 Plan Check Fee 72.31 72.31 1/6/2005 2310 B1200500000000000004 TCS 0.00 PRMT 200502021110304370 Building Permit Fee 111.25 0.44 1/6/2005 2310 B1200500000000000004 TCS 110.81 CHGU 200502021110376870 Change of Use 58.00 58.00 1/6/2005 2310 B1200500000000000004 TCS 0.00 VIOF 200502021113057340 Violation Fee 111.25 111.25 1/6/2005 2310 B1200500000000000004 TCS 0.00 Total Fees: $490.31 Paid: $300.00 TOTAL REMAINING DUE: $190.31 Page 1 of I CasePaymentHistory..rpt House- C-0 h O m ` DRylwAsH L 1 J - r f GAR�.G� FtnISHE.D sN` 1r1Su,l_ATE:1� I ` i 7 11n X 7 GAK'kGE DOOR 2-01- 0- (( �- 0� House- Qj Law ,. o o Dd i` s Caruw4ar - * -RO O RoomTWO - i rloo 2t T 4SY-W Exisl-inc� o�a,rcac�f,. 2xy Cors!-�'ue.+�on�tnscata�'ecl� ALL- -- NoN C.oacl Bear►nq taJaf�� in5 ck-4fC- ell Rig � Insu�a►}ion � � .,."�� ` Y2- 2q'� 2y,q f1V Ta�aT � aRCtto�`' ExI^2rigr SoSTtk*n4 - 9 wai! Covered:cri ► Std�r malrJ,;n h�useC%Zap g , �x r sr�n D400r. 13earri cove-e�f bd Vapor 3Ccs`r'tGrl�O mi I -pol,�� 5+�o tall Wie e LO 9D0 UJ LOW - E � X - Kz €� l -� T�sra�a�on T: SF�n Walt Concr'�'e- Tre�4'�e.Ct � AnChprS Parcel Information for parcel number: 123315100092 Page 1 of 2 M SON AS' LU �' $� 9* (3 0 U N THLU g ! C� -? w Owner Information --� .... ......... ... ...................__ _._ . ........ ._ ....... . ............... .... . .. ...... ... HICKS, GARY L & NIKKI L 131 NE BRIGADOON DR ► BELFAIR WA 98528-9278 ►' "� Taxpayer Information ;MAC X 25002-0011ATTN: BILL ►'' ` w` "'' WELLS FARGO HOME MORTGAGE HOLDING 1 HOME CAMPUS ►' �.; c. r DES MOINES IA 50328-0001 ► _. s .. Legal Description ................ .... . ...... . .... ..... . .............................................................. BEARDS COVE DIV 8 LOT: 92 ► °.: ' : (Summary Site Address View of all items) .... ..... __ __ 131 NE BRIGGADUN DR BELFAIR Reval Area 2 Field Sheet FS O4731:8-9 _ ..... Land Size* 0 Land Use THREE BEDROOM Tax Code 241 Tax Code Description:: 1 403 A P3 F2 L C H * if the value is .00(zero)then the property is most likely in a plat and acreage is not usually carried on platted lots http://www.co.mason.wa.us/astr/parcel_detail.php?parcel number=123315100092 8/4/2004 at " s Parcel Information for parcel number: 123315100092 Page 1 of 2 Qa��",+,'t, 9 t FN F MASON ' UUUNTY Owner Information HICKS, GARY L &NIKKI L 131 NE BRIGADOON DR ► BELFAIR WA 98528-9278 ►' "' Taxpayer Information MAC X 25002-0011ATTN: BILL ► rr: "''°� is �''l WELLS FARGO HOME MORTGAGE HOLDINGI HOME CAMPUS ►": a jr :: ry °r:;r�R:�<�l DES MOINES IA 50328-0001 ....... . ... _........... r•Y ►' ... . :. Legal Description ......... ..... BEARDS COVE DIV 8 LOT: 92 ► =. (Summary Site Address Viewof all items) . .._...... ......... ....... . ....... ................ . ............ 131 NE BRIGGADUN DR BELFAIR Reval Area 2 Field Sheet FS O4731 :8-9 Land Size* 0 Land Use THREE BEDROOM Tax Code 24 l Tax Code Description 1 403 A P3 F2 L C H —] * if the value is .00(zero)then the property is most likely in a plat and acreage is not usually carried on platted lots http://www.co.mason.wa.us/astr/parcel_detail.php?parcel number=123315100092 8/4/2004 T MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Processing/inspections/Addressing Mason County Bldg.III 426 W.Cedar P.O.Box 186 Shelton,WA 98584 (360) 427-9670 Belfair (360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 Insulation in existing structures Insulation trade-off when converting an existing U-1 (private garage, shed, etc.) to R-3 (dwelling)occupancy 2001 WSEC Section 101.3.2.5, exception 2 "Where the structural elements of the altered portions of roof/ceiling, wall or floor are not being replaced, these elements shall be deemed to comply with this code if all existing framing cavities which are exposed during construction are filled to the depth with batt insulation or insulation having an equivalent nominal R-value while,for roof/ceilings, maintaining the required space for ventilation. Existing walls and floors without framing cavities need not be insulated..." During the staff meeting conducted on September 23,2003 staff determined that the following components will be required an/or accepted when insulating existing structures. Alteration/repair of an existing structure: Insulate existing 2x4 walls exposed during construction to R-13 or better. The code section does not specify an R-Factor in the exception, "filling to the depth with batt insulation." Due to availability and cost,staff determined that it would be reasonable to require R-13 insulation in existing 2x4 cavities that are exposed during construction. At the time R-15 is difficult to get,requiring special order and the cost is the same as,or more than R-21 batt insulation. Existing U-1 occupancy(garage)being converted to an R-3 occupancy with an existing slab,two options are available when using the prescriptive method: Option I Option II R-13 wall insulation R-21 wall iD R-30 floor insulation R-0 slab ins R-38 ceiling/R-30 vault R-38 ceilingGlazing: U-.40 or less Glazing: U-Skylights: U-.58 or less Skylights: UDoors:U-.40 or less Doors:U-.4 44 to i t �c,r Hou s - m w" Ry„�AsN N j G8RLGE FtnISHED i ` i 15' THESE P,-/ NS MUST_ E ON TH JOB SITE `(,x-7, FOR IN 3PECTION. 2-0'- o !1 'MUST M T ALL CURRENT CHANGES SUBMIT CHANGES FOR APPROVAL PRIOR TO PERFORMING WORK 44'--o f elli— Noose 0 �. .. M O � ��'•� '°-s Alit t �� ., . 0 Lom ' to �Q 11 t =C' O = &DOm 'Mud C RovrYi 2 - T - 4axeo ' THESE Pi-ANS MUST B.E 4'-�" tQ'=�� ` ON THE. .SOB SITE FOR INSPECTION. ExiShfnc� go�c�ac�F,. 2xy C.c�ns!-�e.:�-�on�tnsula�'ec� � Load Ilea r►n Lo a wz Ex 1 n 5 a4fC. 3lown Top ►n PLATE ----- Gov e re ct, PLATE V2� �►z g`1P. ed K19 .y.. TRr � aQ THESE PLANS MUST BE SLP�(3 ��aYX`A' ON THE JOB SITE FOR INSPECTION. rio r SoSTtk deny C DS les - f 7 �. LoQ11 Covered:t.Crt-h Stcdrr? ma4;ng house ila< - R 3g 3C." 8Z'� Swat r c� Jclopr Coco �x�srm G� Door 'E3eam Ynsid� CovCrec� W�fF+ yZ P ba Vo por 3or'r►tr(t, rno S+1 o wall Concreb-S THESE PLANS MIDST BE Sit+- Yto4't� O�L-�`'- �#� ON THE JOB, SITE Rpp FOR INSPECTION.- FILE COPY 90CD b 0C)o C�- -3t, Documents attached to approved plans: Sli+� d Pages 1 Plan review checklist: —I . P S Engineering: Y © Lateral Vertical Number of pages—' APPROVED MASON BUILDING INSPECTOR CHANGES SUBJECT TO APPROVAL /` DATE •0_ ti 1 1/6/2005 BU- -MUNG To Whom It May Concern: I was unaware of my need for a permit to change my garage into living space. At this current time I am financially hurting due to my wife's health and the adoption of my daughter. I had already stop building when I received the violation due to my financial standing. I have come up with $700.00 which should hopefully cover the permit costs. I would like to find a remedy to this problem that I created as soon as possible. If there is anything you can due to help me I would greatly appreciate it. I apologize for any problems that I've created. If you have any questions please call me. S7-3535 RECEIVED ►JAN 0 6 2005 aELFAIR OFFICE Cell: (253) 318-0111 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 186, SHELTON 98584 RECEIVED 2003 Washington State Energy Code (WSEC) JAN 0 6 tog 2003 Ventilation and Indoor Air Quality Code (VIAQ) 9ELFAIR OFFICE effective July 1, 2004 Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/ Ventilation and Indoor Air Quality Code (WSEC/VIAQ)application located on the reverse side. 2. Complete the window and door schedule on the reverse side. Include all windows, skylights, sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening dimensions of the windows and doors. Information about the U-factor of the window will also help to expedite the energy code review. If you are complying with the WSEC by prescriptive path and are using the area weighted average method you must include your calculations. 3. On your building plans note the location and fuel type of water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and slabs, 4, Questions? Call Mason County Community Development at (360) 427-9670 ext. 284. Additional WSEC and VIAQ compliance information is available on the internet at: www.energy.wsu.edu/buildings/ Prescriptive Requirements 0,1for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor poor Wall Wall Wall Option Area % of U Ceiling Vaulted Above interior4 exterior Slab4 p Floor Vertical Overhead" Factors s Ceiling3 Grade below a Below Floors on 12 grade Grade Grade I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 III Unlimited Single Family Res •40 •58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only *Reference Case/Call(360)427-9670 ext.284 for footnote information. Log&solid timber wall with a min. avg.thickness of 3.5"are exempt from the above grade wall insulation requirements. RECEIVED MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT JAN p g 1005 WSEC/VIAQ Compliance Application Owner: dELFA ' Telephone: a��_ 53S Parcel#:/.I 33 . - 5%-- 000 92 Type of project ( ) New Residence ( )Addition ( ) Remodel /4/ Total Sq. Ft. 1 s Floor : 21111 floor: Heated Basement: of heated area:: Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: 0 Other: Specify em12. I2 Glazing P Percentage: Compliance Prescriptive Option see reverse side circle one: I ' II III Method O Component Performance , Chapter 5— Calculation worksheets required Check one.*: L—% O Systems analysis, Chapter 4 Whole House Ventilation system O Whole House Ventilation usin a Heat Ventilation using exhaust fans&window or wall fresh air g System vents (T,7 303.4.1) Recovery Ventilation System (VIAQ 303.4.4) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3) Window & Door Schedule (If needed, attach an additional sheet) Manufacturer Room/location U-Factor Size QuantityTotal Square Feet Windows: lh erma�},o�r Irk C Roorn 35 Lock; t_ 5 X 42 O Windows: Total Sq. ft. Doors: 1�e,I M u� ►��� ��� z 2 , /2 Doors: Total Sq. Ft 1 a �d Total window and door area ilm /2 Total window & door area q.2, 01 /(divided by) total sq. ft of heated area 5#2 6 = / %of glazing i + •rr.Gyrf. r ��...,�. K r a �w Y a d k • a r 1 .✓ yr; :., r15► . Ar 427-9670 MASON COUNTY BUILDING DEPARTMENT ALL PERSONS ARE HEREBY ORDERED TO AT ONCE TOP WORK On these Premises at This order is issued because A.M. Posted P.M. 19 By e failure to stop work, the resuming of work without permission from the WARNING Building Official, or the removal, mutilation, destruction or concealment of this Notice ce s punishable by fine and imprisonment. 02/02/2005 05:50 FAX 1 360 6f4 211r UHS Inc. 191u1jZ/UUd Gary Hicks Permit # BLD2005-00026 Page Total 1 $ 1 ,075.59 2 $254.57 3 $83.84 4 $193.22 5 $569.18 6 $43.66 7 $63.04 $2,283.10 02/02/2005 05:50 FAX 1 360 674 2117 UHS inc. [o00;i/ooa •-••• -SALE- SALES 4: SIS34NNI 259962 09-26-01 21690 159.00 36' RB SUNBURST LH I tpL) IN" CS 76303 SUBTOTAL: 159.00 -5ALE- SALES M: 51534ml 259961 09-26-04 47309 151.20 2x4x10 KD HYN6 FIR 36 0 4.20 [LD) 23743 20.37 2x4X10 TOP CHOICE ST 3 a 6.79 [LD) 47699 13.44 2x4x16 KD HEM FIR 2 a 6.72 [LD) 24651 32.91 2x4x16 TOP CHOICE ST 3 0 10.97 [LD) 26818 74.75 2x4x96' KD Hp SELECT 25 0 2.99 [LD) 37730 li9.e0 7/167f4X6LP PRMO INC 519 23.96 [LD3 139374 5551600120 3.99 ECON Z METAL GALV 7/ 3 a 1.33 (lop) 13590 146.13 R19 FACED118.8380' 6 3 (1 48.71 [LD) 40342 11015 11.98 ) 3/8 X 2 1/4 WSDGE 1 l [LD] 35030 GH61120 8.92 SIDING CAULK WHITE 2 B 4.46 (LD] 46479 SC2061 13.94 SDS SHANK 3/8 X 4X6 y 2 a 6.97 [LD) 2 45.00 FREIGHT AND DBLIVERY INVOICE 76304 SUBTOTAL: 642.43 -SOS SALE- SALES 1: S1534MR1 259961 09-26-04 86560 7050 SIERRA 188.98 48x60 XO SLIDER WHIT (YL) ORIG. POI: 78717 INVOICE 76305 sUBTOTAL: 188.90 INVOICE 76303 SUBTOTAL: 159.00 INVOICE 00000 TOTAL: 0.00 iDVOICs 76304 SUBTOTAL: 642.43 i INVOICE 00000 TOTAL: 0.00 I INVOICE 76305 SUBTOTALi 188.98 INVOICE 00000 TOTAL: 0.00 SUBTOTAL 990.41 TAX 38425 05.19 "LANCE DUE: 1,07 M/C 1,075.59 1i/C 'Nommomommos21 02 1534 i4 09/26/04 19:33.45 P.8PY: 534 CUSTOMER: GARY, HICKS _--------------------- -SALE- 02/02/2005 05:50 FAX 1 360 674 2117 CHS Inc. l�Uo4lUUy n- WEE BREMERTON, YA (360)405-6270 BREMERTON. WA -RETURN- (360)405-6270 SALES d: S1534BR1 747422 11-09-04 -SALE- SALES t: S1534KB2 746232 11-00-04 172723 INSULATION MACHIN 250.00- ORIG.STORE:1534 BATE:110004 INU:10668 112507 BEADEX ALL-PURP C 8.25 186845 2 PK 9-3/0" DEC C 5.97 SUBTOTAL: 250.00- 40353 11" PLASTIC TRAY 2.68 TAX 38425 ; 21.50- 4 1 0.67 INVOICE 15461 TOTAL: 211.50- 226664 15.5 LITER FASTER 20.91 3 a 6.97 8248�tEC1-'14 �----5�;88 BALANCE DUE: 271,50- & g 82400 C . SULATION 23.92 M/C : 271.50- r SOLD AS-IS i 4 0 5.98 136698 GEL SCENTS FRAGRA 1.97 NYC XXXXXxxxxxxx686B 136696 AEL SCENTS FRAGRA 1.97 AMOUNT: 271.50- 135598 EXTRUDED FOAM 24" 29.26 .......... ------ 22 0 1.33 i 1534 TERMINAL: 15 11109104 10:00:52 40234 GL IN"A1.11•99SE .41.76 2 11 20.08 - 40236 GL INT SRTN BSE 4 20.88 110555 15" 2LT FLUSH RUS 25.95 2 a 12.98. 172723 INSULATION MACHIN 250.00 SUBTOTAL: 464.41 TAX 38425 : 41.66 INVOICE mu TOTAL: 526.07 $ -5 2) o' BALANCE DUE: 520.07 NYC xxxxxxxxxxxx6968 000674 ` AMOUNT: 526.07 -.-------------------------......... 1534 TERMINAL: 10 11/08/04 11:13:29 THANK YOU GARY HICKS FOR SHOPPING LOWE'S RECEIPT REQUIRED FOR CASH REFUND r 02/02/2005 05:50 FAX 1 3b0 b (4 211 ( uHJ inc La vvD/vvd o THANK YOU FOR SHOPPING AT THANK YOU FOR SHOPPING AT SCOTT MCLLNDONIS HARDWARE 42 ;COTT MCLENDON'9 HARDWARE 42 (350) 275-0113 MR) 275-0113 16/22/04 12:45 DLLN �05 SALE 10/2I/04 3:42 DLLM 563 GALE ---------- ------------------------ --------------------------------------- 30127E1 -2 LA 1.29 �:A T5387I7 2 CA 2.19 EA BOX SG L GHG OLD WORK 14C 2.58 9" I•PRIj 4-PLY ROLLER C 4.38 LE14531 1 EA 1.49 IfA 1L919 1 LA 74.99 CA SWITCH QUIET 3-WAY GRND IOW 1.49 RYL LTX IN1 PUA PRIM 5G 74.99 31868 1 EA 8.93 EA 11je19 *ITCM VOIDED* C 74.991 DIMMER ROTARY 3W PUSH IV 8.99 053176 1 CA 19.99 EA AS58691 I EA 39.99 EA 50' 12/3 W/G NMB Cable 19.99 C5WlN JGL PUA INT PRIttER 39.99 UB--TOTAL: 33.05 TAX. 2.74 SUB�TUTAL. 44.37 TAX: 3.6E TOTAL: TOTAL: PC ANT. 35.79 BC ANT: 48.95 M CARDR. XXXXXXXXXXXX0821 DK CARDI: XXXXXXXXXXXx9921 JRhLA A34387 ({__ ____)) JRML# A°3975 COST 4 *2 CUST 0 12 THANK YOU 3ARY L HICKS THANK YOU GARY L HICKS FOR YOUR PATRIMA�E I'OR YOUR PATRONAGE 02/02/2005 05: 50 FAX 1 360 674 2117 CHS Inc. 1�006/009 - BREMERTON, WA BREMERTON, WA (360)405-6270 (360)405.6270 -SALE- -SALE- SALES M: $1534BB2 236915 10-11-04 SALES N: 5153682 236915 10-26-04 149351 SS TF-D 3PC DRYWA 8.97 60386 JH SPRING GRIP OR 8,54 112507 BEADEX ALL-PURP C 0.25 2 0 4.27 88583 110 OUTDOOR WALL 59.96 65038 1/416"08L STRATA 8.46 2 8 29.90 10 8 0.47 11752 ,10INT TAPE OYP 50 3.47 11931 5-8 GAL DRYWALL F 0.95 70972 NON-MET, WALL BOX 3.60 215727 6 GAL 3 HP WET DR 59.94 20 / 0.18 70111 CABLE COP NM 250' 26.50 SUBTOTAL: 65.90 158239 1/2"PLASTIC STAPL 4.46 TAX 36425 : 5.67 70978 NON-NET.CEIL,BOX 1.70 INVOICE 14490 TOTAL: 71.57 2 8 0.89 SUBTOTAL; 118.99 BALANCE DUE: 71.57 TAX 38425 : 10.23 INVOICE 14245 TOTAL: 129.22 NYC ; 71.57 BALANCE DUE: 129.22 NYC XXXXXXXXXXXX0021 026211 AMOUNT; _71.57 CASH : 7.57 ----------------------- NYC r121.63 1534 TERMINAL: 14 10/20/04 11:16:19 NYC XXXXXXXXXXXX0821 011835 AMOUNT: 121.65 iwuwiM■wsr,x. 1534-TE90INAL: 14 10/11/04 13:14:04 GXgM,n n,M•,�,�„u,uw hn n- x ar x„xwe..x 02/02/2005 05:50 FAX 1 360 674 2117 UH5 Inc. t-aw E S 5 BREMERTON. UA THANK YOU FOR SHOPPING A'f (360)405-6270 :iCJTT ilGLENDON':i HA>iD�fA;i3 Y2 -SALE- (AW) 2't--hI3 SALES A: S1534LV1 134506 10-15-04 la/i7/YJ4 9:28 t)mo J'i5 SALE 90235 (35150) 92" fi ANL 98.00 416�;;5----__,.__�__1___1�L __3���3_�_,-� 2 B 49,00 iJlk� i�/t-Nf'!Wu 85H' ;<4.93 chlf7B&�f i r"A 2.29 LA 90173 (35149) 32" 6 PHL 49.00 F;Vsil lb-1 Jack 2.29 131651 BLK 100' RO6U COA 21.91 i536Fsi9 i I:I A. 3�1/4" -fJRU FOWEk MUPPAINT 4.49 9313E 15R SPEC RECEPT B 23.92 ZLB:.a 1 ;A 3,15 :'A 13 ® 1.04 BLU TAU) 8XIO 3.19 70606 RESI SP SWITCH 13 1.83 s0646 1. l:a. .. .3.19.a 3 B 0.61 LAPPHOLDR CHAIN P(1kE66@W 3.79 E 3 to .25 EA 211635 DIM'N'6LON 34i OL 11.9E i LECTRiIAL .15 70645 18 MIDI SW PL 203 1.77 R EA 2.29 cA 3 B 0.59 NA;LS 11,45 78949 MIDI PHONE JACK 3 2.97 S `A 2•99 EA 3143E WIRE CONNECTOR.LQ 3.77 i24Bf3a; �A' 6.23 cA l 131500 DUP WALL PLT 750H 3.97 i/� X 4 X 9 EEITROCK E 214034 10PK QUAD R06 CON- 5.93 131516 HEAVY DUTY CRIMPI 5.91 +�v 201675 CEILING BOX WAN 11.13 ==A'T1TAL: 2n5.22 TAX: 22.a1 3 0 3.71 TOTAL; 71001 NON-NET.JUNCT. BO 2.06 BK CARD1t: XXXXXXXXXXXX�8,)l .�a 70985 NON-NET.BLANK COV 0.04 71862 CARD,BKR. CT-H 20 11.65 3 ® 3.95 ==); ;fRrL# A4B9'/; 72605 18 RECEPT PL IOPK 1,80 COST Q *2 SUBTOTAL: 259.62 TAX 38425 : 22.33 INVOICE 00713 TOTAL: 201.95 61 BALANCE DUE: 251.95 M/C XXXXXXXXXXXXO821 015975 AMOUNT: 281.95 r' 1534 TERNINAL: 06 10/15/04 11:30:1) ,17 J'�cl F 02/02/2005 05 : 50 FAX 1 360 674 2117 CHS Inc. 10vvujvvu CEDAR PRODUCTS CO. 3253 Chico Wayy N.W• BREMERTON, WASHINGTON 98312 (360) 377-9943 CUVOM—Ern '3ORDER NO. PHONE DATE c' / ADgPBWS ... _.,�.._ ., S(ISLQ D., �' y E'� QN AC, ir�ADS ,R b.l,' P- di• !;�Yi E �' v. �p},� 1� -w r*�y�Y s{� 01 �}�'' 'a�Y,+�o ��' .L ,1,'. �I pl, �;ti'�c rif,v�� Sr+, �� • �� OTY. ti DESCRIPTION PRICE AMDUNT I I_ I ---.. .. _ •_ f i -76 I I , I I \ I _ I I I l I I I 1 I I TAX RECEIVED B� TOTAL All claims and returned goods MUST hp accompanled by thls bill. 59262 ® To Reorder, � cYOu WO-225-WW or netwoom J 02/02/2005 05:51 FAX 1 360 814 211 ( UHS inc. Qcl:. ()0y THNK SCOTT MYOU FOR SHOPPING AT \ THOK YOU FOR SNOPPII{4 AT O60) 27 S HARDWARE �� v SCOTT MCLENDOH'S HARDWARE N2 (36B) R75-8113 c36g) 2?5-8113 ti 19/21/04 12:19 ---- 565 SALE- \ k � 562 SALE --�------ 19/84/94 3:15 JSF HT1B295 ------ --------------- - --------------------------------- 1B' fLAL.➢RYWAIL CDR EA 1.59 EA '� ----- 7� ��`) 54361 1 EA 6.99 EA6.99 ��7d 11,99 3• e�i y� FILM POLY CLMIL 19X25' TEXTURE SPRAY 2.2 TR - 355.971 3 ALLWAY STIFF GALL SCRAGEk .58 T39b23g i EA 1.19 EA2.D3 SUB-TOTAL: 6.99 TAX: 7 3510 Plastic Corner Trrwe1 TOTAL: i351g 1.19 BC AMT: 7.5 TAPE MESH 1-7/81X39g+ EA 7.99 EA 7.99 BK CARDN: XXXXXXXXXXXX6921 SUP-TOTAL: 51.22 TAX: 4.25 )) JRMLN A6Z499 TOTAL: 5° CUST 0 *2 DK CARD#: XXXXXXXXXXXX082AlpJT' ,•4, THAHli YOU GARY L HICKS FOR YOUR PATRONAGE =__>) JRNL# A93733 CUST N *2 THANK YOU GARY L HICKS FOR YOUR PATRONAGE MASON COUNTY PERMIT NO. C) • 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 pr On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner AA R y N i['_kS Company Name Mai lin Address -3 tijr—AeiCL,,r4ntjhj b Mailing Address City State W A Zip Code 98521 City State Zip Code Phone N-yo-277-9535 Other Ph. .253 Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# b[icksQ L27A 3 DOB ? 3 Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic r/ Connect to Water System Name of Water System Well Water System Name of Water System S PARCEL INFORMATION - 12 Digit Parcel No. - Fire District Legal 6esCription 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 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?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE jEASONAL ❑ Use of Building Describe Work / No.of Bedrooms No.of Bathrooms =2!5-- Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 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. 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 necessaryparties. If permission is required from any easement holder or any other parry in interest regarding this application or the work proposed in the appIM tlSaTt� 1 d permission from themto apply for this permit and conduct the work proposed. The owner or agent on owners behalf,repre If��II e n r ation providgd is accurate and grants employees of Mason.Eounty access to the above described property and structure for revi `�� inspection. PROO OF NUATION Q W RK IS ANSOFA PROGRESS INSPECTION. UAN 0 6 2005 X Date: Owner/ w Ers a resentative/Con Factor indicate which one _T�_ 3ELFAIR OFFICE 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 Buildina Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other D Wood/Gas/Pellet Stove Fee State Fee 6 Violation Fee Pre-Paid at Submittal Valuation TOTAL FEES