HomeMy WebLinkAboutBLD2007-00870 Final Log Home - BLD Permit / Conditions - 11/4/2014 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
Irplo Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2007-00870
OWNER: WILLIAM MAIDEN
CONTRACTOR: LICENSE: EXP: RECEIVED: 5/18/2007ISSUED: 6/27/2007
SITE ADDRESS: 134 E OLDE LYME RD SHELTON EXPIRES: /27/200
PARCEL NUMBER: 32127r40188
LEGAL DESCRIPTION: LAKE LIMERICK 4 TRACT 188
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW LOG HOME ST RT 3, L ON MASON LAKE RD, R ON OLDE LYME RD TO SITE ADDRESS
ON THE RIGHT SIDE
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type ofConstr.: VB
Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No.of Stories: 2 Occ. Load: Building:1,746 Carport-Attached 16
Valuation: Building Height: 24 Occ. Status: Primary Basement: 0
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: N 36.0 Ft. Shoreline: Ft. Water Body: CRANBERRY CREEK
Rear: S 130.0 Ft. Slope: Ft. SEPA?: Unkn
Model: Width: Ft. Shoreline Desig.: Unservanc
Side 1: E 8.0 Ft. Y
Year: Serial No.: Side 2: W 26.0 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 KS 5/18/2007 $653.22 S12007000
Hosebibs 3 Ventilation Fan 3 Planning Review Fee KS 5/18/2007 $170.00 512007000
Kitchen Sink 1 Woodstove 1 Address Fee BLJ 5/21/2007 $154.00 S12007000
Laundry Tray 1 Dryer Vent 1 EH Plan Review TW 6/4/2007 $75.00 S12007000
Lavatories 3 Building State Fee ARC 6/19/2007 $4.50 S12007000
Water Closets (Toilets) 2 Mechanical Fee ARC 6/19/2007 $103.75 S12007000
Water Heaters 1 Mechanical Base Fee ARC 6/19/2007 $25.30 S12007000
Bath Tubs 2 Plumbing Fee ARC 6/19/2007 $97.90 S12007000
Clothes Washer 1 Plumbing Base Fee ARC 6/19/2007 $22.00 §12007000
Building Permit Fee ARC 6/26/2007 $1,150.55 S12007000
ADJUST--Plan Check Fee ARC 6/26/2007 $94.64 S12007000
Total $2,550.86
BLD2007-00870 Please referto the following pages for conditions of this permit. 1 of 5
#j CASE NOTES FOR
BLD2007-00870
CONDITIONS FOR
BLD2007-00870
1) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads connec,$with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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2) This parcel is located in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information.
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3) 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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4) Approved-,per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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5) All development is subject to the recommendations made in the Habitat Management Plan prepared by The Wetland Corps (Heather Lane and Lee Boad)
dat d S,gptmber, 2006.
6) Water.q�lity is not to be degraded to the detriment of the aquatic environment as a result of this project.
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7) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
8) The W ashington tate Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
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9) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
BLD2007-00870 Please referto the following pages for conditions of this permit. 2 of 5
+ 10), 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
inspections.
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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 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 site for the duration of the project. Failure to comply and/or
removal,gf approved documents will result in failure of required building inspections.
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12) All replacement windows shall have a U-factor of .40 or less. Replacement windows that do not meet current egress conditions shall maintain the same
size opening or better.
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13) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X .,�;
14) The"approved" site plan 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 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.
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15) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight (Max U-Factor):0.58,
Doors (Type/Max U-Factor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10.
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16) Per 2003 IRC -SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASIC VVIND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH.
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17) Per 2003 IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
acco darice with the applicable provisions of this section and the manufacturer's installation instructions.
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18) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
BLD2007-00870 Please refer to the following pages for conditions of this permit. 3 of 5
19) , 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
charged and $hajl be collected by the Building Department prior to any further inspections being performed or approvals granted.
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20) 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.
21) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT 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 Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25'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.
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22) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinan e�pr g I tion, must be reviewed and approved by Mason County prior to construction.
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23) 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 as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspec or,phall b made prior to requesting additional inspections.
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24) All property lines shall be clearly identified at the time of foundation inspection. X d
25) 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 Couip ordinances and building regulations.
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26) 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
hold ha a prevented action from being taken. No more than one extension may be granted.
BLD2007-00870 Please referto the following pages for conditions of this permit. 4 of 5
27) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
28) 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 Plan"to ensure these structures are shown and meet the setback conditions listed.
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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 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.
OWN ER OR AGENT: �i .�(�( DATE: 6 C%`
BLD2007-00870 Please refer to the following pages for conditions of this permit. 5 of 5
A
CONCRETE MECHANICAL MANUFACTURED HOME C) Date
Footings!Setbacks / Z(P 7 $ - Cis Piping By Ribbons n1
Interior Date By Interior-Date By Date By Z
CD
Co o Exterior Date By u Exterior-Date By
Point Load!Isolated Footings INSULATION Date By F
BG/SLAB INSULATION — __-_..___._._ r
Date By Data By FIRE DEPARTMENT _ >
Founda on ails CoNot-i v J Floors fl Date By
Date�Q 6 BY Data By DECKS
F PLAA(Nb Walls Date By
Date 1 Z )z _ By LbI Data By PROPANETANKS
PLUMBING vault Date 13y_.
Date By OTHER
Groundwork Attic
Date By Type:
Date By Date By
o.W.v DRYWALL Type:
Date 3 Z! Z By Int Brace Wall Pate By W
Date By FINAL INSPECTION 0
Water Line Fire Sepe ration C
Date By Date By Date By O
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Type of Insp. Fail Date Date Done By Comments v
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Permit#`� i ��' ��' ��-'
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 03 /'L olcte- 44�- 6)
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
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
0 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 damage incurred by recent
"natural/man made"
❑This is not a complete inspection disasters.This is NOTa
Date QL I �I Department ! CORRECTION NOTICE.
Inspector Z-�)�
Permit# MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location A 3y 04,0
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
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
21 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
❑ �, ��r Cpy��1 damage incurred by recent
"naturaUman made"
❑ This is not a complete inspection disasters.This is NOT a
Date Department CORRECTION NOTICE.
Inspector T��
Permit#�- Oo g70 MASON COUNTY
BUILDING 111 426 W, CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 1-,: 01��✓��g
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
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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
lawake corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
This is not a complete inspection f5IZ77 Cc ' �r�� y disasters.This is NOT
Date �' / Department CORRECTION NOTICE.
Inspector
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hiay 09 07 10: 30a boa � r . _, .
PIONEER DIGGING, INC.
PARCEL#: 321 27-53-001 B8 n Soy!LOGS:
360-426-1803 CUSTOMER: DAVE MAIDEN 'i SL--0.24"G.�s• SL2 038"G.S.L. [1
24"-38"G.S. ROOTS TO 3B"
JOb P�,�(Dr�igrTrJ y DRAWSNG:_PLOT P1 AN ROOTS To 38"
.�JL's p�.�x CDrafjei�
"=30' _
LANNIi�
k
PLANNING:
ALL S TBACKS ARE MEASURED
a2'
F MTHEFURTHEST
PROJEC N OF THE BUILDING '�� \'
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APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE 01 SITE
C G,(E�S SUBJECT TO APPWVAL
By %? i/ Date S
60
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CRAN90 MW
Case Activity Listing 7/28/2014
4:25:34PM
Case#: BLD2007-00870
i
Assigned Done
Activity Description Date I Date 2 Date 3 Hold Disp To By Updated Updated By
BLDA010 Application Received 5/18/2007 None 5/18/2007 KS
BLDB225 Public Works Review 5/29/2007 5/23/2007 None DONE 5/29/2007 ACB
RAP issued.
BLDB200 Environmental Health Review 5/18/2007 5/29/2007 None DONE TW 5/29/2007 TW
BEDROOMS AND PLOT PLANS OK
BLDB210 Water Adequacy 5/18/2007 6/4/2007 None DONE TW 6/4/2007 TW
05.29.07 PENDING DOH COMPLIANCE CHECK ON LAKE LIMERICK WATER FAXED 06.04.07 WATER SYSTEM COMPLIANT AT THIS TIME.TW
BLDB 130 Planning Review 5/18/2007 6/5/2007 None DONE RDH 6/5/2007 RDH
Appears to meet Variance/HMP criteria.
BLDB110 Building Plan Review 5/18/2007 6/19/2007 None DONE ARC 6/19/2007 ARC
ARC REVIEWING
BLDB120 WSEC Compliance Review 6/19/2007 None DONE ARC 6/19/2007 ARC
BLDB400 Building Review Revision 6/26/2007 6/26/2007 None DONE ARC 6/26/2007 ARC
CHANGED ATTIC AREA TO HEATED
BLDA100 Approved for Issuance 6/27/2007 None DONE GMM 6/27/2007 GMM
called and talked with Mr Maiden,let him know his permit is ready to pick up,gave him remaining amount due.
BLDA500 Issue Building Permit 6/27/2007 None DONE KS 6/27/2007 KS
BLDA540 Print Inspection Card 6/27/2007 None DONE KS 6/27/2007 KS
Page 1 of 3 CaseActivity..rpt
Case Activity Listing 7/28/2014
4:25:34PM
Case #: BLD2007-00870
Assigned Done
Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By �
13LDCI I0 Footing Inspection 9/25/2007 9/26/2007 None PASS BTA 9/27/2007 MRB
check for overhang on 8'setback for setback complinace
BLDC115 Foundation Wall Inspection 10/5/2007 10/9/2007 None PASS BTA 10/10/2007 MRB
PHOTO 4'AND 5'WALLS IN BACK WITH ADDED BAR AT TOP OF WALL
BLDA985 LTR-Notice Final Inspection 11/13/2008 None DONE RTB 11/13/2008 RTB
letter sent due to inactivity 11-13-08 RTB
BLDA910 Meeting 2/17/2011 None DONE TW 2/17/2011 TW
permit has expired,Met with owner at counter&made arrangements to have 1/2 the original permit paid by 4-01-11.He agreed to this,$676.10 now due to renew permit.went over 180 day expiration time
line. Mee,2-17-11
BLDA975 Reinstated Permit 3/15/2011 None DONE TW 3/15/2011 TW
BLDC140 Framing/Plumbing/Mechanical 3/15/2011 3/16/2011 None FAIL LDK 3/17/2011 PIB
Not ready. Wanted just plumbing. Looked at plumbing found multiple san-tees. Told to remove and replace with drainage fitting. Also went over requiremtn for F/P/M.
BLDC140 Framing/Plumbing/Mechanical 9/16/2011 9/21/2011 None FAIL LDK 9/21/2011 PIB
F/P/M-Fail:
1.) Fireplace chase and venting not completed-chase will need to be weather tight prior to ok to insulate.
2.) Caulk and seal not completed.
3.) Remove all asphalt material from over framing at front covered porch.
4.) Range ducting not completed-seal&3 screws per joint.Use approved tape/sealant UL181 min.(Also at exhaust ducting.)
5.) Install nail plates at all plumbing within 1 1/4 of face of framing members.
6.) All exhaust fan ducting to be min 4"-no paper flex.
7.) Vent for kitchen has back fall need to slope away from vent stuck to drain-downward toward drain 1/4 per ft.
8.) Framing at dormer not per eng.,have eng ok or fix. Install H-clips every rafter.
9.) 2 1/2"hole on outside member of 3 ply girder in kitchen area. Complete eng fix per Al.
10.) Install solid full depth blocking at floor joist bearing wall at splice center of crawl.
11.) Toilet is being we vented by shower-connects prior to vent for toilet. Change and use 2"tub shower drain as toilet vent only and install min 1 1/2 drains&vent for shower-can connect at. Call for
re-inspection when corrections are made before continuing.
Page 2 of 3 CaseActivity..rpt
Case Activity Listing 2/17/2011
9:26:10AM
Case #: BLD2007-00870
Assigned Done
Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By
BLDC110 Footing Inspection 9/25/2007 9/26/2007 None PASS BTA 9/27/2007 MRB
check for overhang on 8'setback for setback complinace
BLDC115 Foundation Wall Inspection 10/5/2007 10/9/2007 None PASS BTA 10/10/2007 MRB
PHOTO 4'AND 5'WALLS IN BACK WITH ADDED BAR AT TOP OF WALL
BLDA985 LTR-NoticeFinalInspection 11/13/2008 None DONE RTB 11/13/2008 RTB
letter sent due to inactivity I 1-13-08 RTB
BLDC105 Progress Inspection 2/23/2009 2/25/2009 None PASS LDK 2/26/2009 NJP
LOGS INSTALLED. ROOF COMPLETED. ***IF PERMIT EXPIRES AGAIN 1 1/2 PERMIT FEE WILL BE REQUIRED TO RENEW.***$73.00 FEE DUE PRIOR TO EACH INSPECTION FOR
NOW.
Page 2 of 2 CaseActivity-rpt
Case Activity Listing 7/28/2014
4:25:34PM
Case #: BLD2007-00870
t�
Assigned Done
Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By
BLDC105 Progress Inspection 3/30/2012 3/30/2012 None DONE KS KS 3/30/2012 KS
ITEM FROM LAST C/N COMPLETED.
BLDA540 Print Inspection Card 4/2/2012 None DONE GMM 4/2/2012 GMM
BLDC135 Mechanical Inspection 3/30/2012 4/2/2012 None FAIL LDK LDK 4/3/2012 KS
ITEM#1&2 AND ADDED FIRE STOP ON KITCHEN SOFFIT NOT DONE.
BLDC135 Mechanical Inspection 4/13/2012 4/16/2012 None FAIL TFR TFR 4/17/2012 KS
1.# 1&2 FROM 9/21/2011 NOT COMPLETE.#I FLUE NOT INSTALLED AND COMBUSTION AIR AS WELL#2 CAULK ALL WIRES AT FLOOR PENETRATIONS
2.WHILE COMING DOWN STAIRS TO MID PT.LANDING LOOKK ABOVE LAST LOG AND VIEW DAYLIGHT FIRST CAULK SPLITS FROM BOTH SIDES SECOND FILL VOIDS W
INSULATION BOT SIDE AND CAP.OK TO TAKE PICTURES OF ALL STEPS AND ALL SIDES AND PROCEED.
CALL FOR RE-INSPECTION WHEN CORRECTIONS ARE MADE BEFORE CONTINUING.DO NOT COVER
BLDC105 Progress Inspection 10/15/2012 None DONE GMM 10/15/2012 GMM
SHEETROCK,CABINETS FIXTURES HAVE BEEN ADDED
BLDC105 Progress Inspection 4/11/2013 None DONE GMM 4/11/2013 GMM
INSTALLING LIGHT FIXTURES AND WOOD STOVE
BLDC105 Progress Inspection 9/30/2013 9/30/2013 None DONE TW 9/30/2013 TW
smoke/carbon combo.Working on electrical.
BLDC105 Progress Inspection 3/27/2014 None DONE GMM 3/27/2014 GMM
ALMOST READY TO FINAL
Page 3 of 3 CaseActivity..rpt
Mason County Dept. of Community Development
Mason County Bldg. 3
426 W. Cedar
Irprio P.O. Box 186 (360) 427-9670 Local (360) 482-5269 Elma
Shelton, WA 98584 (360) 275-4467 Belfair
Notice to Obtain Final Inspection
November 13, 2008
WILLIAM MAIDEN
7203 105TH AVE SW
OLYMPIA WA 98512
Case No.: BLD2007-00870
Parcel No.: 321275300188
Proiect Description: NEW LOG HOME
The Mason County Department of Community Development is currently reviewing all
permits that are expired and have not been approved for occupancy and use.
Pursuant to Mason County Code, Title 14 Building and Construction, a permit and
final inspection for this type of activity is required under the 2006 International
Building Code or the code your permit was issued and your property is currently in
violation status of occupancy and use.
Please contact our office to make the necessary arrangements 21 days from
the date of this letter. Failure to contact our office to make the necessary scheduled
inspections will result in enforcement actions.
To bring your site into compliance, you must schedule an inspection. One (1) $68.00
site investigation fee will need to be paid prior to inspection along with any
outstanding fees currently due on your building permit. For every inspection required
after that, you will be charged $68.00 again, per inspection until final inspection and
conditions are met.
To schedule an inspection, please call (360) 427-9670 ext. 262.
If you should have any questions regarding this notification, please contact me at
(360) 427-9670 ext 595.
Sincerely, ���
Rich Todd Balderston
Mason County Department of Community Development
Cc: Property File
November 13, 2008 BLD2007-00870
MASON COUNTY PERMIT NOV- na7. 7f)
BUILDING PERMIT APPLICATION Q,p - 5
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (3(30) 427-9670 • Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMAT ON CONTRACTOR INFORMATION
Owner til i lh►at, Company Name 4,02•M -r l — t I'a C.M/-
Mailing Address �,21� �n�t� ,q,,� SGJ Mailing Address , 7.2n.3
City %
State- Zip Code 9� l Z City State 1 -_ Zip Code ir S/2,
Phone Other Ph. — Phone - �(a-�/7 Other Ph.
Lien/Title Holder Contractor Reg. # -- Exp.
E mail address o E Mail Address
Drivers Lic.# DOB =�/- 5- Drivers Lic. # DOB -
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic_ Existing Septic
Connect to Water System _,_Name of Water System I g &&L h' C oti n fry c j'U
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parc I No. - &n I 44Q Fire District
Legal Description
Site Address (Plea?V include street name, street number and city)
Directions to site Rd
Will ti ber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lakt� River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs lZain
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 R] SEASONAL ❑
Use of Building ` -Describe Work
No. of Bedrooms a- No. of Bathrooms_ :2 Square Footage- 1 st Floor nd Floo
3rd Floor Basement Deck X94) Covered Deck ----Other q. 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 declae that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder owartiy�other-patty in terest 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. This permit/application becomes null & void if work or authorized construction is
not commenced within days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS
MEANS OFA PROGRESSOINSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE HE APPLICATION.BY
X �/IiZw .� .... MA Date:_
Owner resentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted b Dat -,� `
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department VW Ina
Environmental Health Department f^ J'a �1
Fire Marshal
FEES - r
Building Permit Fee X/5a, SS Site In ection
Plan Review FeeE . G EH Review Fee
Plumbing & Base Fee 0: 1?0 Pl--ninn Review Fee
Mechanical & Base fee /2 Other
Wood /Gas/ Pellet Stove Fee State Fee '
Violation Fee /Vo ENS Pre-Paid at Submittal
Valuation $ TOTAL FEES
PERMIT NO. W - t-
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar- P.O. Box 186, Shelton,WA 98584 Z
Shelton (360) 427-9670-Belfair(360) 275-4467- Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT IN ORMA�ION ' CONTRACTOR INF RIM TION
Owner Gl� �tle,� ./) ✓.` l-( a id Pt'i Company Name
Mailing Address Mailin Address
City tate W Zip Code City tale
4.
1�J,� ZipCode 5SD6
Phone - Other Ph. Phone Other P
Lien/Title Holder Contractor Reg.
E mail address U>> Aq X 1 �n . C0�9 E Mail Address
Drivers Lic.# B - Drivers Lic.# OB Al
SEPTIC INFORMATION - Connect to New Septic_— Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description It r
Site Address (Please include stre t na e, street number and city
Directions t site e 'G
00,0 /
Is property within 200'of Saltw ter Lae River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building e
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet.Y,
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture,,, No. of Fixtures Fees Fuel Type:Electric.- LPQ Natural Gas_ Heat Pump_
Toilets _- S, W Type of Unit No. of Units Fees
Bathroom Sink k3.I(1 Furnace-t&vN-f ? -4ey-
Bath Tubs I S,yD Heatpumps
Showers Spot Vent Fan 3 �yod
Water Heater Propane Tank
Clothes Washer _1. 70 Gas Outlets
Kithen Sinks �— y Gas/Pellet Stove
TD ! •Z�
Dishwasher T— � ichen Exhaust Hood 11. 7
Hosebibs Dryer Vent
Other Llt Other
Base Fee �.00 ��f( Cy,��� Base Fee Jd
TOTAL PLUMBING-Ldk-,Wj TOTAL MECHANICAL
OVVER/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 9ONTINUATION qF WORK IS Y MEANS OF A PROGRESS INSPECTION
X !.t > >1.r,7 -A4 Date: 5 / 7-02 G0 7
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYO D HIS OINT
Accepted by fanning Pd Ck# Date Bld Pd Receipt No.
DEPARTM TAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.-
Planning Constr.—
Planning Department
Environmental Health Department
FEES
Plumbina & Base Fee Site Ins ection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
J