HomeMy WebLinkAboutBLD2004-00711 Final SFR - BLD Permit / Conditions - 8/29/2005 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
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RESIDENTIAL BUILDING PERMIT BLD2004-00711
OWNER: BILL RUSSELL RECEIVED: 5/13/2004
CONTRACTOR: REALITY HOMES (253)926-6330 LICENSE: REALIH1984CN EXP: 2/15/2005 ISSUED: 6/10/2004
SITE ADDRESS: 42 E JENSEN RD SHELTON EXPIRES: 12/10/2004
PARCEL NUMBER: 321314100050
LEGAL DESCRIPTION: NE SE LYING ELY OF BROCKDALE RD
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW RESIDENCE TURN RIGHT OFF BROCKDALE TO JENSEN
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: V-N
Type of Use: SF Insp.Area: 4 No.of Bathrooms: 2 Occ. Group: R-3/U-1 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No.of Stories: 1 Occ. Load: Building:2,152 Garage-Attached 506
Valuation: Building Height: 18 Occ. Status: Primary Basement: COV. PORCH 30
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: N 80.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: S 275.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: W 32.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: E 586.0 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 NJP 5/13/2004 $838.86 S22004
Hosebibs 2 Furnace<100K 1 Planning Review Fee NJP 5/13/2004 $155.00 S22004
Kitchen Sink 1 Ventilation Fan 3 Building State Fee LDK 6/3/2004 $4.50 S22004
Lavatories 3 Heat Pump 1 Building Permit Fee LDK 6/3/2004 $1,290.55 S22004
Showers 2 Dryer Vent 1 Plumbing Base Fee LDK 6/3/2004 $20.00 S22004
Water Closets (Toilets) 2 Plumbing Fee LDK 6/3/2004 $96.00 S22004
Water Heaters 1 Mechanical Base Fee LDK 6/3/2004 $23.50 S22004
Bath Tubs 2 Mechanical Fee LDK 6/3/2004 $65.10 S22004
Clothes Washer 1 EH Plan Review CEW 6/7/2004 $75.00 S22004
Total $2,568.51
BLD2004-00711 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-00711
CONDITIONS FOR
BLD2004-W711
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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2) The Uniform Fire 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 ro connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
3 All upland areas disturbed or newt cr b construction activities shall be seeded vegetated or given an equivalent type of erosion protection silt
P Y Y � 9 9 q YP P (
fencing or straw matting). X
4) Approv dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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5) Temporary erosion control measures must be implemented to prevent water quality der n of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
6) 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
Departure r to any further inspections being performed or approvals granted.
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7) In accordance with the Uniform Building Code 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 Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
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BLD2004-00711 Please referto the following pages for conditions of this permit. 2 of 4
8) *.The plan review check list and corrections, along with the Energy Compliance Worksheet (when applicable)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 sit f r he duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections.
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9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
10) The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot 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 De r nt prior to any further inspections being performed or approvals granted.
X
11) 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/ x 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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12) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X
13) 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 would
result in per it evocation.
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14) 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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15) All changes to"approved"building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regulation m t be reviewed and approved by Mason County prior to construction.
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16) All property lines shall be clearly identified at the time of foundation inspection. X
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17) 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 Coun ' ances and building regulations.
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BLD2004-00711 Please referto the following pages for conditions of this Permit. 3 of 4
<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 period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder h e evented action from being taken. No more than one extension may be granted.
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19) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, d flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspection.
��O'
NERO AGENT: DATE:
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BLD2004-00711 Please refer to the following pages for conditions of this permit. 4 of 4
o CONCRETE MECHAN CAL MANUFACTURED HOME-
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Footings I Setbacks Date 9 ,-7 Ribbons
o) Date -1 / 4)q Gas Piping Date By
Foundation Walls Date B y Set-up
Date By INSULATION Date By
B G I Slab Insulation Floors Final
Date By Date By Date By
FRA N Walls FIRE DEPT
Date ��� Date / L11/1//0C/ Date B y
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD N G
D.W.V. Date p
Date R��>��/ FINAL INSPECTION
Water Line Date B y
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Date �7 m - -. �. � � _ ti � Date By
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MASON COUNTY PERMIT NO.0
BUILDING PERMIT APPLICATION
426 W. Cedar 9 P.O. Box 186, Shelton, WA 98584
helton (360) 427-9,670 - Belfair (360) 275-4467 - Elma (360) 482-5269
U,��n V,l,co.mason.wa.us
APPLICANT INFORMATION t CONTRACTOR INFORMATION
Owner, 1A 1 S e Company Name jP'j=Cj1r
Mailing Address R o' a ft P. V 3 3 Mailing Address 13o8 Aleyot d&#-- Ave.
qCity StatewA .Zip Codcity FIrr State Zip Code 7 r;y�_y
hon
S Phone /-gap-37r- 23 Q Other
Lien/Title Holder &11 Liu n n n ,a --tractor Reg.#REAjL11q1 e-At E --IT-61-
E mail address E Mail Address h7fD Q aulwhitac-re, to-ow
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New SepticX Existing Septic
Connect to Water System —Name of Water System
Well-_X—Water System—Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. I A 4Fire District
Legal
Site Address (Please include street name, street number and city) -VA t Aj S ft AJ Rel
Directions to site T'44 ghj Ki &ki- a ff !a tz@eA,% le Rck a Ai ro j 4e N S 4t tiRc4
Will timber be cut and sold in parcel preparation?Yes/NePO
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 - Newt;___Add—Alt Repair—Other PRIMARY RESIDENCE [S SEASONAL ❑
Use of Building —Describe Work
No.of Bedrooms No. of Bathrooms A Square Footage- 1 nd Floor
3rd Floor Basement— Deck—Covered Deck 3O Other Sq.ft.
Garage 4 A- Attached X Detached —Carport— Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Lengt'N--,-./-I—Width—Serial No. d oms No. of Bathrooms
Type of 0/e_a'T'_- Purch3s ;;4rice $ Repla ent Unit? Yes/ No
Installer Name C;erification 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 th f
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I Irmis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding�thaisapplica-
tion or the work proposed in the application, I have obtained permission from them to apply for this permit and condimtehilr1orwosed.
MAT Ulf
X Date:
<-Owner Owners Representative/Contractor (indicate which one) 426 W. CEDAR ST.,
' FOR OFFIP)AL BEYONDTH PAINT 44
Accepted by4- C,,1P lanning Pd IL Ck#_V Date_j�?11 Bld Pd gkceipt N
DEPARTMENTAL REVIEW APPROVED DENIED �PA)f NOTES
r a A6 19.
Building Department _5
Planning Department
Environmental Health Department
Public Works Department I(Jf) J96A d 4
Fire Marshal S-S
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
PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.
Shelton(360)27-9670/Beellf ir(3606
�75467'Elma9360) 82-5269
APPLICANT INFOWATION CONTRACTOR INFORMATION
Owner 9 // A a SS e // Contractor Name_gecL//*ry Aom eS
Mailing Address 0, t'3 or y g Mailing Address/.3ojr /erandek- Ave E
City S L /�(oti State ,uA_ Zip Code 98s8s/ City Fi-re State [�& Zip Code,?Jryzy
Phone(34:d) her Ph.( Ph.( oD )375-�3/2 Other Ph.(AS3 )8�O-ByS�
Lien/Title + r f1 t Igo n n �J�,sn Contractor Reg. # �E'A j l N 19 S S/L' /✓
Address Expiration OA
SEPTIC INFORMATION-Connect to New Septic_Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION- 12 digit Tax Parcel No.32 1 !k I O 0 OS O Fire District S'
Legal Description
Site Address(Please include street name,street number and city) IV 17.4
Directions to site -rur,y A'ghf off 1froakdo le Rd. vr, r,& ,eivtser,
Is your property within 200'of the following: Body of Water(Name) Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB Newer 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 UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets Type of Unit No.of Units Fees
Bathroom Sink 3 Furnace 1
Bath Tubs 1 Heatpumps
Showers Spot Vent Fan
Water Heater / Propane Tank
Clothes Washer / Gas Outlets
Kitchen Sinks / Wood/Gas/Pellet Stove
Dishwasher / Kitchen Exhaust Hood
Hosebibs Dryer Vent /
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
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. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date 'S'(.�." 4y X Date, /2- Oel
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPAR7(NENTREY[EW APPROI7D F3ENIED GONDI'I"IQTV COPES "
Building Department
Occ Group Type Constr.
Planning Department
Other
Other 426 W. CEDAR ST.-
IwEs
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES