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Home My WebLink AboutCOM2012-00066 Final Interior Repair - COM Permit / Conditions - 5/22/2013 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670, ext. 352 Shelton, WA 98584 r COMMERCIAL BUILDING PERMIT COM2012-00066 OWNER: NICHOLAS MARTIN RECEIVED: 6/4/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 6/4/2012 SITE ADDRESS: 5962 E STATE ROUTE 3 SHELTON EXPIRES: 12/4/2012 PARCEL NUMBER: 321363800010 LEGAL DESCRIPTION: TR 1 OF 120 A. OF J.O.ECLER'S D.L.C. S OF R/W SURVEY 2/3 PROJECT DESCRIPTION: DIRECTIONS TO SITE: SMALL INTERIOR REPAIR ST RT 3 TO SITE ADDRESS ON THE RIGHT SIDE General Information Construction &Occupancy Information Type of Use: Insp.Area: No. of Units: Type of Constr.: No. Type al uation: of Bathrooms: Occ. Group: Val Work: REP Fire Dist.: 5 No. of Stories: Exit Design. Load: Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline& Planning Information Front: Ft. Shoreline: Ft. Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.: Side 1: Ft. SEPA?: Comp. Plan Desig.: Side 2: Ft. Fire Protection System Information Auto Fire Alarm System?: Emergency Key Box?: Standpipe?: Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2012-00066 Please refer to the following pages for conditions of this permit. Page 1 of 3 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Building State Fee Tw SIAM19 as sn gignl?nn w Building Permit Fee TV/ aianntq ,t1dt nn gt,nl,nn BLD Vio. Investigation Fe TVv Fianntq 4.P,7,A nn g1,n19nn Total $218.50 CASE NOTES FOR COM2012-00066 CONDITIONS FOR COM2012-00066 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 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 o1" �n C raylty-access to the above described property and structure for review and inspection. OWNER OR AGENT: / C�� Y DATE: COM2012-00066 Page 2 of 3 M CONCRETE MECHANICAL MANUFACTURED HOME > N O rw Footings I Setbacks Date Qaspiping By Ribbons o Interior Date By Interior-Date By Date By rn Exterror Date By Exterior-Date By Setup Z n Point Load I Isolated Footings INS SLATION B INSULATION Date By IN O Date By Data By FIRE DEPARTMENT D Foundation Wails Floors Date By Cn Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER ' Groundwork Attic Date By Type Date BY Date By D.W.v DRYWALL Type- O Int.Brace Wall Date By 0 Date By Date By FINAL INSPECTION CD IN Water Line Fire Separation Date By y Date By Date By N 0 Pass or Request Inspect. o Type of Insp. Fall Date Date Done /By Comments er s Y--27- l(-j0-1 �✓ 4 - (- .S 22- I v w 0 w Pe;mit# GG MASON COUNTY 0�01 A i 000,g BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 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 jrC., V lu c I e t. 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 damage incurred by recent "natural/Than made" This is not a complete inspection disasters.This is NOT a Date _- - / .' Department CORRECTION NOTICE. 77-P Inspector �% r � MASON COUNTY PERMIT" No. �4190 Z0a, 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.rnason.wa us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner //`i 11 C iY1 " 1 J Company Name Mailing Address I l 11 /_44. IIA i-P ke_--'06 Mailing Address City� Z4 r,/ State L.(�_/4 Ztp Code a_k_ � City State Zip Code Phone ./_— t'7-�z��ZOther Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address MAlf L', � /� r % GG' E Mail Address Drivers Lic.# e, ?, DO —2 — ` Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septir Existing Septic Connect to Water System Name of Water System Weil j/ Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No - ` Fire District Legal Description 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 _ P, IMARY RESIDENCE ❑ SEASONAL E]Use of Building Describe Wori� � "�1,L_/u 1 L 'w� No. of Bedrooms No.of Bathrooms Square Footage-1st 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/BULDER Acimowledges 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 perrd 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 arty easement holder,or any other party in interest regarding this application or the work proposed in the application,I have obtained Pernissim from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the inforrra lion provided is acc;*ats and grants employees of Mason County access to the above described property and struchue for review and inspection. PR 7 NUATI N OF W RK IS BY MEANS OF A PROGRESS INSPECTION. X 7 - Date- T��2 e / Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Date -2D1,;1, DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department (aZ, -Crz��D Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbinq&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 1•8 a f i�� ( F, f � r t. I I i , o � � __l , rt XJjy M �wl }r77 r,. 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