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BLD2004-00878 Final Garage - BLD Permit / Conditions - 11/28/2005
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 IP14 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2004-00878 OWNER: RANDY JUNELL RECEIVED: 6/9/2004 CONTRACTOR: LICENSE: EXP: ISSUED: 7/2/2004 SITE ADDRESS: 31 NE TEE LAKE PINES TAHUYA EXPIRES: 1/2/2005 PARCEL NUMBER: 322027590053 LEGAL DESCRIPTION: TR E-3 OF SP#2376 SEE SURV 3/6 31 NE TEE LAKE PINES TAHUYA PROJECT DESCRIPTION: DIRECTIONS TO SITE: Garage BELFAIR TAHUYA RD TO TEE LK. FIRST DIRT RD ON RIGHT. TEE LK PINES. SECOND HOUSE ON LEFT General Information Construction&Occupancy Information Square Footage Information No.of Bedrooms: Type of Constr.: VN Type of Use: SF Insp.Area: 3 No. of Bathrooms: Occ. Group: U1 Lot Size: Deck: Type of Work: ACC Fire Dist.: 8 No.of Stories: Occ. Load: Building: Garage-Detached 1,440 Valuation: Building Height: 14 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: S 166.0 Ft. Shoreline: Ft. Water Body: NONE Rear: N 200 Ft. Slope: Ft. SEPA?: Unkn . Model: Width: Ft. Shoreline Desig.: bktbApplicable Side 1: W 174.0 Ft. Year: Serial No.: Side 2: E 20.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee NJP 6/9/2004 $319.96 S22004 Planning Review Fee NJP 6/9/2004 $155.00 S22004 EH Plan Review ADR 6/14/2004 $35.00 S12004 Building State Fee DLC 6/24/2004 $4.50 S12004 Building Permit Fee DLC 6/24/2004 $492.25 S12004 Total $1,006.71 BLD2004-00878 Please refer to the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2004-00878 CONDITIONS FOR BLD2004-00878 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 X 8R6 T82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 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 Tetconnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) Appftf, dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 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 pro ss in ection.The owner or t gent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described pro and ructure for re ew and ection. OWN ER OR AGENT: DATE: LI,) L BLD2004-00878 Please referto the following pages for conditions of this permit. 2 oft 00 0 o CONCRETE MECHANICAL MANUFACTURED HOM' 0 0 Footings /Setbacks Date By Ribbons 00 Date 7�3 -er/ By Gas Piping Date B y co Foundation Walls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final Date By Date By Date By FRAMING Walls FIRE DEPT Date By Date By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALLBOARD NAILING D.W.V. Date By Date By FINAL INSPECTION Water Line Date By Date r/ By Date By �►",�.o7ASEff a vim? s� GoGlc ln� �© 0 C _ / )l 0,57C CD a O.s /='/ CCZ> r9 O d N 8 7 _ 2 , c �, a cn 11 27- r —/Z-of -�1-7-�f 2 ,S j 7 L L ,yoT ,Q���•�— _Ti��z J �,' O MOMMINNIMMIN ■■llllll"!'"!m'■■ ■■■■■■O■i'aEna■� -i■E immmmuffl-IMMI m ■i IMMINLI:0020"me �ii :� ■■11■ll■■■ ■ INEWMEEC'■■M® s■ - • I I�ii myi�ii�■ ■■11■11■■■ !!■■EE■E1�■■■RM �■ F Y�K 4,2 • ■■■■It/■► .Q®MiE�■O�1MlI■Ot'�1�■!■�® Mil■■■ MEN MEMEN Non MEN mom MEIN 0 i®® No ■■EEC.■■:■�� EE��'EE■■■■►�■■■■■ NONE No No MEMO Mrs, ON RMHUMMINIMIN 0 MEN■���������M■■■aOO■■■■■■■■■MM • .. . . . MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar • P.O. Box 186, Shelton, WA 98584 glton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us AP IC TIN ORM 10 CONTRACTOREOMAT NOwne n a� UN 'I Company Name �1*� U Mailin ddres Mailin Addr ss Z 7 City Stat A. Zip C e City f��� +_�tate t7 Zip Code �6m' Phone Z Other Ph 3 o Z - Phone /- oo- •her Ph. Lien/Title Holder Contractor Reg. Go Exp. E mail address 0 E Mail Address In/ C m Drivers Lic.# U DOB Drivers Lic.# DOB SEPTIC /WATER SYSTE INFORMATION - Connect to New ep O stin epti o Connec to Water System Name of Water System V 0 r'(� Well Water System Name of Water System PARCEL INFORMATIO - 12 D' it Parcel No. �- - - O Fire District Legal Description o Site Address (Plea i cl de streetname, str number an city) � ►A o, t �Mi Di ections to ite o r\ t If O ►'\ Will timber be cut and sold in parcel r paration?Yes No t Is property ithin 200'of Saltwater 9O Lake River/Creek N 0 Pond A Wetland��Seasonal Runoff' YJ cj 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 Oth PRIMA Y RE IDE EaSPSC?NAL ❑ I Use of Building Describe Work 0 t a No. of Bedroo s o.of Bathrooms_��Lua Footage - 1 Floo d Floor3rd Floo r/- Basement�- Deck vered Deck OtherqGarage ,/& S Attached DetachedCarport d Attached n Detached NL— 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 permis- sion from all the necessary p rties.If,pe mission is required from any easement holder or any other party in interest regarding this applica- tion or wor proposed in e app c ion, I have obtained permission from them to apply for this ermit and conduct the work proposed. X ! � Datef)b/n ? /'o Owner/C&ners Re t sentative/Contractor (indicate which one) FOR OFFICI L U E BEYO D THI INT Accepted by: tanning Pd�g*�—k# Date TB Pd Receipt No DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department (Q•�. 01 Planning Department a a Environmental Health Department Public Works Department , , Fire Marshal r' FEES Building Permit Fee Site Inspection Plan Review Fee 01 EH Review Fee FPlumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee SD Violation Fee Pre-Paid at Submittal Valuation $ 4 TOTAL FEES