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HomeMy WebLinkAboutBLD2013-00692 Remodel - BLD Permit / Conditions - 11/1/2013 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 279 Shelton, WA 98584 � U L 1[#4 MECHANICAL PERMIT BLD2013-00692 OWNER: DAVID & RUTH HARRISON RECEIVED: 8/15/2013 CONTRACTOR: MORSE CONSTRUCTION GROUP LICENSE: EXP: ISSUED: 11/1/2013 SITEADDRESS: 1600 E SPENCER LAKE RD SHELTON EXPIRES: 5/1/2014 PARCEL NUMBER: 221323390090 LEGAL DESCRIPTION: TR 9 OF GOUT LOT 6 TR 2 OF SP#1227 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPAIR DAMAGED AREAS, RE-WIRE, REDO PLUMBLINE, REPLACE SPENCER LAKE RD, CONTINUE TO ADDRESS SOME WINDOWS, ADD INSULATION. General Information Setback Information Type of Use: SF Insp.Area: Front: Ft. Shoreline: Ft. Type of Work: REP Fire Dist.: Rear: Ft. Slope: Ft. Valuation: Side 1: Ft. Side 2: Ft. Mechanical Fixtures FEES Type Qty. Type By Date Amount Receipt Ventilation Fan 2 Plan Check Fee JWH 8/15/2013 $73.00 S120130000C Woodstove 1 Building State Fee DLC 9/3/2013 $4.50 S120130000C Heat Pump D��—}-lQgs 1 Building Permit Fee DLC 9/3/2013 $431.65 S120130000( ADJUST--Plan Check Fee DLC 9/3/2013 $207.57 S120130000( Mechanical Permit Fee DLC 9/3/2013 $91.00 S120130000( Mechanical Base Fee DLC 9/3/2013 $28.50 S120130000( Plumbing Permit Fee DLC 9/3/2013 $26.10 S120130000C Plumbing Base Fee DLC 9/3/2013 $24.70 S120130000( Total $887.02 BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 1 of 5 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 279 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2013-00692 OWNER: DAVID & RUTH HARRISON RECEIVED: 8/15/2013 CONTRACTOR: MORSE CONSTRUCTION GROUP LICENSE: EXP: ISSUED: 9/5/2013 SITE ADDRESS: 1610 E SPENCER LAKE RD SHELTON EXPIRES: 3/5/2014 PARCEL NUMBER: 221323390090 LEGAL DESCRIPTION: TR 9 OF GOUT LOT 6 TR 2 OF SP#1227 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPAIR DAMAGED AREAS, RE-WIRE, REDO PLUMBLINE, REPLACE SPENCER LAKE RD, CONTINUE TO ADDRESS SOME WINDOWS, ADD INSULATION. General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: REP Fire Dist.: No. of Stories: Occ. Load: Building: Valuation: $ 28,071.45 Building Height: Occ. Status: 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. Shoreline Desig.: Side 1: Ft. Year: Serial No.: Side 2: Ft. I omp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Clothes Washer 1 Ventilation Fan 2 Plan Check Fee JWH 8/15/2013 $73.00 S1201300000001 Kitchen Sink 1 Woodstove 1 Building State Fee DLC 9/3/2013 $4.50 S1201300000001 Laundry Tray 1 Building Permit Fee DLC 9/3/2013 $431.65 S1201300000001 ADJUST--Plan Check Fee DLC 9/3/2013 $207.57 S1201300000001 Mechanical Permit Fee DLC 9/3/2013 $91.00 S1201300000001 Mechanical Base Fee DLC 9/3/2013 $28.50 S1201300000001 Plumbing Permit Fee DLC 9/3/2013 $26.10 S120130000000i Plumbing Base Fee DLC 9/3/2013 $24.70 S1201300000001 Total $887.02 BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2013-00692 CONDITIONS FOR BLD2013-00692 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 1-647-Q982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 2 of 6 2) This permit is approved to repair damaged framing members, including: ' Studs, beams, and siding, repair roof as needed, Install new winsulation and gypsum wallboard, Replace and repair sections of the existing post and pier system (not to exceed 50% of the total post and pier support system), Repair and replace washer and dryer plumbing and exhaust, Replace existing aluminum windows with vinyl frame windows in accordance with the 2012 Energy Code, Replace existing plumbing in kitchen, and bathroom as needed In addition, referencing inspection performed by Mason County Building inspector on August 15, 2013 the following work shall also be performed: 1.) Exhaust fans min duct size is 4"per Wa St- termination to be min 36"from open edge of doors or windows. 2.) Smoke & CO detectors required in sleeping rooms and hallways giving access to #3. 3.) House numbers on house & Y's in driveway 4"tall 112"wide. 4.) Install range hood and duct all duct with not less than 3 screws per joint except dryer duct&seal joints with paintable mastic or UL181 tape for product used. 5.) All habitablw rooms(bed-living- dining-media-rec room) req 4"of outside air. Install airports or have vents put in new windows. 6.) Water heater to have 2"rigid insulation min below i.e. to sit on. (b) Install gate valve on cold supply within 18"of tank. Ok on hot side- also install 2 approved straps. 7.) Provide egress windows in bedrooms. 8.) Provide 4"combusion air to woodstove if ready or 4"barometric damper on closest wall or vertically at floor/attic. 9.) Full caulk and seal and draft stop at 10'o.c. horiz and ceiling elevation. 10.) Provide screen 114"as specified by inspector 11.) On exterior-provide 6"minimum clearance between wood and grade. All existing elements removed and replaced installed shall comply with current code specifications. Xik� �h� 3) 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 Dep� nt for to any further inspections being performed or approvals granted. X //� 4) Owne,�/AgUis responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 5) 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 remorl Moved documents will result in failure of required building inspections. X BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 3 of 6 '6) ' All replacement windows shall be installed per manufacturer's specifications and be flashed per IRC section R703.8. All installations shall meet requirements for guards per R613 and safety glazing per R308.4. WSEC requires a U-factor of.30 or less in all heated spaces. Existing, non-conforming, egress window openings are not required to be enlarged, but it is highly recommended. Egress windows replaced in an existing opening shall be brought into compliance with current codes if a product is available for this application. Building plans/permit are required for windows in new, enlarged or relocated openings these installations must meet all current codes. Windows and doors shall be installed in accordance with the manufacturer's written installation instructions and shall be available during inspections. X 2- a,U 7) All wall cavities serving as exterior walls, exposed during construction or remodeling work shall be insulated to the full depth of the cavity and inspected prior to covering. Insulation R-values shall be as follows: 2x4 wall cavities min. R-15 and 2x6 wall cavities min. R-21 Ceiling cavities min. R-49 insulation or fill vault cavity and maintain 1-inch ventilation space Floor insulation R-30 Window and door U-factor: U-.30 or less X �� 8) WIND LOADS- Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. X - G 9) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. X � d'A 10) 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 perm{ evy X BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 4 of 6 11) Installation of heating equipment in a single-family residence shall meet the requirements of the current Washington State Energy Code, applicable sections of the IRC and IMC. Heating equipment shall be sized in accordance to IRC, Section M1401. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be available for inspection during inspection. Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181Aand shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8 DUCT TIGHTNESS TESTING shall be conducted by person(s) trained to perform such testing. A signed affidavit documenting test results in accordance to WSEC Section 503.10.3 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. All heating equipment shall meet the requirements of the National Appliance Energy Conservation Act(NAECA) and be so labeled. (WSEC503.4) or in accordance to WSEC Section 1411. X 12) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA). It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or oper or has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X C ' 13) 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 proje j X C� BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 5 of 6 14) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordin2mc r regulation, must be reviewed and approved by Mason County prior to construction. X 15) 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 Insp, ctor 1.111 be made prior to requesting additional inspections. X 1 ' - 16) 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 Mas C ordinances and building regulations. X 17) 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 holde Til n e, nted action from being taken. No more than one extension may be granted. X VIr 18) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM X RMJ 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 of ason County access t the above described property and structure for review and inspection. 1 OWNER OR AGENT: 1 DATE: CJ I BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 6 of 6 P* a CONCRETE MECHANICAL I = MANUFACTURED HOME ..,_/� c Footings!Setbacks Date B*4lvj!Gas Piping Ribbons o Interior Date By Interior-Date By Dam By Cl) O N Extenor Date By Exterior-Date RV Set-up Z Point Load/Isolated Footings INSULATION Date By p BG 1 SLAB INSULATION Date By Data By FIRE DEPARTMENT Foundation Walla Floors Date By 0 Date By Data —j By DECKS FRAMING Walls Date By C Date By� 14 Data /1 By // PROPANE TANKS --I 2 PLUMBING vault Date By Date /> By /7 Groundwork Attic OTHER Date Type. Date By By Date By D.W.v DRYWALL Type. Date- B Int.Brace Wall Date, By W r Date By FINAL INSPECTION r m Water Line Fire Seperatlon CD Date 3-`y—/ B Date By Date G$ �✓I By ! m C4 o U11�i7',�'cii�, Pass or Request Inspect. o Type of Insp. Fail Date Date Dane By Commen#s CD CD v N } o /57fr /IIF hcv �qy TO 3 a� 7 i1, final ASS Z Ik g t4' lY l.rJ� v CD 0 h MASON COUNTY + BUILDING 111 426 W, CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location //��f? � !'' �ct 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 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 damage incurred b recent OK to -a%�v`�r/fi4 "natural/man made" ❑ This is not a complete inspection disasters.This is NOT a Date I w !- /� Department CORRECTION NOTICE. Inspector iff O U NnT M9 ,0V ' THI mok T A G 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 279 Shelton, WA 98584 RESIDENTIAL BUILDING PERM BLD2013-00692 OWNER: DAVID & RUTH HARRISON AY'\ RECEIVED: 8/15/2013 CONTRACTOR: MORSE CONSTRUCTION GROUP LICENSE: EXP: ISSUED: SITEADDRESS: 1610 E SPENCER LAKE RD SHELTON �D�-/h9je�+eG'f PARCEL NUMBER: 221323390090 EXPIRES: LEGAL DESCRIPTION: TR 9 OF GOVT LOT 6 TR 2 OF SP#1227 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPAIR DAMAGED AREAS, RE-WIRE, REDO PLUMBLING, REPLACE SPENCER LAKE RD, CONTINUE TO ADDRESS SOME WINDOWS, ADD INSULATION. General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr..- Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: REP Fire Dist.: No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: 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 Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee JWH 8/15/2013 $ 73.00 S1201300000001 Total $73.00 BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 1 of 2 CASE NOTES FOR BLD2013-00692 CONDITIONS FOR BLD2013-00692 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 of Mason County access to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: BLD2013-00692 Please refer to the following pages for conditions of this permit. Page 2 of 2 Building Permit # i `} MASON COUNTY3 8�= BUILDING III 426 W. CEDAR --'ve f „/Q✓ SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /6/2> 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 code compliance 10 © T /IA � ���of �/�'i�✓��cr�s 7-� � �+ — fog Z r -✓ - �� ,v C COc-a ,ke2 2 / . � c C- cow C, You are hereby n tifie t the above corrections shad_be made EFO1E�I�O69'EDI1 kA F�JRT9'9 W& ❑ Cakfor re-inspection wKen corrections are made before continuing jle-cw d-C -� ❑ Make corrections, items will be checked on next inspection — ❑ OK to ❑ This is not a complete inspection Department Date �' Inspector T/C ■ sk s NOOT MOOV TH11111111111k T ' ,* M' Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LEtl to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name MOOSEHEAD Et CO UBI No. 600268099 Phone 3604267635 Status Active Address E 1761 Crestview Dr License No. MOOSEC'178MH Suite/Apt. License Type Construction Contractor City Shelton Effective Date 7/8/1983 State WA Expiration Date 6/5/2014 Zip 98584 Suspend Date County Mason Specialty 1 Framing And Rough Carpentry Business Type Individual Specialty 2 Unused Parent Company Other Associated Licenses Specialty Effective Expiration License Name Type Specialty 1 Status 2 Date Date AWESOME Construction AWESOBC1 52QQ BUILDERS CO Contractor Carpentry/Framing Concrete 11/18/1985 11/15/1986 Archived -OP Business Owner Information Name Role Effective Date Expiration Date KUHNAU, KEITH lowner 01/01/1980 Bond Information No records found for the previous 6 year period Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 3027022932 10/10/2001 Until Bond $6,000.00 10/16/2001 Released 1 33027022932 6/13/1990 3/4/2009 Bond $4,000.00 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 20 Nevada Capital 77-NPP-4-029458 10/14/2012 10/14/2013 $1,000,000.0010/29/2012 Ins Co 19 Nevada Capital NCIC-003201 10/14/2012 10/14/2013 $1,000,000.D0 10/12/2012 Ins Co 18 Nevada Capital NCIC-003201 10/12/2012 10/12/2013 $1,000,000.00 10/12/2012 Ins Co 17 Bankers Ins Co 446 0470001150 6 10/14/2011 10/14/2012 $1,000,000.0010/13/2011 01 16 BANKERS INS 460470001150600 10/14/2010 10/14/2011 $1,000,000.0010/14/2010 Co 15 CAONKERS INS 460440000877601 08/30/2009 08/30/2010 $1,000,000.0008/28/2009 14 BANKERS INS 460440000877600 08/30/2008 08/30/2009 $1,000,000.0008/29/2008 13 CENTURY CCP501069 08/30/2007 08/30/2008 T$300,000-00 09/06/2007 SURETY CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 9/5/2013 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 9/5/2013 MASON COUNTY PERMIT NO. tLZ 26ti—406R 2 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING• PLANNING• FIRE MARSHAL _ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 _ Mason County Bldg, III,426 West Cedar Street (360)275-4467 Belfair ext. 352 1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 BUILDING PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: �Zcaosc�hey c�.d- (Zr^Pa.�� NAME: NAME K@M 9 An ot 14 MAILING ADDRESS: MAILING ADDRESS: CITY: She 14o,'` STATE:1i _ZIP: CITY:5{ f I+c,, STATE: ZIP: PHONE: 0- ,_p" 3 CELL: PHONE: CELL: EMAIL:4 cye r„-t') no rn EMAIL : L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 3 o FIRE DISTRICT 5- LEGAL DESCRIPTION(ABREVIATED) 66u Tr q-IFSA SITE ADDRESS 1 (D f' Snc t)c e.r kQ d CI DIRECTIONS TO SITE ADD SS�r� ��� .� ,_,� �,Aru•� S� {mca/ a� SnFn�,�r r[r.fc, IS PROP TY THIN 200 FT: SALTWATER❑ LAKE lQ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO ❑ TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR OTHER ❑ eC eS5c USE OF STRUCTURE(RESIDENCE,GARAGE ETC.)S'{'O q [� s'um,,, r L�sfi ,t7 IS USE: PRIMARY ❑ SEASONAL Q' NUMBE OF BEDROOMS 2 NUMBER OF BATHROOMS_ DESCRIBE WORK oLo S UARE FOOTAGE: �em� 1 .7Q� o OX �cs.a a80 S I ST FLOOR s;q ft. 2ND FLOOR sq. ft. 3RD FLOOR sq.ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq. ft. ATTACHED ❑ DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Applicant Date X OWNER / REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW_ APPROVED D TE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT Vill 9 1.3 PLANNING DEPARTMENT FIRE MARSHAL 7322 k1jI s a� 10 PERMIT NO. �U �� _ �© CO Z�1 MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION &9a 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.mason.wa.us— APPLICANT INFORMATIONS f� CONTRACTOR INFORMATION Owner �J�r✓� `� Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No 69 q O Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New 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 Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG—Natural Gas_Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace / Bath Tubs Heatpumps tiv Showers Spot Vent FanIh Water Heater Propane Tank Clothes Washer t Outlets Kithen Sinks I� o Gas/Pellet Stove r Dishwasher Kit en Exhaust Hood Hosebibs Dryer Vent Other(,kvror / Other Base Fee Base Fee TOTAL PLUMBING—, TOTAL MECHANICAL 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 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 CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date:— Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date_ Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/ Pellet Stove Fee Other Violation Fee TOTAL FEES s�"Scx _coU`��� MASON COUNTY PERMIT NO. l.Z 261—b06R2 �. DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352 ass PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 BUILDING PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: �1t�ose_he�cl-dr �oenPa,�� NAME: NAME Ke-M k1l Lpin MAILING ADDRESS: MAILING ADDRESS: CITY: Ske 14b,",, STATE:-bJA ZIP: q 95S C CITY:Shy({ph STATE: ZIP: PHONE: 0- _D 3 CELL: PHONE: CELL: EMAIL: EMAIL : L&I REG 4 EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 3 CI q 0 FIRE DISTRICT S LEGAL DESCRIPTION(ABREVIATED): 6 6 c r c S SITE ADDRESSt(p IQ E .Santer o_ R d CI Y DIRECTIONS TO SITE ADDAESS�h��� .fr� �����r Sc hoa/ o� Sn� ��� /.r�k• 6 dk sp 6n iAke, IS PROP TY) THIN 200 FT: SALTWATER ❑ LAKE Q RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO ❑ TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR JN OTHER ❑ a cce s4c r 5 Pr'eSer\ AWe I ern CA+1,� USE OF STRUCTURE(REs>DENCE,GARAGE ETC.)S'+'o M q'e A d Scu/nme-r OCA est CZ"�r IS USE: PRIMARY ❑ SEASONAL ®' NUMBE OF BEDROOMS D NUMBER OF BATHROOMS _ DESCRIBE WORK aN Q- ttr e c SQUARE FOOTAGE: 1ST FLOOR I G 4'y sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq. ft. GARAGE sq. ft. ATTACHED ❑ DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Signature of Applicant Date X OWNER/ REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL FEE'S TOTAL VALUATION: BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE