HomeMy WebLinkAboutBLD2005-00255 Final Assess Existing Bldg - BLD Permit / Conditions - 4/19/2005 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
.r • Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2005-00255
OWNER: ARPIL HART RECEIVED: 2/18/2005
CONTRACTOR: LICENSE: EXP: ISSUED:
SITE ADDRESS: 1921 NE BLACKSMITH DR BELFAIR EXPIRES:
PARCEL NUMBER: 223107690391
LEGAL DESCRIPTION: TR 39-A OF SURV 10/102 TR 1 OF SP#2710 1921 NE BLACKSMITH DR BELFAIR
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ASSESS EXISTING BUILDING FOR LOCATION AND LIFE SAFETY HWY 3 TO BELFAIR TO OLD BELFAIR HWY, LEFT ON BEAR CREEK
DEWATTO RD, TO BLACKSMITH DR ON LEFT, GO TO"T", TAKE LEFT TO
APPROX 3RD HOUSE ON LEFT. WINDERMERE SIGN.
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: PRE Fire Dist.: 2 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:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: 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
Building Pre-Site Inspection KS 2/18/2005 $58.00 S12005
Building Special inspection KS 4/13/2005 $58.00 S12005
Total $116.00
BLD2005-00255 Please referto the following pages for conditions of this permit. 1 of 2
} CASE NOTES FOR
BLD2005-00255
CONDITIONS FOR
BLD2005-00255
1) 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.
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 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 owneror 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: DATE:
BLD2005-00255 Please referto the following pages for conditions of this permit. 2 of 2
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cn Footings / Setbacks Date B y Ribbons
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Date By Gas Piping Date B y
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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
D ate B y Date B y Date B y
PLUMBING Attic OTHER
Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
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Building Permit # �% - ��'� MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTI CE
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Job Location /y,�r�" / ' / ,t� �
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
i^ r��ATE sQ/`T/G �4Cc �S Gc�riz i� J- l��Tigc
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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
Make corrections items will be checked on next inspection
❑ OK to
-✓ ,L=it /•,is ,� r/�^- 1-3'7c%�
❑ This is not a complete inspection Department
Date �'Z` '� Inspector �1�Z
moo * NnT l ' II
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MASON COUNTY PERMIT N0.'_--)0C1S--kj L) >)
BUILDING PERMIT APPLICATION
426 W. Cedar • FO. 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 INFORMATION
CONTRACTOR INFORMATION
Owner, AjQ(I Company Name
Mailing Address n 1,1a c ran i i n `' Mailing Address
City State v-),-' Zip Code R F X City State Zip Code
Phone Other Ph. e - P�`' Phone Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Di it Parcel No. ' =' Fire District
Legal Description ��f �y'R &o
Site Address (Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes/No Aj
Is property within 200'of Saltwater Lake River/Creek Pond C
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 PRIMARY RRPSIDENCE ❑ SEASONAL
Use of Building---i�� Describe Work� 5" 1`a h �l��n •'�"n c f ' DQrr
No.of Bedrooms— No. of Bathrooms Square Footage- 1 st Floor 2nd Floor `J
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/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 � aA. Date: 2 / /f / n `-
Owner/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
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