HomeMy WebLinkAboutBLD2007-00625 SFR Revised Final - BLD Permit / Conditions - 10/28/2008 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 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2007-00625
OWNER: TINA SCHAAP RECEIVED: 4/13/2007
CONTRACTOR: AUSETH CONSTRUCTION LICENSE: AUSETC103602 EXP: 3/6/2009 ISSUED: 8/10/2007
SITE ADDRESS: 282 SE DAWNVIEW DR SHELTON EXPIRES: 2/10/2008
PARCEL NUMBER: 220283290021
LEGAL DESCRIPTION: TR 1 OF SP#2965
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR/GARAGES Hwy 101 to Lynch Rd. to right on Dawn View Dr.
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 1 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R-3U Lot Size: Deck: 0
Type of Work: 14EW Fire Dist.: 4 No. of Stories: 2 Occ. Load: Building:2,701 Garage-Attached 900
Valuation: Building Height: 30 Occ. Status: Primary Basement: COVPORCH 144
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: W 390.0 Ft. Shoreline: Ft. Water Body:
Rear: E 120.0 Ft. Slope: Ft.
SEPA?:
Model: Width: Ft. Side 1: N 20.0 Ft. Shoreline Desig.:
Year: Serial No.: Side 2: S 140.0 Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 4/13/2007 $1,097.30 S22007000
Hoseblbs 3 Furnace<100K 1 Planning Review Fee KKK 4/13/2007 $170.00 S22007000
Kitchen Sink 1 Ventilation Fan 5 Building State Fee ARC 5/7/2007 $4.50 S12007000
Kitchen Sink 1 Woodstove 1 Building Permit Fee ARC 5/7/2007 $1,688.15 S12007000
Laundry Tray 1 Heat Pump 1 Mechanical Fee ARC 5/7/2007 $152.20 s12007000
Lavatories 4 Dryer Vent 1 Mechanical Base Fee ARC 5/7/2007 $25.30 s12007000
Showers 1 Plumbing Fee ARC 5/7/2007 $128.70 S12007000
Water Closets (Toilets) 3 Plumbing Base Fee ARC 5/7/2007 $22.00 S12007000
Water Heaters 1 Fire Warden Review DHS 6/5/2007 $64.00 S12007000
Bath Tubs 2 EH Plan Review TW 7/27/2007 S75.00 S12007000
Clothes Washer 1 Total $3,427.15
BLD2007-00625 Please referto the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
BLD2007-00625
CONDITIONS FOR
BLD2007-00625
1) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Appro Site Plan"to ensure these structures are shown and meet the setback conditions listed.
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2) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
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3) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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4) 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
hold2r4iave prevented action from being taken. No more than one extension may be granted.
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5) All buildir g 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 County ordinances and building regulations.
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6) All property lines shall be clearly identified at the time of foundation inspection. X / , S,
7) 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
Inspector hall be made prior to requesting additional inspections.
X
BLD2007-00625 Please referto the following pages for conditions of this permit. 2 of 5
8) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinanncr regulation, must be reviewed and approved by Mason County prior to construction.
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9) 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 yo,it project.
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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
permit rev�cation.
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11) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charged shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
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12) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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13) Per 2003 1RC -SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accorclan e with the applicable provisions of this section and the manufacturer's installation instructions.
X 1
14) Per 2003 IRC - SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASIC WJND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH.
X
15) 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/Max 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.
BLD2007-00625 Please referto the following pages for conditions of this permit. 3 of 5
16) The"approved"site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved"site 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
Builq!E19 Department prior to any further inspections being performed or approvals granted.
x ) f,
17) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X rS
18) 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
removal of approved documents will result in failure of required building inspections.
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19) In accorcance 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.
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20) 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
Departm nt prior to any further inspections being performed or approvals granted.
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21) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
22) Appli;ati n acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5.
X
23) The interr.ational 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,LQa connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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24) 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
1-80Uy__1
0982. 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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25) Xhis ffel is located in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information.
BLD2007-00625 Please referto the following pages for conditions of this permit. 4 of 5
26) Approv_e per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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27) Note called property owner about inspection--She will call when marked .Note: Site visit requested,Property Flagged and and property almost level, Mason
County Building Codes Chapter 14.17 030,040, should be met by completion.
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28) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X S _
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 an structure for r view and inspection.
OWN ER OR AGENT: _� DATE: O
BLD2007-00625 Please refer to the following pages for conditions of this permit. 5 of 5
I
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o CONCRETE MECHANICAL MANUFACTURED HOME N
n
0
oC) Footings/Setbacks Date By Ribbons D
Gas Piping D
o interior Date
0 By Interior-Date BY Date By T
rQExterior Date)b !2 BY Exterior-Date B
Pr! ;Load I Isolated Footings INSULATION _ Dam B Z
BG f SLAB INSULATibN y D
Date By Data By FIRE DEPARTMENT
Foundation Walls CV4 Floors Data By
Date 16 36 Cr7 By i dJ1(— Date By DECKS
FRAMING Walls Date By
Date 4 AW6� BYLO(�, Data 3 DES By _ PROPANE TANKS
PLUMBING vault Data By
Date 4- By OTHER �y
Groundwork Attic IA„.a'to0f,
Type: u�„-�
Date By Data By V&/
Date Z(j/off By (�tL
D.W.V DRYWALL Type:
Date /,��'� B Int Brace Wall y��_,p`� Date B W
r
Date J By FINAL INSPECTION
Water Lin,.ey� Fire Separation N
Date t 7 By p� Date By Date I , By o
Pass or Request Inspect. c
Type of Insp. Fall Date date Done By Comments Co
CD
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ACCESS & GRADE INSPECTION PERMIT #A—2t-Z7- &D&. �—
ADDRESS
INSPECTOR DATE: 5 a
DRIVEWAY ACCESS
Length: Width: Surface:
Size of turn-around:
Condition of shoulders: 11.E
Vertical clearance:
need post at end of driveway with reflective address numbers.
GRADE,OF DRIVEWAY %1 OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of shoulders:
Vertical clearance:
( ) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE SMZ, 4X4 FIRES ONLY.
( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES.
REMARKS ��
- (continue remarks on back
ltequest `To Revise An Approved PIan
Permit Number: BLD200 -1 -
Name_
Parcel Number
Project Address— Phone Number dA ime (___---)
Mailing Address
Please provide a complete,detailed description of the proposed revisions to the approved plans:
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No
Are the approved site plans included?
11 Yes El No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes Does the ❑ No
plan contain an engineer's or architect's lateral or vertical analysis? ❑ yes ❑ No
If Yes,Has the engineer or architect approved this revision?
Is a stamped and signed ❑ Yes o No
gn approval included with this request? ❑ Yes ❑ No
I(Note:No structural clian es to a"designed"plan will be roved without the written consent of a en sneer and/or architect or record.
Does the proposed revision modify the footprint or location of the structure? ❑ Yes o N
If Yes, Is a revised site 1 p an, with all new setback dimensions included with this request?
❑ Yes ❑ No
Additional ormation: i
Applicant's signature
Office use only Date:
Reoolved
Date sent Assigned To Approved By Date _
Original Valuation:
dditional Valuation:
P. Sq.Ft x $
Sq.Ft. z S S
�• �—_ otal New Valuation
Additional Fees:
Additional Planning Dept. $
ow Setbacks: Front / Bear Additional Plan Review $
-------/ Additional Building Permit $
Side 1. / SidQ2 / Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical $
Additional E.H.Dept.
Other
Total Amount Due: g
Amount To Be Paid Up-Front$
W;i With
Rrriscd SRC i2712007
Mason County Planning Intake Checklist
Owners Name: , Date:_ �- 10 -D j
Project: S FtL. Reviewed By:
CommercinB
pment: YES N0 Comments:
PLANNER: SC CMM IUM PBC RDH
Site Plan:
�fClorth Arrow
,e Property Dimensions: X I m Gam, hA pe,-_,-L.
,,o' Streets and Driveways Shown. Road name: +ro
ja' All EXi-stin Struct wn_withletbacks d►� S (,o�
ell Loca io eptic and Drain-fiel n with setbacks
i a surface water (streams, ponds, shoreline, wetlands, natural or historic drainage,
defined dra e ditches) LOB cJ rdL�� �o�
tea' Topography (slopes)�1 I�qq
�Proposed Structure Sets (Direcl:ion/Setback):
F: A i \,1 R: `fj / E S1: --,n / Y]__ S2: /
Utility and Drainage Easements: Yes �Fo ,(if yes enter condition #5022)
Other Easements b-e�
Jz" Accessory Appurtenances: Prp ane Heatpump
❑ Variance applied for: Yes / No par lotted.�i;)/ No
❑ County Access Permit Needed (add condition #00i0)
❑ State Access Permit Needed (add condition #0020) n 11.�'
Standard Conditions to be added to all Building permits that planning reviews: #5019 and #0700
Site Access: Are there any impediments (dogs/gates) that my restrict access to your site?
Is the site clearly marked? How? Address b rL J EUUA\
❑ Name
Critical Areas: ❑ Other:
Setbacks: Shoreline: Slope.
Shoreline Designation: Comprehensive Plan: rRR
Zoning:❑ Not Applicable ElAgricultural 2.5 �10 20
❑ Urban ❑ In-holding RMF
❑ Rural ❑ LTCF El RC 1 2 3
❑ Conservancy ural ❑ RI
❑ Natural ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet ❑ RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Beady, (type of water if unnamed):
SEPA• �es 'No Unknown Flood Plain: YES/NO nknown Map#
Aquifer Recharge: YES/NO/Unknown )Map#
Tags/Cases:
RLC/SPI Case: c�C3- 602q1 6-Year Dev. Moratorium: YES
Eagle Nest Tag: YES) 0 Other YES :
Revised: 09-29-2006
7/31/2007
4:26PM
Fees Associated With
Irflo
Case#: BLD2007-00625
Due
Type Description Revenue Account Number Date Paid By Fees Paid History
PLCK Plan Check Fee 001.125.140.345.83.00.0000 4/13/2007 KKK 1,097.30 1,097.30 0.00
Plan Check Fee 001.125.140.345.83.00.0000 4/13/2007 KKK 0.00 0.00
PLRV Planning Review Fee 001.125.145.345.83.03.0000 4/13/2007 KKK 170.00 170.00 0.00
Planning Review Fee 001.125.145.345.83.03.0000 4/13/2007 KKK 0.00 0.00
STFE Building State Fee 650.170.010.386.00.05.0000 5/7/2007 ARC 4.50 0.00 4.50
PRMT Building Permit Fee 001.125.140.322.10.00.0000 5/7/2007 ARC 1,688.15 0.00 1,688.15
MCH Mechanical Fee 001.125.140.322.10.00.0000 5/7/2007 ARC 152.20 0.00 152.20
MCHB Mechanical Base Fee 001.125.140.322.10.00.0000 5/7/2007 ARC 25.30 0.00 25.30
PLM Plumbing Fee 001.125.140.322.10.00.0000 5/7/2007 ARC 128.70 0.00 128.70
PLMB Plumbing Base Fte 001.125.140.322.10.00.0000 5/7/2007 ARC 22.00 0.00 22.00
FWRR Fire Warden Review 001.125.140.342.40.02.0000 6/5/2007 DHS 64.00 0.00 64.00
EHPR EH Plan Review 150.300.000.346.50.54.0000 7/27/2007 TW 75.00 0.00 75.00
Total Fees:$3,427.15 Paid:$1,267.30
TOTAL REMAINING DUE: $2,159.85
Page 1 of 1 CaseFees.rpt
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General/Specialty Contractor
A business registered as a construction contractor with L81 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.
License Information
License AUSETC103602
Licensee Name AUSETH CONSTRUCTION INC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 601817772 Verify Wsorkers Comp_Premium
Status
Ind. Ins. Account
Id
Business Type CORPORATION
Address 1 E 6301 AGATE RD
Address 2
City SHELTON
County MASON
State WA
Zip 98584
Phone 3604267368
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 9/22/1997
Expiration Date 3/6/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated
License
https:Hfortress.wa.gov/lni/bbip/Detail.aspx?License=AUSETCI03602 7/31/2007
MASON COUNTY PERMIT NO. —` alo
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.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner r :>.t4 Company Name��•�� n r._�f u r } Ln�_
Mailing Address �' L., ,�—� j - Mailing Address
City '"'t State 1, Zip Code q =l 1= City-s 1 e I ep n State tip Code lzzzlry
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 /WATER SYSTEM INFORMATION - Connect to New Septic Y Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. CA Fire District
Legal Description 1-ob. I a 51P It 9(a S PEN Z9 2 el!_ . J
Site Address(Please include street name, street number and city) 2k� �.'r� �r� [Jib 1� Q'C ,5Sh',/fo4l
Directions to site
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater &a Lake A►e River/Creek _Pond_
Wetland__ALL---Seasonal Runoff Stream /�)A Slopes or Bluffs 15%kilo
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 PRY ARY RESIDENCE SEASONAL ❑
Use of Building Describe Work ��� r /
No. of Bedrooms- No. of Bathroom 3 quare Footage- 1st�F���lo�gqr��37� 2nd Floor -�" t"
3rd Floor Basement Deck Covered DeckJ�Other Sq. ft.
Garage 0 C' 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.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 OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X�,,�'y "r Date'
Owner/Owners epresentative/Contractor (indicate which one) T
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Cdal Date
DEPARTMENTAL REVIEW APP ZED DENIED NOTES
Building Department
Planning Department
Environmental Health Department ,- r
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbin & Base Fee �� • �® Planning Review Fee
Mechanical & Base fee 0� Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee DECO 05wdf, Pre-Paid at Submittal
Valuation $ jO (0'd TOTAL FEES
FORM MUST BE COMPLETED IN INK � � ( _o��_
MASON COUNTY PERMIT NO.
PLEASE PRESS HARD BUILDING PERMIT APPLICATION rc�crz�
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 �� 5
On the web www.Co.mason.wa.us
APPLICA�j INFORMATION CONTRACTOR INFORMATION
Owner Company Name 41i,2:J11
Mailing Address Mailing Address
City State VI)h ip Code City Srl c I f-o v� State 14)a ip Code y>5 k'
Phone Other Ph. — Phone �,R' Other Ph.
Lien/Title Holder Contractor Reg. Exp. '3T/.2,ijp_q
E mail address E Mail Address
Drivers Lic. # DOB Drivers Lic. # DOB
SEPTIC / WATER SYSTEM INFORMATION - Connect to New Septic y Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description LDS j Df 5P .Zt 2!2(,�S jeTAI :Z-A 2 Cam, /_ a 3 S /Tji_T"
Site Address (Please include street name, street number and city) :;l kr2 �1- ,QdU r? 0;C'LL? Qr S*17e11V4
Directions to site J d L 1-n / Rd R Ini.) 1n 17e2 j. )ij iJ/"r c) Or
Will timber be cut and sold in parcel preparation?Yes/ No
Is property within 200' of Saltwater Nd Lake ffA River/Creek _Pond_ VA
Wetland---A&—Seasonal Runoff Stream___A4_S lopes or Bluffs 15% Aek
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_RESIDF_NCE []SEASONAL ❑
Use of Building {�ESiderlce Describe Work N��~� t X. /v eSidc�lGz
No. of Bedrooms No. of Bathroom!-2-5 quare Footage- 1stF,lo,9r2,375 2nd Floor 32�
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage q-'0 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. 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 OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X �14,.aa Date:
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 a
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Nood/ Gas/ Pellet Stove Fee State Fee
-)lation Fee Pre-Paid at Submittal
.ation $ TOTAL FEES
PERMIT NO.
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 C-)
Shelton (360) 427-9670• Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFQ RMATION
Owner Sc_It, Company Name e4 r1- 0 nn�< i�� jvlc
Mailing Address 34 r' Mailing Address
City 0111 ►n'r d State Zip Code 29513 City e-JADQ State Zip Code 90SVL
Phone LLD r, ' hi, Other Ph. Phone 3 LD-6/qk Other Ph.
Lien/Title Holder Contractor Reg.4 , ,-, Z J6 U Q Exp. 12
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. '32 Q00;LI Fire District
Legal Description /rltz / n�, -�i p . Y ?"R Z, G.L_. 3 -5 f'0 uems
Site Address (Please include street name, street number and city) .2 ff 2 5 F_ lOn urn—r,.� Dr
Directions to site ' -
Is property within 200'of Saltwater Lake jva River/Creek Pond &A
Wetland Seasonal Runoff Stream ° ' Slopes or Bluffs > 15% 1.e
TYPE OF JOB - New Add Alt Repair Other Use of Building i
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS ,;,I --
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 2- Heatpumps
Showers Spot Vent Fan .S
Water Heater Propane Tank
Clothes Washer ; Gas Outlets
Kithen Sinks rt%oms/Pellet Stove
Dishwasher Kitchen Exhaust Hood I
Hosebibs —� Dryer Vent
Other� '� — Other
� . .{- b.a Base Fee Base Fee
rz -rA"' I 40 OTAL 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 r i'i en* �, Date:— Ij6�0
Owner/Owners Representative/Contractor (indicate which one) /
FOR OFFICIAL USE BEYONDTHIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department r'
Occ Group—Type Constr.-
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspect on
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
,00k Up .;ontractor, Electrician or Plumber License Detail Page 1 of
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General/Specialty Contractor 1
A business registered as a construction contractor with LEd to perform construction work within the scope
Df its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License AUSETC103602
Licensee Name AUSETH CONSTRUCTION INC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 601817772 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type CORPORATION
Address 1 E 6301 AGATE RD
Address 2
City SHELTON
County MASON
State WA
Zip 98584
Phone 3604267368
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 9/22/1997
Expiration Date 3/6/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated
License
Business Owner Information
Name Role Effective Date Expiration Date
AUSETH, MICHAEL H 01/01/1980
ittps://fortress.wa.gov/lni/bbip/Detai1.aspx?License=AUSETCI03602 3/9/200'
,00k Up a Contractor, Electrician or Plumber License Detail Page 2 of
AIUSETH, KAT!VY L l 101/01/1980
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
Until
#5 CBIC SE9040 03/06/2003 Cancelled $12,000.00 02/28/2003
RLI INS Until
#4 CO RSB387316 03/06/2002 Cancelled 04/02/20031 $12,000.00 03/05/2003
RLI INS
#3 CO RSB387316 03/06/2000 03/06/2002 $6,000.00
RELIANCE
SURETY Until
#2 CO RSB387316 03/06/2000 Cancelled 04/09/2000 $6,000.00
OHIO CAS Until
#1 INS CO 3038189 09/15/1997 Cancelled 04/09/2000 $6,000.00
Savings Information � � -
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
#6 CBIC INSSE9040 03/06/2003 03/06/2008 $1,000,000.00 02/02/2007
MUTUAL
OF
ENUMCLAW
#5 INS CO PK87777 03/06/2002 03/06/2003 03/06/2003 02/08/2002
MUTUAL
OF
ENUMCLAW Until
#4 INS CO PK8777 03/06/2000 Cancelled 02/05/2001
MUTUAL
OF
ENUMCLAW
#3 INS CO GL22762 03/06/2000 03/06/2001
MUTUAL
OF
ENUMCLAW Until
#2 INS CO GL22762 03/06/1999 Cancelled
MUTUAL
OF
#1 ENUMCLAW GL22762 03/06/1997 03/06/1999
Summons /Complaints Information
No Matching Information,
tart a New Search Printer Friend/Version
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Washington State Dept.of Labor and Industries. Use of this site is subject to the laws of the state of Washington. ington
ittps:Hfortress.wa.gov/lni/bbip/Detail.aspx?License=AUSETCI03602 3/9/200'
PLANNING:
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
PROJECTION OF THE BUILDING
400'-T 1/4' '12'-S S/Ib' llb'-b 3/4'
589 61' 5 8971'21•E 9
PLAN PLOT REVISION
TO LYNCHROAD
RECEIVED
---- DATE
------------------------------------------------------------
sEPTIC TAW, 1
DRAINfIELDS
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1 �•�- I � '~ r:yam^ � D xi,124'- 5 � 0 1
APF 7DX.LOCATION\\ �` \\ w
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\ 1
\ . / (P M
ZI PROVIDL'CI5TEIaI IN
T1416 AREA A5 DNZrCIED
137 OU1 ER
'DISTANCES TO PROPERT7 LINES
EXIs"MG30' .\
VEGETATIVE
BIFT{:R
?.45s
PARCEL NO.: 22028-32-WO21 �~
LEGAL DESCRIPTION:LOT
APPROVED
LOT I -Cr-*2965 Site Plan MASON COUNT`; DCD PLANNING
SITE ADDRESS: scale: I" = fo0'-0" SITE PLAN
'V
REO_ '-0 TO BE ON SITE
I CHANGES SUSJ-C;T TO APPROVAL
282 SE DAWNVIEW DRIVE � �` ��
SHELTON /
� `, By o
Date 731
OF
� v
s 7,;?s
�?9�N Eip
PLANNING :
ALL SETRACKS ARE MEASURED
i kuiV, I-HE FURTHEST
PROJECTION OF THE BUILDING
PLAN PLOT REVISION
Amm'-T RECEIVED V4' �'-5 5/w• / II6'-6 3/4• 9 DATE S a'
S89'2171'E :
TO LYNCH ROAD i
-------------------------------------------------- \ I
W*TIC TANWK gym•
lu
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f
VEGETATIVE ;' e
PARCEL NO.: 22028-32-SW21 tx�
LEGAL"DESCRIPTION:
♦ ��
LOT 1 SP+29 r�sgs
65 ;, . Site Plan ON Upq-,
Scale: I" 60'-0° SITE PLAN I D PLANNING
SITE ADDRESS: �s ��� / x R• E
♦ CHANO SUS i 0 f3 ON SITE
SHEL AWNYIEW DRIVE '� , �`` ♦ NORTH Qy T TC BE
' fe -J 3�
♦
s>-
t WPLANNING :
L SETBACKS ARE MEASURED
i iCuivi I HE FURTHEST
PROJECTION OF THE BUILDING
PLAN PLOT REVISION
400'-T V4' -m'-S S/W W-6 3/41 RECEIVED
58s6r s es-2171• E e DATE
TO LYNCH ROAD i
SEPTIC TANK .m�
lu
ROADWAY TJ
APFfWX LOCATION
OF UfLL I I I J
TZ
-Z i
PROVIDE CISTEW 94
THIS AREA AS DIRECTED
MY OU ER
Ioi /
\\ ♦ -DISTANCES TO PROPERTY L94M
8
EXIESTW.X 30' .xl�l
VEGETATIVE ♦g
\^�
`�\\ o44fIT,l✓,
PARCEL NO 22025-32-SO021
XAMS0
LEGAL DESCRIPTION: / +L',LOT 1 SP°2968 eSite Plan CDSITE ADDRESS: �'� Scale: 1'I = 60'-0° -. ��Ah�I�I�U 0 8252 SE DAWNVIEW DRIVE - / NORTH , EON SITE
SHELTON �` T L APPROVAL
ate __7 3/
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4q„E ♦