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HomeMy WebLinkAboutBLD2004-00465 Cancelled SFR - BLD Permit / Conditions - 7/26/2006 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 s Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2004-00465 OWNER: KELVIN JONES RECEIVED: 4/9/2004 CONTRACTOR: ADAIR HOMES INC (360) 352-8571 LICENSE:ADAIRH'262RZ EXP: 1/9/2005 ISSUED: 5/5/2004 SITE ADDRESS: 4090 NE TAHUYA BLACKSMITH RD BELFAIR EXPIRES: 11/5/2004 PARCEL NUMBER: 223177500020 LEGAL DESCRIPTION: TR 2 OF SURVEY 3/82 4090 NE TAHUYA BLACKSMITH RD PERMIT PROJECT DESCRIPTION: DIRECTIONS TO SITE: 141ULL & VOID BY EXPIR �j1� NEW RESIDENCE - STOCK PLAN #063000DC NORTH SHORE RD. R�BELFAR TAI-IJY,A, R ON TA BLACKSMITH, ISITE ON LEFT i"t 7� T ZrUri General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: V-N Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3, U-1 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No.of Stories: 2 Occ. Load: Building:1,680 Garage-Attached 480 Valuation: Building Height: 22 Occ.Status: Primary Basement: Cov. Porch 130 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: S 220.0 Ft. Shoreline: Ft. Water Body: Rear: N 420.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: W 64.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: E 52.0 Ft. Comp. Plan Desig.: Unknown Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 EH Plan Review CEW 4/26/2004 $75.00 S12004 Hosebibs 2 Ventilation Fan 1 Building Permit Fee JRN 4/28/2004$1,139.35 S12004 Kitchen Sink 1 Dryer Vent 3 Building State Fee JRN 4/28/2004 $4.50 S12004 Lavatories 2 Plan Check Fee JRN 4/28/2004 $227.87 S12004 Showers 1 Plumbing Fee JRN 4/28/2004 $75.00 S12004 Water Closets (Toilets) 2 Plumbing Base Fee JRN 4/28/2004 $20.00 S12004 Water Heaters 1 Mechanical Fee JRN 4/28/2004 $39.65 S12004 Bath Tubs 1 Mechanical Base Fee JRN 4/28/2004 $23.50 S12004 Clothes Washer 1 Total $1,604.87 BLD2004-00465 Please referto the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR B LD2004-00465 CONDITIONS FOR BLD2004-00465 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 to 'al risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-6 -0 Th person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 Xepartmen,' i to any further inspections being performed or approvals granted. 3) In accordance with the Uniform Building Code, all sites shall have approved numbers or addresses located in such a position as to be plainly visible and legible from the street or road fronting the property. 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 Uniform Building Code will be assessed if the owner and/or contractors post the address on site prior to requesting inspections. X yZ 4) The plan review check list and corrections, along with the Energy Compliance Worksheet(when applicable)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 chan ed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on si he d ation of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. X 5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 6) The"approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot plan is not on site, then approval will not a granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Depa nor to any further inspections being performed or approvals granted. X 7) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County and the State of W ington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit re a ' n. X BLD2004-00465 Please referto the following pages for conditions of this permit. 2 of 3 8) All changes to "app oved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance or regulation, mu vz� wed and approved by Mason County prior to construction. X 19) ' The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be ma r r to requesting additional inspections. X // 10) All property lines shall be clearly identified at the time of foundation inspection. X !/LY 11) 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 Mason County 2!2 es and building regulations. X 12) 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 periocLnot exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prqfe d action from being taken. No more than one extension may be granted. X 13) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flash' stall metal connectors approved for contact with the new types of pressure treated material. X This permit becomes null and void if work or co uction 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 wo ' 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 ins t n. a 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 an str to or review and inspection. OWN ER OR GENT: DATE: ✓� &7'004-00465 Please refer to the following pages for conditions of this permit. 3 of 3 r r 0 o CONCRETE MECHANICAL MANUFACTURED HOME 0 Footings / Setbacks Date By Ribbons p Date 6 -i/ -�V By " Gas Piping Date Bar 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 J_/P. Date e—jC�-1-©r/By Date By PLUMBING Attic OTHER Groundwork Date By Date By WALL O RD NAILING D.W.V. Date Cq 10 B y (, Date By ' FINAL INSPECTION Water Line Date By m Date By Date By 4E 12L CD cu P lL Efts o d � Q o o � Z, 0 APR-29-2004 14:18 ADAIR HOMES—OLYMPIA 360 943 0701 P.002/02 1= f � 7 /� f3E►AW / REVISED ' f DATE: ' - ���' CX 'Y� bit • Q I ±D � q l4•F2�3 7 D, pow�R A PROVEb I MASON C`:} vI' PLANNING SIT �VV0 '_QUI�,EJ"t0E ON SITE .z CHA SUBJECT TO A?P,;OVAL H By Date 40 7 i �} LQT �LArJ .T-c�Ft' The information on this plot plan has been provided and reviewed by like property owner who,by signing below: 1.) ��i~LV 1K �Od�S acltnowledges.antljkeeepts full responsibility for its accuracy and completeness:2.)Is responsible to ensure that(Ile improvements to the site take piece in Conformance with this �A t%sy z,*+;c� plan:3.)will establish all the corner irons,lot lines and codc- / required setbacks required of this property.Any clkange(s)to .V.0� Q��^ ���,� this plan must be pre approve the governmental Hgencle with jurisd� ion, le .."gape{ender and the contra or d docum d. 4oc)o to c ( Date Ownktr Date TOTAL P.02 o CO rl M _ '9 3 W ER a �tv,"a ppR 0 g 200� okICES - O SEPTIC 1A4� N 2— 1(A C) 20 X Z.'i �3„ Raw..ctS R F 2a' & ki Uj �N J � 11! YR0P, > wEU- Q A The information on this plot plan has been provided and OWES reviewed by the property owner who,by signing below: 1.) acknowledg•!s and accepts full responsibility for its accuracy I t_t O "W H O L LV 'RID and completeness:2.)Is responsible to ensure that the .- q r improvements to the site take place in conformance with this r� e plan:3.)Will establish all the corner irons,lot lines and code- ;'> ,q ;1`b required setbacks required of this property.Any change(s)to this plan must be pre-approve �the governmental t- agencie with jurisd� lion, �e mortgage lender and the `JQ` = `r-_ contra or d docum d. Vz C�l Date J � I �P z 3 N t TZ ZLJ Owner Date 4 • r Request To Revise An Approved Plan l Permit Number: BLD2001-- CY4 105 Name LeDiY­\ 7 Ofd > Parcel Number Phone Number daytime �) Project Address 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? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No If Yes, Is a revised site plan,with all new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: Applicant's signature V ( M�..la�tk Date: Office Use Only Received by: Date Sent Assigned To Approved y Date ., Original Valuation: $ Additional Valuation: $ Sq.Ft. x$ $ l Sq.Ft. x$ $ H L 1 Total New Valuation $ Additional Fees: ❑ P w Additional Planning Dept. $ Additional Plan Review $ New Setbacks: Front / _Rear / Additional Building Permit $ Sidel / Side2 / Additional Plumbing $ Additional Mechanical $ Additional Conditions/Comments: Additional E.H.Dept. $ 3S Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ Tch initial Revised SRG 9=2W3 MASON COUNTY PERMIT NO. 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 '3LDZL-)CP- APPLICANT INF RM TION CONTRACTOR INFORMATION _ Owner Contractor Name ' Mailin d g dress Mailing Address �1( 1 -e-�tYlr'�% J 11C City vi Stated Zip Code City a fYloC.t State M Zip Code Phone ( ) they Ph.$�) Phone Other ( ) Lien /Title Holder Contractor Reg. Email Address Email Address SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic ✓' Existing Septic Connect o Sewer System Name of Sewer System Well 1/ Water System Name of Water System PARCEL INFORVtATI N - 2 digit Ta Parcel No. Fire District Legal Description I Of z 3K\. :7 Site Address (Ple, se include street name, street number and cit ) 1 Directions to sit (r \ 4-p l rA Will ti ber be cut and sold in parcel prepar tion? (Yes/No) O Is property located within 200' of saltwater&MFLake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE ❑ TYPE OF JOB - New Add Alt Repair Other Use of Building Is this permit submittal the,result of a Stop Wor Notip, Correction Notice or other enforcement action? (Yes/No Describe Work S -# No. of Bedrooms No. of Bathrooms I•M SQUARE FOOTAGE - 1st Floor 2nd Floor 3rd Floor Loft Basement_Y__4 Deck— —Other sq. ft. Garage I'- Attached Detached Carport Attached Detached MANUFACTURED HOME I ORMi Make Model Model Year Length Width SerFal No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? (Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. THE OWNER OR AGENT ON OWNER'S BEHALF, REPRESENTS THAT THE INFORMATION PROVIDED IS ACCURATE AND GRANTS EMPLOYEES OF Mason COUNTY ACCESS TO THE ABOVE DESCRIBED PROPERTY AND STRUCTURES FOR REVIEW AND INSPECTION OF THIS PROJECT. OWNER/BUILDER ACKNOWLEDGES SUBMISSION OF INACCURATE INFORMATION MAY RESULT IN A STOP WORK ORDER OR PERMIT REVOCATION. ACKNOWLEDGEMENT OF SUCH IS BY SIGNATURE BELOW: OWNER AFFIDAVIT- I certify that I am exempt from the require- CONTRACTOR'S AFFIDAVIT - I certify that I am currently regis- ment of the Contractor Registration Law RCW 18.27 and am aware tered as a contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and of the ordinance requirements regulating the work for which this that all work will be done in conformance therewith. No changes permit is issued and all work shall be done in conformance there- shall be made without first obtaining approval. with_Vo changes shall be made without first obtaining approval. X Date X'�� -'lL!� I Date�1� FOR OFFICIAL USE BEYOND THIS POINT Accepted by Planning Pd Ck# Date Bld Pd. Reciept No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department 9-920 Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing& Base Fee �_ Planning Review Fee Mechanical& Base Fee ►S Other Wood/Gas/Pellet Stove Fee State Fee fj0 Violation Fee Pre-Paid at Submittal TOTAL FEES PERMIT NO.: MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLIQANT INFORMATION CONTRACTOR INFO MATION Owner V-Pill Contractor Name Mailing Address Mailing Address 1 City State Zip Co City' State J&ffa Zip Code Phone they Ph. Ph.( ) "IlOther Ph. - Aa4 Lien/Title Holder —� Contractor Reg. # Address f Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 digit Tax Parcel No. Fire District Legal Description ;l . z . Site Address (Ple se include street name, street number and city) DiWctions to site I -TC{h L VA-,, 'r rt Is your property within 200'of the following: Body of Water(Name) �Jtf 1 _- Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 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 Fuel Type: Electric Tvoe of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs _�_ Heatpumps Showers � Spot Vent Fan — �- Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other _ Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. � X Date X `.. ✓lLC/ ( �'. ( Date LA FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMEfdTAIBV[EW APPROVED: DENIED COItfDiTIQTV GCIDES Building Department Occ Group Type Constr. Planning Department Other Other 71 FEES Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES