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BLD2003-01259 Cancelled Change of Use - BLD Permit / Conditions - 9/4/2003
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 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2003-01259 OWNER: STEVEN HERRINGTON RECEIVED: 9/3/2003 CONTRACTOR: LICENSE: EXP: ISSUED: 9/4/2003 SITE ADDRESS: 70 NE STEELHEAD DR NORTH BELFAIR EXPIRES: 3/4/2004 PARCEL NUMBER: 223255007003 LEGAL DESCRIPTION: MISSION CREEK BLK: 7 LOT: 3 70 NE STEELHEAD DR NORTH BELFAIR PROJECT DESCRIPTION: DIRECTIONS TO SITE: CHANGE OF USE STORAGE TO RESIDENTIAL HWY 300 TO MISSION CREEK TURN RIGHT GO 2 MILES FOLLOW TO KINGS DRIVE TURN LEFT GO ACROSS BRIDGE UPHILL SECOND HOUSE ON RIGHT General Information Construction& Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: V-N Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: R-3 Lot Size: Deck: Type of Work: ALT Fire Dist.: No. of Stories: 1 Occ. Load: Building: Valuation: Building Height: Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Rear: Ft. Slope: Ft. Model: Width: Ft. Shoreline Desig.: Side 1: Ft. Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Violation Investigation Fee TW 9/3/2003 $56.80 S22003 Total $66.80 BLD2003-01259 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR B LD2003-012b9 CONDITIONS FOR B LD2003-012b9 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. The re potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800- - person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 cont c post the address on site prior to requesting inspections. X 3) All constru must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County he State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occ result in permit revocation. X 4) All building pqFmits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to r est a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non- i t with Mason County ordinances and building regulations. X 5) All permi7d2?ha! ve re 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for actionperiod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permi prevented action from being taken. No more than one extension may be granted. X 6) The construct' n of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the Un' Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspe be made prior to requesting additional inspections. X BLD2003-01259 Please refer to the following pages for conditions of this permit. 2 of 3 v This permit becomes null and void if r 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 o aon of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. OWNER OR AGENT: DATE: ��—'© BLD2003-01259 Please refer to the following pages for conditions of this permit. 3 of 3 i co - 0 o CONCRETE MECHANICAL MANUFACTURED HOME 0 G' Footings I Setbacks Date By Ribbons 0 K, Date By Gas Piping Date By "0 co Foundation Walls Date B y Set-up Date By INSULATION Date By B G / Slab Insulation Floors Final D ate By Date B y Date B y FRAMING Walls FIRE DEPT Date By 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 . .:. .............:................:.........::..... a Wf-µK 4-,A,..,� �, 5 . �°r�4 cgs L L d St 0 0 m cc 0 O rL ct Gd o d G� o 3. o O oV N � � C 0 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION ( 2 )9 426 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 -QVa.n S, 14e-rrirxAi'oyi Contractor Name 0 W Yut Y Mailing Address Mailing Address City -I fP*- State JdA Zip Code qZ City State Zip Code Phone (3 60)17523 bl Other Ph. ( ) Phone ( ) Other Ph. ( ) Lien/Title Holder Contractor Reg. # Exp. Email Address Email Address SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System &.-," Name of Water System PL\ ! 5 S 1 OVA Cr-k PARCEL INFORMATION - 1 di it Tax Parcel No. / J V /070003 Fire District Legal Description ac Site Address (Please include street name, street number and cit ) Q- Directions to site tivil 30Q- +n mlisslHl r Will timber AP cut and sold in parcel reparation? (Yes/No) Is property located within 200' of saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE SEASONAL RESIDENCE ❑ TYPE OF JOB - New Add Alt Repair Other of Buit ing Is this permit submittal the result of a Stop Work Notice, Correction Notice or oth�er nforcement act n? a o) Describe Work - No. of Bedrooms VNo. of Bathrooms (.SQUARE FOOTAGE- 1st Floorl 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model 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. 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 a ade without first obtaining approval. with. No changes shall be made without first obtaining approval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Planning Pd 'Ck# Date Bld Pd. Reciept No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES Building Department Occ Group,, Type Constr. 1 Planning D6partment 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 Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES