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BLD2011-00014 Final Dock Replacement - BLD Permit / Conditions - 8/1/2011
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 RESIDENTIAL BUILDING PERMIT BLD2011-00014 OWNER: PAUL SLOVER RECEIVED: 1/6/2011 CONTRACTOR: LAKESHORE CONSTRUCTION 275-5029 LICENSE: LAKESC*155JA EXP: 4/4/2011 ISSUED: 2/9/2011 SITE ADDRESS: 1930 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 8/9/2011 PARCEL NUMBER: 223305000211 LEGAL DESCRIPTION: HAVEN LAKE TRS 210 EX& 211 PCL 1 OF BLA#02-65 AF#1771408 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DOCK REPLACMENT, WILL BE LARGER AND PILING WILL BE USED ST RT 3 TO BELFAIR, R ON ST RT 300/ NORTH SHORE RD, R ON BELFAIR TAHUYA RD, R ON TAHUYA BLACKSMITH RD TO SITE ADDRESS ON THE RIGHT SIDE 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: ACC Fire Dist.: 2 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Basement: pier 224 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 Planning Review Fee GMM 1/6/2011 $205.00 S12011000 Plan Check Fee GMM 1/6/2011 $73.00 S12011000 Building State Fee LAW 1/11/2011 $4.50 S12011000 Building Permit Fee GMM 2/8/2011 $141.00 S12011000 Total $423.50 BLD2011-00014 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2011-00014 t CONDITIONS FOR BLD2011-00014 1) 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 Dept t ent prior to any further inspections being performed or approvals granted. 2) ON/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. 3) 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. X 0 4) 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 Built Department prior to any further inspections being performed or approvals granted. X6 5) 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 pe vocation. 6) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordir}gytce or regulation, must be reviewed and approved by Mason County prior to construction. X 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 Inspe�or shall be made prior to requesting additional inspections. X,��� BLD2011-00014 Please referto the following pages for conditions of this permit. 2 of 4 8) All property lines shall be clearly identified at the time of foundation inspection. X 9) 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 M12County ordinances and building regulations. X 10) 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 (old have prevented action from being taken. No more than one extension may be granted. ; 2 11) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, conWctors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X� 12) Owner shall provide pile drivers report on all piles. Any pile supporting structure and over 10' in height from floor of body of water shall require engineered design and special inspection. Engineer of record (or certified special inspector) shall provide verification at time of inspection that piles are driven to point of yr al and/or installed per design. X 13) 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-!V47-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X ���� 14) AppRrgved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. Xl 15) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason Coy Shoreline Master Program. X, 16) A Hydraulic Project Approval from the Washington State Department of Fish Wildlife must be granted prior to construction. For more information contact Xao3 at Biologists Gloria Rogers (Freshwater) at 360-753-2600 ext 249 or Margie Schirato (Saltwater) at 427-2179. 17) Water-nuality is not to be degraded to the detriment of the aquatic environment as a result of this project. X �w 18) All construction and demolition debris must be removed from the shore area after project completion. P r disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X , BLD2011-00014 Please referto the following pages for conditions of this permit. 3 of 4 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 anytime 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 prop a d structure for review and inspection. 2 OWNER OR AGENT: DATE: �' 0 BLD2011-00014 Please referto the following pages for conditions of this permit. 4 of 4 00 o CONCRETE MECHANICAL MANUFACTURED HOME 0 Date B y _..__.___.w___—_-- Footings/Setbacks Gas Piping Ribbons G oInterior Date By Interior-Date By Date By M o �__... CD Exterior Date By Exterior- Date By fit, up Point Load/isolated Footings INSULATION Date By C BG!SLAB INSULATION -- r Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Dates By Data By OTHER _. Groundwork Attic Dale By Date By Type Date By D.W.v DRYWALL Type- Date Wall Date By W Dare By Date By FINAL INSPECTION p n i Water Line t Fire Seperation N Date By Date By Date By cu —' Pass or Request Inspect. s Type of Insp. Fail Date Date Done By i Comments o _ 44, a � _ f cn m <o m N O 8 a 0 _ O c� O -w J 'AINnOO N®SVV4 110Z 9 0 NVP J !)N[Ib4.l Vrld , 11 oZ X),-; �j 1 of x , S CJ�I►0 Ja�yM � 'vC+ 1-�-r7}c�,,�J 'XQ,jdv 000l I I I I I � � N w1 1 GN 8Soci of x9O .od o` > CIO XQ G I d I (pvonre II'° dye tan �. II fad P oq b 8X' ' I nJ�S ! _ '�1I �� �t:.'7u v of W'd4J?>Xa) paulsl 3602759220 P.1 a a 1 va� RECEIVED a-c r b .51r 0-9� JAN 1 22011 �u�►�iS ����� J py 5�i vv 426 W. CEDAR AL APPROVED MASON COUNTY DCD PLANNING SITE PLM REQUIRED TO BE ON SITE CNANG SUBJECT TO APPROVAL yq [date,'... r �"0 ,�s � t o�R `• ,� •`ail r °$ a. 14 1 cps r ✓rf fjQ _ `� q �y �t �1} 3 c�5 (yam \Z \ v, .�®,:,� a...a�um"F"'rummv,........�. ���6�� t� •`- .l', � [`�i� e,` '.:,. �t�k�.�;� �aS �.kq6 "`�_ i IN a� u ��t a ✓�s- 4rp r— c'— .t4� c x\� y o P.1 LAKESHSORE CONSTRUCTION i �"CEIVIED P.O. BOX I0S8 JAN 10 2011 BELFAIR,WA. 98528 3601275-5029 V&Z CZpAR -*%T1 MASON COUNTY BUILDING DEPT. ATT:JENNIE PAUL SLOVER PROJECT HAVEN LAKE PROVIDE AND DRIVE 6 PILE. INSTALL THREE 8 6"X 8" PRESSURE TREATED BEAMS ON PILE, BOLTED,AND STRAPED DOWN TO PILE $2,400.00 FORM MUST BE COMPLETED IN INK MASON►CO°_ATY PERMIT NO. 1(t ot". PLEASE PRESS HARD BUILDING PERMIT APPLICATION /� 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 7VI'AYA Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 J On the web www.co.mason.wa.us C1�Q ( APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company Name Lakes )ns�r u Ji s. Mailing Address e ,TAN 6lacksy,; 4 Mailing Address P "' :A, City "1ahaya Statelah Zip Code 91SBd City State Zip Code Phone 360 2.7S 9 z10 Other Ph. Phone 6o a7 ' To -', Other Ph. Lien/Title Holder A? lieh Contracton Reg.#I K C Ik Is Exp. E mail address s 4 I tAL 19S'241 ad. c e.n E Mail Address Drivers Lic.# Pr-qu 90 DOB Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 23-305n©oxtl Fire District Legal Description , 1-.ek e TRS 2106X j 211 PCc 1 o f SLA oZ-65' AF �+ f : r Site Address (Please include street name, street number and city) I q3o Ve. Ta L « -Q Black-soh - 1A Rd Directions to site S41.- 4 cs 13e144t,r 4m sl, e- Rd. fo &-Ifa;r Ta. Qd urn u02 ti a K l ! i / 3 / Will timber be cut and sold in parcel preparation?Yes/No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs /o Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work clock No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model -Year- Length-Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ 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 fi 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 XEAN OF AP RC�RESSIN�PECTION.INACTIVITY OF THIS PERMIT APPLICADateO OF 180�YS��INVALIDATE THEAPPLICATION. Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by L1 Date DEPARTMENTAL REVIEW APRROVED DENIED NOTES Q Building Department Planning Department_ r Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee PlanningReview Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES