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Home My WebLink AboutBLD2009-00175 Cancelled Addition - BLD Permit / Conditions - 7/11/2003 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 BLD2009-00175 OWNER: SUSAN ADAMS RECEIVED: 3/16/2009 CONTRACTOR: LICENSE: EXP: ISSUED: 8/14/2009 SITE ADDRESS: 340 NE LAKE DR TAHUYA EXPIRES: 2/14/2010 PARCEL NUMBER: 223305000199 LEGAL DESCRIPTION: HAVEN LAKE TR. 199 PROJECT DESCRIPTION: DIRECTIONS TO SI Adding bathroom and Kitchen sink to existing cabin. The footprint of the ST RT 3 to Belfa' n ST RT 300/North Shore Rd, R on Belfair Tahuya Rd, R structure will not change. on Lake Dr to si ess () General Information Constructi Oiltupalcy In rm ion Square Footage Information No. of Bedrooms: hlnfyp of Col tr.: B Type of Use: SF Insp.Area: No. of Bathrooms: cc. Gr up: R-3 of Size: Deck: Type of Work: ALT Fire Dist.: 2 No. of Stories: Occ. L d Building:0 Valuation: Building Height: cc. St a . S sonal Basement: ADD BATH 40 Manufactured Home Information Setation Shoreline&Planning Information Make: Length: Ft. Front: S oreline: Ft. Water Body: SEPA?: Rear t. Slope: Ft. Model: Width: Ft. Side 0t. Shoreline Desig.: Year: Serial N ide Ft. Comp. Plan Desig.: Plumbing Fi res Mec al Fixtures FEES Type Qty. Qty. Type By Date Amount Receipt Kitchen Sink 1 Von Fan 1 Plan Check Fee ARC 3/20/2009 $73.00 S22009000 Lavatories 1 Building State Fee ARC 3/20/2009 $4.50 S22009000 Showers 1 Building Permit Fee ARC 3/20/2009 $141.00 S22009000 Water Closets (Toile 1 Building Permit Fee ARC 3/20/2009 $141.00 S12009000 Water Heaters 1 EH Plan Review ADR 8/11/2009 $103.00 512009000 Total $462.50 BLD2009-00175 Please referto the following pages for conditions of this permit. 1 of 2 CASE NOTES FOR BLD2009-00175 CONDITIONS FOR BLD2009-00175 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 potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-64�he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) Owner/Agen ?rsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 3) 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 revocati X 4) 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 ancgs and building regulations. X �i►t/=1Y 5) 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 holder have prevented action from being taken. No more than one extension may be granted. 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 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 inspe tion.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 prope d stru to for review and inspection. OWN ER OR AGENT: ZTUn Vim► DATE: o JV - I ' I I BLD2009-00175 Please referto the following pages for conditions of this permit. 2 of 2 W D o CONCRETE MECHANICAL MANUFACTURED HOME p N o Date lay �- D C) Footings /Setbacks Gas Piping Ribbons o Interior Date By Interior-Date By Date By 0 Exterior Date By Exterior-Date By Set-up C Point Load I Isolated Footings INSULATION Date By N BG i SLAB INSULATION ---- -- D Date By Data By FIRE DEPARTMENT Z Foundation Walls Floors Date By Date By Data By DECKS FRAMING Watts Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Dale By Date By Type_ Date By D.W.v DRYWALL Type- Date Brace Wall Date By 1p Date By Date By FINAL INSPECTION 0 w Water Line Flra Separation ON Date By Date By Date By p Pass or Request Inspect. Type of Insp. Fail Date Date Done By CommentsCD y Er 0 v i; 8 a 0 M in 0 s m 0 MASON'COUNTY PERMIT NO. Id O�DO� Db17CJ 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 S-\k_ r.y\- cw c� (6A_j G Company Name Mailing Address 3au ih��0.�Qv� Mailing Address City � '63(AVV t State GN Zip Code i1 Vlr I I � City State Zip Code Phone Other Ph. T Y1 15 Phone Other Ph. Lien/Title Holder — Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic. # l DOB Drivers Lic. # DOB SEPTIC/WATER SYSTEM II FORMATION - Connect to qew Septic_i,ZUtxis jci ting Septic Connect to ater System �/ Name of Water System f l I - �t�v►� I�C C� ?'s 2c Well Water System Name of Water System —� PARCEL INFORMATION - 12 Digit Parcel No a312U 777 - Do,71 Fire District Legal Description 0 we h TYL� 0,-, t I Site Address (Plea �so include street name reet umber and city) c Gi U Dire n�#qq site Vim'„kl"�hor� l c� "v �G��11�' �r - u Will timber be c and sold in parcel preparation? Yes N Is property within 200'of Saltwater Lake ever/Creek Pond Wetland Seasonal Runoff�Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop ork Notice, Correction Notice or other enforcement action?Yes/No TYPE OF JOB- New V Add Alt V Repair--. ter. PRIMARY ESI�ENCE EASQNAL Use of Building14 a6. n -SV%Az;�}escribe ork li(`0 t� ftC1S�1kQ-� Uv� L) 6 No. of Bedrooms Ij—1X No. of Bathrooms V Saiare Footage- 1st Finnr -f(`� 2nd Floor_ 3rd Floo _Basement Deck— _Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFAC URED 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. vvv� PROOF OF CON TI�_UATIO WORK IS BY MEANS OF A PROGRESS INSPECTION. 1 X _ Date; 9, Owner/O ers Pep resentative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by:�Va,_�tsti.L DateC3 U DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department ' Planning Department 6►rl - PL4nnIn Environmental Health Department _ nn 2_41 1a . DOD 63 Public Works Department Fire Marshal FEES Building Permit Fee pa Site Inspection Plan Review Fee 73 , 00 EH Review Fee Plumbing & Base Fee Planning Review Fee RECEIVED Mechanical & Base fee Other , Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NCr led(VYA ' 0013� 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 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner t�SQvt G�werhJ Company Name Mailinq Address �Ykt' e;,A Mailing Address City Kl '� State Zip Code 0`I li'-' fl City State Zip Code Phone G7Ic-3-5,f Z`7 h% Other Ph. c/I�-b�i7-24915 Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address Skc&(,ittill 16 -c4l19A I e E Mail Address Drivers Lic. # P 34 t'(2179 DOB q-j q�— Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existin Septic Connect to Sewer System Name of Sewer System r �' PARCEL INFORMATION - 12 Digit Parcel No 0 - u Fire District_ Legal Description v - 5 0 G - S l uI I `1 Site Address(Please include street name, street number an city) `lo A 5 Dire 'ons to site �nvv< &1 ✓ - ^( �h sl�� t2d M f ti-i.- Tet'L'L v'j tkt-VIA\ L— w L. �cteu vh; ( Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt/ Repair Other Use of Building Location of Fixtures/Units- 1st Floo�� 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNS Type of Fixture No. of Fixtures Fees Fuel Type:Electric V LPG_Natural Gas_Heat Pump_ Toilets _ ( Type of Unit No. of Units Fees Bathroom Sink 1 Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater _ 1 --j&C MANP Propane Tank Clothes Washer Gas Outlets Kithen Sinks Z Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL 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 stricture for review and inspection. PROOF OF GOrUATMF WO IS BY MEANS OF A PROGRESS INSPECTION. X Date: ') lv i% L Owne /O ners t lRepresentative/Contractor (indicate which one) FOR OFFICIAL USE BEYON THIS POINT Accepted byAL— "Planning Pd Ck# Date G, 1` Bld Pd Receipt No. DEPARTMENTAL REVIEW APP OVF-D DENIED NOTES Building Department Occ Group—Type Constr. ' Y( Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/ Pellet Stove Fee Other mAsON COUNTY Violation Fee TOTAL FEES