HomeMy WebLinkAboutBLD2003-01127 Final Raise a Frame/Foundation - BLD Permit / Conditions - 9/26/2007 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 BLD2003-01127
OWNER: JERRY CROSBY RECEIVED: 8/13/2003
CONTRACTOR: LICENSE: EXP: ISSUED: 9/4/2003
SITE ADDRESS: 241 NE COLLINS LAKE DR TAHUYA EXPIRES: 3/4/2004
PARCEL NUMBER: 223315200054
LEGAL DESCRIPTION: COLLINS LAKE#3 LOT: 54 241 NE COLLINS LAKE DR TAHUYA
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RAISE A FRAME/NEW FOUNDATION BELFAIR TAHUYA RD TO COLLING LK DR. 2 BLOCKS. INTO COMMUNITY
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General Information Construction &Occupancy Information Square Footage Information
o.of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: OT No.of Bathrooms: Occ. Group: R3 Lot Size: Deck:
Type of Work: ADD Fire Dist.: 2 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
:
y
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
Model: Width: Ft. Rear: Ft. Slope: 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
Building State Fee NJP 8/13/2003 $4.50 S22003
Plan Check Fee NJP 8/13/2003 $120.50 S22003
Total $125.00
BLD2003-01127 Please referto the following pages for conditions of this permit. 1 of 3
• CASE NOTES FOR
= B LD2003-01127
CONDITIONS FOR
BLD2003-01127
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
Depart for to any further inspections being performed or approvals granted.
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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
contrac + post the address on site prior to requesting inspections.
3) 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
charge all be collected by the Building Department prior to any further inspections being performed or approvals granted.
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4) 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 Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
Xs;lt_It' it revocation.
5) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UNIFORM BUILDING CODE ALL CONSTRUCTION MUST MEET
REQUIRED SETBACKS AS ESTABLISHED PER MASON COUNTY ORDINANCE 45-99 AND MASON COUNTY SHORELINE MASTER PROGRAM IF
APPLICABLE. IF THE FOUNDATION IS PLACED IN VIOLATION OF ANY MASON COUNTY REGULATION, IT WILL BE THE OWNERS LIABILITY TO
REMOVE SAI=RUCTION AT THE OWNERS EXPENSE AND TO DO SO WITHIN THE TIME SPECIFIED BY THE BUILDING OFFICIAL
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6) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regul st be reviewed and approved by Mason County prior to construction.
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BLD2003-01127 Please referto the following pages for conditions of this perrnit. 2 of 3
7) 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
Inspe made prior to requesting additional inspections.
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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 2-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 C rdinances 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 period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder h ented action from being taken. No more than one extension may be granted.
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This permit becomes null and void if workorconstruction autho 'zed is 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 oMoonbin of wo is ogre i pectin ithin the 180 day period. Final inspection must be approved before building can be occupied.
OWN ER OR AGENT: DATE:
BLD2003-01127 Please referto the following pages for conditions of this permit. 3 of 3
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o CONCRETE MECHANICAL MANUFACTURED HOME
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G' Footings / Setbacks Date By Ribbons
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Date y By / Gas Piping Date By
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4 Foundation Walls Date B y Set-up
Date �j By INSULATION Date By
B G / Slab Insulation Floors Final
Date By Date By Date/9 Bye
FRAMING Walls FIRE DEPT
Date _ZJ�— By Date By Date By
PLUMBING Attic OTHER
j Groundwork Date By
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTION
Water Line Date By
Date By Date By
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MASON COUNTY PERMIT NO.
• BUILDING PERMIT APPLICATION � /04
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 £cC �% ' ti" Contractor Name
Mailing Address rD coY 4/- Mailing Address
City State Vt Zip Code v ' City State Zip Code
Phone ( %tGU) ad%/-:"/*bther Ph. ( ) Phone ( ) Other Ph. ( )
Lien /Title Holder ( U 91 i K I i i> Contractor Reg. # Exp.
Email Address ' X ''y a. 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
PARCEL INFORMATION - 12 digit Tax Parcel No. / / Fire District
Legal Description �'� /I/1' 1 '5?j t. �+ m /�
Site Address (Please include street name, stre t number and city)
Directions to site f/r, Li�i�IC��iU U �✓ % d; f
c-v rvt Milt. � bvV -Ctr.�
Will timber be cut and sold in parcel preparation? (Yes/No) G
Is property ;ocated within 200' of saltwater Lake T77 River/ Creek !I;y 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 Work Notice, Correction Notice or other enforcement action? (Yes/No)
Describe Work k 4(� f' r 71,/0.0
No. of Bedrooms No. of Bathrooms I SQUARE FOOTAGE - 1 st Floor 2nd Floor 1/
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 conformancetherewith. No changes permit is issued and all work shall be done in conformance there-
shall be made without K. 91pining a val. with. No changes shall be made without first obtaining approval.
X / Date X Date
FOR OFFICIAL USE BEYOND THIS POINT ry n
Accepted by Gc� �c _ Planning Pd Ck# 7 /�o'�.
Date !��� B I d Pd. Reciept No.�J
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Group Type Constr. 41 Ce'K '20('t✓ 5(0 BLA i ILI
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal C
Valuation $ 1
FEES 426
164, 424,
Building Permit Fee Site Inspection R
ST
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 C\ �1 1 r Pre-Paid at Submittal ( )
V l�iT TOTAL FEES