HomeMy WebLinkAboutMIS99-0557 Two Pilings - MIS Permit / Conditions - 9/2/1999 r a
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I 'F3 C F LL. t_ A N E= C3 U S F' E= F-3 MI I T FOR INSPECTIONS CALL. 427-9670
M I S99-0557 PARCEL :322334400040 PI A'T : D I V : BLK : LOT :
JOB ADDRESS : 7361 E STATE ROUTE 106 UNION
APPLICANT : JOHN NORDSTROM 898--2363
OWNER : JOHN NORDSTROM 898- 2.363 pepM1T SON
LEGAL : 11112 GOVT 19T 1 EX TAX 683C EX 669C EX SEE SURVEY 907 BY EXp4AA
�r
PROJECT DESCRIPTION ; �,��� S o��0 8'{
ADD TWO PILINGS TO SFCURE AN EXISTING SYSTEM TO BETTER SECURE FLOATS IN SID^T- BATHER
PROJECT LOCATION
IM APPROX 1 /4 MILE EAST OF A.LDFRBROOK INN ON STATE HWY 106 .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
r:11EX $ 125 .00 KW 09/02/99 51433
PRMT $ 74 . 75 NP 09/02/99 51433
PLCK $ 48 .59 NP 09/02/99 41433
STFE $ 4 .50 NP 09/02_/99 5143;i `-t' lti � ��`i `
_A
TOTAL : 252 .84 OWNER R AGENT DATE
MIS._PAM1, rev: 04191 192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
V date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F' F FiM 11_ GC3N0 1 T- 1 C-) IV
Case No . : MIS990557
Fort JOHN NORDSTROM
Page 1
1 ) All approved plans are required to be on- site for inspection purposes . If inspection
is called for and plans are not on site , Approval WILL NOT be granted . In addition , a
Re-- Inspection fee in the amount of $42 .00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further Inspections being performed or,
appr val g antAd
X
'. ) PURSUANt TO 1997 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKET) WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN 3,UCH A POSITION AS TO BE PLAINLY VISIBLE: AND LEGIBLE FROM THE
STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS BE COMPLFTED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES ADOPTED FEE SCHEDULES AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF
OWNF /CONTRACTO��RFAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
3 ) Approved per d-imensions and setbacks on submitted
I "
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by date by
D W WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
i
MASON COUNTY
�- Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X
0
4 ) ALL CONSTRUCTI MUST MEET OR EXCEED ALL LOCAL. CODES AND UBC
RE U R�rM�'NTS �
X ( �
0
5 ) CONSTRUCTION PROCESS TO BE FIELD CORREC711AW)OLI 1 F�$,i3ER MASON COUNTY BUILDINO
DEPARTMENT AND UNIF-011M BUILD1NG CODE .x �r✓'"
6 ) Wat quality Anot being degraded to the detriment of the aquatic environment as a
reY.,/u ! � fihi oject .
X-��
7 ) The proposed project must be consistent with all applicable policies and other
pro isions of , he Shoreline Management Act , its rules , and the Mason County Shoreline
Ma to gr*
X
8 ) Prop r- disposal cf construction debris must be on uplands , In such a manner, that debris
can ot _eht,er we s or cause water quality degradation of adjacent waters .
X
9 ) Pre ur•e treat+ w od trust be completely dry prior to placement in water . Use of
r sO .e w 'pe IorophenoI is prohibited .
X ( _
10) All new treated piling to be used For this project shall recieve a post treatment
vacuum of two hours at not less than 22 inches of mercury . Subsequent to release of the
vacu in, the piil ' g sha1I be steamed for a two hour per iod, , fnIiowed by a second vacuum
of o. 1,"rs inches of mercury . -
X
— — - -- - _
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
Walls FIRE DEPT.
date by date b date by
PLUMBING y OTHER
Groundwork Attic
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
� A
t i(� q)Q PERMIT NO.: MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION �I
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
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner/VORCStROAA J01-+A.1 Contractor Name
Mailing Address - Ry F_ . Mailing Address
City. F_k\y-7-c r State 4.,"a Zip Co / City State Zip Code
Phone( ) Other Ph.( ) Ph.( ) Other Ph.c
lLien/Title Hok�T A.J�/A-)QA /Y 6�/Z&lee kd rw Contractor Reg. #
AddressPO /3'7a LIVA-) 4C-)Al 9k-S'a Expiration
PARCEL INFORMATION-12 digit Tax Parcel No. 31133 /_I// 0 F're District
Legal Description,. 0 - L& IV E6 w 1-7
Site Address(include str6et name and city 7 10 E S /o 40 lati O
Directions to site:/4u /O/ �aey V da r F Tv SR /D 4 <r U 43,1244c/
Will timber be cut and sold in parcel preparation? (Yes/No) U
Is your property within 200' of the following: Body of Water(Name) / DOD itIA L Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or
Bluffs
I
TYPE OF JOB New Add Alt Repair Other Use of Building i T
Describe proposed construction 46 76Ua �� /01.(14,4v S TU 5�Ct/2� /Jiu �`✓5r/iUG SY`TF
E
` !D /,30-rL /;� SECU 12 E= F(04 TS /)f ' S7'L C'c h' �� Ly A ?N E-2
SHORELINE PROJECTS New Replacement Repair Expansion
Bulkhead Material (concrete, rock, wood, etc.) Length Height
r
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF PERMIT.
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-1 certify that I am exempt from the requirements of CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
the Contractor Registration Law RCW 18.27 and am aware of the 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 ordinance requirements regulating the work for which this permit is issued
will be done in conformance therewith. No changes shall be made without and all work shall be done in conformance therewith. No changes shall
F first ob aining approval. be made without first obtaining approval.
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CODES
Building Department
Occ Grp i) Type of Const.
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
Valuation $
FEES
Building Permit Fee 7� Site Inspection
a
Plan Review Fee Other
UFC Plan Review Fee Other
Violation Fee Pre-Paid at Submittal
>iv;Jm •:F jj?,v
T OTALFEES