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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