HomeMy WebLinkAboutMIS95-0454 Install Sign - MIS Permit / Conditions - 6/26/1995 MASON COUNTY i
i
Mason County Bldg. III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
M I C, IE L_.. l.. A P4 IF- "1 1 P P R M i -F" FOR INSPECTIONS CALL 427-9670
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MIS95-0454 PARCEL :1232941 PLAT : DIV : BLK : LOT :
JOB ADDRESS : NE 140 STATI Ott+ z 300 SEL.FA I R
APPLICANT : DENNIS BiLOW (206)275-0100
OWNER : DENNIS 61 L OW (2Hf;)275-0100
LEGAL : TI 1/ OF 1E SE SEE SP #2512
PROJECT DESCRIPTION :
INSTALL SIGN
PROJECT LOCATION :
NEXT DOOR 7*0 SANDYS DELI MART' ACROSS FROM STOCK MARKET .
PROJECT NOTES :
.... .aax-axax�aene:ux�m„'...:xtir
TYPE AMOUNT BY BATE'. RECEIPT
PRMT $ 16 .00 KS 07/21 /95 39716
PLCK $ 6 .50 KS 07/21 /95 39716 r
STFE $ 4 .50 KS 07!21 /95 39716 l (0'.
N.
TOTAL - 27 .00 OWNER OR AGENT DATE
IIS PIMl, rev: 44111192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Fbotings-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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON CO,UINTY
DEPARTMENT of GENERAL SERVICES
Mason County Bldg. III 426 W.Cedar
P.O. Box 186 Shelton,Washington 98584
(360)427-9670 {
BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION }
TO: x6z�(j
lJ
I
RE: Permit Number #
To Whom It May Concern;
During a recent review of our files, it was determined that your permit `
may meet one of the following criteria:
1 . Permit is expired and needs to be renewed or have a final inspection
2. Due to the type of your permit and scope of work it is possible that
the work has been completed and it needs to be inspected to close
the permit
or
3. The permit is ready to expire and needs to be inspected or an
extension needs to be requested.
Permits are valid for 180 days from the date of issue to the inspection
date and remain valid for 180 days between each required inspection.
If our records are inaccurate and you have had a final inspection, please
send a copy of the signed off permit to this office so that we can update our
cards. If you have not had a final inspection and your permit is expired or will
expire within 30 days, please contact this office for a final inspection, update
inspection or extension prior to P / P�5to avoid renewal fees.
All permits which are expired or due to expire within the next 30 days will
become null and void if contact is not made with our office.
If you should have any questions regarding permit validity or the purpose
of this notification, please contact the building department for clarification.
Sin cer ly,
-
Building Department
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T C: AP,lI_) i 1 1 4, r #e1
Case No . : M1885 -0454
For .. DENNIS BIL.OW
Page : 1
1 ; Proposed structure or any portion thereof greater than 30" in height from crtade line ,
must maintain a minimum of 5 ' setback from all property lines , easements and right of
ways .
22-
2 ) All approved plans are required to be on-site for inspection purposes . 1f inspection is
called for and plans are not on site, Approval WILL. NOT be granted , In addition, s
Re- I inspect i on f ee i n the amount of $30 .00 per, hour (m I n i mum i hour ) .N i 1 I be charged and
must be collected by this department prior to any further Inspections being performed or
r
approv I �gr.a ted .
X
31 PURSUANT 10 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , ALL, SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED 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 I NSPECT I ON FEE , BASED ON RATES IN 1ABL F 3A OF THE 1991 UNIFORM B(J I I D I NG CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X
4 ) ALI. CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQU 1 REMF..N
X
5 ) Changes to approved building plans that effect compliance to the 1991 Washington state
Energy Code, 1991 Ventilation and Indoor Air Quality
Code, the Uniform BuiIdinq Code send/or Mason County R� I Ions must
be approved by Mason County prior to constructionX INS
6) CONSTRUCTION PROCESS 'TO BE FIEI.D CORRECTED i.11RED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x _.__
7 ) Ma,..on County wi I I need to inspect to forms for csoncrete prior to pour Inq Need to verify
depth and size .
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MASON COUN
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT {
#1 Owner �a L�lAn ��"i 1�) Phone # Fire District#
Site Addressl1�j �CLO �U') City
Mail Address 1
City St Uft Zip
Applicant iCI BUBI.IT?_ = ULTZ. / /fhone # 0 o4 4.33
Applicant Address VV 42S I SE4EM(4 MRTLocK "
city S44EF Ta1J St W S�zip 98S8¢
Directions to Site:
DIREmy AcAoss o
Parcel No.
ll
Legal Description I(L r'V 056a oFQ
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site: � K's
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date
Project Completion Date
#5 Use of Buildiing 1 ( Y ClPC Describe proposed construction
-4 /N.4rMi nM-w/D6 X :4 416H X 1 r-rTtkCK 416 lzZ SAW CABNVer
AT g A LEYE2 /A/S/nE PA0e9%M( IWES AIVb CAtLVAfg
AfO 06S712oc-noWS FOR VEHdC I TRAFF/G V/SAL4/ClT1/�
'Depending upon the type of permit,a floor plan and plot plan may be required.
'This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
MENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WITHOUT FIRSTOBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT. ^
X OWNER X BY C.)n(,
DATE _____ DATE
___
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,+ Show following on the site plan
Lot Dimensions Flood Zones a
Existing SquctUrey, Fences
1 Structure)Qetbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
DEPARTMENTAL-REVIEW ,
FOR OFFICIAL USE ONLY
Planning mV13� e �e?L�e►'1 a+ )CCA S ' brow Racal RAAJ APP CONDAPP HOLD
-, 1`nryVt�
7
Building wLL
1-r
Fire Marshal `� (/, -
lyl`Y�1`^J�
Other
Special Conditions Fees
Permit Fee $ fo • O
Plan Check 0• S
Other
Other
O `c' State Building Fee `4
2 YO
— TOTAL DUE $ 27, O a