HomeMy WebLinkAboutMIS97-0499 Foundation - MIS Permit / Conditions - 5/21/1998 MASON COUNTY
` Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 Cc F= L L . A N V C0 tJ V f. VIM 1 'U UOR INSPECTION: 'A1 1 41.17 qf. o
MIS97-0499 PARCEL :4ef1087890141 PLAT : DIV s BLK t !
JOR ADPRFSS : 60 W SWLFTCI OVFIi CT SHFI _TON
APPI_ I CANT ; WARREN COI.V I N i?7 -9e70 ipElt[+11VT '(10t4
OWNFR : WARRI-N ('01 VIN 4l7 9670 EE> r
l_FDAI F. 331.36'®F FA 14 SURY 151151 TA 3 OF SP 12 9 r4ULL & Vo .
PROJUT DF ISCR I P1 10N : DATE
F0IINPAT i ORI
PRO JF VT LOCATION :
HWY 101 10 DAYTON A 1ItMM I ItU, PAS'I "(41PUC T I ON (J N1VFt 1110111 TIIRN TO DAY10N IRA I I-S. t;(+ 10 TOP OF
II I I.1 TURN L.FFT GO STRAIGHT THIRD Ti I U111 CI.OVERI)AL F GQ STRAIGHT TO END VIRN R I GIIT SWFF i CLOVER CT _
PROJ r1 NO It
TYPE AMOUNT HY DATF RFCL I PT
:,7FF 4 4 , 50 K�, W, I`.11 /£eft 45708
F PN(? .P 4 1 00 KS 0!', 1 9F1 4Co708
1 O'rAL 45 .50 ()WNF R i>R 4t. DA I F
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MIS PAMT, rPv; 0410119f COMI'1_. IANCE TO ATTACHED C'ONDITIOWN' Ito
R F fIU I F1 F f.►
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date - - Cn 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 date by
PLUMBING Attic by 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
a ,
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P V F1 m 1 'r C": C'r fN C.) 1 `i- 1
Case No . i M I S97---0499
For , WAIMF N rril V IN
Page % 1
1 ) Pr opo::erl s t r twtuk-e or finv rot t ion t twee of (it c*titer thfrn 30" i n hN ight fr:►m q r a e I f rr
mu4t maintain a mi n limim of 5 ' �,etbark from all property 1 i nes and easemr►nt lines and 10 '
fir m rY I I Cap jty liai a t e Ro:id r i 51ht of way-
, ) A 1 I approved r, I fins: are reryu I red tr, he on s i to f car i nspocrt i on purrioses , 1 f I rrf,pe(:i i c,n
is called for and piano are not on sitp , Approval WILL. NOT Lac. gt,anted . In addition, a
Re-- I nspeo-t i on fee in the amount of *32 .00 per- hour, (minimum I hour ) w i I I hey r':hftrged and
mast tie oral ler.tod by this department twlor to any further in-rpect: ions bein(4 perform,:)d c►r
apprrova I prerr�t d .
x l�J
. ..
? ) PUIISUANT 10 '1491 11N I f ORM Rt.l I L(?I Nci CODF , SFCT I MN 305 (C ) AND 'sF=C T I ON S13 , All fi I TP`: t- US I
NAVE APPROVED NUMBERS OR ADDRESSFS PROVIDED IN SIJC11 A POSITION AS TO 61: PLAINLY VISIBLE
AND L F.G I RI. F FROM THE STRFFT Oil ROAD FRON f I NG 1 IIU PROPFRT Y . PIA''(,N (:MINTY I'll I 1 111 NG
DFPARTMFNI RE 01.1 I RFS l 14AT THIS BE COMPLETED PRIOR ro CAI, L. I NG FOR ANY S 1 TF 1 NSPFCl I ON5 . A
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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING 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
I
L-_
MASON COUNTY
' Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
RE_ I NSPFCT ION FF'.F , [AA,-r D ON RATFS I N T A b I F 3A 0V 1 FIt- 1 994 11N I l'0 H M B0 1 i E)I N( (01IF W I I I iiF
ASSESSFD IF OWNER/CON TRACTOI-' I A I t-S, 10 POST ADORE'i ON S I TV PR i OR f n REOUEST I NG
1 NSPF C: 1 I ONS
4 ) ALL ( ON'S(RUC-1 1 ON IAA IS 1 MF F'f Cif, E XCF f_D All 1 0CA1 (:C3UI P-NI} UN 1 1 014A B11 1 1 D 1 Nt
COD �1
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ALL CONSTRUC] 1 ON MW:4 MI' T "F(�t1 1 HI'O `::( i I',At:K. A;: 1 I AV f 1 ';Hf D PIP MA,-,0N (;n11N I Y (�ftU f NAIV1:1 F
3-7-96 AND MA?Q'I' LINTY SHORT I I Nl MA>f`(, PROGRAM I F APPI 1 CABI+
1NTV IF ( C►UNDAI ION I '- PI ACt1) 1N VIof AI iON Ul ANY HA SON (:OIINiY III l,tft A'I ION, I i W I I l 1;1 1IEt
OWNERS IIABIVITY TO RFMOVF SAW f? CONSTRUCT ION AT rtiF OWNERS F YPFNSF AND T'(! DO <:r) WI I11 I N
THE= 7 I Ml- SSE=C: 1 I I F I1 I1 Y Mt B1.1 1 I DING Of I I C I AI : I I SIIAI 1 1tF i)F 1.MF 1) A V i Of A l l ON t (11i ANY
WOOL) FRAME= CONS LRIIC ( ION 10 BEGIN ON THIS FOUNDA T i ON W I T11011T TNF ISSUED LIED HO I LD I NG Pt 0141 1 .
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Chan le'_, I s, ripprove(f hil i I(f i ri41 p l :its;: I fla I e l t eo l comp I i ririne I o t 11t- 1991 Waf4t i n(i t ol+ f to t r
Energy Code, 1991 Ventilation and Indoor A l i O11a 1 i try
Code, the trn i t(�r to t+u i 1 �I t rt(r Code �inc1/ r -tC.ipr+ (:c.�)LSr1t/. Rentt I at i c r►t; n►��C+t he iFppr(,vp�1 t yr
Ma,ori County 1?rr i ��r to col► .,t.I i.ic t t o n X
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5 i .%CAN`.-i NJ'( f I ON 10 fit I I F 1 1) c0fint (;1 t (r � q`: fit 901111 I►�"TE I- MAI;ON (.00N I Y kU 1 i It 1 W.
DFPAILTME-:NT AND ON1FORM BUIL-DING r^0D ,x
l
CONCRETE MECHANICAL MOBILE HOME
Footings Setback date Is bQA Ribbons
date by Gas Pipi g date b
Foundation Walls date I LO b \ Set Up
date ' by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING�,t^ Walls FIRE DEPT.
date 1 I w b date Ito� by date by
PLUMBING OTHER
Groundwork Attic
date b date by
D.W.V. WALLBOARD NAILING
date i�Z0 by!4
date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
MISCELLANEOUS PERMIT APPLIC'�- I 7
PLEASE PRINT
426 W. Cedar/P.O. Box 186 Shelton WA 98584 • 427-9670 0 S ���
#1 Owner WA-a(Lt tl) P 0AIAPf-j CO Lyrr-Phone # `/Z7- SG Fire bistrict
Site Address W Cv0 SWte-r CJ-"L- 2 C7- City 5Ht�7�
Mail Address �1}tvi 1
City St Zip
Applicant 5A M t Phone #
Applicant Address
City St Zip
Directions to Site: pftt-
nAt r Can 2 cc r��) e rn,rc-srt, �-o D�a y7-o r�J �t
L.t�FT 'PO b F Xt L _ 7-h t a2o (Zi &4/7—
TZ7 -S-W C-ts•T 4-L 8 v t& G7--'
#2 Parcel No. 41:2 OU -�7 �3 - 7 b/ 4 1
Legal Description 4oT 3 S H owr Sz4a icr l 4 Z3 72
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date 9SA Project Completion Date
#5 Use of Buildiing &—kw b AT i,c rj J I�J Describe proposed construction
>v sf-A- E±�-o F;t)-rL- ti vtnJ
'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 COM-
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 DEPAR7aA4,11
T. MENT,
X OWN EC/6 O R �7 X BY
DATE `97 DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks 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
i
2� 57
�s
s�
EFOROFFICIAL USE ONLY: Accepted by; Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP C ND APP HOLD
l� L7
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $