HomeMy WebLinkAboutMIS95-0323 Cedar Shakes Removal and Composition - MIS Permit / Conditions - 5/11/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 ,C; l. l.._ t__ A N E= C3 LJ 4�-; ice' F " M 1 'T' FOP i NSPE CT I ONS CAI l 427--9670
M I S95-032.3 PARCFL. :420125500028 PLAT t SPPLO�., D I.V i BLK t LOT ., 28
JOB ACDFiE"SS : E. .�Z , . �6- F,
APPL (CANT t CHARLIE WOMACK 206--426--2001
OWNF=R , CHARI I C WOMACK 206-426-2001
LF'GAL. t SPAING1000 1111(i IOTt 21
PROJFC f DESCRIPTION :
REMOVE CEDAR SHAKES AND PUTTING ON COMPOSITION
PROJECT LOCA7 ION t
EMTER SPRINnWOOD DEVELOPMENT . FIRST HOUSE ON THE LEFT : BLUE .
PROJECT NOTES :
'TYPE_ AMOONI BY DATE' Rf CE i PT
STFE $ 4 .50 NJP 05/ 11 /95 390?8
REHF $ 2-- _00 NJP 05/ 1 1 /95 39028 T
TOTAL. : 19 .50 � � OWNFR OR AGENT DATF
MIS ?All, rer: 001119? COMPLIANCE TO ATTACHED CONDITIONS I
RE001At 1)
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 Attic OTHER
Groundwork date b
date b y
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by da date by
+I
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PFRM I `T CC7N [.7 I T I C)N :
Case No . ; MI S95--032:3
For : CHARLIE WOMACK
Pages 1
1 ) All construction and demolition debris must by removed from the beach after project
completion ,
2 ) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIREMENTS AS PER MASON
COUNTY REGULATIONS .
X
3 ) ALL CONSTRUCTION MUST MFET OR EXCEED ALL LOCAL CODES AND UBC
REQU I �EMENTS
X C.
4 ) CONSTRUCTION PROCESS TO RE FIELD CORRECTED AS RFOUIRFD PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
i
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
I` date by Gas Piping date b
iFoundation 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
li
li
I
J
MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner C ;vo �. we,/q 2< Phone # _Fire District#
Site Address ,E' ,31 City she-47'6/v
Mail Address So A.,�
City St Zip
Applicant 4 r./i V. t--, GrJe►M't c k Phone# �J.Z C _ Z o C i
Applicant Address ���L�e�o fir
City J6 e z rdH St Zip 98'srFv
Directions to Site: s e,�c S &z Taw 4P.-/9 eel
#2 Parcel No.7
Legal Description
#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 Project Completion Date
#5 Use ofRwildiing Describe proposed construction
'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 FROMTHEBUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTM NT. MENT.
X OWNER 0, �, X BY
DATE S I/- gS 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
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees r
o�
Permit Fee $ L
Plan Check
Other
Other
State Building Fee
TOTAL DUE $