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HomeMy WebLinkAboutMIS95-0874 Reroof - MIS Permit / Conditions - 11/1/1995 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I SCE= t_ E ^ NE ©i.JS PERM I 'T FOR INSPECTIONS CALL 427•-9670 MIS95-0874 PARCEL :4201255000/0 PLAT :SPPL.0 DIV : BLK : LOTS 10 ,JOB ADDRESSz E 91 SPRINGWOOD LN SHEL.TON APPL I CANT : DAN I EL. TR 1 Pt_ETT VERMIT ppTION OWNER : DAN i F L TR I PI F TT & Vpl® BY EXPIR. LEGAL : S►111161000 BLI(: LOT: It NULLS l - a PROJECT DESCRIPTION : �A1 RE-ROOF PRO.3ECT LOCATION : FROM H<S . ON SHEt.TON SPRINGS ROAD GOING TOWARD 101 TURN RIGHT IN SPRINGWOOD DEVP . SECOND CUL DE J SAC ON THE RIGHT AT THE END PROJECT 'NOTES ^•�.r.-�ccc-r.-e-_•.-._.ca-+�as:.xzxc•�.c;_.Yxya-zr.s_._xza •var:.,o.--r:.-ns.••_::xu TYPE AMOUNT BY DATE RECEIPT STFE 1; 4 .50 TW 11101 /95 40629 RERF S 25 .00 TW 11 /01 /95 40629 TOTAL : 29 .50 OWNER OR AGi-N'r �j GATE sarm¢ca-s_.r:.-•^.r—:a.=^.:-..•:.-�:-.._:•+cox.-,mac:ztar�i.••xxsr�sysmtir:�2r�cx-..�. MIS P11r, ;pry 04101192 COMPLIANCE TO ATTACHED CONDITIONS IS RVOLI I RF 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/$LAB 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 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O, Box 186 Shelton, Washington 98584 P F F1M 1 -V 1 -r 1 CAN Case No . : MIS95- 0874 For : DANIEL TRIPLETT Paget 1 1 ) AI-I. CONSTRUCT ION MIDST MEET OR EXCEED AL I_ LOCAL CODES AND UBC RFOUIR TENTS 2 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BU I L.D I NG CODE 3 ) PUASIJAN'r TO 1991 UNIFORM BU 1 t D I NG CODE , SECTION 305 ((: ) AND SECTION 513 , ALL. SITES MUST HAVE APPROVED NUMBFRS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BF PLAINT-Y VISIBLE: AND LE.G I BL E FROM THE STREFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY EAU I LD I NG DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPFCTION FFF , RASED ON RATES IN TABI.E 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSFD IF OWNE.RICONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR VO REQUESTING INSPECTIONS . 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/:.LAB 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.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by i I MIS MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 PLEASE PRINT n /` #1 Owner D �( Ir�'�olef Phone# L/'-?-0 0'0 Fire District# Site Address C l fir)KS 4,t, Jr! _ City S12 Mail Address SAIIL�- City �1 St Zip Applicant DGi,hi't( 7r—'0 lzff Phone# Ya 7 0 q&0 Applicant Address 6- City Ste. (�V" St /1— Zip `l gS�ST Directions to Site: Fyr - va,, S4e 6� Sp,^rh-n eon(Ll Z e"(ef-e sac Z#:2) Parcel No. Legal Description V_ (_'o� #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 N0\J 3 Project Completion Date �hv #5 Use of Buildiing 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 FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMENT. MENT. X OWNER X BY DATE Yyd y 1 / c ! 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:. C3ate: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD Building Fire Marshal Other Special Conditions Fees Permit Fee $ Plan Check Other Other State Building Fee TOTAL DUE $