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HomeMy WebLinkAboutMIS95-0621 Reroof - MIS Permit / Conditions - 8/17/1995 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I 4z3CE 11_ t__. ANE ©lJS RE RM 1 T FOR INSPECTIONS CALL 427-9670 MIS95-0621 PARCEL :420125500011 PLAT :SPPLO DIV : BLK : LOT : 11 JOB ADDRESS : E 71 SPRINGWOOD LN SHELTON APPLICANT : PAUL JOHANSSON OWNFR : PAUL JOHANSSON LEGAL : SPAIw011000 $1.I1: LOT: 11 PROJECT DESCRIPTION : REROOF f PROJECT LOCATION : Second co I de sac In Spr i ngwood Derv . off Springs Rd . , Shelton PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT RERF 9c 25 .00 KS 08! 17195 39964 TOTAL : 25 .00 - OWN ciR AGFNT DATE 11S Poll, revs 44111192 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 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 4?—//9 S by by � a �,4 � ,E G�i�•Ef7 i�.P1��. MASON COUNTY Mason County Bldg. III 426 W. Cedar j P.O. Box 186 Shelton, Washington 98584 F' 1^ RM i T CC>N0 1 V 1 C) N :z Case No . : MIS95-0621 Fore PAUL JOHANSSON Page : 1 1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 , ALI SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBL.E FROM THE: STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUIIDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BF ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . X 2 ) ALL CONSTRUCTION Mtf MEET OR EXCEED ALL LOCAL_ CODES AND UBC REQUIREMENTS 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 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 MIS _PG MASON COUNTY MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 PLEASE PRINT #1 Owner PA V ���Nss' Phone# �� 7— Fire District# Site Address ,�5— 71 City ,5 � �✓ Mail Address �a 1J�/ City St WA Zip Applicant Phone # Applicant Address City St Zip Directions to Site: l"J LT/170G� 1&ej U J�� � #2 Parcel No. �0�� - - 0 0 v 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 r— #4 Project Start DateRZId Project Completion Date #5 Use of Buildiing - �1 ,��/Ci"( Describe proposed construction C� d `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 DEPARTME MENT. X OWNER ! V X BY V4� DATE 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 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD Building Fire Marshal Other Special Conditions p Fees Permit Fee $ Plan Check Other Other State Building Fee TOTAL DUE $