HomeMy WebLinkAboutMIS96-0847 ReRoof - MIS Permit / Conditions - 11/22/1996 MASON COUNTY c�
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
pol1SCEt_ L._ ANFFC3ILJ'E— PL— FZM1 'T FOR iN PFC1i (JN:, CALL 4; ,'- 56r0
MI 596-0847 PARCEL :32231 4300090 PLAT ., DIVI BLK a LOT :
•_IOR ADDRFSS
APPLICANT . EVELYN SIMPSON 360-898- 2420
OWNER : EVEL YN F S IMPSON 360-898_2428 rf1k. -zt1�3M
LEGAL_ : TR 8 OF S 13.I1 ACRfS Of LOT 3 1 TAIL 211-8-1 ��`
PRO0ECT DESCRIPTION .
REROOF IE
PROJECT LOCATION :
DRIVE TOWARDS UNION FROM HIVY 1 N 1 . CABIN IS ON THE WATFR SIDE ACROSS THE ROAD FROM TIIf` 4 M t.
MARKER .
PF.O1f'CT NOTES :
TYPE AMOUNT PY DATE- RECEIPT
STFF, 1 4 50 h-13 1 1 122/96 43485
RERF $ 32 .00 KS 11 /22/96 43485
OTAL : 36 .50 OWNER OR AGENT -� DATE
YtE AR1i, rev: COMPLAANCE 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
PLUMBING date by
Attic OTHER
Groundwork
date by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1--' (E R M i '"T C-1 01 N CI 1 T- 1 C-) 1'1k3
Case No . : MIS96-0847
Fort EVELYN F SIMf'SoN
Pages 1
I PURSUANT TO 1991 UNIFORM BUILDING COIF , St»C'IION 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 TI4AT THIS RE COMPI-ETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE 1 NSPECT I ON FFF , BASED ON RATFS IN TABLE 3A OF THE 1994 UNIFORM BU I I.D I NG CODE Wilt BE
ASSESSED IF OWNER/"ONTRACTOR FAILS TO POST- ADDRESS ON SITE PRIOR TO RFOUESTiNei
INSPECTIONS .
X
2) SINGLE RAFTER JO i s T 1100F I-'E PLAGE MENT SLIALL. OF INSULATED TO A MINIMUM OF P-30 Al LOWING
FOR A_M1NIMUM OF ONE INCH CONTINUOUS VENTED AIRSPACE ABOVE THE LEVEI. OF INSULATION .
3 ) ENCLOSE.D ROOF SYSTEMS THAT ARE E'X OSED c,TO THE SHEATHING SHALL- BE INSULATED 'TO A MINIMUM
R--30 AND INSPECTED PRIOR TO COVER , A-
1
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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 b
FRAMING date Walls by FIRE DEPT. y
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date te V by WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
4 ! CONSTRUC71ON PROCESS TO BE FIELD GORFtLCdED—AS,: REQUiRCL) PER MASON COUNTi BUILnING
(1EPARTMENT AND UNIFORM BV I UD I NG CODE . x
I
r
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 FRAMING by date by date by
Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
d date by
ate by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
MIS . t(1-0 P
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner �'� /'/ S Q Phone # 0 9�- a 7 a Fi District#
Site Address r • Sqql fiWV 16.6 city_&Z
Mail Address
City Wl St o zip qq q
Applicant k V l Ly N t S/M Sd Phone # a_ ) 5�ae
Applicant Ad r/ess 3 9 d 6 A
City! �� St WA Zip
Directions to Site: I
#2 Parcel No. - 3 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
#4 Project Start Date p- g a - q 6 Project Completion Date /a - 3/- t
#5 Use of Buildiing Is Describe proposed construction
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 FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER `6� X BY
DATE �I — q 4 DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements Indicate directional by
Septic Systems Name of Fronting Street N, S, E, W etc.
Proposed Improvements Name of Flanking Street
PLOT PLAN AREA
FOR OFFICIAL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
APP COND APP HOLD
Planning
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $ u