HomeMy WebLinkAboutMIS95-0348 Dock Repair - MIS Permit / Conditions - 6/12/1995 MASON COUNTY
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Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MI 1 t�3- C: IF: l. L A N V-- C.3 L) �3 W Fi R M i T f OR I NSPEC'F I ONS CAH 427--9670
MI tS95-_0348 PARCFI. :322343300i3f<0 PLAT : D I V : SLK : IOT
JOB ADDRESS : F. 7781 STATE ROUTE 106 UNION
APPLICANT : RANUAI_L UPDYKf=' 6198-3749
OWNER : RANDAI L UPDYKE E198-3749 pERM�E �RpTtO
LEGAL . TA F) OF GOUT 1.01 4 t T.L. NULL & V01®131
131 --�,
PROJECT DI SCR I PT I ON : DpTE �.
dock repair
P R OJ E t:.T l QC A T i{)N c V Y�� --�:a�tf. --1 r i Vim} � )�'� .._. ;
PROJECT NOTES :
ram.-.ssrx,:^•:y::..•-r..`.:1 ,,-n:z.::.2.:+:a.-sr_:.•arV^+a.^:.^.r_�^arsaxs..naa.:�r..••s,•,•:.-c-ca a-�:^e sas::nc•.
TYPE AMOUNT BY DATE RFCE i PT
.... .-�x'•.rrs:-:cnxxc^::-sr.:-:zcec^:�rr;.^�'sc:s�a_tr.•sc:--..�-Mx.�.. _. ....
PRMT 211 .50 TW Fag/ 12../96 39353
PICK $ 84 .00 TW 06/ 12195 39353
STFE 4 .50 TW 06/ 12/95 39353 � �I
TOTAL ;W .00 OWNER OR AGENT hATf=
1
NIS 11111, rev; 14101IS2 COMPLIANCE TO ATTACHED CONDITIONS IS
REOU I PC I)
1
_ 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
PLUMBING date by 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
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : M I S95--0348
For : RANDALL UPDYKE
Pages 1
1 ) The proposed •pro sect must be consistent with all app I i 0abl a policies and other
provisions of the Shoreline Management Act , Its rules , and the Mason County Shoreline
Master Progran+-i-1- {
1 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALI_ LOCAL CODES AND UBC
EOUIRFME,NTS
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
I
i
I
Permit No. I
MASON COUNTY
BUILDING PERMIT APPLICATION 0,6'�g
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT ��JJ )) i �7 �( q
#1 Owner �lA �L Li 1..r! /�N (� 4` L= Phone# C� 1S t''
ss E ltC, I�cx ' I�LD Fire District#yn N St iN✓} Zip Scl Z
Directions to Job Site 2 NI t LQ '6 A S 7� �� !�[d L-2 2 h a IC
Owner Mailing Address L-) ja D K
City (J/ "- to �V St-(A/4 Zip 2-
Lien/Title Holder
Address
Clty - - St Zip
#2 Contractor Name l,,4 !�e S A U &L Lev s 1&f 2 u C. I 1 OA/ Contractor Reg
Address F0 00AD Expiration Dated / f�6,
City t L t St WA- Zip S,Z' Phone#3G0 -17 S Sd 29
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
# arcel No. 3 L - 3 - b y 0 ,5-()
Legal Description T Tall-clY `,G K ifs
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other sq. ft. /
#6 Use of building U C. t<' Describe work
(c -.` e' l= ,t c. CI / c c i S - CI' a S P 'ee-�r
#7 Type of Job: New Add J Alt Repair f/ Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms Type of Heat
Purchase Price$
I
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
i
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers _ Furn BTU
Hot Water Htr Heatpumps
Laundry Washer _ Vent Systems
Sinks Spot Vent Fans
Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
Dishwasher No. Air Handling Units
_Disposal _ cfm#
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED
MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
I
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
o o f�
O
oa
Plan Check d d
Plumbing Fee
(` Mechanical Fee
0 Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE
i
/ - -130
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WASHtNGTON STATES CODES
/ 1 R APPROVE®
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