HomeMy WebLinkAboutMIS97-0510 ReRoof - MIS Permit / Conditions - 8/12/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 .C-, E= 1_. V. A N FF CS k J Tw, F7 t__ FA M 1 I FOR INSPECTIONS CAIA. 427--9670
M1897-0510 PARCEL :322343400030 PLAT : DIV . 81_K : LOT :
,.108 ADDRESS - E' 8072 STATE ROUTE `NR (IN I�f
APPLICANT : B .E , MCCL..ANAHAN 478-0182
OWNLH : R .F MT:GI AMAIIAN 426-8182 ,,m1T N
LEGAL : TO 3 OF 101 3 1 T.L. 11 3A PE PIRATIO
VQI� Y E1
PROJECT DESCR I PT 1 ON : �_l� BY
RE--ROOF
PROJE C1 1 OCAT I ON :
1 AND 112 HILT' FAST OF AL OERBROOK
PROJUC7 NOIFS :
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I YPF AMOUNT BY DATV RECEIPT
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STFE: 1r 4 .50 NJP 08/ 12/97 4515
RFRE' S 33 , 00 NAP 08/ 12/91 45153
`'f O'fAl : 37 0 OWNER n13 ~AGENT
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VIS F111T, rev: $4111197 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 FRAMING by date by date by
Walls FIRE DEPT. i
date by date by date by +
PLUMBING OTHER
Groundwork Attic +
date by date by II
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
—J
� f
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F' C= F110 1 T C.' 0NF-) I "T I oN
Case No . ; MI £97--0510
for : B .E . MCCLANAhAN
Page : 1
1 ) PURSUANT 10 1491 UNIFORM 1301 1 V I NG ('014 , SFC T I ON 305(C ) AND Sh C 1 I ON 5113, All S I 'I F S MUST
HAVE APPROVED NU"BFRS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND L I"O i RL E F POM THE STREE' r OR ROAD FRONT I NG THE P146PEATY . MASON COUNTY SU I I. D I NG
DEPARTMENT REQI! I RF't3 THIN THIS BE COMPLETEr) PRIOR TO CALLING FOR ANY S I TF INSPECTIONS . A
RF I NSPFCT i ON FFf= , BASFD ON RATES IN TART f 3A OF TFIF 1994 tIN I FORM P011 D I NCB CODF Will. EEC
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
2 ) 1 HE DEMOL I T I ON AND D I SPOSAi_ OF DEM01 I T i ON DFBH 1 S MUST MEF'T 1tEOU I RE"FNTS AS PFR MASON
COUNTY REGULATIONS .
X ...
=3 ) AiA CON',.TRtI(-J ION MUST MEET OR EXCEED ALL LOCAL CODES AND 00C
REQUIREMENTS
I
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
Foundation Walls date by Set Up
date by INSULATION date by
I BG/SLAB Insulation Floors Final
date`I 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
I I
-- ------------------- ----- - ----- ---- -- -----------------
MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
(1 ) CONSTRUC-1 I ON PROCFSS TO BE F I ELD ('nRRF('I*FD AS,,,RLpU I RE,p PER MASON COUNTY BU I LD I NC
DEPARTMENT ANn UNIFORM BUILDING CODF . 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 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
MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owne �ov , Phone#4= k1192 Fire District#
Site Address City
Mail Address
City St Zip-
Applicant Phone#4�ZJ4
Applicant Addr ss
City St Zip
Directions to Site:
#2 Parcel No.
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 of Buildiing !a 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
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 DEPART NT. MENT.
X OWN 4 / X BY
DATE l / 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
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $