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HomeMy WebLinkAboutMIS95-0159 Emergency Repair of Retaining Wall - MIS Permit / Conditions - 3/14/1995 I _ i MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M A S s: F_ L_ 9_ N E C]►U S PERM I -I FOR I NSPFCT 1 ONS CALL 427-9670 MIS95-0159 PARCELs322343400120 PLAT : D1V : BLK : LOT .- JOB ADDRESS : E 7991 STATE ROUTE 106 UNION APPLICANT : RAY 04ANKE 427-5940 OWNER : RAY MANKF: 427-5940 LEGAL : TA 12 OF LOT 3 A T.L. FS 11732 PROJECT DESCRIPTION : EMERGENCY REPAIR "RETAINING WALL" PROJECT LOCATION : McReavy to Dalby right on 106 go past Alderbrook 1 mile to mp 8 jus past . Look for rot . wall on right . Ho«ss on left will build on right Above rot . wall 'I PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT PRMT * 95 .50 KS 0:3/ 14/95 36565 PLCK $ 36 .50 KS 03/ 14/95 38565 STFE $ 4 .50 KS 03/ 14/95 38565 TOTAL : 136 . 50 6iW—NqV 61 VAdtWf D Air I � asat�c..u::a¢�aaac,c�.:�.ra.Cae i4 IIS FIIT, revs 1411i 192 COMPLIANCE TO ATTACHED CONDITIONS IS Rf41U1RED CONCRETE MECHANICAL MOBILE HOME Footings-Se ack date by Ribbons date /7 b Gas Piping date b Foundati W s S t date b Set Up date by - INSULATION date by BG/S Ins6lation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by PLUMBING Attic by OTHER Groundwork date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date date by �� MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF " rVII 1 T c c') N0 1 Z" 1 CaN Case No . : MIS95-0159 For : PAY MANKE Page : 1 1 > Retaining wFa I i must be located a minimum of 30 ' from the oer+ter i i ne of SR 106 , 2 ? All approved plans are required to be on-site for Inspection purposes . If inspection is called for and plans are not on site, Approval WILL NOT he granted . In addition , a Re- Inspection fee in the amount of $30 .00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further Inspections being performed or, approval granted . 3 > PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C) AND SECTION 513 , ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS 10 BE PIAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REOUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A HEINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 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 - -- ------ ----- ----- - --- ---- - - --- -- MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 4 ) ALL CONSTRUCTION MIST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS x-----�- —__ 5 ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and indoor Air Quality Code, the Uniform Building Code and/or Mason County Requ1atione must be approved by Mason County prior to construct i onX.�� 6 ) CONSTRUCTION PROCESS TO BE FIELD CORRFCTFp__A_ S REOUi PFR MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x ff f ------------------.-- � � - 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 1 i f„ g toI?3dS .'b , d3�I� NI V N1071n8 a Q3n NOSbw S- \� 4 'N01103dSN1 NO3 4Lb-LhG-OQ$- 38 1S eor 3H �9 N f1W SNbld 9S3H1 )180M oNiw80i213 'IVAoaddV No s � n •�,.., 7� 7�7N�� H � Doti Yens S3DNv,*H3 �'. ` N017NINSYM 111V 133W 1S(1 ssr �o d� I I TZ, I O OFF MASON A PPRO V BUILDING IN SPECTO CHANGES SUBJECT TO APPROVAL NORTHWEST 82 AWNPRODUCTS,MUINC. PENT,WA 98032AVE. 62222511 (SEATTLE) I .O.B.886 98035 I 1-800-692-3970 (WASH.) Permit No. MASON COUNTY nn tgs'0�5q BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner R,4 y /-1,4A,',<E Phone# Site Address 799/ Hi-l-K /DL, Fire District#4_ City 0'U/0 A/ St W/.f _Zip 90.5 9,� Directions to Job Site l M14E ,✓fir/ dr "t 'QF1C.SRb6 Owner Mailing Address 5.4zwE- City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name 7D V (-nnc/ ��� Contractor Reg# 0/1co c�cz/C2h/ Address 6 -i.�/ it�iv�/!.� DR Expiration Date SEPT'I City S<1EL Tort/ St L-1-4` Zip 9858q Phone# 3G0 - q27-,F7Oq #3 If septic is located on project site, include records. Conne ? Public Water Supply Well Connect to Sewer System? System (If residential, proof of potable water is required) #4 Parcel No.�> Legal Description R.tC< '`�12 pT ,ay o7• � .7 - /,7 c)F L-oT /3 %/t L,¢.v #5 Building Square Footage: (existing/proposed) 1st FI d FI / 3rd FI / Loft / Basement / Deck #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building /�E%A fw JA L Describe work #7 Type of Job: New Add Alt Repair Other R��pL,.4(fE- #8 ILE/MANUFACTURED HOME INFORMATION Model Year Model Length Width Serial o. #Bedrooms #Bathrooms Type oWgat Purchase Price $ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Mars<Saltwater Seasonal Runoff Other L Show following on the site plan r,FF, ,. --- oimensions Flood Zones Al"' 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 Io i 20 ' APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3 eachj Fee Mechanical Fixtures ($6 eachl 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 Handlina 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- TOTAL MECHANICAL $ 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 OF THE 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 D_C2: Ar DATE DATE FOR OFFICIAL USE ONLY:Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: �� �5 Environmental Health: Building Plan Review _ Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit �'S Plan Check 3 C s7 c Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: I G 3 Z TOTAL FEE S-C, r� ;l r � • 1 ' r � • 1 • a • 4 Illy-- y„ / I