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
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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
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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
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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 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
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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,
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