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HomeMy WebLinkAboutMIS96-0556 Foundation - MIS Permit / Conditions - 9/11/1996 MASON COUNTY N Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 k�- L_ L A N F:" C) IJ 5 P E R M 1 T FOR INSPECTIONS CAI 1. 427 -9670 M 1 598-O55B PARCEL :322343400150 PLAT : D 1 V : BI_IC : 1_OT Job ADDRESS : E 7070 STATE ROUTE 106 UNION APPLICANT : DAVID ER1CKSON 898 -8000 OWNER : DAVID ERICKSON 698-8000 LEGAL : 1 5' OF T1 11 9 TI 15-16 L9T ' i T.L. E 7971 12Y 11 PROJECT DE"SCR I PT I ON : FOUNDATION ONLY PROJECT 1.UCAT ION : MILE MOKE:R 8 UNION PROJECT NO1Fi� : TYPE AMOUNT BY DATE RECEIPT FDNO $ 40 . 00 TW 09/ 11i96 42895 � STFE $ 4 .50 TW 09/ 11 /96 42805 /, 1 TOTAL F4 .ri1t1 OWNER H AGENT DATE___ .______.__.__ 118 FAIT, rev► 1410119" COMPLIANCE TO ATTACHED CONDITIONS IS REOUIRED i MECHANICAL MOBILE HOME Le�/0 , date by Ribbons all / by�� �'� Gas Piping date b date ` y�(, b date b Set Up y BG/SLAB Insulation INSULATION date byFloors Final date by FRAMING 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 q lG date by date �� -� by date by I I I f MASON COUNTY Mason County Bldg, III 426 W. Cedar P•O• Box 186 Shelton, Washington 98584 P E R IKA I `T" C Q N a 1 _1- 1 C)N Case No . % MIS96-0656 For . DAV I D FP I CK8,0N Page : 1 1 ) The proposed pro I eec-t must: be cans I ste nt w I t h a I I app I I cab I e pry l l o i es and other provisions of the Shootin6. thanageme+nt Act , its rules , and the Mason County Shoreline Master Progr� . 2 ) Concrete ieachate must be contained during pouring, such that water quality degradation cif ad-la(. _nt +jai ers dues not occur . 3 ) Fxcayate-1 materials cannot be used as IandfIII wIthIn 200 feet of the shoreline without rlar-ior a noval from the shoreline division of the Masan County Planning Department . 1 4 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL. CODFS AND UNIFORM BUILDING CODE 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 b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by 1 MASON COUNTY Mason County Bldg. III 426 W. Cedar P,O, Box 186 Shelton, Washington 98584 A A - =A�ND � ON MUST MEET REQUIRED rFTBACKS AS ESTABLiSHED PER tNit ,jN COUNTY ORDINANCE 3 9KS COUNTY SHORELINE MASTER PROGRAM 1F APPLICABLE . i F THE 1t.ING 4Y V I Oi.AT i ON OF ANY MASON COUNTY HEGUI_AT I ON, 14 Will BE THE OWNERS LIABILITY TO REMOVE SAID CONSTRUCTION AT THE OWNERS EXPENSE AND TO DO SO WITHIN THE. TIME SPE.GifIED BY THE BUILDING OFFICIAL. , If SHAIt RE DEEMED A VIOLATION f011 ,ANY /W00&-~ E CONSTRUCTION TO BEGIN ON THIS FOUNDATION WITHOUT THE ISSUED BUILDING PERMIT . l 5) At 1--f-40TING SHAI- 1 KFAH ON UNDISTURBED SOIL NOT TO KE. PLACEP. ON { 6 ) All approved plans are required to he on--si 'td for Inspection purposes . If inspection is called for and plans are not on site, Approval WILL NOT be granted . In addition , a Re- I aspect i ort fear In the amount of $32 .00 per hour (minimum 1 hour ) will be oharge►d and must he collected by this department prior to any further, inspections being performed or ii I lgranted . 7 ) PURSUANT TO 1991 UNIFORM BI1 I LD i NU CODE , SECTION 305(C ) AND 'SECTION 513, Al-L S I TFS MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM 7 Fit. STREET OR ROAD rRONT I NG T14E PROPERTY . MASON COUNTY 1;t11 I D I NG DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO GALLING FOR ANY SITE INSPECTIONS . A RE !NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE :itD' 1F OIWNFR/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I NSPE L. t?NS . 8 ) l ALl CUN RUC'( ION MUS-I MFET OR EXCEED ALI.- LOCAL CODES' AND URC EQUI ME�TS i 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 S? Chanpeq to apt,t ove MASON COUNTY �� the 1A91 iYashir�S�tun Mate Energy Code, 1991 I Code, the Uniforms ,:+ rr, ,t �. � sue,t be approved by Mason County prior Mason , my Bidgjl � VV, Cedar P.O. Box tM Sheltons.Washington 98584 Df NAN TMEN1 AND UNIFORM RU i t. D i NG CODE--..� 1 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 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 d date by ate by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by II I `I I I 1 � I North 1330+- (deed Desc.)' Z Z:3 ._..........- ; O m' m `a 3 .__... _ _ sv_-- _--� _ __ y '------_---_ _....._.._—_......_._----.....---_ — —----—-- 150t' x . ' 5::.::.t•: r. 3 Variable I 1 3, 1 1 1 >>=iJ >f>'>1>>>f>>ifai>i>s > > , > > > >; g O v' �:• y s > > s> I t i > ► > > > > > > > > > a a > > s s > s 5 s > s > r > > a s > s s > > > > 1 : � � 3 Q ��1 :: f x• taps.......... O ... 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Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT Phone# #1 ner�,� ,fit\C�S�..� ��I1�Yl�N►J Mh[Zv►�. bS�3�R� Site Address 7glD ,�La� kculg J0c� Fire District# City St Zip Directions to Job Site Owner Mailing Address City St Zip Lien/Title Holder Address Clty St Zip #2 Contractor Name P'm umk Contractor Reg # & CW A Address Expiration Date City St Zip Phone # #3 If septic is located on project site, include records. ` 539q Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 MeM oA gal Description #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other X �UZ YY�LCSc' _/ 1 #6 Use of building b ffjQjC es ork #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Wid Serial No. # Bedrooms # Bathrooms Type of Heat Purch rice$ I if n water is on or adjacent to subjectproperty: Indicate b circlin the applicable source a #9y g pp Y 1 J � River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan ti 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 Plumbing Fixtures ($3.25 each) Fee Mechanical Fixtures ($6.50 eachl No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath ubs No. Units Fees Showers Furn TU Hot Water Ht _ 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 o. Fire Protection Systems _Other _ Auto. Fire Alarm Sys 50.00 i d Fire Supp. Sys 50.00 Permit sic Fee 16.25 Auto F1re Sprink Sys 35.00 OTAL PLUMBING $ No. Other Gas Outlets Wood, Gas, Pellet Slove 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 16.25 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 WORKFOR 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 THER NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT F ST OBTAI G APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE DING ARTMENT. DEPARTMENT. X OWNER -_ - X BY DATE ,a —�� _"_�(c:� DATE N LY: Acce : Date:ted b FOR OFFICIAL USE O p y DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Ste A'rrAcwg�p CND/r1CVjS Rier 08/16 Environmental Health: Building Plan Review -0Un10 0 �1 Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit y0 ov Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other =Buildinguation: TOTAL FEE Uu