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
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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
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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 .
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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
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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 .
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5) At 1--f-40TING SHAI- 1 KFAH ON UNDISTURBED SOIL NOT TO KE. PLACEP. ON
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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
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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
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--..�
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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
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North 1330+- (deed Desc.)'
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North 133D± (deed Desc.)'
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ie Government Lot 3 — —
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Permit No. p _
MASON COUNTY 5
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. 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