HomeMy WebLinkAboutMIS95-0509 ATF Retaining Wall - MIS Permit / Conditions - 8/29/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 ;`3C`. IF= L- I . ANF--' 01 LJ PIE= F-11M 1 T- fOR INSPECTIONS CrA1,1 427 -9670
MI S9 5-0509 PARCE I. :3223434001 56 PLAT - D I V : BLK t I.OT :
JOB ADDRESS : F 7910 S'TATF HOUTIF 106 UNION
APPLICANT ! DAV ID FR ICKSON 898 -8000
OWNER : DAV I D ER I CKSON 898- 8000
LEGAL : ! 5, OF T1 11 1 TF 15-16 111T 1 S T.L. F 79/1 i1FY 1#6
PROJECT DE.SC.R I PT 1 ON s
AFTER THE FACT' RE rA i N 1 NG WALL
PROJECT I..00ATION :
MILE MARKER 8 HWY . 106
PROJECT NOTES *
TYPE" AMOONT BY DATE RECF IPT
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PRMT S 60 . b,0 CPIs 08/29/q" 40085
PL CK $ 24 00 CPI1 08/29/9 5 400-95
STFF $ 4 . 50 OPH 08/29/9F, 40085
ITOTAL . 149 .50 OWNER OR AGENT � DATE
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IIIS PONT, rev; 04191192 COMPL. I ANC IF 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 by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork date by
date
te by WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date date by
f
I -
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
I
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F1 F R U/1 1 'T [_: c:) N U-) 1 _ - 1 Cl N :=.
Case No . : MIS95-0509
For : DAV I b E R I CKSON
Page : 1
'l > Excavated mat erIaIs cannot be used as iawifIII within 200 feeat of the shore Iine without
it
prier approval from the shoreline division of the Mason County Planninq Department .
2 ) Approved per site-plan .
3 ) App I I can i s adv I sed to (,onsu I t w It h an eng I neer t o det erm i tie eef f esot. I ve3ne3r: < of th I s
f existing wall ,I I , S I opes i n vicinity of this development 1 opme�nt eons i de3red unstable .tab 1 e+ .
--A
4 ) At I approved p I ans are requ i red to be on s I tN for i nspect i orr purposes I f i n�;peat Inn I s �
called for and planes are not on site, Approval WIL.I.. NOT be granted . In addition , a
Re-- I nspeeet i on -flee I it the amount of $30 .00 per, hour (m i n i mum 1 hour ) w I I I he charcled and
must be col I ectead by th i s department pr I or to any Furt her i nsr)eot i ons he I ng per f ormlp.i i rtr
approval granted .
5) PUR1UAN7 TO 1991 UNIFORM HU 11.D I NG CODE , SECTION 305(C ) AND SL C I- I UN 513 , Al I SITES M(K-0
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A. POSITION AS TO HE PLAINLY VISIBLE
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 Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date b 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. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
AND L LG I RI.F FROM THE STREET OR ROAD FRONT 1 NG T HE PROPERTY . M SON COUNT Y BU 11. 1.)1 NG
DFPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPEC:TION FFE , BASFth ON RATE: IN TABI E 3A OF THE 1991 UNIFORM HOI11) 1Nit GODI WIi I UA
ASSESSFD IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO R1 QUEST I N(;
INSPECTIONS .
X
6 ) At I.. CONSTRI!_CT 1 ON MUST MEET OR EXCEED Alt, I.00AL COVER AND 11RC;
R�QUIRFM NTS
X
7 ) Changes to approved bu i I d i ncr plans that effect comp l lance to -the 1991 Washington St aA v
Energy Cede , 1991 Ventilation and Indoor Alt- Quality
Code, the Ifni form Bu i I d i ncl Code and/or, Mason County Rec u 1 rtt i on m(Ist
be approved by Mason County prior to constructionX
8 ) ALL CONS_fROC I ION MUS-1 MEED OR FXCFED L GC'AL CODES . IF ANY OUFST IONS, PLEASF
CALL TIVI S OFFICE BFFORF CONSTRUCTION .
9) CONS"T RUC f I CAN PHOCF SS To HE F IULD C6RRFC.TED S RF:.A.t11 RE I► PER MASON COUNTY BUILDING
DEPARTMFNT AND UN 1 FORM RU t LD I NG C0t* ,*--
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 5v
MISCELLANEOUS PERMIT APPLICATION ��°
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670k
PLEASE PRINT -
#1 Owner tvla \\O \C` /A'4 ft 1 Phone# R`k 8 -�Rono Fire District#
Site Address Nl kv (L;E- Cityyl
Mail Address V.o .
City Sty ZiP_ c,'S!�6-
Applicant v�� A . ►cicS�r�� Phone# 20(�-c31Z_k_-Z
Applicant Address Q•o . �� � ,
City �`�(�"M 0 St l�'� 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 �� m— tip Describe proposed construction ls�wikiC.
��r,r- ��� �♦ iF,�e �1F-�C\TYIO� I N � �A\{�� '�1rt.,��(�►
'`N�, � �1°rlCcl..`-! �N��r�•zy� Tll�, �Vl� . Q uT OJ k3,.1 �C_�,p1�
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'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
I 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
WITHOUTFIRS ININGA ROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DE P ENT. MENT.
X OWN X BY
DATE DATE
Show following on the site plan
Lot Dimensions Flood Zones k`
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
)3
7IZZI
Building
Fire Marshal
Other
Special Conditions Fees _
0
Permit Fee $ '
Plan Check A
Other
Other 11F"Tca-- FA-Cr (QO'
State Building Fee Sv
Sayer
TOTAL DUE $ IS
�S �