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HomeMy WebLinkAboutMIS94-0327 Bulkhead - MIS Permit / Conditions - 7/1/1994 MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 m 1. C. k- 1- U A 14 C- 10 f- I? m T joil jj;:j1j- F 1926 HWY lob . . . . . . . . UNIv PVIIIANI fVFIYN HURNUM 533- IRRH (dy' k EVELYN S HURNEN S13 -7= as 11l, 11-71 It III I a I.I . FS 111211 RHIKHFAD 3/4 MILE FA` Y Or AIMUMPOOK INN ON HnnV rAMAt r I K 00 IPH ;10 1 Nil PNII . CONPIFANCU 10 AIIACHt " CANH111"N" P, 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 PLUMBING date by OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by `(A. I I i MASON COUNTY Mason County Bldg, III 426 W. Cedar F.O. Box 186 Shelton, Washington 98584 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 PLUMBING date by 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� I I� I MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 - ------- ---- - 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 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 M I S C E L L A N E O U S P E H M I T FOR INSPECTIONS CALL 427-9670 MIS94-0327 PARCEL : 3223434O0220 PLAT : DIV: BLK : LOT : JOB ADDRESS : E 7920 HWY 106. . . . . . . . UNION APPLICANT : EVELYN MURNEN 533-7828 OWNER : EVELYN S MURNEN 533-7828 L E G A L : TAS 21A, 21-23 OF LTO 3 i T.L. fS 11123 PROJECT DESCRIPTION : BULKHEAD PROJECT LOCATION : 3/4 MILE EAST OF ALDERBROOK INN ON HOOD CANAL PROJECT NOTES : TYPE AMOUNT BY DATE RECEIPT I I I � PRMT $ 16 . 00 CPH 07 /01 /94 36401 IPLCK $ 6 . 50 CPH 07 /01 /94 36401 , STFE $ 4 . 50 CPH 07 /01 /94 36401 C t � TOTAL : 27 . 00 DATE MIS_PRMT, rev: 94/01/92 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED MASON COUNTY ��. Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : MIS94-0327 For : EVELYN S MURNEN Page : 1 1 ) 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 be 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 . X�11v4_V__L__ 2) 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 TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION 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�jmj , 3) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 X �Xj 4 ) 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 R ations must be approved by Mason County prior to constructionX17} 5 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . x1'4'4^� Permit No. MASON COUNTY r BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �� O PLEASE PRINT p77Me A- #1 . Owner i1/ ie# Site Address 7920 -L s /o& Fire District# City l ) iv ,r, St Zip Directions to Job Site % -e -F--AS 16 A l a-l r-)k O/V Owner Mailing Address_ rD1 r/S City & t Z/i. ' St _Zip .S'1 Lien/Title Holder Address Clty St Zip #2 Contractor Name /� Contractor Reg# Address r V Expiration Date City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 Parcel No. �Z Z 3 Lf-314.,4 o 2-2-0 Legal Description TlZ S Z l Z z-Z 3 d P L+Q 3 -1 T$L— 1=5 O 1 7 2 Z #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building Describe work -� 2 rl d Z #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Widt Serial No. #Bedrooms ,- # Bathrooms Type of Heat Purchase$ #9 Indicate by circlin the applicable source if any water is on or Adjacent to subject property: River Pond reek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other i Show following on the site plan Lot Dimensions Flood Zones •y 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 each) Fee Mechanical Fixtures ($6 each) No.__Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other _Bath Tubs No. unita 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 NQ. Air Handling 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 qL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMAN THEREWYTH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHO T FIRST OBT N_ING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDIN DEPART EN DEPARTMENT. X OWNER X BY DATE 25 �' J DATE FOR OFFICIAL USE ONLY: Accepted by: Date: I DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: r Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit (,C, Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: - • / TOTAL FEE µ U2n/ t / - 7rf z0 r-- 'PPRVE® y1` MAS N BUII.OING .SPECTOR ESSUSJE�TTd VAS _J