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