HomeMy WebLinkAboutMIS94-0815 Floating Pier - MIS Permit / Conditions - 10/19/1994 i MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M I S C E l_ LAN S O U S P E R M 3L T FOR INSPECTIONS CALL 427-9670
MIS94-0815 PARCEL : 3223344OOO4O PLAT : DIV: BLK : LOT :
JOB ADDRESS : E 7361 STATE ROUTE 106 UNION
APPLICANT : KATHERINE NORDSTROM 898-2363
OWNER : KATHERINE NORDSTROM 898-2363
L E G A L : H112 60VT LOT 1 EX TAX 683C EX 669C EX SEE SURVEY 9/57 FS 11573
PROJECT DESCRIPTION :
FLOATING PIER : 115 feet.
PROJECT LOCATION :
APPROX 1/4 MILE EAST OF ALDERBROOK INN ON STATE HWY 106 .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
PRMT $ 99 . 00 TW 10/19 /94 37545
PLCK` $ 39 . 00 TW 10/19/94 37545
STFE $ 4 . 50 TW 10/19 /94 37545
TOTAL : 142 . 50 OWNEK ,GR AGEWf DATE
MIS_PRMT, rev: 84/B1/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : MIS94-0815
For : KATHERINE NORDSTROM
Page : 1
1 ) The surface of floating structures shall be a minimum of eight inches above the surface
of the wate�2 ) A Hydraulic Project Approval from the Washington State Department of Fisheries must be
granted prior to construction . For more information contact Neil Rickard , Habitat
Biologist , 206 ) 586-2193 .
3 ) A Sectlion 10 Permit (Rivers and Harbor Act of 1899 ) or exemption must be granted by the
Army Corps c�t1�ers prior to work within navigable waters of the United States .
4 ) The proposed project must be consistent with all applicable policies and other
provisions of the Shoreline Management Act , its rules , and the Mason County Shoreline
Mastery Progr
5 ) Appro<re�d per site—plan .
6 ) 1 . As per approved Substantial Development and Conditional Use Permits , total dock
length !,1 is 115 feet .
2 . As pr sed by the applicant treated wood shall not be utilized .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 . Foam fi d pontoons shall be designed such that floatation materials cannot enter the
wate .
A . A sections shall be designed with intermittent supports .
? ) All proved 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 $30 . 00 per hour (minimum 1 hour ) will be charged and
must be collected by this department prior to any further inspections being performed or
apprc granted .
8) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 , ALL SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPEC IONS .
9) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL. CODES AND UBC
EQ E
10 ) Changes to approved building plans that effect compliance to the 1991 Washington State
Energy Code , 1991 Ventilation and Indoor Air Quality
Code , the Uniform Building Code and /or Mason Cou t Re 1 ions must
be approved by Mason County prior to construction
11 ) CONSTRUCTION PROCESS TO BE FIELD CORR CTEDQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT rV�
#1 O ner o Phone#
00ddress E '�alp h�-GS�.�t jOt�J E mo Fire District#
- ity U/1im St Ud- _Zip q85�j�
Directions to Job Site A PPRnx.i m rEL�( y&- hAi L E!!NS - CTF LD &ZOOK Z.-IM
ON 1STNTLC Hwy. ID6,
Owner Mailing Address 2OW 43 YF-rqu EASrr
City 'Z5 EAW:: F St- A Zip 9m 2
Lien/Title Holder ont
Address
Clty St Zip
#2 Contractor Name A DsoL%h c rD M,&exJ NE Sy-$tEho Contractor Reg#
Address 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 arcel No. TJ 2�.3OOF
Legal Description V�/
#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 Rr-C.p-E Ar1o�L Describe work COt4= of
-1 IK1 LTojw-r-tjsrr- F'Lzx%-rjuG. JP-190. yyA r?�PrT' �i.rvs
#7 Type of Job: New `Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
#Bedrooms # Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other CAMAL
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells
Proposed Improvements Easements Indicate Directional by (N, S, E, W)
Name of Flanking Street Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
Sr-E AwAx-, +ED Dr�wi rrcg
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 eachl
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Ualla 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 No. 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 ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILD EPART NT. A6 p4Q\yr Fbg. DEPARTMENT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: 06
1011(gY
Environmental Health:
Building Plan Review
�W
Occupancy Group:&IS Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit �
Plan Check
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee _ -
Other
Other
Building Valuation: 7 S TOTAL FEE