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Home My WebLink AboutMIS95-0455 Joint Use Moorage - MIS Permit / Conditions - 7/21/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M I C F L_ L_A N F CtU P F R M I 1 FOR INSPECTIONS CALL 427•-96YO MIS95-0455 PARCEI- 0 22345000006 PLAT :MAPLO DIV : BLK : LOT : JOB ADDRESS : NE 12831 NORTH SHORE RD BELFAIR APPLICANT : MIL.NER 822-8194 OWNER : MILNER 822-8194 PERMIT LEGAL : IA1101A 101111IS11E IC1 ]$ACT$ T1 6 A I.L. NULL & VOID BY EXPIRATION DATE Ie BY PROJECT DESCRIPTION : Joint use moorage and recreation facility . PROJECT LOCATION : NE12831 North Shore Road .SHORE RD ON WATER SIDE . PROJECT NOTES : Substantial Development Permit #95-03 was conditionally approved by Comoissloners on 3/21 /95 . TYPE AMOUNT BY DATE RECEIPT PRMT * 67 .00 KS 07121 /95 39705 PLCK $ 27 .50 KS 07/21 /95 39705 STFE $ 4 .50 KS 07/21 /95 39705 TOTAL : 99 ,00 OWNER OR AGENT DATE 118 1`11T, rev► 14/11102 COMPLIANCE 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 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 Case No . 2 MIS95-0455 For : MILNER Pages 1 As proposed by applicant , all atyr-of oam floatation to be encased . ( Per Use reg . #1 ) X � CC:' - 2�,' The use of pressure treated wood Is approved for use in this project provided the supplier certifies in writing that appropriate best management practices have been employed in its production and that the material is free of excessive surface residue prior to installation; and the material is either "fixed" In the case of arse3nioaI treated material or "clean and dry" In the case of creosote or oil borne treated material . This certification Shall be provided to Masan County PRIOR TO CONSTRUCTION . The certif Az te shall state the purchaser 's name . (Per Use Reg . #1 ) X 3 The surface of floating dock shall be a minimum of eight Inches above the surface of the water . +per Use Reg . #3 ) X__�._ � 4) All floating structure" shall include intermittent supports to keep structures off the tidelands at low tide . ( Per Use Reg . #4 ) 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 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 '3t! All facilities shall be constructed and maintained In a safe and sound condition . (Per Use Reg #5 ) X ! The facility and associated moorings shall be located to avoid shading of eelgrass and other a uatic vegetation . (Per Use Reg . #1 ) M ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREM"NTS X _ _ � 8 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 Regulations must be approved by Mason County prior to constructionX • i i i I i i i 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 3' ' ` Permit No. 1166 MASON COUNTY �`� BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 ner Phone# ( 206) 822-8194 ite Address 128 31 N . Shore R d. Fire District# 8 City ��I St Wa Zip-9&5-e-8 Directions to Job Site 12 . 8 miles west on N. Shore Rd on water side 98526 Owner Mailing Address 12005 N. E. 85th City Kirkland St Wa Zip98033 Lien/Title Holder Address Clty St Zip #2 Contractor Name 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 (I r , oof of potable water is required) 32234-50-00006 (Milner) #4()� arcel No. 32234-50-00008 (Matthews) Legal Description T r k 7 T r k 6 & T.L. M a d r o n Trk 8, adrona Morningside Beach Tracts (Matthews) #5 Building Square Footage: (existing/proposed) 1 st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other Dock sq. ft. 616 / 736 #6 Use of building Joint-use moorage and recreation Describe work Remove existing tacility and replace with new facility as per plans . #7 Type of Job: New XX Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Y Model Year Make Model `. Length Width Serial No. °�' g JUN 2 71995 # Bedrooms # Bathrooms Type of Heat Purchase Price $ 'GENERAL SERVICEI #9 Indicate by circling the applicable source if any water is on acent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other 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 SEE ATTACHED PLANS APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW SEE ATTACHED PLANS Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. Toilets CIRCLE FUEL TYPE: Gas, Electric, Bath Basins Heatpump, Other Bath Tubs No. Units 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 TOTAL MECHANICAL $ 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 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 BUILDING DEPARTMENT. DEPARTMENT.X OWNER X BY — 7 641• DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: ti Qy .5Hq, ,5, Environmental Health: Building Plan Review v 4- l 3l9 Occupancy Group: 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: TOTAL FEE