HomeMy WebLinkAboutMIS98-0354 Bulkhead - MIS Permit / Conditions - 8/7/1998 MASON COUNTY
Mason County Bldg. III 426 W. Cedar 7- 17
P.O. Box 186 Shelton, Washington 98584
M I SCE1_ 1.__ ANECJLJ .4F; PERM I -T" h01; INSPEt,; : i iv BALL 421 3610
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M1998-0354 PARCEL. z32235219OO20 PI_ATz DIV : BLK : LOTz
JOB ADDRESS : 12423 NE NORTH SHORE RD BEL.FAIR
APP1. 1 CANT : DOIfA§Il* 275- 4700
OWNER z DOUG BELL. 2.75--4700
LEGAL : TA 2 Of LOT 6 A TAX 912E TA C OF SP 11126 SEF SVIVFT 6115,
PROJECT DESCRIPTION :
BULKHEAD
PROJECT LOCATION :
PROCEED WEST ON NORTH SHORE RD FROM BELFAIR APPROX 12 112 MILES TO f.ITF ADDRESS ON LEFT .
PROJECT NOTES :
TYPE AMOUNT BY UATF REC'F I P'1
PICK 4 56 .7t KW O7/ 10198 47619
STFE $ 4 .50 TMJ 06/07/98 47951 j
PRMT $ 174 .75 TM.J 08/07/98 47951 '
PLCK $ 56 .88 TMJ 08/07/98 47951
TOTAL : 292 .84 OWN R OR AGENT DAIF
_:.:.^ate r�:-rx.—�xzra.��•:xr.rr�:z:�ccsv ti.,�=.s.-.,:,Rr..r..�:za.:�msxr.-xx.s�c...s
NIS P111T, rev: 14101192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQU 1 FIED
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 IRE 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 , ZS by date by
9- 2 - i�.i;z
2�`7'Q' /YY�4i�✓ mil) ��y%/��-G C�,rrT C-,Dfi i _
C AP-
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
i" F r1V11 I 'T C'. C3ND 1 T 1 C) Nc;
ease No . : MIS98-0364
For : DOUG BELL
Page : 1
1 ) Approved per dimensions and setbacks on submitted
site--plan . /
X ----
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2 ) Temporary erosion control measure!; must he implemented to prevent water quality
degradatio of acent waters or wetlands .
X
3 ) 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
Master Progrr,
X_._._-�___-
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4 ) A Hydraulic Project Approval from the Washinyton .Stato Department of FISh .0 Wiidiife
must be gran or to construction . [ CONTACT DORIS SMALL ( 360)895-47581
X
I
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
date by FINAL INSPECTION by
Water Line
date by date by date b
I
J
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MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
5 ) All construction and demolition debris must be removed from the beach at ter project
completion . Proper disposal of construction debris must be on Land in such a manner
that dear i s; r'a t tor or, cause water qua I i t y deoracint ion of State waters .
X
F > ALL CONSTRUCTION MUST MEET OR EXCEED ALL. LOCAL. CODES AND UBC
REOU 1 REMF;N
X
7 ) Changes to approved buiicing planes that effect compliances to the Uniform Building Code
and/or Masan Count_ a ions must be approved by Mason County prior to
constructionX
8 ) All approved plans are requ i reel to be on-site for i nspeo t i on purposes . I f I nc:peut I oii
is called for and plans are not on site , Approval WILL NOT be granted . In addition , a
Re_. inspect ion fee In the ainotint of $42 .OTC per hour (min imum 1 hour ) wi I l be charged and
must be collected by this department prior to any further; inspections being performed or
approval granted .
X
9 ) PURSUANT TO 1994 UNIFORM BUILDING CODE , ALL SITE MUST BE MARKED WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE
j STREET OR ROAD FRONTING THE PROPERTY MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT
THIS RE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASED
ON RATES IN TABI F 3A OF TIiF 1994 UNIFORM BU I i. D I NG CODF WILL BE ASSESSED IF
OWNER/CONTRAC FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
X
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
MIS � �3S —
MASON COUNTY
i�ISCELLANEOUS PERMIT APPLICATION
IO q� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670
PLEASE PRINT
#1 vner DOuc, FBE_L_L_ Phone # I--23G0-zW 9--700 Fire District#- ---
Site Address City
Mail Address P,O , oX ;2,4-3
City 4 u Y/- St W,4 Zip 98588
Applicant DouG- B1F_-L_L Phone # SH�YIE
Applicant Address S F1 ME F�S S �rP_: D p ter S�
City H )1 11 u St Zip
Directions to Site: )g cGEr"D WEST- Or1 No
/1 PPRo>C.I N1(f_� 2.�/2 J t L-F 5 To S I TE �D.b FOSS
a FT.
#2 arcel No. 32.2,35 _ 2, � _ gpO2,Q \
Legal Description Try, 2 g>= -s����Tx 872 B RND TR,C oFSP#1I2�C5EF5uRy�Y gl��)
#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 %ZZ JU L-Y I ')e8 __Project Completion Date ►5 SAP r- !-598
#5 Use of Buildiing ERUSION CcrtT-p,�:)L BuLkN,EHD Describe proposed construction _R►-P 0-F -
I�E�r of 52 L1/46! L FF-F--r or Ex,5r)t4cT v kJ1 _€ 1a
W, Tk -52 ' L,F" OF �!O q)c-H -RE1NroAcgp Cc-tqCJzETE_Pj_=R DTzAWttgGs,
2 CoN cR t✓TE D�,�n 1`�AtA ANc1,4aR.5 w,Trt V/Lsmtc6 r-F--
-_N (_.Rs �_oc 3-T'ED AT wF1aK P_j-'fErj CAT/ON S dF' 1 STIAlG Ta UVAAt1__
I3 u L.x H a1z'p .1 a Co L,cat, Fr b r- f-\Laa F)" X. ?4-t CA P �D E n I 1
'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
WITHOUT FIRST OBTAINING APPROVALFROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. FozAppL) MENT.
X OWNER X BY
DATE CD DATE
r
L Show following on the site plan
(Lot Dimensions Flood Zones
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-_
..:.Date:_
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning � /�+Gf' �L �l APP COND APP HOLD
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Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $ 17 `f-
Plan Check I��•
Other
Other
State Building Fee
16, 44 3
TOTAL DUE $