HomeMy WebLinkAboutMIS95-0504 ReRoof - MIS Permit / Conditions - 7/13/1995 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 13 G E L- 1_ A N f C3 U S P E R M I Y FOR INSPECTIONS CALL 42.7--9670
33- 0001 d .
M I S95--0504 PARCEL_ :32235&+1NAQX4)- PLAT : D I V : BLK : LOT :
JOB ADDRESS : 1. i
APPLICANT : CHARLES KIRSCHNER 42V4772
OWNER : CHARLES KIRSCHNER 426-4772
LEGAL : 1 51' OF LOT 3 i T.L.
PROJECT DFtiCF1 1 PT I ON :
PERMIT
RE-ROOF NULL & VOID BY EXPIRATION
4� ICE
DATE__ E
PROJECT LOCATION :
HIGHWAY 106 PAST ALDERBROOK,ON LEFT HAND SIDE
PROJECT NOTES !
TYPE AMOUNT BY DATE RECEIPT
RERF 4 25 . 00 TDH 07/ 1113/95 39623
STFE * 4 .50 TDH 07/ 13/95 39623
TOTAL : 29 .50 OWNER OR AGENT DATf
. ..
118 PONT, rev i #4191112 COMPLIANCE TO ATTACHED CONDITIONS 13
REOU1RFD
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
JI
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
P F R M 1 T C: ('3 N " I -T I C3 N :S;
Case No . s MIS95-0504
For , CHARL.ES KIRSCHNER
Page : i
1 ) IF ROOFING STRIPPED TO THE SEATHING OF THE FIAT CEILING. THE CEILING SHALL BE INSULATED
TO A MIN MUM OF R-30 INSULATION . INSULATION INSPECTION 1S REQUIRED PRIOR TO COVERING .
X�______ItU—
______
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 TU BE PLAINLY VISIBLE
AND L.EGIBIE 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 RFOUESTING
INSPECTIONS .
3 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
RE090EMENTS
4 ) CONSTRUCTION PROCESS TO BE FIELD CORREC S RFQU1REDI'f?k'A AEON •COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x� ,�`.
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Fdundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date FRAMING by date by date by
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
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner , Phone # 9 —r,C 57 Fire District#
Site Address t q q� City
Mail Address5-a me-
City St 2,4 ip
Applicant Phone# o?�
Applicant Address '
City St Zip
Directions to Site: �d
01
#2 Parcel No.2 gig 3 bC� - '3 _- 00 0 0 0 3c-;7 a 3 S' -3 l 0 0 0, 5 0
Legal Description C ne 40 t �/__; s�� so q�40t,3
#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 Project Completion Date
#5 Use of Buildiing Describe proposed construction
Q' l
`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 FIRSTOBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT..
X OWNER X BY(
DATE DATE 7 — 1 3 —�
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements Indicate directional b
Septic Systems Name of Fronting Street y
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
FOR OFFiC1AL USE ONLY:Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $