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MIS96-0579 Dock Repair - MIS Permit / Conditions - 10/29/1996
MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 �S;C V— L— L, ^P4 E Ca kJ S f* E R M 1 .I FAR INSPECTIONS CALL 427 -9670 MIS96-0579 PLATtBRPLO DIV3 BLKa 'LOTa ,108 ADDRESS FMTT` E 106 UNION APPLICANT : DOUG CHRISTENSEN 275-5029 OWNER : DOUG CHRiSTENSE=N ?75-5029 LEGAL :tww� PROJECT DE:SCR I PT I ON DUCK REPAIR PROJECT LOCATION : FROM SHE:LTON DRIVE: NORTH ON HWY 3 TO ALMOST BFL.FA IR GO ! EFT AT Y ON IIWY 106 DA I VFt WE'S"T ABOUT 9 MILES LOOK FOR ADDRESS 9421 PROJECT NOTES : TYPE: AMOONT BY DATE RECEIPT PAMI 1 81 .50 GPH 10/29/96 0000 STI`E 4 4 .50 CPH 10/29/91 0000 i TOTAL. : 86 .00. ' OWNER OR AGENT � DATE ..- MIS P1MT; revs 1411042 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED r 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 I 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 I ' MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . : MI596--0679 For , DOUG CHR I STENSE N Page : 1 1 All approved plans are required to be on--site for inspection pur-poses- , If Inspection is called for and plans are not on site, Approval WILL NOT be granted . In addition , a Re.- Inspection free In the amount of $32 -00 per hour (minimum 1 hour ) will be charged and gust be collected by this department prior to any further inspections being performed or approval granted . 2 ) PORSUAN'r 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 STRFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT RFQUIRE5 THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REiNSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 VNIFORM BUILDING CODE WILL RE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST' ADDRESS ON SITE PRIOR 'TO REQUESTING I NSPECT I ONS , t _...,..__.._..._ it CONCRETE MECHANICAL MOBILE HOME Footings-Setback date by Ribbons I date by Gas Piping date b ` Foundation Walls date by Set Up I 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. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 3 ) ALL CONSTRUCTION MUST MEET OR FXCEFD ALL LOCAL. CODES AND UBC REQUIREMENTS 4 ) Changes to approved building plans that effect compliance to the 19,41 Washington State Energy Cod-,*, 1901 Ventilation and Indoor Air Quality Code, the Uniform Building Code and!or . M,_,_�on County Regulations must be approved by Mason County prior to construct ionX , 5 ) CONSTRUCTION PROCESS T-1 BE FIEtD CORRECTED AS REQUIRED PFA MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x 6) This permit allows, applicant to replace oeoay�a or deter lorpted wood of existing facility . Structural changes altering height or length of pier, , ramp and dock ire not a [ lowed witli this permit X 7 ) Water, qualitv is not being degraded to the detriment of the aquatic environment as a result of t"s project . X_ 8 ) The proposed project must be consistent with all dpplioable policies and other provislonN of the Shoreline Manai3ement Act , its rules , and the Mason County Shoreline Master P�11'"`am X 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 b date by y D W WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date �_�_ by date by 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 #1 Owner 1 -- - Phone # �� 'SOa�l�Cbrt�1-Eck < ite AddressF 94'X1 _ I�,l��LE- IOU Fire District# Co City Yl c-)Y1 St l�Cl. Zip S$15Q�;L Directions to Job Site F/o rl�t- 044-ln c->h 07� Coo I-c - a. On © r v t/eS cx, 4d e-53 -t Mailing Aqress '- Y1. 0 ` 10 City �Y St Zip Lien/Title Holder Address City St Zip #2 Contractor Name d-� �'lUy'�. �15" V'LC U�� Contractor Reg#LraKeC'C'9 15-SP' Addre Expiration Date/ � / �(� St Zi City r Phone # #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply WellL77 a Connect to Sewer System? Name of System iJ (If residential, proof of potable water is required) A06 2 2 #4; C Parcel No3Z:�05 - s I - COO 12 T ALTH SERVICE' Legal Description rcoi: U► 1'� �- 'YO,�-�- ��— J #5 Building Square Footage: (existing/proposed) list FI / 2nd FI / 3rd FI / Loft / Basement / Deck / # bedrooms / #bathrooms / Garage / Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building — Describe work #7 Type of Job: New Add Alt Repair_Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ #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 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 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 I 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. 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 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 BUILDING DEPARTMENT. DEPARTMENT X OWNER X BY ma" >� c DATE DATE <' � T FOR OFFICIAL USE ONLY: Accepted by: � �'�'` Date: `( 7 DEPARTMENTAL REVIEW FOR OFFICE USE ONLY ' Approved Cond. Hold //'' __ Approval Planning: o SnUC'�U G' �� /0� D%� 4� R7'T1�cl�� CSwD Environmental Health: Building Plan Review 9-(3 Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES (vqb x 9 = Sr ?(.b Building Permit • S� Plan Check 12 0 )c q = 4 p 9 C=b Plumbing Fee Mechanical Fee ocx::> Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: ��6Oc7 TOTAL FEE