HomeMy WebLinkAboutMIS97-0063 RetainingWall - MIS Permit / Conditions - 3/17/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MISOT-0063 PLAT -BRPLO
JOB ADDRESSc E 9421 0UTE' 106 UNION
APPL. ICANTs DOUG CHRISTENSEN 780-2959
OWNER : DOUG CHR 1 STENSEN 760--2959
LE 2
PROJECT DESCRIPTION .:
RETAINING WALL
PROJECT [ OrAT I ON
SOUTH SHORE TO ADDRESS
PROJECT NOTESr
TYPE AMOUNT BY DATE RECE I P I l
PRIVI'T s6 65 .25 NJP 031 17197 0000
PL CK it 26 . 10 NJP 03/ 1 7/'97 0000
STF'f= $ 4 .50 NJP 03 / 17197 0000
EHCP * 26 .00 NJP 03/ 17/97 0000
TOTAL : 121 .65 OWNER Oil AGENT DATF'
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1IS_P1MT, revs 84!11192 C.OMPL. IANCE TO ATTACHED CONDI_F1ONS� 1S
REQUIRED
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CONCRETE---A CONCRETE-1)--A . MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date Gas Piping date b
Foundation Walls date by Set Up
date 4- I "-,::i b ti 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 b date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PFFIM I -T (—, C3N0 I T 11 (_3NS;
Case No . : MIS97-0063
For . DOUG CHAISTFNSFN
Page - I
1 ) The proposed pro jeot must be consistent with of I appl icable pot lolerg and other
provisions of the Shoreline Management Act , Its rut ewe; , and the Mason County Shoreline
Master Program .
2 ) Temporary erosion control measures laust tie implemente-d to preverit. water, jual itV
de(Iradation of adjacent waters or wetlands .
3 ) 8-TROCTORE MUST BE OUTSIDE Of' ROAD RIGHT OF WAY X
4 ) All apj.')vnved plans are required to be on-site for inspeotion purposes . It 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 $12 .00 per hour (tRinimam I hour ) will be! charge ii and
must be collected by this department prior to any further, Inspections being per-formed or
appi ova l granted .
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CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date
SLAB Insulation by INSULATION date by
BG/ Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by
PLUMBING Attic date by OTHER
Groundwork date b
date by y
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
5 ) PURSUANT TO 1991 UNI B U I L D is C
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBI,F
AND I-F-0131-F FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT NUOUIRES TIJAT IHIS BE COMPI-FTED PRIOR TO CALLING FOR ANY SITE INSPECITION1,111 . A
REF NSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUII. DINth (.-,ODF WILL BE
ASSESSED IF OWNFR/CONTRACTOR FAILS TO POST ADDRESS ON :.SITE PRIOR TO RFOUESIING
INSPECTIONS .
6 ) ALI. CONSTRUCTION MUST MEET OR EXCEED Al-l_ LOCAL CODES AND OBC
RE0111REMENTS
7 ) Proposed structuue -v oorticans thereof with an projection over 30" in height from grade-,
Fine, moist maintain a -5 ' separation distance between adjacei)t structures and that
furthest projeetioll , X
8 ) Chanoes to approved building plans that effect comollance to the 1991 Washington State
Energy Code. 1991 Venti ; ation and Indoor Air Quality
Code, the Oniform Building Code andlor Mason County Regulations must be approved by
Mason County prior to oonstructionX
9) ALL CONSTRUCTION MUS'T MEED OR [XCEE0 LOCAL CODESS , IF ANY QUESTIONS, PLEASE
CALL THIS CIF FICE BrFORE CONSTRUCT ION ,
X
10W CONSTROC11ON PROCESS 10 BE FIELD COPREC-TFI) AS REOUIRFD PUR MASON COUNTY BUILDING
DEPARTMUNT AND UNIFORM BUILDING CODE .x
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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.W.V. by
WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
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date by date �. ,�, b-i by� lJr date by
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Inspection Sketch of Lots II , 12 , 13 , a 14, 1n
6ROOKPOINT VoIA P. 58
Section 35 Township 22 N., R. 3 W., W.M.
Mason County, WosningIon
Ca /74 /
3
I I certify that I surveyed and
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3 OD staked this property May , 1961
N and located improvements in
z September, 1963, and found no
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MASON COUNTY Permit No.
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 '�/
PLEASE PRINT
#1 Owner Tom' CX44'sT�-Se Phone # 26
Site Address �X'z „mac• _ �!p Fire District#
City �C/f'ai` St A,/R-f/, Zip 9'85�2�
Directions to Job Site Sot,7 sZo,-c To .4ela/ress
Owner Mailing Address �S,?_3 /}� l`�y�✓ay
City l3Gl`i Zp�z. St W'?-T''L . Zip
Lien/Title Holder �G�T C.
Address_
Clty St Zip
#2 Contractor Name �arf � GD/h G��sTru�?�6n. -T,,Ve. Contractor Reg# Z'� a "4G
Address �?D. ,Y ����' _ Expiration Date_/1L/��
City St Zip Phone#, 6Z
D
#3 If septic is located on project site, include records. lo
Connect to Se tic? Public Water Supply Well 4§ r
Connect to Sewer System? Name of System
(If residential, proof of potable water is required) -69 o -�o�, � 6 199, l
#4 Parcel No.J3
Legal Description _r l ! T
#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 sq. ft. /
#6 Use of building � GI_ c-PQ_f , U—:)CL k Describe work
#7 Type of Job: New_ Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Malmo- Model
Length Serial No.
# Bedroo # Bathroom Type of -
Pur se Price $
#9 Indicate by circling the applicable source if any water is ono ' t 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 5
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
�X�'sTih �Ct, l 7-0
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6c
� � ���/uccl Gov
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NoMG t Reer
X i�T� pSTer, ralye
GaH ar'r J l _
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AP LICANT TO DRAW TOPOGRAPHY PROFILE BELOW
— s
1
Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each]
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
th Basins Heatpump, Other
Bath ubs No. Units Fees
Showers Furn BT
Hot Water Ht _ Heatpumps
_Laundry Washer _ Vent Sy ms
Sinks S 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 16.75 _ Auto Fire Sprink Sys 35.00
TOTAL P BING $ No. O r
Gas Ou is
Wood, Gas, let 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 ' 16.75
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
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. DEPARTM NT.
X OWNER X BY
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: l_ f Date:!� Li C
�, it
DEPARTMENTAL F�EVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
W
k
7
Environmental Health: Pc. ( +4 k"'I �pp ra
4.
-4 W
h�,,lc�,� S F•�,hY, {.., +Lf rC�r....� well �.+�:' � ,� 1 cf�.:.�•-1��Icl . cc�•�,,., c�'rc.r., c' S•5+�.
{°� IwJ� N..ul- �c Cl.'s.w� •.- tc^IIYJ�RJ S� AS bc� �a' 1210A ut
Building Plan Review
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Occupancy Group: Type of Const:
Fire Marshal:
Other:
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Spec.al Conditions: FEES
Building Permit 66
Plan Check p
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
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Other ( L e
Building Valuation: TOTAL FEE