HomeMy WebLinkAboutMIS96-0850 Dock Repair - MIS Permit / Conditions - 1/23/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
114 1 a C FF l._. L - ^ N E 01 L) Via. P FF F1 M I 'T` FOR I NSPEc,r I ONS CALL 427--9670
Cull596-O650 PARCEL :322355100020 PLATiBRPLO DiV : BLK : LOT :
JOE• ADORE SS : E 9511 STATE ROUTE 106 UNION
A.PPL I CANT : JAMES PH I LL C PS 454--8180
OWNER t TAMES PH I LL I PS 454-6180
LEGAL - P0111 TO 2! 1 E 3' Of 19
PRO-JrCT DESCRIPTION :
DOCK REPAIR/ rebuild old derk
PROJECT LOCATION :
HWY 1O6 SMILES SOUTH OF STALE PARK
PROJECT NOTES.
TYPE AMC kIN'T BY DA'rF PFCF. I PT
PkMT $ 113 ,50 KS 01 /23 /97 43805
PLCK $ 45 .40 KS 01 /23/ 97 43805
SIFF $ 4 .50 KS O1123197 43805 J;
TOTAL - 16.3 . 40 OWNER OR AGENT DATE
NCS PANT, rev: 6416U92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
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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 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
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PE_: Rfoll I E CnNCa 1 -1- 1 "N
Case No . ; M 1 S96--0860
Farr JAME S Pl I L L I PS
Page ; 1
1 ) At 1 approved plans area required to be on-- s i to for inspect Ion psirposeas . If i nF.pect i on
Is called for and plans are not on site, Approval WILL NOT he granted . in :addition, a
Re- Inspection fee In the ramoui t of $32 ,00 per- hour (at i n [arum 1 hour ) will be charged and
must be coIIectel by this department prior to any further inspections being performed or
approval i granted .
2 ) PUR UAN I To 1991 UNIFORM PO i L D I NC CODE , SECTION 305(C ) AND SECTION 1513, A!1. S I TF S MUST
HAVE: APPROVED NUMBERS OR ADDRESSES PROV I DEr1 IN SUCH A POSITION AS TO RE: PLAINLY V I S I PLE
AND LEGIBLE FROM THE STREET Oil ROAD FRONTING THE PROPERTY . MASnN COUNTY E311 I LD I NG
DEPARTMENT REOOIRES THAT THIS BE: COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEE , RASE0 ON RATES IN TABt E 3A Of THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUEST i NG
INSPECTIONS .
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 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. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
3 ) ALL CONSTRUCTION lw",T ME[ % w I , i_OCAt.
R E Q U I R E ME,14 Tf
4 ) Changes to approved tou f I d i rt(l plans that effect comp I i ar►oe to the 1991 Washington State
Energy Code, 1991 Vent i 1 at: i ort and 1 ndo.)r Air Oua 1 i ty
Cade , the On 1 form Su i I d i ng Cade and/or".M' r ot, County Regulations must be approved by
Mason County prior to rons`ructionx.
5 > ALL CONSTRUCTION MUST ME17D OR I:XGEFI) LOCAL CODES . IF ANY QUEST IONS, P±_FASF
CALL. THIS OFFICE BEFORE CONSTRUCTION .
x
6) CONSTRUCTION PROCESS TO f�F FIELD GC)RRE S;TF t7 �;t?� R J I f?ED PERt4�aSON ('00N i Y R0 1 1.D i NG
DEPARTMENT AND UNIFORM BUILDING CODE z
3 ) Water quality is not being depraded to the detriment of the aquat I o env i ronme nt as a
result of this project .
9) The proposed project must he consistent i stent with all app l i cabse policies and other
provisions of the Shoreline Management Act , Its rules , and the Mason County Shoreline
Ma�itev Program .
10 ) AI ! colistruotioti and demo tt 1c,n dehris must be r : moved from the tse,ar.h after- wc, jeut
oomplet1C3n .
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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 bydate by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
d date by
ate b te WALLBOARD NAILING
D.date by date b
Water Line FIN L IN P CTI
date by dat by(d9� date by
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L13 m
�3aa3S• 5/ • 60o a o
Permit No.
MASON COUNTY
BUILDING PERMIT APPLICATION q�60
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 wner 'J Iryl h� i S Phone# Zfl( 4S'� (o! �D
to Address Fire District#
City U h in►i St W,, Zip `t S 1?2--
Directions to Job Site i+w'-I t o to S n, le s -,4- St-tivz- ?A.-h—
Owner Mailing Address S4 -
City St Zip
Lien/Title Holder 4/1 C -7Z
Address
Clty _ i6
#2 Contractor Name -6sZ4S!`:t &nS'+ Contractor Reg# ! C/SLC- 4 f ISA15
Address N19S PIop.el' -12I1JO Expiration Date `6 / ZS / F7
City SI 1✓4lcl St l..)a Zip i 8 5 3 Phone# Nvc lc g 2 3 6 S>?'
#3 If septic is located on project site, include records.
Connect to Septic? Public Water Supply Well
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No._3a�3�-5_- Qaa�
Legal Description t-�5Y fl C-) 1�'�
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Gara / Carport / (Circle:Attached or Detached?)
Oti sq. ft.
#6 e o building Describe work .��_
#7 Type of Job: New Add Alt Repair Other
#8 MOBILEZMANUFACTURED 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 acent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwate Seasonal Runoff Other
I
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
--7 2--� ►� v�
ha ��
_y. N
5
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� ► 5+�n� �'X� �.2c�vr S .
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
d _
Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each)
No.�Toilet., CIRCLE FUEL TYPE: Gas, Electric,
_ ath Basins Heatpump, Other
Ba Tubs No. UaL Fees
_Shower Furn BTU
_Hot Water H /Hepumps
Laundry Washer Systems
Sinks Spot Vent Fans
_Floor Drains IN / Boilers/Compressors
_Laundry Basins � HP
Dishwasher JyQ 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 _ Au Fire Sprink Sys 25.00
TOTAL PLUMBING $ 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
OF 180 DAYS AT ANY TIME AFTER WORK IS COM- TOTAL MECHANICAL $
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 ORD]NANCE 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. DEPAR ENT. ,
X OWNER X BY
DATE DAT
FOR OFFICIAL USE ONLY: Accepted by: Date: / `6
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: ICl/�G<ce�• lyb Of /3
i17777qc�P> qx j,0 /nub
Environmental Health:
Building Plan Review Ld
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
VFW ran (A Building Permit t-3
3 Plan Check s, q b
11*0)c g O 7, 800 Plumbing Fee
`ISO x = �t-3 Zti Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee 4• SV
Other
Other
Building Valuation: (12-a I ZC TOTAL FEE