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MIS95-0307 Cancelled Retaining Wall - MIS Permit / Conditions - 11/1/1995
MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 M 1 �S C V L !_ A P4 F Q L),'r-; P - R M 1 T FOR INSPECTIONS CALL 427-9670 MIS95-0307 PARCELs322365100022 PLATsPEPLO DIV : BLK : LOT : JOB ADDRESS : APPLICANT : MAURICE CONKLIN 6913-1176 OWNERS MAURICE CONKL. IN 896 -2176 LEGAL. : PF.BBLE BEACH PARK TR 27 -23 A T.L. PROJECT DESCRIPTION : RETAINING WALL PROJECT LOCATION : HWY 106 JUST PAST MILE. POST 10 PROJECT NOTES : TYPE AMOONi BY DATE RFCE I PT PIRMT T 73 a50 K5 05/ 19/95 39135 PL.CK $ P9,00 KS 05/ 19/95 39135 STFE $ 4 .50 KS 05/ 19/95 39135 i TOTAL .- 10'/ .00 OWNER OR AGENT" DATE of$ PAIR, rev; 04161192 COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED CONCRETE 3 MECHAI�IICAL MOBILE HOME Footings tbac date by Ribbons date 7 by Gas Piping date b Found n I date b Set Up date by INSULATION date by BG/S In tion Floors Final date date by date by FRA ING Walls FIRE DEPT. date by date by date by PLU ING Attic OTHER Grou work date b date by D.W WALLBOARD NAILING dat by date by Xlte er Line FINAL INSPECTION d by date�� ( �y date by +I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F", F. VA M I y ('; C'>t N F� 1 `r 1 C3 Pi Case No . : MIS95--0307 For, , MAUR 1 CE CONKt_ I N Page : I 1 ) Approved per ite-plan . 2 ) All approved plans are required tc, be on..-site ror Inspection purposes .. If Inspection is called for and plans are not on site, Approval WILL NOT be granted . In addition , a Re- Inspection flee in the amount of $30 .00 per hour (minimum 1 hour ) will be charged and must be collected by this department prior to any further, inspections tieing performed or appr ova t granted 3 ) PURI,-OANT TO 1 991 UN 1 FORM 13111 L-D t NG CODE , SFCT I ON 305(C ) AND SECT I ON 513 , ALL S I TES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND IEGIBI.F FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMFNT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPEC1 I ON FE F , BASE:D ON RATES I N TABLE 3A OF THE 1991 UN I FORM BU 111)1 NG CODE W 1 i_L rtF ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REOUESTING INSPFCTIONS . 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 te by WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by I I I I I I I I i I ( MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 a ) ALA. CONSTRUCTION MUS1 ndt ;ti r i�,t t- u ALL t. 0C1t1. CODE ,, ,4ji, OBC REQUIREMENTS 5 ) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to construct i onX 6 ) CONSTRUCTION PROCFSS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE . 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 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 MIS MASON COUNTY MISCELLANEOUS PERMIT APPLICATION ,5or, 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 ��r O PLEASE PRINT #1 Owner M 4-) 4 1 e Co.) jtL i ,y Phone # ST59r— 21 7G _ Fire District# Site Address 1.,d 9 I'c k LAhd %d �. City UN"U nJ Mail Address 1)d y I- City /J St CA%/J _ zip a 57 Applicant 62-e S t.-L, pi So&f ,✓4 °,0 Phone # Applicant Address�. U nih (� r City )Fran n sOn.2 T St 'GV'a . zip c Directions to Site: ,(4r r c, �� -/O (. cAl i L-f 7- G-t/L�e 6Q3L #2 Parcel No. 3 2 23(, - - 0 6 C) 2-2- Legal Description 2Zw (22-r) Sec 3� #3 Indicate by circling the applicable source if any water is on or adjacent to the property site: altwate�lake river creek stream pond wetland seasonal runoff marsh other #4 Project Start Date 3U 1y Project Completion DateyL`l S #5 Use of Buildiing `A,1`&e z/42-L Describe proposed construction '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 APPROVAI JF#,M THE BUILDING DEPART- ING DEPARTMENT. MENT. e© ' X OWNER X BY DATE DATE 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 C c L FOR OF=I=ICIAL USE ONLY:Accepted by;. Date: DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Planning APP COND APP HOLD Building L� g=fo�YS Fire Marshal Other Special Conditions Fees Permit Fee $_ 73 Plan Check °e' Other Other State Building Fee 7, 27 TOTAL DUE $