The URL can be used to link to this page

Home My WebLink AboutMIS95-0740 Cancelled ReRoof - MIS Permit / Conditions - 9/20/1995 MASON COUNTY Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 • T MI595--0740 PARCEL : 1 23 1 71 40001 O PLAT - BLK : JOB ADDRESS : NE 2481 OF_D RFLFAIR HWY BFLFAIR APPLICANT : RICHARD MF..DEIROS 360-275-2110 OWNF R : R I CHART) MFDF. i ROS 360— 275-21 10 LEGA1 : 10 1 OF SE 11' 1 SO Of SEC 16 PR0JFCT DESCR I PT i ON : REROOF PR0.IEC1 LOCATION : NONE GIVEN PROJECT NOTFS : TYPE AMOUNT BY DA'1 F RECEIPT S.TF[ $ 4 .50 KS 09/20/95 807 RERF * 25 .00 KS 09/20/95 807 TOTAL : '19 .50 OWNER OR AGENT 7 fiATF- MIS 1fIMi, ev, 1416110 COMPLIANCE TO ATTACHED CONDITIONS IS 11FOU I RF D E MECHANICAL MOBILE HOME etback date by Ribbons 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 I FRAMING Walls FIRE DEPT. date by date by PLUMBING date by OTHER Groundwork Attic date b date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date 3-_ by L./ date by I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PE FiM I `T CC:) Nr.-3 1 "r. 1 C>NS Case No . : M1895-0740 Far : RICHARD MFDFIROS• Page : 1 ,1 PURSUANT TO 1991 UNIFORM RU I!_DING CODE , SECT" 1 ON 305( C ) AND SECTION "113 , AL I SIIFS MOIST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINt_Y VISIBI.E AND l_f:Ci i BI_E FROM THE STRFFT OR ROAD FRONTING THE PROPERTY . MASON COUN1 Y BU I l-D i NG DEPARTMENT REQUIRES THAT THIS BE COMPI_ET'ED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE 1 NSPECT I ON FE'E , HASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE W I I I. BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS . 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 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. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 R 4 - MIS95-0740 PARCEL : 123171400O-. :_ ?LAT : JOB ADDRESS : NE 2481 OLD BELFAIR HWY APPLICANT : RICHARD MEDEIROS 360-275-2iio OWNER : RICHARD MEDEIROS 360-275-2110 LEGAL : TR 14F SE NE d SN NA SEC '6 PROJECT DESCRIPTION : REROOF PROJECT LOCATION : NONE GIVEN °- CO,-! CT NOTES ! TYPE AMOUNT BY DATE RECEIPT SST E $ 4 .50 KS 09/20/95 807 jRERF $ 25 .00 KS 09/20/95 80-/ ' TOTAL : 29 .J(0 ; oWNtR O'i A� Y:5 PRIO 'ev: COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED p1ea5e sign, date, initial all conditions and mail back t:; me. THANK YOU MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PERM 1 T COND I T` I C7N �: Case No . : MIS95-0740 For : RICHARD MEDEIROS Page : 1 1 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 TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE I"NSPECTIONS . 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 REQUESTING INSPECTIONS . I X Please sign, date, initial all ,6 0 '240 Permit No. MASON COUNTY �S BUILDING PERMIT APPLICATION • 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 IV PLEASE PRINT #1 Owners Phone# (-7eco) Z 7 5 - Z)/0 . Site Add resslW 21-%3 nG D R L FA l 2 W W y Fire District# 7- City b_ LrA i 2 St LUA Zip-98S23 Directions to Job Site Owner Mailing Address IJE Z 421 OLD Pw[.,�j p_ City B6g,(-ht 2 St C'✓✓A Zip 5? Lien/Title Holder Address � Clty St Zip #2 Contractor Name �� 1 Contractor Reg# Address Expiration Date City St Zip Phone# #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. 12 3 1-7 - Ilej - (=Co o Legal Description #5 Building Square Footage: (existing/proposed) 1st FI / 2nd A / 3rd FI / Loft / Basement / Deck / #bedrooms/ #bathrooms 1 / Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building P.1 V Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/M ACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Ba rooms 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 AP CANT TO DRAW SITE PLAN BELOW OLD a�ziA::;' 13r7`rlJ�K. --- - FO(L -12MF APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No. oilets CIRCLE FUEL TYPE: Gas, Electric, Ba Basins Heatpump, Other Bath bs U nits Fees Showers n BTU _Hot Water H atpumps _Laundry Wash e nt Systems Sinks of Vent Fans Floor Drains I r / m r rs Laundry Basins HP Dishwasher No. Air H ndling Units Disposal cfm# \ Urinals No.. Fire Pr ion Systems Other _ Auto. Fire farm Sys 50�00 Fixed Fire S Epp. 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 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. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: I Environmental Health: Building Plan Review _D Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit ate•�� Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other. Other Building Valuation: TOTAL FEE Poo cylA j �l --- �sQo7j -1nG5 - - Nit - - - - _ --1 --_ _-----�Avw __ N� 0 I ,� - A