HomeMy WebLinkAboutMIS94-0801 Cancelled ReRoof - MIS Permit / Conditions - 9/30/1994 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
m _r GE_ 1. 1. ANE10RJ '3 txEH' In7_ '1- ! tlN' rAI1 421 9670
MIS94--08*1 PAP( F I I-I"Ali 14000 i 0 P1 A I t;I F• 1 �11 +.
.10H Il1)1111 ,` ME 2481 OLD BFL.FAIR HWY HELFAIR
111'1>1 ( CANI. RICHARO MFOFIROS 275--2110
(71-1NEf: � RICHARO MEDf. IROS 27c" 2110
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1"P0.11 i. I W ''i 1; 1 - 1 i fiN
RE ROOF
1�I,rl.if ; _1 I iir r"� 1 TOhi
SAME AS ADORFSS FROM HE I FAIR ON THE 1. 1~FI 141LIF . GRAY "01111SU WITH W111''tV 1RIM MAILBOX IS MARKFO
W3 1 H MAMF: ,
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'CYPF AM0JIN V HY DA I F R t l_ 1:1' I
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NI'; PR111, W11119? COMPI IANCE TO AI TACHF ) CONDF I IONS I`+
REQUIRED
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 IN PECTION
date by date f ] Q by date by
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MASON COUNTY
N;; Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
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
I
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 3E S C E L L A N E Q U S P E R M = T FOR INSPECTIONS CALL 427-9670
MIS94-0801 PARCEL : 1231714OOO1O PLAT : DIV: BLK : LOT :
JOB ADDRESS : NE 2481 OLD BELFAIR HWY BELFAIR
APPLICANT : RICHARD MEDEIROS 275-2110
OWNER : RICHARD MEDEIROS 275-2110
L E G A L : TN 1 OF SE NE i SW NU SEC 16 FS 14993:95 OK 163
PROJECT DESCRIPTION :
RE ROOF
PROJECT LOCATION :
SAME AS ADDRESS FROM BELFAIR ON THE LEFT SIDE . GRAY HOUSE WITH WHITE TRIM MAILBOX IS MARKED
WITH NAME .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
STFE $ 4 . 50 NJP 09 /30/94 37350
R E R F $ 25 . 00 NJP 09/30 /94 37350
TOTAL : 29 . 50 �— OWNER OR AG 4 YNT DATE
MIS_PRMT, rev: 94/91/92 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No . : MIS94-0801
F CHARD MEDEIROS
age : 1
1 ) ALL CONS RU TIO M EE"RXCEED ALL LOCAL CODES AND UBC
RE UI E S
MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner R1CPAF2K? /n4Z)E-1AQS Phone # Z 7S 2 Fire District#Site Address AJF2 91 DLD 86494iX 44A,,y City EL.FAit 1Z
Mail Address SAME
City St zip SZ
Applicant Phone #
Applicant Address
City St Zip
Directions to Site: .?• SM Ae S W91M OF S'MQ_ M14EJ.E7 ON 04.6 8 lR.
� DQ��tl.��gy 3CF0,2� LFiA�R SA � E�iQAdh�7r
#2 Parcel No. 1 ,7
Legal Description CY_ �lC�
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake river creek stream pond wetland seasonal runoff marsh other
#4 Project Start Date Project Completion Date
#5 Use of BuildiingfOJ►7F Describe proposed construction
_R 25 jV-9 ?S 7N6 ASeA!P&T S,4P', _ -' 001 7P,00 DF
S/,yG cam G.4 r2-*2 A)a
'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 HAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
FORMANC E ITH.NO CHANG SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
WITHOU FIRST NINGAPPR V FR HEBUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DE ARTMEN MENT.
X OWN X BY
DATE DATE
i �
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
FOR OFFICIAL USE ONLY:Accepted by: Date: j
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $