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Home My WebLink AboutMIS94-1045 ReRoof - MIS Permit / Conditions - 12/27/1994 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 MIS94--1045 PARCEL : 1 23 1 6230004 0 PLAT s I `Y. ►' i` ( tiI ,JOB ADDRESS : NE 2450 OLD BEI.FAIR HWY BELFAIR -14PPL 1 G T , .D. L I TTLEF I ELD 75-2215 OWNER : S .D . I.14M_trI"a L'6 275-2215 LEGAL i TO 1 Of SO 01 I'S /51l2 SK 963 PERM? PROJECT DESCRIPTION : N rilt,.l. & v®tr. -.�� E�CpjRATION RE—ROOF ppTE 3l PROJECT LOCATION : GO DOWN OLD BE L f A I R HWY . ON RIGHT S I DF OV ROAD . HOUSIF IS RFD AND WHITE . ABOUT 2 .5 MILES OUT OF R L_FA1R . BLUE JAY IS ON MAILBOX WITH ADDRESS ON IT PRO,IFCT NOTES : TYPE AMOUNT BY DATE RECEIPT STFE 4 .50 CPH 12/27/94 0000 RERF $ 25 . 00 CPH 12/27/94 0000 _.___..--._TOTAL. : 29 A50 t)WNE OR !'GENT DATE- NI S PONT, rev; 041/1192 COMPLIANCE TO ATTACHED CONDITIONS IS REOUIRED 1 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 II I I I I MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F" F rl M I _r C: C-) N f`) I V I C.) N Case No . : MIS94-1045 Fort S .D . LITTIFFIELD Pages 1 1 ) PURSUANT TO 1991 UNIFORM BU I L b I NC CODF , SE CI I ION 305(C .) AND SECTION 513 , Al L. S 1 TFS Mi1ST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND L..EG I FIL F FROM THE STREET OR ROAM FRONTING THr PROPERTY , MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REiNSPFCTiON FEE , BASED ON RATES IN 'FABLE 3A OF THE 1991 UNIFORM BUILDING CODE: WILL BF: ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS , X 2 ) ALL CONSTRUCTION MUS1' MFET OR EXCFE:D ALL LOCAL. CODES AND UBC REQUIREMENTS X 3 ) CONSTRUCTION PROCESS To BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x 4 ), ALA. CONSTRUCTION MUST MEE D OR EXCE FD LOCAL. CODES . i F ANY QUE:.S F I ONS, PLEASE CALL_ THIS OFFICE; BEFORE CONSTRUCTION . CONCRETE MECHANICAL MOBILE HOME l 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 Attic OTHER Groundwork date by date by D.W.V. WALLBOARD NAILING date by date by Water Line FINAL INSPECTION date by date by date by MIS MASON COUNTY f MISCELLANEOUS PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670 PLEASE PRINT#1 Owner 6 l J 41 ad Phone# 8 15 Fire District# Site Address CSld FCl l r "Wo . city Mail Address City St Zip Applicant S@3QV11 Phone# Applicant Address City St Zip Directions to Site: _ Sk W w cjl 1"Y1C #2 Parcel No. 1a3IUe CC)by� Legal Description —TZ y nc 7— v)W #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 NK 0A Project Completion Date #5 Use of Buildiing 0 \� 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 EGISTERED 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 FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART- ING DEPARTMENT.,^ MENT. X OWNER.` J, X BY DATE DATE Show followingon 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: 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 $ MASON COUNTY DEPARTMENT of GENERAL SERVICES Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,Washington 98584 (206)427-9670 BUILDING PARKS& RECREATION FAIR/CONVENTION CENTER ADMINISTRATION December 27, 1994 SD Little Field N.E. 2450 Old Belfair Hwy Belfair, WA 98528 As per our conversation I'm sending to you a application for a Re-Roof. If you could sign the highlighted area and return with a check for $29.50 made payable to Mason County Treasure at your earliest convenience. Mike Byrne the Director of Building will allow the work to be completed prior to the application process in good faith that you will apply in a timely matter. Enclosed you will find a permit card that will also need your signature and initials. If I can be of any further assistance please don't hesitate to call (206) 275-4467 Fxt. 352 Sincerely, Christine Herth Building/Clerical enc:permit application permit card return envelope a I DEC � 91994 SERVICES