HomeMy WebLinkAboutMIS93-0250 Final Dock Repair and Replace - MIS Permit / Conditions - 9/7/1993 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
HTS93-'02SO t,Ak( i, 1. ' ! S69 F',Okioo0w f'! E
.11111 Aft[M0 '-,°; 7 HE 260 1 I4iE:R ( AkF WAY HRt At-lt 1 ON
61 1'i ', i ANi 011. I CRITFS ;'IS tip 44),is
is!.ltd! It NTLL CRIIE.S 27!r--1h4b#I
L 1: 6AI- 1(4(k ME IRAIIS to % I1 II 8+1 It 4 to 0 Sol I tx #4021 t! •w
DICK REPAIR AND REPCACU
PROJECT IS I.0CA1fD A NF 160 II61-.14 WAY ON TEGUR IAKk
}'{•'.�1.![-1' j Nil ! ! '.,
F4;gFriiN I ti't I 1 :;t ! i !
I ' ! k L_ � a �.H t F'1! �x t f '� ,��� vI 44 f'?63 � ����� -lU�'/��� � �t��G�G� � '� t•!�' ��
�
r ! 0 ! 11i
a ! }
COMI't 1AN1:F 10 AIIAiMII CONtitIIi11N': I';
RFgUittl.-11
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 Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER
Groundwork
date by date by
WALLBOARD NAILING
D.W.V.
date by
date by FINAL INSPECTION
Water Line
date by date 7_j3 by date by
I
I
I
MASON COUNTY
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 Final
Floors
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
Water Line by FINAL INSPECTION
date by date by date by
I
Permit No.
- MASON COUNTY
"`� 0 `993 BUILDING PERMIT APPLICATION q�' D
e a � ;f26 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 �h 0e
PLEAS�41VVj , " .ACES
#1 Owner Mr . Bill Crites �w�' e Phone# ( 206) 275-6468
Site Address N . E. 260 a y Fire District# 2
City Bremerton St Wa. Zip 98312
Directions to Job Site Project is located at N . E. 260 Tiger Way on Tiger Lake
Owner Mailing Address Same
City St Zip
Lien/Title Holder
Address
City St Zip
#2 Contractor Name Undecided at this time. Contractor Reg #
Address Expiration Date
City St Zip Phone#
#3 If septic is located on project site, include records. N/A
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. 12305 - 50 - 00005
Legal Description Tk 5 exc N 85 ' , all of Tk 6 & N . 50 ' Tk 7 of Tiger Lake Tracks .
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft /
Basement / Deck / #bedrooms / #bathrooms /
Garage / Carport / (Circle:Attached or Detached?)
Other Pier sq. ft. Prox 4�0
#6 Use of building Private moorage and recreation Describe work Project
consists of driving 14 untreated D. F. Piling to support 6 'X50 ' dock with a
16 ' Tee on the outboard end as per attached plans .
#7 Type of Job: New Add Alt Repair Other Replacement and
redesign of existing
#8 MOBILE/MANUFACTURED HOME INFORMATION facility .
Model Year Make Model
Length Width Serial No.
# Bedrooms #Bathrooms Type of Heat
Purchase Price$
#9 Indicate by circling the applicable source if an water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake arsh 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 Indicate Directional by (N, S, E, W)
Name of Flanking Street in relation to lot Ian
Name of Fronting Street p p
APPLICANT TO DRAW SITE PLAN BELOW
SEE ATTACHED PLANS
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
SEE ATTACHED PLANS
Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No._Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
_Bath Tubs No. Units Fees
_Showers _ Furn BTU
Hot Water Htr _ Heatpumps
_Laundry Washer _ Vent Systems
_Sinks _ Spot Vent Fans
_Floor Drains No. Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No. 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 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
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 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 CZ172U jv 4fhLl ell. X BY
DATE - Co b/93 DATE
FOR OFFICIAL USE ONLY: Accepted by: Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: J /
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit 4�, 5o
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