HomeMy WebLinkAboutBLD93-01840 Cancelled Bridge - BLD Permit / Conditions - 9/12/1994 MASON COUNTY PERMIT
Mason County Bldg, III 426 W. Cedar NULL 8 VOID BY EXPIRATIONDATE BY
P.O. Box 186 Shelton, Washington 98584 - —
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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 PLUMBING by date by date by
Attic OTHER
Groundwork
date by date by
te WALLBOARD NAILING
D.date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
F O R INSPECTIONS CALL 4 2 7—9 6 7 0
BETWEEN 5pm AND Bam 427-7262
BLD93-1840 PARCEL : 123201201020 PLAT : DIV: BLK : LOT:
JOB ADDRESS : NE 1543 OLD BELFAIR HWY BELFAIR
OWNER : JASON MACKINNON (CO) 275-0611
CONTRACTOR :
L E G A L : TA 2 OF 11/2 N9114 NE114 FS 15141 B1 163A
C LASS 0 F WORK . . : NEW BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT
TYPE OF USE . . . . : ACC STORIES . . . . . . . : 0
0CCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0ft P R M T $ 41.01 TW 13(16/94 35318
TYPE OF CONST . . : ? FIREPLACES . . . . : 0 PICK $ 16.51 TW 13/16/94 35318
OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 S T F E $ 4.50 TW 03/16/94 35318
DWELL . UNITS . . . . : 0 PARKING SPACES : 0
INSPECTION AREA : 1 SHORELINE? . . . . : Y TOTAL: 62.00 VALULATI0N: 2 37 6
SETBACKS------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES----------- BOILERS /COMP---- MOBILE HOME--
FRONT . . . ? 0 . 0ft BATH BASINS . . . . . . : 0 : ? : 0-3 HP . : 0
REAR . . . . ? 0 . 0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ?
SIDE ( 1) . ? 0 . Oft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------
SIDE (2) . ? 0 . Oft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 ?
SHRLINE . ? 0 . Oft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------
AREA ------------------ KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 ?
LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0
BUILDING . . . : 0sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0
BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#----
DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ?
GAR/CARP : ? Osf GARB DISPOSALS . . . . 0 <= 10000 cfm . : 0 RELOC /REPAIR : 0
AT/DT . : ? URINALS . . . . . . . . . . : 0 ) 10000 cfm . : 0 OTHER UNITS . : 0
MISC PLM FIXTURES : 0 GAS OUTLETS . : 0
PROJECT 0ESCRIPTI0N:8UIL0 NEW BRI06E
PROJECT IOCATI0N:00WN OLD BELFAIR H W Y OVER UNION BRIDGE ABOUT 114 MILE ON LEFT, REID REALTY SIGN IN FRONT.
EE EEp pp pp IIpppp
OF 180 DAYS ATCANYSTIMELAFTERVW0RKIISWC0MMENCE0, EVI0ENCE 0FTC0NTINUATI0NO0FCW0RKNISDAWPR0GRESSIINSPE�TI0NIWITHINTTHET180 0AYWPERIG0.SFINRL,DINSPECTIOMEMUST BE
APPROVED BEFORE BUILDING CAN BE 0CCUPIE
OWNER OR AGENT: DATE: I �"�
MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
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by appro"od hv lwlo` ,n I un"l ? p1lor I " i "nqi t ",t i o"X
om_,xn/ . r,v� »��^1/,^ COMPLIANCE TO ATTACHED CONDITIONS IS REQUIRED
. �
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MASON� � � ����� COUNTY
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Mason County Bldg. U| 426 \A/. Cedar
P.O. Box l86 Shelton, Washington 98584
Case No . : OLD93-1840
For : JASUN MACKINN0N (CO )
Page : 1
1 ) All cap plans are required to be on—site for inspection purposes . If inspection
is cac�ed for and plane are not on site , Approval WILL NOT be granted . In addition , a
Re—Inspection fee 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 being performed or
approval granted .
X
/ 1
| 2 ) PU��UANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 , ALL SITES MUST
/ HA Y�� 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 INSPECTIONS . A
| REIN3PECTION FEE BASED ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL 8�
�
� ASSESSED IF OWN[ /CUNTRACTOR FAILS TO POST ADDRESS ON SITE P�rnn ��- - - - --- -- - - --
� REQUESTING
INSPE
X
Alt
3) ALL" CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQ
X
� 4 ) Chalgey 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 Count' ns must
| be approved by Mason County prior to conetruotionX
5 ) Temporary erosion control measures must be implemented to prevent water quality
degradation of adjacent waters or wetlands .
-
| 6 ) The bridge shall have a minimum width of 12 feet , as per and pending engineer ' s
| revieions ,
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UU L= W llt7 U ly Lg Uy
Permit No.
MASON COITI w 6 1M
BUILDING PEI�. I�' 0$9 Lt
'D
426 W. Cedar/P.O. Box 186, Shelton, A 2-5628 ��,� ��
PLEASE PRINT
#1 Owner L-i � '� `� Phone# (9
Site Address Fire District#
City r` St Zip
Directions to Job Site j�t' -JVN `
Owner Mailing Address e c), 3
City St Zip
Lien/Title Holder
Address
City m St Zip
#2 Contractor Name crv—e�-, Contractor Reg#6V)-^Gl-
Address Expiration Date _/�/�
City St Zip Phone# �25_—bt- ( I
#3 If septic is located o prZe, include records.
Connect to Septic? ic Water Supply Well
Connect to Sewer SystName of System
(If residential, proof of pater is required)
#4 Parcel No. ( 3-�� ' - -2 - D) 1>20 Legal Description Dill 2 `c — N t� l`� _Y W
#5 Building Square Footage: (ex ting/propo ed)
1st FI / 2nd / 3rd FI / Loft /
Basement / Dec / #bedrooms / #bathrooms /
Gard / Carport / (Circle:Attached or Detached?)
_�O�her sq.ft. /
#6 Use of building Describe work
#7 Type of Job: New _Add Alt Repair Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Widt Serial No.
#Bedrooms # throoms Type of Heat
Purchase Price$
#9 Indicate by circling the a licable 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 Indicate Directional by (N, S, E, W)
Name of Flanking Street p
in relation to lot Ian
Name of Fronting Street p
APPLICANT TO DRAW SITE PLAN BELOW
Lam
0
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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 $ NQ 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-
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 L X BY 4�" t �
DATE — rt DATE
FOR OFFICIAL USE ONLY: Accepted by: — Date:
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review
Occupancy Group: Niz-%bit Type of Const:
Fire Marshal:
Other:
Special Conditions: FEES
Building Permit
Plan Check S�
Plumbing Fee
Mechanical Fee
Wood/Gas/Pellet Stove
Radon Monitor
Violation Fee
Site Inspection
Building State Fee
Other
Other
Building Valuation: TOTAL FEE
MASON COUNTY BUILDING PERMIT FILE
PLAT NAME:
LEGAL DESCRIPTION:
PARCEL NUMBER:
PROPERTY OWNERS NAME: ff 10.L.Ki y�✓lU
MAILING ADDRESS: 1(,0r7
]:j:W Fa,f, w 4 s a$
TELEPHONE NUMBER:
PROJECT DESCRIPTION DATE RECEIVED
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COMMENTS:
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