HomeMy WebLinkAboutMIS95-0066 CHange of Occupancy - MIS Permit / Conditions - 7/27/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M f SCE L-. IL_ A N E ca u�3 P F R M 1 I FOR INSPECTIONS CALL 427-9670
MI895-0066 PARCEL : 123283290030 PLAT DIV : BLK : LOT :
JOB ADDRESS : NE 24070 STATE ROUTE 3 BI-L f A 1 t 0�1
APPLICANT : CAC MANAGEMENT CO. p'
OWNER : CAC MANAGEMENT CO .
LEGAL : TI 3 Of 11 Sig 1 1 Of S1 fill f3 15211 IK 164A Q�, �y
PROJECT DESCRIPTION :
CHANGE OF OCCUPANCY 41•
PROJECT LOCATION :
HWY 3 TO BELFAIR CENTER . USE TO BE PAWN SHOP NOW CARPET SHOP �
s I
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
Ott:
PRMT 2.5 .00 KS 04/ 10/95 0
STFE S 4 .50 KS 04/ 10/95 0
UL 9--
TOTAL : 29 .50 —00490-01t AGENT DATE
NIS PONT, revs #4101192 COMPLIANCE TO ATTACHED CONDITIONS IS
REDUIRED
f3
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 b date by
D.W.V. WALLBOARD NAILING
date date by
Water Line by 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
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Case No . s M I S95--0066
For : CAC MANAGEMENT CO .
Page : 1
All .approved p l anc are required to be on-site for i nspeot i on purposes . If Inspection Is
called for and plans are not on site, Approval WILL NOT be granted . In addition , a
Re- Inspection fee In the amount of $30 .00 per- h*.%ur (minimum 1 hour ) will be charged and
fit us't. ;be c,;fiecd Icy th i department prIor to any further inspections beinq performed or
app 1
; PURSUANT TO 1991 IJNIFORM�j I LD I NG CODE , SECTION 305(C ) AND SECTION 513 , AL.L SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREFT GH ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
REINSPECT IOW FEE, BASED ON RATE^ IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL BE
A SP-SSED, IFIOWNER/CONY C .OR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
it
X
3�, ALL. CONSTRUCTION MUST MEk OR EXCEED ALL LOCAL. CODES AND UBC
REQUIREMENTS
F
CONCRETE MECHANICAL' MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date by
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 b 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
7
,
fi4 Changes to approved bu ),ding plans that effect eom► I,11 '�o o t ' 1991 Wa Ington State
Energy Code, 1991 Ventilation and Indoor Air QualiR 1' ` ' � 4 es
Codex, the Uniform Building Coda and/or Mason 4�ou�
be approved by Mason County prior to co
l CONSTRUCTION PROCESS TO BE FIELD CORREC ( I`0 r B'FI MA ON COUNTY -1'L D l NG
D,E PIRTM NT 'AND! UN I FORM BUILDING COD �
I I j
T h�not ¢re S.Se in the number of employees .
f. /
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
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 by date by
I
I
/ 1 ! 9�UBMIT C?AN ES 'FOR,APPtOVAL' I
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MUST MEET ALL CURRENT
WASHINGTON-STATE-CODES --'- -- -- --'
- - - -- , ;-- AP D_ - -T _
'PiLDOIG 1 j--�-
-- S MUST BE - — -r
THE JOB SITE !
�C R INSPECTION.
MUST n'+PrINT A/N Aw►��J: 3(0 +,
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THESE PLANS MUSTIBE
UST MEET ALL Q*REINT ON THE JOB S I T
ASHING ON STATE CODES FOR INSPECTION,
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MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner e, filkfw Phone #, - 7VS- /507 9 Fire District
Site Address - L City
Mail Address 6L
City St Zip
Applicant - Phone #
Applicant Address U /�2 '0 r
City o-a s 'Y'XSt S Le-2.1/ Zip '?e s 4 s/
Directions to Site:
#2 Parcel No.)9526 __-Q
Legal Description
#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 Us f Buildiing ( Describe proposed construction
J
'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 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 FIRST OBTAINING APPROVAL FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER -- D X BY
DATE l O S 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:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
Building S ljr<
Fire Marshal
Other iMvs-�' Ao-�- k,-L ,q-'ik �a Y, Uyr.�a✓ Of —.N,rloy eQ� .
19� IS �41A 'JLAc.n am= l ►\ Abgur w�\ (mac WL,
�� � �_ •S -22-�i5
Special Conditions Fees
Permit Fee $ ;?S`- � >
Plan Check
Other
Other
State Building Feed
TOTAL DUE