HomeMy WebLinkAboutMIS98-0333 Cancelled Sign - MIS Permit / Conditions - 1/3/1999 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
N4 I .3C.• U—: I— R_ ANF. C)pL) Fuii L .127- :it)iO
MI598--0333 FARCE1.. : 123294200190 PLAT : D1V : BLK ; LOT :
JOB ADDRESSe 21 NF STATE ROUTE 300 SE:LFAIR �
APPL I CANT : 01_YMP I A FEDERAL SAVINGS
OWNI R : OLYMP I A FF DFRAL SAVINGS
LEGAL : 10 19 OF Of SF
PROJEC r DESCRIPTION :
SIGN
PR()Jt:(,T LOCATION ,
PPJJECT NOTES
��r_;::::...�. :n:.-�:ax^.>-7msc�rvcx :xn-xv�se••.:r.^r:c-v.:m�r�u�^sx esare:rsrns•au-.+a�::c+.rc
TYPI AMOUNT BY 1)AlF RECEIPT
�'TF''E $ 4 , 50 TMJ 07 /OT/9R 47507
PRMT 9: 556 .75 I'FAJ 07/0 7/98 47507
PICK $ 161 .89 TM,I 07107 /98 475O7 i
TOTAL 923 . 1A t►W Ii�OR AGENT 1)A7F,
kIS FRM1, rev fd 16119 COMPLIANCE TO A7 TACHED CONDITIONS IS
REQU I RED -
CONCRETE MECHANICAL MOBILE HOME
. Footings-Setback date by Ribbons
date $-S 7 8' 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
f
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• MASON COUNTY
' Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Case No , : MI S98-0133
For : OLYMPIA FEDFRAt. SAVINGS
Page : i
' ) AI I approved plans are required to be on- f. r to for 1 nspac'I ion purpose"; , It inspection
is called for and plans are not <,n site. Approval WILL NOT be granted . In addition , a
Re.- Inspection fee in the amount of 4,42 .00 per hour (minimum 1 hour ) will tie charged and
must be collected by this department prior to any tmrther inspections be i ng performed r,)r
approval granted .
' ) PURSUANT 1-0 1994 UNIFORM BUILDING -ODE , At t_ SITE MUST BE (MARKED WITH APPROVED NUMBERS
OR ADDRESSES PROVIDED IN SUCH A, POSITION AS TO FIE PLA i Nt Y VISIBLE AND LEGIBLE FROM THE
:STREET OR ROAD FRONTING THE PP.OPERTY , COUNTY Bt1 i 1 r.�lNG DEPARTMENT RFOU I RFS THAT
THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A REINSPECTION FEE , BASEL►
ON RACES IN TABLE' 3 A OF THE 1994 UN I I`0IAM BUILDING CODE WILL BE ASSE SII ED IF
OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS .
K
3 ) Changes -to approved huj I d i ng p i ans that effect c:onrp I i Hnc;e to the 1991 Washington St Atn
n
• MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
Energy Code. 1991 Ventilatioi, j in0
Cocie. 't he on i ferns Eau i I d i ng Code and/or Haso.t ("otint v Hegu i a t i rns must. be approved by
Masan County prior to constructionX
4 ) CONSTRUCTION PROI::F SS TO BE FIELD CORRECTED AS EIEGU I RFD PEP MA rON COUNTY BU I t.D l NG
DEPARTMENT AND UNIFORM BUILDING CODE .x
n
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I
- 1
Mis 9Y-033
MASON-COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT
#1 Owner Phone # Fire District#
ite Address rot City �� «
Mail Address rnQ-
City &P Wale- st Zip 1852..8
Applicant 7-� �1�/L5� 1✓ie - Phone # _Z(Gp "4S4=3a00
Applicant Address /✓ t) fZ,((
City St mA Zip g8Qk -31W)
Directions to Site:
O
Parcel No. 1 Z 3 z g
Legal Description 12 I D n L 5 �G
#3 Indicate by circling the applicable source if any water is on or adjacent to the property site: "J'y
saltwater lake river creek stream pond wetland seasonal runoff marsh other P1 I a
#4 Project Start Date Project Completion Date
#5 Use of BuildiingA nk _ Describe proposed construction
m i alld S
o� 1cr. X Qs2rax - I a; k )(.P' > a_7'
'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 FIRSTOBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENTT.. �/�
X OWNER X BY/ Y/�AZZU ► 1 IC "L9\
DATE DATE in y
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 OFF1CtAL USE ONLY.Accep#ed by Date:
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
1' Y5
Building hair •tV le W W14 `•I(P.��•
Fire Marshal
Other
Special Conditions Fees
Permit Fee $ S _ -
Plan Check 401*- 41
3G�•
Other
Other
State Building Fee �F
r�!
TOTAL DUE