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Home My WebLink AboutMIS95-0212 Final Doctors Office B-2 - MIS Permit / Conditions - 9/13/1995 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 IAA 1 <4;C V- i . 1 A N 1� C1 I l r f' F= F2 M i I FOR INSPECTIONS CALL 427-.9670 6inlo1 M I S95--0212 PARCEL. : 12•;b;t ( r PLAT : r)I V : BLK : LOT s JOB ADDRFSS r NE- 140 ISTATI t 300 BE:LF"A I R APPLICANT : DENNIS RILOW ( :�'06)275-0100 OWNER ; DFNA(IS BILOW (206)2fS--el100 LEGAL i TR If Of if SE SE'F SP 12512 PROJECT DE"CRiPTION ; DOCTORS OFFICE B-2 PROJECT t.0('AT I L)N : 450 ` NW OFF INTERSECTION OF HWY 3 AND HWY 300 ON J-IWY 300 PROJECT NOTES ; TYPE AMOUNT BY DATE RFCF i PT r P.L.FE 1; 36 , 00 KS 05/ 17/95 ;,9081 PRMT $ 50 .00 KS 05/ 17/95 39081 PL.GK * 60 -00 KS 05/ 17/95 39081 � �— S T'FE `1 4 .50 KS 05/ 1 7/95 39081 TOTAL, z 150 50 OWNi:R OR A `NT' OA.T.F_ ..a:.axr�mea:^.v,_:..^.^.-,-rsc-.:-�:.':—z�aa�xaa-cz:^^..s.�a:'amc^�•:.y.,.._x cs-scr_�r-:-rx,-: f MIS.-PANT, r w 1041192 COMPI I ANCE TO ATTACHED COND 1 T I ONS IS k RE..GUIRED f i I CONCRETE � C� �� Ccx-"- �` MECHANICAL OBILE HOME Footings-Setback date I rs i 5-/ - 5-by ✓ Ribbons date by Gas Piping date b Foundation Walls date b Set Up date by INSULA71ON I date by BG/SLAB Insulation Floors Final date by date by date by FRAMIN - cor r« .`G Walls FIRE DEPT. date( + - - > s6y- !-�) date i� g-5 Shy date by PLUMBING OTHER Attic Groundwork date cj - 1 3— S Eby date te V b WALLBOARD NAILINGD. 1 date by date (o-9- S S by Water Line FINAL INSPECTION date lcc by date 7 �_ 5 S by - _/ date by MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 PF RRn 1 'T C C) NC) 1 •7" 1 CJN . Casa No . : MIS95-0212 For- . DFNNIS FII. 0W Page . 1 1 ) All approved plans are required to be can- I to for i nspeot i on purposes . It i rosper.t i on I r called for and plans, are not on site, Approval WILL NOT be granted . In addition , a Re I nspec.t i on Tee in the amount of $ 30 .00 per hotrr, (minimum 1 h4r)ur ) will tie charged and must be collected by this department pr• i or to any further inspections tieing performed fir appr ova 1 �#rant ed 2 ) DbORWAYS, LANDINGS, HALLWAYS, AND BATHROOMS MUST MEF1 A ,D A , RE Oil I RFMI•N I S ( SEE ATTACHED) x 3 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SF CI' f ON 305 (C ) AND SFCT I ON 51 ,t, ALL SITES MOST HAVE. APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBI.F AND LEG I PLF FROM THE STRFFT OR ROAD FRONTING THE PROPERTY . MASON COUNTY BU i L D I NG DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A RE I NSPEC"I I ON FEE , BASFD ON RATES IN TABLE- 3A OF THE: 1991 UNIFORM BUILDING CODE WIIL RE ASSESSED 1F OWNER/CONTRACTOR FAILS 'TO PO;>T ADDRESS ON SITE= PRIOR TO REOUEST I NG INSPECT1 NS x MASON COUNTY Mason County Bldg. III 426 W. Cedar • P.O. Box 186 Shelton, Washington 98584 4 ) ALt CONS1' UC I ION MU.yT MEET OR EXCEED ALL. t OCAt. OODES AND OBV _REOU 1 R TS 1 ) Chmi(jes to approved building plans that effect compliance to the 1991 Washington State Ener(Ty Code, 1991 Ventilation and Indoor Air Quality Code , the Uniform Building Code and/or Masan County Iation � muwt be approved by Mayon County prior to construction 6) At_t CONSTRUCTION MUST" MIFFD OR EXCEED LOCAI CODER . IF ANY ouEST I ONS, PLEASE CA1. 1 TN I OFFICE BE FORT CONSTRUCTION , X %) CONSTRUCTION PROCESS TO BE FIELD CORRECTED RF 4RED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE .x �I . Permit No.M S r rn �' MASON COUNTY ►►•�+ L�*. dar/P.O. ILDING PERMIT APPLICA ION 4� 6 Box 186, Shelton, WA 98584 42 - al-W8_.0.'0 -562 -5628 PLEASE E{� _--__- - ��ES _ ---- -- _ #1 r E'_ b w �� L' Phone#_ .��]5 t O c? i e Add ess c? nE 140 -04_4E Aav•IE- 360 Fire District City St 1,C) Zi j� c9 p Directions to Job Site �{�, ► /�,1,� �= r �2S TZL) mo �l 3c7D oaf �-�.c�� 3CJa . 7 Owner Mailing Addr s ip 7:� ''7 Q City P r. �'iP St Li+ Zip L��✓ Lien/Title Holder G! Address Clty c%21 �' c� L St C' fit Zip #2 Contractor Name f� !-. - Contractor Reg # G�: ►�S C6 Address _ _ Expiration Date o'/ �� a<_rl City �Si(�L✓,moo11' St _Zip 3`3 Phone# #3 If septic is located on project site, include records. Connect to Septic?__)�_-_Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) #4 arcel No.;�-`11 _ 0 Legal Description Tff Q v 6 #5 Building Square Footage: (existing/proposed) 1 st FI 2nd FI / 3rd FI / Loft / Basement _ Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building 4§5escribe work #7 Type of Job: New ✓ Add _Alt Repair Other #8 MOBILE/MANUFACTURED H INFORMATION Model Year Ma Model Length Wi Serial No. - # Bedrooms # Bathrooms Type of Heat Purchase Pr' e $ 'rdicta`_1 f c:rr-'irg a Ali cabe souroe d any water is on or adjacent to subject property River Pond Creek Stream, Wetland Lake Marsh Saltwater Ssasona!Rum>it Show following on the site plan Lot Dimer,Gions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbina Fixtures ($each) Fee Mechanical Fixtures ($6 each r No. Toilets 9_6 CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins UU Heatpump, Other _Bath Tubs No. Uaita Fees _Showers Furn 43n- _BTU � I 1 Z Hot Water Htr ` � �. c�CD _ Heatpumps _Laundry Washer _ Vent Systems 2-Sinks -�''�� Ll. 4;2� Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handlin 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 $�_5 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 00 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 AN THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE T EREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT/f IRST OBTAIN G APPROVAL FROM FIRST OBTAINI AP ROYAL FROM THE BUILDING THE BUILDING PARTI T. DEPART NIN T. X OWNER X BY DATE lid � DATEa-- �� 6 v I�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:A-Z Type of Const: S Fire Marshal: 3�� Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other ,v 0►so IZr.w i (� ✓b Other �--• Building Valuation: TOTAL FEE