HomeMy WebLinkAboutMIS97-0277 Cancelled Foundation Only - MIS Permit / Conditions - 12/6/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
1\A I SCE IL L-s4k IOI E C U S PERM I -T- FOR INSPECTIONS CALL 427-9670
MIS97-0277 PARCEL : 123294300020 PLAT : DIV : BLK : LOT :
JOB ADDRESS : NE 23681 STATE ROUTE 3 BELFAIR
APPLICANT : MITCHELL LUMBER CO . 275-2090
OWNER : WITCHELL LUMBER CO . 275-2090
LEGAL : T R 2 & 25 OF S 1 SE
PROJECT DESCRIPTION :
FOUNDATION ONLY
PROJECT LOCATION :
hwy 3 between subway and post office .
: I
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
I
STFE $ 4 .50 TW 06/09/97 BELFAIR
FDNO $ 41 .00 TW 06/09/97 BELFAIR
TOTAL : 45 .50 OW OR AGENT DATE
t
M I S_PRMT, rev; 04101192 COMPLIANCE TO ATTACHED CONDITIONS IS
REQUIRED
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
PERM I T CONE) I T I ONS
Case No . : MIS97-0277
For : MITCHELL LUMBER CO .
Page : 1 ,
1 ) Proposed structure or any portion thereof greater than 30" in height from grade line
must maintain a minimum of 5 ' setback from all property lines and easement lines and 10 '
om all County and State Road right of ways .
X _
2 ) Approved per dimensions and setbacks on submitted site-plan .
3 ) Proposed structure or portions thereof with an projection over 30" in height from grade
line , must maintain a 5 ' separation distance between adjacent structures and that
furthest pro ject i on . X_3�' _ -5
ca.�
4 ) Must provide a certified s ecial inspector for all concrete tests per engineer 's design
values . Provide this office with copies of inspector 's certification and all tests as
they become due . Send copies to Mason County Bid Dept . Po Box 186 , Shelton Wa . 98584 .
Attn : Warren Colvin .
X
4
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
5 ) All approved plans are required to be on-site for inspection 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 $32 .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 .
4PUR6 ) ANT TO 1991 UNIFORM BUILDING CODE , SECTION 305 (C ) AND SECTION 513 , ALL SITES MUST
HAVE 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
REINSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
<"-
� 7 ) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC
REQWRE ENT.
X
8 ) Chan, Ksto 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 ason ounty Regulations must be approved by
Mason County prior to constructionX
l
9 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED S QUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT ��\
#1 O er Ck( �-1{C—rt� l �u�g ec7 Phone # �- Fire District#Z
ite Address 1�� a-3 I -3 D �OU���City 1>�-�-t=✓� 12
Mail Address
City _ _ 3 rA t 111, St U-) Zip of $Sa-8
Applicant f CrF YA Phone# a-c) c�
Applicant Address <<
City St Zip
Directions to Site: i w POST- OF E ��c� (r¢►���
112 el No./Z3Zo V2 - 06OZO
regal Description P.2._T a 5 of o} 40
#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 KV1 23v� Project Completion Date M mo
#5 Use of Buildiing U.,avello�, Describe proposed construction e2(
c, i E cQ i vL �a t.S (A a k 6-9-L, S<-"6 u.l L
0NJ L
MAY i SI
'Depending upon the type of permit,a floor plan and plot plan may be required. HEALTH,'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 APPROVALFROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY
DATE �� �� - DATE
r �
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
>'OR OFFICIAL USA ONLY Accep#ed by Date;
DEPARTMENTAL REVIEW
FOR OFFICIAL WSE ONLY
Planning APP COND APP HOLD
Building
Fire Marshal
Other
Special Conditions Fees
Db
Permit Fee $
Plan Check
Other
Other
State Building Fee q,
TOTAL DUE $