HomeMy WebLinkAboutMIS94-1048 Woodstove - MIS Permit / Conditions - 4/19/1995 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
MIS94 - 1048 PARCELR123297590051 PLAT : DIV : SLK : 1_01 :
JOS ADDRESS : NE 30 Al_DERWOOD PL BE L FA 1 R
APPLICANT - CHR I S CABR I N 275-5821
OWNER : CHR I S C:ABR 1 N 27,--582.1
LEGAL - T1 5-8 OF SMAV 11195 (81) TO B OF SP 111349 FS 15514:15-511
PROJECT DFSCR I PT i ON
WOODSTOVE
PROJECT LOCATION
FROM NORTH SHORT' RD RIFL F'A I N , TAKE A RIGHT ONTO SANH 11.t. RD THEN TAKE A R 1 GFI ONTO AL t I SON RD,
STAY TO RIGHT, TURN INTO At_DFRWOOD PLACE . SIGN UP SAYS -30 AI_DF=RWOOD PLACE"' . FIRST HOUSE ON
R I GHT .
T/
PROJECT NOTE30 :
:�sa..�r:-rem_-,...•-:r: er•c�r....v-r..:^.,.,,zrr=-zss^:.:--s�•rr�raea-
7YPE AMOUNT By DATE RECEIPT
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WDST 1 25 .00 kS 01 /03/95 38090
LT0TA1,, 25 ,OO OWNER/OR AGENT DATE
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MIS FINT, r eU: 041/1192 COMPLIANCE TO ATTACHED CONDITIONS IS
REOUII1f()
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 Final
Floors
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING Attic OTHER L
Groundwork date b cb 9 0 v�
date b y
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg, 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
F, F R IPVI 1 -11* 0 CIO N F-3 I -T 1 (7) N t�;
Case No , , MIS94-1048
Fora CHR I S CASR I N
Paget 1
PURSUANT TO 1991 UNIFORM BUILDING CODL , SECTION 305(( ) AND SECTION 513 , ALL, SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO RE PLAINI, Y VISIBLE
AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
11EPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RFINSPFCTION FEE , BASED ON RATE'S IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE WILL. BE
ASSESSED IF OWNEP/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
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 by date by
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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} MISA4.I0YQ
MASON COUNTY
1904MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLE��$�I�A L SERV I CE��
#1 Owner C11U5-r0P14&a 1464t`t rAll$)Z " Phone # 7,-RT-S8 Z/ Fire District# E
Site Address Nt- 30 A.DN2,.ujool6 QLACE City 06LF%AIP-
Mail Address E Z&/ /=OrZA-ST D2
City //Z St WA Zip 52eK
Applicant CNW-5 C_A6&l tJ Phone#
Applicant Address 43AAw A s A6oy6-
City St Zip Directions to Site: FC2oM l OP-n4. :&Qac ZP � z 6Lo4i - ���A �(194-r OAj?-a J�iA►y, ,f ILL
� Tt T�(Ic� _(6ar auto AW-Ov IZb 5rA1 to &IiCAr %ucZ&61AJ?o
.4L- Mwool'> Pi A.CU , S(Gti UP SAY S 30 &-DR.Waq� PcAc€ � st 40 aSc-Oti 2 L66�r
#2 Parcel No. l 23 2- - '7 S - 7oo S 1
Legal Description SLIC• 29 ?S 2_3AJ - :--i W Lo Q
#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 106t-L
1p
#4 Project Start Date !2'?� ��{ Project Completion Date WJLC-CA/I
#5 Use of Buildiing (42ES11)f9JC.0 Describe proposed construction
tos-rAuA-r/w OF /, Cows-T -f Comeo2Y W00b5Y6 VF, lam- MAAJcx6 �PX12S
'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 FROM THE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. � MENT.
X OWNER X BY
DATE f Z/22-�9$/ 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
Fire Marshal
Other
Special Conditions Fees
Permit Fee $ 2$f o b
Plan Check
Other
Other
State Building Fee
TOTAL DUE $ 2 S�,D D