HomeMy WebLinkAboutMIS96-0143 Cancelled Ribbons and Tie Downs - MIS Permit / Conditions - 1/19/1999 MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 S C E L. 1._. A/V E C)U S P E R M I T FOR INSPECTION:: Gi:L x. 421'--9670
MIS96-0143 PARCEL : 123305200038 PLAT :BEPLO DIVe E3LK .- I..OT : 38
JOB ADDRESS : NE 330 SCHOONER LOOP BELFAIR
IRA
APPLICANT : pERMIT TIU N
OWNFR : JOHNSON/MILLER VQID BY V.
LEGAL : BEARDS COVE DIV 3 BLK: I OT: 31 t4ijLI. & V BY
SCR I PT I ON : DATE I
PROJECT LOCATION :
NORTH SHORE RD . TO SAND HILL R . TO LARSON LAKE LEFT TO SCHOONER LOOP RIGHT 1 /4 MILE ON IfFl .
PROJECT NOTES :
TYPE AMOUNT BY DATE RECEIPT
PRMT S 15 .00 CPH 03/08/96 41422
STFE $ 4 .50 CPH 03/08/96 41422
"�,�� � ��✓�f ter. . -- � � /�!
. IOTA 1_ : 19 .50 OWNER Oh A T � D A T F
NIS_rIMT, rev! /14101112 COMPLIANCE TO ATTACHED CONDITIONS IS
` REQUIRED
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 by 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
P F. R M I "'T" CJ C3 N U 1 T' i C1 N
Case No . ; MIS96-0143
Fors ..JOHNS'ON/MI L.1. FR
Pages 1
1 ) 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 $30 .00 per hour (minimum 1 hour ) will be charged and
must her collected by this department prior to any further Inspec,tionG being performed ar
approval granted .
2 ) PURSUANT 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 STREFT 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 1991 UNIFORM BUILDING CODE WILL BED
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
MASON COUNTY
Mason County Bldg, III 426 W. Cedar
P.O, Box 186 Shelton, Washington 98584
3 ) ALL CONSTRUCTION MUST MEET OR EXCE!-.D ALL. LOCAL CODES AND UBC
REQUIREMENTS
n ) Changes to approved building plans that effect comp ) ianoe to the 1991 Washington State
Energy Code, 1991 Ventilation and Indoor, Air Quality
Codes , the Uniform Building Code and/or Mason County Regulations must be approved by
Mason County prior to construotionX
5 ) ALL CONSTRUCTION MUST MEED OR EXCFED LOCAL CODES . IF ANY QUESTIONS, PLEASE
CALL THIS OFFICE BEFORE CONSTRUCTION .
X
6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x
7) Proposed struoturA or any portion thereof greater than 30" in height from grade line,
must maintain a minimum of 5 ' setback from all property fines , easements and right of
ways .
X `—
S ) THIS PERMIT IS TO BE USED AS RIBBON AND TIE DOWN ONLY PER MASON COUNTY
SPEC 1 F I CAT I ONSx
Permit No.
MASON COUNTY J-n �S�
BUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628
PLEASE PRINT
#1 Owner -J0# USQ/VII11//leie Phone#
Site Address /LP S.30 =L-4Vd?/�,E' LL D Fire District#
City .8 / T StJLCIIA, Zip �5
Directions to Job Site o�Tifr S G/ — o"01-e
S'cf/on-v oo AI&I L -r
Owner Mailing Address eo'24f330 S'C E/' Dd�
Cityjl�. Zlpl'j!Ss
Lien/Title Holder
Address
Clty St Zip
#2 Contractor Name fNr CaAjS7,-eUC7-404) Contractor Reg# Thl PCO M&
Address �/OeidfiD L�/ySW Expiration Date
City o/ ,/�.0 StZip Mg(, Phone# -�60
#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 Parcel No ' 3 - - 0 00 3,t�'
Legal Description
#5 Building Square Footage: (existing/proposed)
1st FI / 2nd FI / 3rd FI / Loft
Basement / c / #bedrooms #bathrooms /
Garage / Carport (Circle d or: A Detached?)
Other sq. ft. /
#6 Use of building Describe work
#7 Type of Job: New Add _Alt Repair_Other
#8 MOBILE/MANUFACTURED HOME INFORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
09 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions 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
HI
30 �'
APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
Plumbing Fixtures ($3 each Ee& Mechanical Fixtures ($6 each)
No. Toilets CIRCLE FUEL TYPE: Gas, Electric,
_Bath Basins Heatpump, Other
Bath Tubs No. Units Fees
Showers Furn U
_HofiWater Htr Heatpump
_Laundry Washer — Ven ystems
Sinks pot Vent Fans
Floor Drains Boilers/Compressors
_Laundry Basins _ HP
_Dishwasher No.. Air Handling 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 $ Other
Gas Outlets
W d, Gas, Pellet Stove
� I
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
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 AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY
DATE DATE 3—
FOR OFFICIAL USE ONLY:Accepted by: Date:
1
DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning:
Environmental Health:
Building Plan Review =1:NSTR LL Pam— wA-C-
3_$-4
Occupancy Group: Type of Const:
Fire Marshal:
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 4 ��
Other
Other
Building Valuation: TOTAL FEE