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HomeMy WebLinkAboutMIS95-0019 Final Tie Down - MIS Permit / Conditions - 1/13/1995 MASON COUNTY 115, Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 h/1 1 «E; C,- i` 1.- t--- A N V' <-I 0 :�! 1F' E R 11/1 1 -V FOR INSPECTIONS GALL. 427 -9670 MIS95-0019 1'ARCEL : 1233075902ii PLAT ; DIV :? E31-K ? LOT .? JOB ADDRE ; t NE. 601 RVI.FA I R MANOR t)R BELFA t R APPI I CANT , WI i. L I AM P I CKETT 2-75- 4:39f OWNS H ; irk I It t AM P 1 C:KUTT 275- 4,196 LEGAL .-, tr 71 of Survey 21149 FROJE€J D SCR I PT I ON y T I t' DOWN ONLY 1,1N11F11 MANUF . NOMI PRO,IFC.-T" t OC°A'T' i ON a NORTH SHORF ..9 M 1 t.C: TON SAND EI I tX 1 3 MILES 10 SF-I_-F'A T ti MANOR DR . RIGHT PAST GA THOt IC CHURCH, 13E'I..FA#P MANOR .0 MILES TO NC 601 ON LEFT, SIGN WHITE WITH P D AT END OF DRIVEWAY , PRO.JF'C T i O,rEF- TYPE AMOONT BY DATE RECE I PT PRMT 1 16 ,00 C'f'It 01 1 1 1 195 3€11 fig STUE 4 ,50 CPH 01 J 1 1 1 qfj 38159 -fOTA1_ 20 .50 7--t NCR OR AGENT DATE 'O"C.R".+^�'JP•"Aefi.�C.SST..C::2..e.`�=t.::"i'�G...'Y:its`«'TM..¢^X:L.?^.]'.::TIIY'.:'e-:*'i^::T9'"'-.c:v":LT.'9SATC+ _ �:.... � '. ♦ MIS PINT, rev: 0410119'2 COMPLIANCE TO ATTACHED CONDITIONS IS A170111 RED 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 _ � — �j j—by c date by MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 F-* ti- R U/I 1 -r C,-) N " I -T* 1 0 N E-- Case- No . : MlSgr�--0019 For : WILLIAM PICKETT Page ; I 1 ) PURSUANT TO 1991 ONIFORM BUIIDING CODF , SECTION 3015(f ) AND ",ECTION 513 , ALL SITES MUSI'l HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM T14F rTPFFT OR ROAD FRONTING 'IHF PROPERTY . MASON COUNTY BUII D I NG DEF'ARTMFNT REQUIRES THAT TI-ilS BE COMPLETED PRIOR TO CALL INC FOR ANY SITE INSPECTIONS . jA REINSPECTION FFF , BASED ON RATES IN TABLE 3A 01: 'THEE 1991 UNIFORM EAU 11DING CODE WII. L BE ASSFSGED IF OWNFR/CONTRACTOR FAILS TO POST AD011ESS ON SITE PRIOR TO REOUESTING INSPECTIONS . X \ 1 2 ) ALI. CONSTRUCTION MUST MEET OR EXCEED ALI LOCAL CODES AND tIB(, REW j REWNTS X 3) ALL CONSTRUCTION MIJS'f fAFED OR FXCFFD LOCAL CODES . IF ANY 01JES71IONS, PLEASE CALL IFHIS OFrICE BEFORE CONSTRUCT ION . 4 ) CON'SIRUCTION PROCESS TO RE FIELD CORPECIED AS PFOUIRFD PER MASON COUNTY RUIUDINGt DEPARTMENT AND UNIFORM BUILDING CODE .x Permit No. MASON COUNTY �b BUILDING PERMIT APPLICATION q�j' 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT ` #1 Owner P cA Jv Phone Site Address 144E !Vo/ Belk I.- tul%ar D Fire District# City Bdf4."% St 41,20 Zip Directions to Job Site lVo o re , 9 m,le— h �Cr d A911 /,3 m; 41 '10 Owner Mailing Address__ .,► City l��.l c F St zip �0 p7--Alff Lien/Title Holder Address City St Zip #2 Contractor Name Sep Contractor Reg# Address Expiration Date City St Zip 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 Parcel No. Legal Description Po''h o�-� © 3° �'a �� R �'`� +'`��"1 9 #5 Building Square Footage: (existing/proposed) 1st FI / 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other sq. ft. / #6 Use of building WwNA. -64-tL 0d'L ( 1^e j6+ A y Describe work #7 Type of Job: New Add riif.6Wr5Alt Repair Other #8 MOBILE/M CTURED HOME INFORMATION 9 t Model Year Make Model W� "l Length Width Serial No. # Bedrooms- # Bathrooms Type of Heat Purchase Price $ ` #9 Indicate by circling the applicable source ' [ water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake arsh Saltwater Seasonal Runoff Other i 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 APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW i Plumbing Fixtures ($3 eachl Fee Mechanical Fixtures ($6 each) No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Units Fees _Showers Furn BTU _Hot Water Htr Heatpumps Laundry Washer Vent Systems _Sinks Sp' Vent Fans Floor Drains No. Bit r m r rs _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 $ 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 TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- 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 DEPARTM T.r- DEPARTMENT. cC�C��► X OWNER X BY DATE l (0 jaS DATE FOR OFFICIAL USE ONLY: Acce P Y ted b ' Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: i Environmental Health: I Building Plan Review 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 Other Other Building Valuation: TOTAL FEE