HomeMy WebLinkAboutMIS95-00714 Cancelled ReRoof - MIS Permit / Conditions - 11/13/1997 PERMIT
MASON COUNTY NULL & VOID BY RATION
Mason County Bldg, III 426 W. Cedar DATE BY
P.O. Box 186 Shelton, Washington 98584
M 1 SC F= 1.__ I.. iA N E CO IJ IF; F'A E R M i FOR I NSPUCT I ONS CAL I 427 9670
DIV : BLK : LOT :
JOB ADDRESSi NF 23371 HIGHWA BELFAIR
APPLICANT : WALTER MA I NE= 360-275-6280
OWNFR : WALTER MA i Nf 360--275-6280
LEGAL : SAN I. THF1_FR'S NOYE a GAR TIS TO 1 1112 S 112
F
PROJECT LOCATIONr
SOUTH FOGS OF RELFAIR . LEFT SIDE OF HIGHWAY . RIGHT NEXT TO THE LAIINDROMAT . BEIGE HOUSE .
PROJECT NOTES :
TYPE AMOUNT BY ()A-fr RECF 1 PT�
S.TFE $ 4 .50 NJP 09/ 14/95 40226
RFRF $ 25 .00 NJP 09/ 14/95 40226
'f01A1 c 29 ,50 OWNER OR `r-T-RT DATES-'
MI S_FIYT, rev, 44101192 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
i
it
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
f
P' F FZM 1 T' C:; CaNI-) I T 1 C3P4
Case No . : MIS95-0714
For : WALTFA MAINF
Page , 1
1 ) MUST VEN1 ATT 1 (' 1 / 150 i.AI 1 FOR F I NAL i NSPECT I ON WHF N
COMPLETED .
x
> PURSUANT TO 1991 UNIFORM RU I I. D I NG 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
I AND 1-EGIBLE- FROM THE SIRFET OR ROAD FRONTING THE PROPFRTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEE , BASI D ON RATES IN TABLE 3A OF THE 1991 UNIFORM BUILDING CODE. W 11_.1 fif
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTION,.,
X
3 ) THE DEMOLITION AND DISPOSAL OF DEMOLITION DEBRIS MUST MEET REQUIRFMF-NTS As PER MASON
COUNTY REGULATIONS .
X...__.__
G �4 ) AF_L CONSTRUCTION MUST MEET OR FXCFED ALL LOCA1 CODES AND UBC
l
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
X r
5 ) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS _FEQU 1�.E.N PER MASON COUNTY BUILDING
DEPARTMENT AND UNIFORM BUILDING CODE .x — e t'
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MIS
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
#1 Owner tyAZ-jE/? ZV, _C zr_ Phone# 27:�-= , ZBo Fire District#
Site Address 11--z Z 3 3 / ,//wr, City l?P/Y,--
Mail Address b,,,4.
City Z3CZ f422 St Zip
Applicant L_CA xll—' � Phone# -r
Applicant Address 3 J s LC?wrr �o
City St it--14 Zip `jF2iz
Directions to Site:
#2 Parcel No. W__ZZ 33Z - 66 - OoGo
Legal Description ?/j Ii,vim
#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 &CA V Project Completion Date fz:<z zy,
#5 Use of Buildiing Describe proposed construction
t fC -
v
"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 FIRST OBTAINING APPROVAL FROMTHE BUILD- OBTAINING APPROVAL FROM THE BUILDING DEPART-
ING DEPARTMENT. MENT.
X OWNER X BY
DATE DATE �S�
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 $
Plan Check
Other
Other
State Building Fee
TOTAL DUE $